Meeting Minutes from Discussion
|Decision Link(if not child)|
|Methodology||Second Pass on 5 W's results below|
|Management||July 30, 2019|
|Adjournment||Adjourned at 12:45 pm|
Always an attribute
Who: Ordering Physician
Who: Supervision Physician at test site
Specialty (this could be extended to every person who)
Who: Who interpreted the results (referral eg interventional radiologist who recommends a care plan)
Who: Who is the physian the patient provide care as a result of the exam (N+1)
Who: Who is paying for the test (pre auth)
Devices are part of ‘WHO’
Software / Firmware Version
Who provided consent?
What is the test
What is the activity
What is the intervention
Is this an order
Is this a prior auth request / response?
Is this a test
Is this data entry into the system
What – the equipment being used to view the x ray for diagnostic purposes…
As well as the equipment being used to capture the image.
What tool was being used to capture the event
Electronic transfer from machine
Location where test was performed Facility ID
Address – physical address v IP address
Facility Type (inpatient / ambulatory)
Location - set of where attributes for the physician so for each Who we have a where
What about telehealth?
Where separate for patient / provider so in theory each what can have multiple wheres
For privacy and security, the where was anonymized for privacy reasons.
Eg house calls to domestic violence shelter / HIV clinic if the where is a HIV clinic can compromise patient privacy (HIV is a special case)
When was the test performed?
Duration which would be calculated
When was the test ordered?
When was the test sent to the interpreting physician?
when was the test read by the interpreting physician?
When was intervening provider engaged (N+1)
When was intervention provided?
When was the event recorded? (Start / End)
When was event authenticated?
Reason for the test
Indicator of it's place in a series of events that have a natural sequence.
Codes (ICD / Snomed) for the why
This could be used as part of the pre auth process. So Risk Factors could be here in addition to being embedded in the test results.
Think of this as the basis for a pre auth.
Reed Gelzerto map this work against provenance resource