Patient status (active/inactive) not supported in E2E spec

[irynadavies]

Patient status is an important element for the network queries as many clinical indicators usually pertain to active patients only. This issues will be raised with GPI but we may have to mitigate it by deriving the status by seeing when patient had their last appointment (e.g. is it in the last 2 years, etc).

Unfortunately, E2E doesn't support date of death so this will limit us in identifying active patients even further.

[rsimkus]

The original purpose of the E2E spec was for exchange of information
between providers. The one use case is for moving data from one EMR to a
different one and in this case there is a need to know the status of the
patient as all of the records need to be moved and kept for 15 years or
longer. I believe there is a refset for patient status at the Infoway site.
I think that there should be a log of dates of when the status was changed
as from time to time a patient will be labeled as inactive and then returns
to the practice and the status is changed back to active. There should also
be a provision for 'roster status'. While there are only a few physicians
in BC that need this about 40% of physicians in Ontario are working in
practices where they have rostered patients. This status is different than
'registered' as at least one EMR has a provisional status for patients that
have data coming into the practice but have not yet been seen in the
practice. An example would be a specialist that receives copies of lab
results but the patient has not been seen yet or the referral request may
not have been received yet.

Ray

On Thu, Jun 20, 2013 at 12:31 PM, irynadavies notifications@github.comwrote:

Patient status is an important element for the network queries as many
clinical indicators usually pertain to active patients only. This issues
will be raised with GPI but we may have to mitigate it by deriving the
status by seeing when patient had their last appointment (e.g. is it in the
last 2 years, etc).

Unfortunately, E2E doesn't support date of death so this will limit us in
identifying active patients even further.

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Reply to this email directly or view it on GitHubhttps://github.com//issues/1
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Raymond Simkus
Langley, BC