@Gerard - I have always assumed that Contsys 'Health Issue' equates to problem.
https://github.com/openehr-clinical/shn-contsys Ian Dr Ian McNicoll mobile +44 (0)775 209 7859 office +44 (0)1536 414994 skype: ianmcnicoll email: i...@freshehr.com twitter: @ianmcnicoll Co-Chair, openEHR Foundation ian.mcnic...@openehr.org Director, freshEHR Clinical Informatics Ltd. Director, HANDIHealth CIC Hon. Senior Research Associate, CHIME, UCL On Mon, 20 Aug 2018 at 10:04, Thomas Beale <thomas.be...@openehr.org> wrote: > Some of these Contsys definitions are problematic: > > On 20/08/2018 09:13, GF wrote: > > Hi Karsten, > > ISO System of Concepts for Continuity of Care (ContSys) defines all kinds > of concepts related to care and its documentation. > It would be. a good thing to harmonise terms we use. > More info via: https://contsys.org > > ContSys is *NOT* a Data model but a way to define concepts and there > relations using UML. > It can/must inform the production of shared archetypes. > > ENCOUNTER > Most certainly this is the case when a Healthcare Provider meets the > patient and documents the care given. > Meeting can be real and virtual via telephone, e-mail, a third party > > But there is an encounter when the HcP interacts with the EHR without a > Patient (Virtually) present. > > > that would certainly be a subversion of the usual meaning of 'encounter' > (literally 'to meet') in English and all the latin languages at least... > (in Portuguese and Brazil health system, the word is 'atendimento', i.e. > attendance... - probably the same in Italian and Spanish). > > It would be better ontologically to call such an event something else - in > openEHR it is a commit of a Contribution. > > There are also other health system actions with the patient absent, e.g. > doing lab work on tissue samples - also real 'work', but not an encounter. > > > So ENCOUNTER, in my terms, is any interaction of an Author (HcP, Patient, > third Party/Proxy) with the Patient Record. > > The ISO standard System of Concepts for Continuity of Care uses the term > and definition: > *contact <https://contsys.org/concept/contact_period> perio > <https://contsys.org/concept/contact_period>d- healthcare activity period > <https://contsys.org/concept/healthcare_activity_period> during which > a contact <https://contsys.org/concept/contact> occurs* > > EPISODE > ContSys defines this as: > *episode of care- health related period > <https://contsys.org/concept/health_related_period> during which healthcare > activities <https://contsys.org/concept/healthcare_activity> are performed > to address one health issue <https://contsys.org/concept/health_issue> as > identified by one healthcare > <https://contsys.org/concept/healthcare>professional[* > > > I would suggest that most people think an episode of care is not limited > to one HCP, and is not always limited to one health issue, even if there is > usually one main 'problem' on admission. An episode of care is usually > thought of as care to resolve an issue for a patient by a team of HCPs > working in an integrated environment, e.g. a hospital. If the resolution of > the issue requires care that crosses institutions (usually the case), then > a different term is probably needed for that. > > - thomas > > -- > 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/> > _______________________________________________ > openEHR-technical mailing list > openEHR-technical@lists.openehr.org > > http://lists.openehr.org/mailman/listinfo/openehr-technical_lists.openehr.org >
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