Overview
The Responsibility Model controls responsibility at model manages different levels of responsibility for the Patient a patient's episode of care and care plans.
The Episode of Care is in the eHealth infrastructure registered with three types of responsibilities:
ManagingOrganization - custodian of the patient's data
CareManagerOrganization - holds formal responsibility for the patient's episode of care
CareTeam - is the practitioners who perform actions at the episode of care level.
The CarePlan has only one type of responsibility:
CareTeam.
Episode of Care
The Episode of Care is registered with the following three types of responsibilityresponsibilities.
ManagingOrganization:
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This organization is the
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custodian of the
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patient's data
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on the eHealth infrastructure and is responsible for data control, as required by GDPR.
The ManagingOrganization
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remains the same even if a patient relocates. If a
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patient moves to
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a different region or municipality, a new Episode of Care must be created
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A Region
A Municipality
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based on their new address.
The ManagingOrganization is typically a Region or a Municipality.CareManagerOrganization: This organization holds formal responsibility for the
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patient's episode of care.
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The formal responsibility
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can only be changed
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when the receiving CareManagerOrganization accepts it.
Examples
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are:
A
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department in a
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hospital (usually a descendant of the ManagingOrganization)
or a General Practitioner.
Team:
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The Team is
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the practitioners who perform actions at
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the episode of
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care level.
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The practicioners have roles, like "behandlingsansvarlig" or "bestillingsansvarlig," and are related to the
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patient's episode of care through a CareTeam.
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Practitioners in the Team can work across different CarePlans.
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Their actions involve:
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assigning new
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CarePlans to the
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patient's episode of care,
closing or pausing
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existing
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CarePlans,
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assigning new CareTeams to an active CarePlan
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.
CarePlan
The CarePlan has only one responsibility: the CareTeam.
CareTeam
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holds references to one or more
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CareTeams that
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have operational responsibility for the
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patient's CarePlan.
The practitioners CareTeams
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are registered at the municipality and/or regional IdP
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.
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Points of Interest in the example above
EpisodeOfCare.managingOrganization
This Organization is the top level Organization that holds the data controlling for the Patients Episode of Care. In the example above it is Region Midt.
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The eHealth infrastructure automatically updates the CareTeam/Practitioner relation when a practitioner logs into the eHealth Infrastructure.
Practitioners with privileges can change the CareTeam at the CarePlan level.
Example
The following picture illustrates and example of responsibility model.
Points of Interest:
EpisodeOfCare.managingOrganization: This top-level organization controls the patient's data, is used for reporting and billing, and
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remains constant. For example, in the provided example, it's "Region Midt"
EpisodeOfCare.careManagerOrganization
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: This organization has formal responsibility for the
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patient's care.
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It can change
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but typically stays within the same
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ManagingOrganization. See Responsibility with General Practitioner as caremanagerOrganization for an example. In the example above the careManagerOrganization is “Lungemedicinsk Afdeling”.
EpisodeOfCare.team
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: This administrative team
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consists of practitioners with the
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authority to assign new CarePlans to the Patient's EpisodeOfCare.
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The Team can be changed with the right permissions
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, and the responsibility history is
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stored in
EpisodeOfCare.teamHistory. Examples are "Behandlingsansvarlig and Administrativt Personale”Careplan.careTeam
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: This operational team
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monitors the execution and progress of the
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patient's CarePlan. It
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also
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includes clinical practitioners
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who adjust plans and approve results for publishing.
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Operational teams can also involve practitioners with service and support roles.
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CareTeams on CarePlans can change
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, and their history is
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recorded in
CarePlan.ehealth-teamHistory. Examples are “Sundhedsfaglig and Sundhedsfaglig monitoreringsansvarlig”