An Encounter
Robert Brown is a clinically obese patient who also has long term COVID. His GP has referred him to a specialist
Include rough notes on the referral or link to eRS.
Appointment Booking
| Standard | Event Message | Plain version |
|---|---|---|
| HL7 v2 | Pre-admit a patient (ADT_A05) | Robert Brown (NHS Number 9876543210) has a follow up outpatient appointment with Leeds Teaching NHS Trust on 20 Jun 2023 at 1540 Typically sent to most systems within an NHS Trust |
Patient Arrives
Patient arrives at a hospital and either checks in at the desk or uses an appointment kiosk.
| Standard | Event Message | Plain version |
|---|---|---|
| HL7 v2 | Register Outpatient (Encounter) (ADT_A04) | Robert Brown (NHS Number 9876543210) has arrived at 1520 for a follow up outpatient appointment with Leeds Teaching NHS Trust on 20 Jun 2023 at 1540 Typically sent to most systems within an NHS Trust |
Patient is requested to attend the consultation.
Encounter
Patient is directed to a consultation room.
| Standard | Event Message (ADT) | Plain version |
|---|---|---|
| HL7 v2 | Register Outpatient (Encounter) (ADT_A04) | Robert Brown (NHS Number 9876543210) follow up outpatient encounter with Leeds Teaching NHS Trust has started 20 Jun 2023 at 1541 |
Describe the rough processes the practitioner follows during a consultation. Such as reviewing patients past history using a Clinical Portal
The consultation is recorded. Maybe mention openEHR here as a standard for recording EHR data
On completion the following event is created.
| Standard | Event Message (ADT) | Plain version |
|---|---|---|
| HL7 v2 | Register Outpatient (Encounter) (ADT_A04) | Robert Brown (NHS Number 9876543210) follow up outpatient encounter with Leeds Teaching NHS Trust has started 20 Jun 2023 at at 1541 and finished 1553 |
An outpatient letter is automatically created and stored on the Electronic Document Management System (mention IHE XDS here).
Structured records should also be shared as default, ideally using a HL7 FHIR RESTful API.
A copy of the letter is sent to the patients GP. (TOC, Kettering XML, etc). Is this necessary? The document could be pulled at any time by the GP system
A link to the record should be sent to NRL - which record does this point to? The document or the structured record.