Análisis bajo el Estándar HL7 del proceso de Referencia y Contrarreferencia en el Hospital San Rafael de Fusagasugá
Resumen
Como parte del proyecto ?Sistema Piloto de Gestión de Servicios de Salud para la Región del Sumapaz? se presenta el resultado del análisis hecho al proceso de referencia y contrarreferencia que tiene lugar entre el ESE Hospital San Rafael de Fusagasugá (Cundinamarca, Colombia) y el resto de entidades públicas y privadas que pertenecen al Sistema General de Salud en Colombia. Para esto se partió del estudio de la normatividad colombiana, de las directrices de la Secretaria de Salud de Cundinamarca y de los manuales de procedimientos del Hospital, lo que permitió identificar siete escenarios distintos. Posteriormente se estudió el Tópico Care Transfer Dominio Care Provision, del estándar HL7 que se ocupa de estos procesos, y se trataron de identificar los mensajes que de acuerdo al estándar deberían usarse en cada uno de los escenarios hallados. La conclusión principal del trabajo es que existe la necesidad de crear dos mensajes nuevos no previstos en el estándar, uno de solicitud de autorización y otro de autorización por parte de una entidad intermediaria gubernamental.
As part of a pilot project ?Pilot system of Health Services Management in the Sumapaz Region? the following analysis and results are presented based on the referencing and cross-referencing processes process that took place between ESE San Rafael Hospital in Fuagasugá (Cundinamarca, Colombia) and the other public and private businesses belonging to the Colombian General Health Care System. To conduct this study, Colombia?s standards which are based on directives of the Health Secretary of Cundinamarca and procedures manuals of the hospitals involved in the study. This identified of seven different settings to stage the study. Once the study was concluded, the Tópico Care Transfer Dominio Care Provision was studied based on the standard HL7 which concerns itself with these processes, and attempted to identify messages that in agreement with the standard should be used in each of the situations indicated. The main conclusion drawn from the study is the need to create two new messages that were not anticipated in the standard: one for request for authorization and the other for authorization on the part of an intermediary governmental agency.
As part of a pilot project ?Pilot system of Health Services Management in the Sumapaz Region? the following analysis and results are presented based on the referencing and cross-referencing processes process that took place between ESE San Rafael Hospital in Fuagasugá (Cundinamarca, Colombia) and the other public and private businesses belonging to the Colombian General Health Care System. To conduct this study, Colombia?s standards which are based on directives of the Health Secretary of Cundinamarca and procedures manuals of the hospitals involved in the study. This identified of seven different settings to stage the study. Once the study was concluded, the Tópico Care Transfer Dominio Care Provision was studied based on the standard HL7 which concerns itself with these processes, and attempted to identify messages that in agreement with the standard should be used in each of the situations indicated. The main conclusion drawn from the study is the need to create two new messages that were not anticipated in the standard: one for request for authorization and the other for authorization on the part of an intermediary governmental agency.
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