xCaliber healthCare Data Mesh

Encounter Assessment

Source Object: Encounter Assessment

Overview and Usage: The "Encounter Assessment" source object in athena EHR is a critical component for documenting and managing assessments conducted during patient encounters. It allows healthcare providers to record details related to assessments, ensuring proper documentation of patient evaluations and clinical findings. Here's an overview of key fields and their usage:

  • Assessment Text: "assessmenttext" contains the textual description of the assessment conducted during the patient encounter. It provides essential information about the assessment, including clinical findings, observations, and diagnostic results.
  • Last Modified By: "lastmodifiedby" indicates the user or entity responsible for the last modification of the assessment record. It helps track changes and updates to the assessment.
  • Last Modified Date and Time: "lastmodifieddatetime" records the date and time when the assessment was last modified. It aids in tracking the timeline of assessment updates.
  • Replace Text: "replacetext" may be used to specify replacement or updated assessment text, allowing for the modification of assessment records.

The "Encounter Assessment" source object is vital for healthcare providers to document and manage assessment information during patient encounters. It ensures proper documentation of clinical findings, which is essential for diagnosis, treatment planning, and care coordination. Developers can utilize this source object to build features and applications that enhance the documentation and management of assessments within athena EHR.

Mapping Table

Data FieldExample ValueSource Data Field DescriptionSource Field Data TypeSource Data Field CardinalityMapped FHIR++ ResourceMapped FHIR Data FieldAugmented MappingAssociated Coding SystemAssociated FHIR Data Field ExtensionMapping Context
assessmenttext-The text of the Assessment / Plan section. Not all practices use this. Some use it extensively with HTML templates.string0..1Encounterextension.valueStringassessment-textTop Level
lastmodifiedby-The username of the user who last updated this text.string0..1Encounterextension.valueStringassessment-last-modified-byTop Level
lastmodifieddatetime-The datetime that this text was last updated.string0..1Encounterextension.valueStringassessment-last-modified-datetimeTop Level
replacetext-If true, will replace the existing assessment text with the new one. If false, will append to the existing text.boolean0..1Encounterextension.valueBooleanassessment-replace-textTop Level