Understanding the Redox SurgicalScheduling Data Model

When do I need to use the SurgicalScheduling data model?

The SurgicalScheduling data model is used to receive surgical case information, such as staff assigned to the surgery, case and procedure details, location, etc.  This may come from an OR specific system or from the same scheduling system as non-surgical appointments.  This data model is typically used for just the actual OR case that’s been scheduled – if you want to receive pre and post-op office appointments, see the Scheduling data model.

What is the difference between a visit/case number and an encounter number?

You may hear these two terms used during conversations with the health system. The importance of each really will depend on your workflow and your goals for tracking data. A visit/case number represents a single, specific appointment or surgical case. An encounter number can represent a single appointment but is more often used to bundle together a set of appointments related to a single event. In the case of a surgery, a patient’s pre-op evaluation, surgical case, and post-op visit could all have the same encounter number but different visit numbers. For some EHRs, the encounter number is preferred for them to be able to file information in a specific place in the patient charts.

Cool – case numbers sound like what I need.  Will the procedure always have the same case number if it’s been rescheduled?

This depends on the EHR workflow for handling appointment rescheduling. If the EHR uses a true reschedule workflow, the visit number is usually retained. If the EHR uses a cancel/new workflow where the old surgical appointment is cancelled and then a new one is made, the case number may change.

Will I always be able to receive a coded diagnosis for the surgery?

It depends on the EHR and the end user workflows at scheduling.  Some EHRs require that a coded diagnosis is used to schedule the procedure, while others may not.

Can I get insurance information through the Scheduling data model?

Insurance details are most reliably available through a PatientAdmin feed or PatientSearch query.