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During the OpenMRS Implementers meeting in 2009, we designed a way to expand on single-form encounters into the notions of visits and episodes of care.  Encounters become a representation of a clinical transaction (a combination of orders, observations, notes, and/or metadata collected at a point in time) and are grouped within visits (e.g., clinic visit, hospitalization, emergency room visit, etc.).  Episodes of Care are a grouping of encounters and/or visits related to a single topic (e.g., all encounters relating to a pregnancy).

Definitions

 

Description

Examples

Encounter

A clinical transaction.  One or more providers generating a set of data (orders, labs, notes, and/or observations) for a patient at a point in time.

  • An encounter form entered during a patient visit
  • A doctor writes some orders and a note in one "ordering session" during a hospitalization
  • A set of lab results delivered to the EMR

Visit

A group of one or more encounters that typically occur within a contiguous span of time.

  • A clinic vist
  • A hospitalization

Episode of Care

 

 

Designing Episodes of Care

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