Encounter Classification "Virtual"

Online appointment booking, payment and confirmation; Can this encounter be calcified as “virtual”
What is the exact meaning of “Plan” status of the encounter resource


Typically this wouldn’t be categorized as an encounter at all, though you could call it a “pre-admit” encounter if you wanted to. Is there a purpose to having an Encounter grouper for these steps?

Yes, according to CCHI standards we have to pass all transactions under a encounter for insurance verifications. So I thought of adopting flow like below

Online booking and payment
Encounter Virtual, status planned

When patient arrived the hospital
create new encounter
Encounter AMB Status Arrived

Patient visit doctor
Encounter In Progress

What do you think and. your advices Please

If it’s in “preparation” for an eventual physical encounter, then yes you could use ‘planned’ as the status for the encounter when you’re still doing preparatory steps.

Okey thank, its very clear now. What will be the most rational calcification pre-admit or virtual

Whether it’s known to be preparation for another planned encounter - and all of the value delivered is focused on enabling that subsequent encounter.

Got it good explanation. Thanks

@lloyd thanks for information

What if you operate as a virtual service.e.g. virtual GP - surely that should be considered an encounter too?

Sure. Phone calls, video chats, etc. can all be considered Encounters

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However, according to my experiences, best practice is creating an encounter at the time of patient “check-in” to the hospital. The consultation fee (as a “pre-paid transaction”) can be recorded under the created encounter. Then patient visit the physician for consultation, and it also can be recoded under the already created encounter as a “Clinical impression” (Refer to the Fhir 5 draft document). If physician order any medicine, patient can go to the pharmacy and get it dispensed. Then the pharmacy transactions too recorded under the already created encounter. Similarly, any transaction easily can be recorder till the patient complete the journey can be captured under the created encounter. Then It can cater both clinical and business requirement.

What do you think

The boundaries of what constitutes a distinct encounter as well as what gets linked to an encounter is driven by organizational policy and payer rules. FHIR doesn’t have a strong opinion.

Thanks. Got your point