CareConnect HIE Data Sets
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Data Sets
To support the current use cases, CareConnect HIE collects a core set of data from participants which forms the foundation of the HIE. These participants contribute crucial information such as patient demographic data, medical history, diagnoses, treatments, laboratory results, allergies and medication records. As the HIE ecosystem continues to expand and new use cases are explored, the range and depth of data sets will likely grow to encompass additional sources and domains of healthcare information.
Current Payor Data Sets
Payor Events
| Event | Patient | Coverage | Explanation of Benefit | Medication Statement | Organisation |
|---|---|---|---|---|---|
| Terminate policy | Y | Y | Y | X | Y |
| New policy registration | Y | Y | Y | X | Y |
| Update policy details | Y | Y | Y | Y | Y |
| Authorise claim | Y | Y | Y | Y | Y |
| Medication update | Y | Y | Y | Y | Y |
Payor Data Collected
| Patient | Coverage | Explanation of Benefit | Medication Statement | Organisation |
|---|---|---|---|---|
| Address | Status | Adjudication Status | ||
| Address (Home) * | ||||
| Address (Postal) * | ||||
| Address (Work) * | ||||
| Care Number * | ||||
| Date of Birth | To Time | Claim Processed Date | ||
| Email * | ||||
| Gender | From Time | To Time | Text Instruction | |
| Home Number | Policy Plan | From Time | To Time | |
| Is Dead | Individual Relationship Code | Payer | ||
| Marital Status * | ||||
| Mobile Phone * | ||||
| MRN | Patient/Member Record Number | Status | Patient/Member Record Number | Address |
| Name | HealthFund | Use | Medication | |
| National Identifier * | Diagnoses | |||
| Other MRN’s * | ||||
| Patient Contact Info. | Insured Group OR Policy Number | Patient/Member Record Number | From Time | |
| Patient ID | Member Enrolment Number | Medical Claim Number | Placer ID | Organisation |
| Preferred Language | Adjudicated Coverage | |||
| Record Status (Revoke) | Plan Specific Subscriber ID | Claim Type | Status | Contact |
| Sending Facility | Process Notes | |||
| Work Phone * |
* Denotes optional data provided
Current Provider Data Sets
Provider Events
| Event | Patient | Encounter | Condition | Procedure | Organisation | Practitioner |
|---|---|---|---|---|---|---|
| New patient registration | Y | N | N | N | Y | N |
| Update patient record | Y | N | N | N | Y | N |
| Patient admission (Not All) | Y | Y | Y | Y | Y | N |
| Patient discharge | Y | Y | Y | Y | Y | Y |
| Patient encounter update | Y | Y | Y | Y | Y | Y |
Provider Data Collected
| Patient | Encounter | Condition | Procedure | Organisation | Practitioner |
|---|---|---|---|---|---|
| Patient ID | Encounter Number | Diagnosis Priority | Procedure External ID | Organisation | Clinician References |
| MRN | Encounter Type (In/Out) | Diagnosis Type | Procedure Status | Address | Address |
| Record Status (Revoke) | Admitting Clinician | Diagnosis Status | Procedure Code/Descript. | Contact | Contact |
| Name | Admit Time | Diagnosis Code/Descript. | Encounter Number | ||
| Patient Contact Info. | Discharge Time | Encounter Number | Entered At | ||
| Home Number | HealthCare Facility | Entered At | MRN | ||
| Gender | Encounter MRN | MRN | Clinician | ||
| Date of Birth | * Referring Clinician | Diagnosis Date & Time | Procedure Time | ||
| Is Dead | * Visit Description | ||||
| Address | * Admission Type | ||||
| Preferred Language | |||||
| Sending Facility | |||||
| * National Identifier | |||||
| * Care Number | |||||
| * Work Phone | |||||
| * Mobile Phone | |||||
| * Address (Postal) | |||||
| * Address (Home) | |||||
| * Address (Work) | |||||
| * Marital Status | |||||
| * Other MRN’s |
* Denotes optional data provided
