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The responsibility model manages different levels of responsibility for a patient's episode of care and care plans. |
The CarePlan has only one type of responsibility:
CareTeam - the practitioners who perform actions at the episode of care level.
Episode of Care responsibilities
The Episode of Careis 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 careCareTeam - the practitioners who perform actions at the episode of care level.
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CareTeam - the practitioners who perform actions at the episode of care level.
Episode of Care
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The Episode of Care is registered with the following three types of responsibilities.
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ManagingOrganization
This organization is the custodian of the patient's data on the eHealth infrastructure and is responsible for data control, as required by GDPR.
This top-level organization controls the patient's data, is used for reporting and billing, and does not change. The Managing Organization remains the same even if a patient relocates. If a patient moves to a different region or municipality, a new Episode of Care must be created based on their new address.
The Managing Organization is typically a Region or a Municipality.
Using the managing organisation in the eHealth Infrastructure
The managing organisation is used in e.g. communication resources, when they are created in the eHealth Infrastructure. See https://ehealth-dk.atlassian.net/l/cp/SSX623xA
Managing organisation as RBAC
The managing organisation is controlled as part of role-based access control for reporting. See https://ehealth-dk.atlassian.net/wiki/spaces/EDTW/pages/1695842461/Access+Control+in+eHealth+Services#Reports
CareManagerOrganization:
This organization holds formal responsibility for the patient's episode of care. The formal responsibility can only be changed when the receiving CareManagerOrganization accepts it.
Examples are:
A department in a hospital (usually a descendant of the ManagingOrganization)
or a General Practitioner.
Team:
The Team is the group of practitioners who perform actions at the episode of care level.
The practitioners have roles, like "behandlingsansvarlig" or "bestillingsansvarlig
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" and are related to the patient's episode of care through a CareTeam. Practitioners in the Team can work across different CarePlans.
Their actions involve:
assigning new CarePlans to the patient's episode of care,
closing or pausing existing CarePlans,
assigning new CareTeams to an active CarePlan.
CarePlan responsibilities
The CarePlan has only one responsibility: the CareTeam.
CareTeam
The CareTeam holds references to one or more CareTeams that have operational responsibility for the patient's CarePlan.
The practitioner's CareTeams are registered at the municipality and/or regional user management systems (IdP). 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 an example of the responsibility model.
Points of Interest:
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