Encounter is an interaction between a patient and healthcare provider(s) to provide healthcare service(s) or assess a patient’s health status. There are many types of encounters (such as ambulatory, inpatient, home visits, emergency and the like) which is the reason why the resource encompasses the lifecycle from pre-admission to the actual encounter (for ambulatory encounters) and admission, stay and discharge (for inpatient encounters). Encounter is primarily used to record information about the actual activities that occurred, where Appointment is used to record planned activities.

An association between a patient and an organization/healthcare provider(s) over a period of time. The managing organization assumes a level of responsibility for the patient during this time. EpisodeOfCare acts as a container resource that links a series of Encounters together for problems/issues (specific condition).

HealthcareService resource describes the details of a single healthcare service or category of services that are provided by an organization at a location. The location of the services could be virtual, as with telemedicine services.

Location resource gives details and position information of a physical place where services are provided, and also where resources and participants may be stored, found, contained or accomodated.

Observation represents one of the most important and central units of healthcare data exchange - different kinds of observations varying from clinical findings and measurements to social history. The resource is designed to cover a wide variety of use cases and as a result, at its simplest, a resource instance can consist of only a code, value, and status flag. The granularity of instance highly depends on the use case, therefore the minimal viable data considered is a decision that needs to be made during profiling process.

Organization is a resource intended for documenting information related to an entity that has been formed for the purpose of achieving some form of collective action. ‘Organization’ as such has a narrower definition in context of EEBase - in order to be conformant to EEBaseOrganization profile, an organization MUST be registered as a business. Yet, Organization could be used for documenting contact information and/or providing support for other resources that need to reference organizations.

Patient is a FHIR resource intended for documenting demographical and/or administrative information about the individual on the receiving end of healthcare services. In context of Estonian healthcare data exchange, the patient MUST be identifiable by Person Identity System.

This profile defines the EE Base constraints and extensions on the Practitioner resource for the minimal set of data to query and retrieve practitioner information. The profile defines a structure that localises core concepts, including identifiers and terminology, for use in an Estonian context for practitioner.

PractitionerRole resource allows exchange of specific set of roles, specialties and services that a practitioner may perform at an organisation for a period of time. EEBase PractitionerRole profile defines the constraints and extensions for the minimal set of data to query and retrieve information for practitioner role in Estonian context.

This profile builds on RelatedPerson resource. The profile allows information exchange about a person that is involved in the care for a patient, but who is not the target of healthcare, nor has a formal responsibility in the care process.

EEBase Address Type

EEBase ADS extension

This extension applies to the date and dateTime data types and is used to represent the accuracy of the associated date.

EEBase EHAK extension

The method that the patient arrived at the facility.

Patient age measure and unit

Estonian Address Data System.

Act Priority

Administrative Gender

Clinical specialty (aka ‘tegevusvaldkond’ in Estonian)

Date Accuracy Indicator

Qualification based on the education

This value set defines a set of codes that can be used to indicate the class of encounter: a specific code indicating class of service provided.

All identification systems have ever been used for identification.

Location Form

Medre specialty (aka ‘TAM eriala’ in Estonian).

Mode Of Arrival

Observation category

Classification of Occupations

Identity systems acceptable for organization identification

Organization Types

Identity systems acceptable for patient identification

Person relationship

Identity systems acceptable for practitioner identification

The role of practitioner in the healthcare facility.

Estonian Address Data System.

The Date Accuracy Indicator code system defines concepts that indicate the accuracy of components of a reported date. The concepts defined in this code system are equivalent to those defined in the METeOR value domains for Date—accuracy indicator, code AAA (http://meteor.aihw.gov.au/content/index.phtml/itemId/294429).

Description of the identity system concepts acceptable for entity identification

Medre specialty (aka ‘TAM erialade loend’ in Estonian)

The content of this code system is intended to supplement HL7’s code system arrivalMode (version 2.1.0) with one additional code (‘PV’) for using in ValueSets

Estonian Edition of International Standard Classification of Occupations. Based on ISCO-88

The national identifier of Estonian address data. ADS.

The national code system of Estonian administrative and settlement data. EHAK.

The identification code of organization in the Estonian Business Register.

The license number of Estonian health care facilities registered at The National Institute for Health Development.

VAT identification number.

The personal national identification code of Estonian citizens and residents.

The official identifier of Estonian health care professional registered at Health Board.

Blood Pressure example

Practitioner D98765

Practitioner D99876

Jane Doe is a wife of John Doe

Inpatient encounter of Mart Mets

Healthcare Service Example

Mari Meri is an emergency contact of Mart Mets

Practitioner N98765

Practitioner N99876

PractitionerRole D98765

PractitionerRole D99876

PractitionerRole N98765

PractitionerRole N99876

Organization Tervisekassa

Episode of care care example

Organization ITK

Location of the Emergency Department at ITK

Estonian citizen

Foreigner with minimal dataset.

Patient that can not be recognized during admission

Organization Rakvere Hospital

Organization Synlab