Product Guide

Encounter Lens

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This page includes some new functionality that will be in production on Friday July 11.

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Encounter Lens

The Encounter resources for a patient are deduplicated by date and enriched encounter class. The Encounter class is added by Zus Enrichment and ensures that Encounters are properly categorized as Ambulatory, Inpatient, Emergency, etc.

If we are unable to categorize an Encounter do to a lack of provided codings or other context, we add a label of Unknown. Because those uncategorized encounters generally contain non-patient interactions like med orders, they are not summarized into an encounter lens.

Encounter Lenses include a summary tag for easy identification:

"meta": {  
    "tag": [  
        {  
            "system": "https://zusapi.com/lens",  
            "code": "Encounters"  
        }  
    ]  
}

You can query for a patient's Encounter Summary Lens resources by filtering on the tag, as shown below:

{{fhir_url}}/Encounter?_tag=https://zusapi.com/summary|Common&patient.identifier=https://zusapi.com/fhir/identifier/universal-id|{{universal_patient_id}}

Data Model

FieldNote
resource.hospitalization.reAdmissionSet to R with system <http://terminology.hl7.org/CodeSystem/v2-0092>
Set for encounters with the following requirements:

- Encounter has a class of IMP
- Encounter has an admitSource that can be classified as emergency, holding, or direct
- Encounter has a a previous IMP encounter within 30 days, but not within 36 hours prior
resource.hospitalization.admitSourceUtilizes values from Bamboo and Experian.

Additionally, encounters with a class of IMP may be normalized to emd in instances where it can be identified the patient was admitted via the ED.
resource.extension with "url": "https://zusapi.com/lens/extension/aggregatedFrom"The Zus aggregated from extension lists the Encounter resources that were used to generate this output resource.
resource.extension with "url": "https://zusapi.com/lens/extension/highestPrecisionStart"The highest precision start extension lists the start time for the encounter as a valueDateTime from the latest aggregated Encounter.
resource.extension with "url": "https://zusapi.com/lens/extension/highestPrecisionEnd"The highest precision end extension lists the end time for the encounter as a valueDateTime from the latest aggregated Encounter.
resource.extension with "url": "https://zusapi.com/lens/extension/relatedBinaries"The related binaries extension lists Binaryresources linked to the encounter via Provenance.

Here is an example of a mocked Encounter Lens resource:

{
 "resourceType": "Encounter",
 "id": "7bdd-47fa-accf-6e1f2b855555",


 "class": {
   "system": "https://terminology.hl7.org/2.1.0/ValueSet-v3-ActEncounterCode.html",
   "code": "AMB",
   "display": "ambulatory"
 },
 "status": "finished",
 "subject": {
   "reference": "Patient/8804-4728-95cf-3ab4af655555",
   "type": "Patient"
 },
 "diagnosis": [
   {
     "condition": {
       "reference": "Condition/6a10-4cd0-b377-d2aa13555555"
     }
   }
 ],
 "extension": [
   {
     "extension": [
       {
         "url": "https://zusapi.com/lens/extension/aggregatedFrom",
         "valueReference": {
           "reference": "Encounter/da3f-4b69-9b15-9e3099655555",
           "type": "Encounter"
         }
       },
       {
         "url": "https://zusapi.com/lens/extension/aggregatedFrom",
         "valueReference": {
           "reference": "Encounter/0b43-414e-a925-58b9d1a55555",
           "type": "Encounter"
         }
       },
       {
         "url": "https://zusapi.com/lens/extension/aggregatedFrom",
         "valueReference": {
           "reference": "Encounter/7d22-40e5-a453-5d3a7d055555",
           "type": "Encounter"
         }
       }
     ],
     "url": "https://zusapi.com/lens/extension/aggregatedFrom"
   },
   {
     "url": "https://zusapi.com/lens/id",
     "valueString": "8326-c94e-4fd4-aabe-4fa744655555"
   },
   {
     "url": "https://zusapi.com/fhir/identifier/universal-id",
     "valueString": "7fb1-40ff-8e63-b3f4e0355555"
   }
 ],
 "identifier": [
   {
     "system": "urn:oid:1.2.840.114350.1.13.280.2.7.3.698084.8",
     "value": "1484343255"
   },
   {
     "system": "urn:oid:1.2.840.114350.1.13.280.2.7.3.698084.8",
     "value": "1484345497"
   },
   {
     "system": "urn:oid:1.2.840.114350.1.13.280.2.7.3.698084.8",
     "value": "1484616178"
   }
 ],
 "location": [
   {
     "location": {
       "reference": "Location/5073-74ae-4d80-877d-5c628e055555"
     }
   },
   {
     "location": {
       "reference": "Location/deb-9491-46dc-91f6-46deace55555"
     }
   }
 ],
 "meta": {
   "extension": [
     {
       "url": "https://zusapi.com/stream",
       "valueString": "zus"
     },
     {
       "url": "https://zusapi.com/created-at",
       "valueInstant": "2024-06-25T20:10:17.143+00:00"
     }
   ],
   "versionId": "1",
   "lastUpdated": "2024-06-25T20:10:16.545+00:00",
   "tag": [
     {
       "system": "https://zusapi.com/summary",
       "code": "Common"
     },
     {
       "system": "https://zusapi.com/accesscontrol/owner",
       "code": "builder/bb0b-4543-8489-262fcbf55555"
     }
   ]
 },
 "participant": [
   {
     "individual": {
       "reference": "Practitioner/7-fbf9-44ec-bc65-3b1becf55555"
     }
   },
   {
     "individual": {
       "reference": "Practitioner/ddfe-4be4-8442-1587a1e55555"
     }
   }
 ],
 "period": {
   "start": "2023-11-20T09:51:00-05:00",
   "end": "2023-11-21T16:57:00-05:00"
 }
}

Data Mart Access

Data from Encounter Lenses is available in the following tables in the Zus Relational Data Mart:

  • lens_encounter
  • lens_encounter_aggregated_from
  • lens_encounter_diagnosis
  • lens_encounter_hospitalization_discharge_disposition
  • lens_encounter_hospitalization_discharge_disposition_coding
  • lens_encounter_identifier
  • lens_encounter_participant
  • lens_encounter_related_binaries
  • lens_encounter_type
  • lens_encounter_type_coding

Read more about these tables in the Data Mart documentation.

Updated 1 day ago