Treatment (Encounter)

A Treatment record covers a period at which a patient is associated with a hospital and is classified as having a specific modality. It is possible for treatment records to overlap if a patient has multiple treatments (such as post-transplant dialysis).

A treatment record should exist for any period of time where they would be considered a patient (so for example code 900 record for pre-RRT CKD and a code 94 record for post-RRT Conservative care).

Systems should supply end dates to show when a record has ended, along with a reason for this happening.

Details of Transplants themselves should be recorded as Procedures but Treatment records should be used to record periods of Transplant related Inpatient/Outpatient care.

Schema

Schema Treatment (github)

Example

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 <Treatment> <EncounterType>O</EncounterType> <FromTime>2002-05-30T09:00:00</FromTime> <ToTime>2003-05-30T09:00:00</ToTime> <AdmitReason> <CodingStandard>CF_RR7_TREATMENT</CodingStandard> <Code>1</Code> <Description>Haemodialysis</Description> </AdmitReason> <AdmissionSource> <CodingStandard>RR1</CodingStandard> <Code>ABROAD</Code> <Description>Abroad</Description> </AdmissionSource> <HealthCareFacility> <CodingStandard>RR1_PLUS</CodingStandard> <Code>REE01</Code> <Description>Southmead Hospital</Description> </HealthCareFacility> <DischargeReason> <CodingStandard>CF_RR7_DISCHARGE</CodingStandard> <Code>38</Code> <Description>Patient transferred Out</Description> </DischargeReason> <DischargeLocation> <CodingStandard>RR1_PLUS</CodingStandard> <Code>REE01</Code> <Description>Southmead Hospital</Description> </DischargeLocation> </Treatment>



SQL Table