This is how I understand it as well, just in the interests of avoiding confusion, so a Folder solution as described above is for episodes of care, within an institution, or something that functions like an institution, and where there is internal continuity of care, e.g. an integrated area or city health service.

- thomas


On 19/08/2018 12:20, Karsten Hilbert wrote:
On Fri, Aug 17, 2018 at 03:36:23PM +0100, Ian McNicoll wrote:

As Dileep has indicated he probably would use folders if Ethercis supported
them. Another alternative is to create an Encounter ID for each new
encounter (which in Dileep's example, I think I would call an episode of
care, and simply tag each composition with that Encounter ID
An Encounter (in community medicine) is very much different
from an Episode of Care.

An Encounter happens when patient and healthcare system
"meet" in some way, it is one-off. It can encompass a
multitude of Reasons for Encounter, about different care
targets.

An Episode of Care is a time range during which one
particular care target is handled. It manifests itself during
1..many Encounters, each of which is about 1..many care
targets (problems).

Karsten

--
Thomas Beale
Principal, Ars Semantica <http://www.arssemantica.com>
Consultant, ABD Project, Intermountain Healthcare <https://intermountainhealthcare.org/> Management Board, Specifications Program Lead, openEHR Foundation <http://www.openehr.org> Chartered IT Professional Fellow, BCS, British Computer Society <http://www.bcs.org/category/6044> Health IT blog <http://wolandscat.net/> | Culture blog <http://wolandsothercat.net/> | The Objective Stance <https://theobjectivestance.net/>
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