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  1. FHIR Specification Feedback
  2. FHIR-20612

Relax EpisodeOfCare text to allow multiple providers

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Medium Medium
    • FHIR Core (FHIR)
    • STU3
    • Patient Administration
    • EpisodeOfCare
    • 8.10.1.1
    • Hide

      The EpisodeOfCare.managingOrganization content will be updated to clarify that the organization is the overall responsible party, though care may be provided by CareTeams from different organizations.

      Short Description:  Organization that assumes responsibility for care coordination

      Definition: The organization that has assumed the specific responsibilities for care coordination, care delivery, or other services for the specified duration.

      Comment:  If multiple organizations are involved in care delivery, the care teams from those organizations would be represented in EpisodeOfCare.team, while the primary organization managing the care would be listed in EpisodeOfCare.managingOrganization.   Other organizations may have their own EpisodeOfCare for tracking their activities.

       

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      The EpisodeOfCare.managingOrganization content will be updated to clarify that the organization is the overall responsible party, though care may be provided by CareTeams from different organizations. Short Description :  Organization that assumes responsibility for care coordination Definition : The organization that has assumed the specific responsibilities for care coordination, care delivery, or other services for the specified duration. Comment :  If multiple organizations are involved in care delivery, the care teams from those organizations would be represented in EpisodeOfCare.team, while the primary organization managing the care would be listed in EpisodeOfCare.managingOrganization.   Other organizations may have their own EpisodeOfCare for tracking their activities.  
    • Cooper Thompson / Alex de Leon : 5-0-0
    • Clarification
    • Non-substantive
    • R5

    Description

      Suggestion to replace:

      "Many organizations can be involved in an EpisodeOfCare; however each organization will have its own EpisodeOfCare resource instance that tracks its responsibility with the patient. "

      with:

      "Many organizations can be involved in an EpisodeOfCare. Usually each organization will have its own EpisodeOfCare resource instance that tracks its responsibility with the patient. In tightly integrated care (such as maternity care or cancer treatment involving multiple providers) EpisodeOfCare may be used to model the joint care effort in a single EpisodeOfCare."

      Probably managingOrganization ? 0..1 would then need to be managingOrganization ? 0..*

      See also: https://chat.fhir.org/#narrow/stream/179166-implementers/topic/Mother.2FChild.20record comments by me and Lloyd March 26, 2019.

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            brian.postlethwaite Brian Postlethwaite
            mgraauw Marc de Graauw
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              Created:
              Updated:
              Resolved: