Interoperability Workshop.ppt.pptVIP

September, 2005 What IHE Delivers PAM Fran?ois Macary – AGFA HES Patient Administration Management Where does PAM come from PAM scope PAM actors, transactions and options Actors grouping Choice of HL7 2.5 Message profiles Reminders and conclusion 3 hitch-hikers jump into a magic bus The Mahabharata 3 hitch-hikers jump into a magic bus 3 hitch-hikers jump into a magic bus Future rearrangement in ITI Future rearrangement in ITI PAM PDQ: The push-pull brothers PAM scope Patient Identification All patients in PAM must be identified. PID-3 (CX, mandatory, repeatable) = Patient Identifier List Each patient identifier has an assigning authority (CX-4) Each identifier is typed (CX-5 = Identifier Type Code) ‘PE’ = Living Subject Enterprise Number ‘PI’ = Patient internal identifier assigned by the HC organization ‘NH’ = National Health Plan Identifier “Encounter” extends “Visit” An interaction between a patient and care provider(s) for the purpose of providing healthcare-related service(s). Healthcare services include health assessment. Examples: inpatient hospital stay, emergency room visit, field visit (e.g., traffic accident), physician’s office visit… Encounters may uniquely be identified in PAM: PV1-19 (CX) = Visit Number (CX-5 = ‘VN’) Patient Account Assigned by accounting. Records all charges, invoices, payments A Patient Account may be associated with one Encounter, or span several Encounters. Accounts may uniquely be identified in PAM: PID-18 (CX) = Account Number (CX-5 = ‘AN’) “Movement” extends “Transfer” An event describing a change of the situation of the patient in the context of the encounter. Examples: transfers of patient location, change of patient class, new attending doctor, new consulting doctor, new encounter starting, encounter closing Movements may uniquely be identified in PAM: ZBE-1 (EI, repeatable) = Movement Id List Movements are events Patient received at the emergency room Two hours later, the patient is admitted to a ICU After two da