xCaliber healthCare Data Mesh

Procedure Provider

Procedure_provider

Introduction

The Procedure Provider data model is a crucial component of healthcare information systems that focuses on capturing details about the healthcare provider who performs specific medical procedures or services. It plays a pivotal role in documenting patient care, billing, and ensuring the quality and accuracy of healthcare services throughout the patient's journey.

Use Case

Developers can leverage the Procedure Provider data model for a range of technical use cases that enhance healthcare services, improve documentation, and optimize the patient experience:

  1. Procedure Provider Information Management: Create applications and systems to efficiently manage and maintain detailed information about healthcare providers, including their unique identifiers, credentials, and types.
  2. Procedure Provider Tracking: Develop tools to track the involvement of specific providers in medical procedures or services, ensuring accurate documentation of patient care.
  3. Procedure Documentation Enhancement: Enhance documentation and medical records with information about the provider who performed a specific procedure, making it easier to track and verify healthcare services provided.
  4. Billing and Reimbursement: Utilize procedure provider information for accurate billing and reimbursement processes, ensuring that healthcare services are billed correctly, and payments are processed efficiently.
  5. Provider Qualification Validation: Implement features to validate the qualifications and credentials of providers to ensure that they are authorized to perform specific medical procedures.
  6. Visit and Encounter Management: Use procedure provider data to manage and document patient visits and encounters, associating the provider with specific procedures or services delivered.
  7. Audit and Compliance: Develop auditing and compliance tools that use procedure provider information to ensure that healthcare services comply with regulations and industry standards.
  8. Provider Relationship Tracking: Create functionalities to track provider relationships, such as referring physicians or collaborating specialists, which are essential for coordinated patient care.
  9. Workflow Optimization: Optimize workflows by associating providers with specific procedures and services, streamlining tasks like appointment scheduling and treatment planning.
  10. Batch Processing: Utilize batch IDs to manage and process procedure provider data in groups, making tasks like updates, reporting, and auditing more efficient.
  11. Data Integration: Ensure seamless integration of procedure provider data with other healthcare information systems, such as billing, scheduling, and telemedicine platforms.
  12. Provider Search and Lookup: Create tools that allow users to search for and look up procedure provider information, facilitating tasks like scheduling procedures and referrals.
  13. Quality Improvement: Use procedure provider data to analyze and improve the quality of healthcare services, allowing healthcare organizations to identify areas for enhancement.
  14. Patient Communication: Facilitate communication with patients by providing information about the provider responsible for a particular procedure or service, which can be important for patient education and follow-up care.

Data Fields

Attribute NameDescriptionHL7 MappingData TypeLabelUse Case
provider_uidThis is provider_uid attributeSystem GeneratedstringProvider UIDThis is the unique identifier assigned to a healthcare provider. It distinguishes one provider from another within the XC system.
provider_typeRole of the providerOBR-10, OBR-16, OBR-28, OBR-32, OBR-33, OBR-34, OBR-35stringProvider TypeThis field is used to identify the specialty or role of the ordering provider. This is important because different medical conditions or tests may require input from providers with specific specialties, such as cardiologists, radiologists, or oncologists.
patient_idThis is patient_id attributePID-3-1stringPatient IDThe patient ID is a unique identifier assigned to a patient within the healthcare system. It is used to accurately identify and link a patient's medical records, treatments, and history.
visit_numberId of the visitPV1-19-1stringVisit NumberThe visit number serves as a unique identifier for a specific patient visit or encounter within a healthcare facility. It distinguishes one visit from another.
encounter_idEncounter IDPV1+MSH-10stringEncounter IDThis unique identifier is used to associate various HL7 messages with a specific patient encounter or visit. It ensures that data and events are accurately linked to the correct patient's healthcare journey.
xc_visit_idXC visit idBased on alternate_visit_id followed by visit_number followed by system generated IDstringXC visit idThe "xc_visit_id" is a unique identifier used to group together all the interactions, procedures, tests, and check-ups associated with a single patient visit in a healthcare setting. This identifier helps in organising and managing various activities and data related to that specific patient encounter.
lineageThis is lineage attributeFixed - HL7stringLineage"lineage" refers to the information about the origin or source of a message. It helps trace the path of the message, indicating where it originated, how it was transmitted, and any intermediate systems or components it passed through before reaching its destination.
procedure_idThis is procedure_id attributePR1,MSH-10stringProcedure IDThis field is crucial for precisely identifying and tracking medical procedures or services. Each procedure is assigned a unique code that is recognised across healthcare systems.
provider_idId of the providerPR1-8, PR1-11, PR1-12stringProvider IdThis field is crucial for identifying and associating the healthcare provider or organisation responsible for performing a particular medical procedure. It ensures accountability and transparency in healthcare documentation.
bundle_idID of bundleMSH-10stringBundle ID“bundle ID" typically refers to a unique identifier assigned to a group or bundle of related messages or data elements. This identifier is used to associate multiple messages or pieces of information that are related to a specific patient, event, or transaction.
batch_idBatch idSystem GeneratedstringBatch ID"batch ID" is a unique identifier assigned to a group of messages that are logically grouped together for processing or transmission. Batching messages is a common practice in healthcare systems to efficiently manage and transmit multiple messages as a single unit
alternate_visit_idAlternative visit idPV1-50/PID-18stringAlternate Visit IdThis field provides an alternate identifier for a patient's visit. It is used for tracking and cross-referencing patient visits and records, especially in scenarios requiring multiple identifiers or references. This field is recorded during patient registration and aids in accurate record linkage.