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EpisodeOfCare.status is required but not accounted for #258

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ahenket opened this issue Mar 16, 2022 · 0 comments
Open

EpisodeOfCare.status is required but not accounted for #258

ahenket opened this issue Mar 16, 2022 · 0 comments

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@ahenket
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ahenket commented Mar 16, 2022

When I look at https://simplifier.net/Validationzib2020R4/ZibEpisodeOfCare I'm missing documentation on how to handle EpisodeOfCare.status which is 1..1. Status does not have a relationship with the zib.

(EpisodeOfCare.status)[https://hl7.org/fhir/episodeofcare.html]: planned | waitlist | active | onhold | finished | cancelled | entered-in-error

This is what I know about status:

  • GPs typically all work with episodes, which have status active (FHIR: 'active') or closed (FHIR: 'finished'). Any episode with and EndDate before 'now' is considered closed
  • Secondary care probably works with episodes, but I know too little about that
  • Tertiary care (home health, VVT/nursing homes) use episodes as far as I know, but I know too little about that

Generically I think this could work:

  • Use the applicable status according to the underlying system. When the proper status is unknown and the EpisodeOfCare.period.end is not known or in the future, the status is considered 'active'. When the proper status is unknown and EpisodeOfCare.period.end is populated with a value on or before 'now', the status should be considered 'finished'
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