Encounter Reasons
Source Object: Encounter Reasons
Overview and Usage: The "Encounter Reasons" source object in athena EHR is an essential component for documenting and managing the reasons for a patient's encounter with healthcare providers. It plays a significant role in capturing the context and purpose of each patient encounter, which is crucial for proper care delivery and record-keeping. Here's an overview of key fields and their usage:
- Encounter Reason Note: "encounterreasonnote" provides a space for healthcare providers to record detailed notes or comments related to the reasons for the patient's encounter. It allows for additional context and information about the encounter.
- Encounter Reason ID: "encounterreasonid" may be used to identify a unique identifier associated with the specific encounter reason, helping with record-keeping and reference.
- Encounter Reason Text: "encounterreasontext" contains the actual textual description of the reason for the encounter, capturing the context or details provided by the patient or healthcare provider.
- Last Modified Date and Time (Encounter Reasons): "encounterreasons.lastmodifieddatetime" records the date and time of the last modification of the encounter reason details, facilitating tracking of changes and updates.
- Last Modified User (Encounter Reasons): "encounterreasons.lastmodifieduser" specifies the user or entity responsible for the last modification of the encounter reason, enabling accountability and auditability.
- Note Last Modified Date and Time: "notelastmodifieddatetime" captures the date and time when any notes or comments related to the encounter reason were last modified.
- Note Last Modified User: "notelastmodifieduser" specifies the user or entity responsible for the last modification of notes or comments, ensuring proper attribution.
- Laterality: "laterality" may indicate information about the side or location associated with the encounter reason, which is particularly relevant in specialties like orthopedics and ophthalmology.
- Append Text: "appendtext" can be used to add additional text or information to the encounter reason, allowing for updates or clarifications.
- Note Text: "notetext" contains the notes or comments related to the encounter reason, providing additional information or context.
The "Encounter Reasons" source object is vital for documenting the purpose and context of patient encounters. It ensures that healthcare providers have a clear understanding of the reasons for each encounter, facilitating effective care delivery, diagnosis, and treatment planning. Developers can leverage this source object to build features and applications that enhance the documentation and management of encounter reasons within athena EHR.
Mapping Table
Data Field | Example Value | Source Data Field Description | Source Field Data Type | Source Data Field Cardinality | Mapped FHIR++ Resource | Mapped FHIR Data Field | Augmented Mapping | Associated Coding System | Associated FHIR Data Field Extension | Mapping Context |
---|---|---|---|---|---|---|---|---|---|---|
encounterreasonnote | - | The reason for visit note associated with the encounter. | String | 0..1 | Encounter | extension[*].valueString | - | encounter-reason-note | Top Level | |
encounterreasons.encounterreasonid | - | The ID of the encounter reason. | String | 0..1 | Encounter | reasonCode.coding[*].code | system=athena | - | Top Level | |
encounterreasons.encounterreasontext | - | The text of the Encounter Reason / Chief Complaint section. Not all practices use this. Some use it extensively with HTML templates. | String | 0..1 | Encounter | reasonCode.coding[*].display | - | Top Level | ||
encounterreasons.lastmodifieddatetime | - | The date and time that the encounter reason was last modified. This API attribute is being rolled out and will be Generally Available on or before September 1, 2022. | String | 0..1 | Encounter | reasonCode.coding[].extension[].valueString | - | encounter-reason-last-modified-date-time | Top Level | |
encounterreasons.lastmodifieduser | - | The username of the user that last modified the encounter reason. This API attribute is being rolled out and will be Generally Available on or before September 1, 2022. | String | 0..1 | Encounter | reasonCode.coding[].extension[].valueString | - | encounter-reason-last-modified-user | Top Level | |
notelastmodifieddatetime | - | Date and time when encounter reason note was last modified. This API attribute is being rolled out and will be Generally Available on or before September 1, 2022. | String | 0..1 | Encounter | extension[*].valueString | - | encounter-note-last-modified-date-time | Top Level | |
notelastmodifieduser | - | Username of the user who last modified encounter reason note. This API attribute is being rolled out and will be Generally Available on or before September 1, 2022. | String | 0..1 | Encounter | extension[*].valueString | - | encounter-note-last-modified-user | Top Level | |
encounterreasonnote | - | The reason for visit note associated with the encounter. | string | 0..1 | Encounter | reasonCode.extension.valueString | encounter-reason-note | Top Level | ||
encounterreasonid | - | The ID of the encounter reason. | integer | 0..1 | Encounter | reasonCode.coding.code | Top Level | |||
encounterreasontext | - | The text of the Encounter Reason / Chief Complaint section. Not all practices use this. Some use it extensively with HTML templates. | string | 0..1 | Encounter | reasonCode.coding.display | Top Level | |||
lastmodifieddatetime | - | The date and time that the encounter reason was last modified. | string | 0..1 | Encounter | reasonCode.coding.extension.valueDateTime | encounter-reason-last-modified-datetime | Top Level | ||
lastmodifieduser | - | The username of the user that last modified the encounter reason. | string | 0..1 | Encounter | reasonCode.coding.extension.valueString | encounter-reason-last-modified-user | Top Level | ||
notelastmodifieddatetime | - | Date and time when encounter reason note was last modified. | string | 0..1 | Encounter | reasonCode.extension.valueDateTime | encounter-reason-note-last-modified-datetime | Top Level | ||
notelastmodifieduser | - | Username of the user who last modified encounter reason note. | string | 0..1 | Encounter | reasonCode.extension.valueString | encounter-reason-note-last-modified-user | Top Level | ||
laterality | - | Optional laterality value (left or right). | string | 0..1 | Encounter | reasonCode.coding.extension.valueString | encounter-reason-laterality | Top Level | ||
appendtext | - | If true, note text will be appended to the existing note. If false (default), the existing note text will be completely replaced by the new note text. | boolean | 0..1 | Encounter | reasonCode.extension.valueBoolean | encounter-reason-append-text | Top Level | ||
notetext | - | The text to set as or append to the note. | string | 0..1 | Encounter | reasonCode.extension.valueString | encounter-reason-note-text | Top Level |