HP040 - OUT-PATIENT ATTENDANCES

1. This diagram shows classes relevant to patients making OUT-PATIENT APPOINTMENTS. Attendances may be at a CONSULTANT CLINIC, a type of OUT-PATIENT CLINIC.

2. A CONSULTANT OUT-PATIENT EPISODE will comprise one or more OUT-PATIENT ATTENDANCES CONSULTANT. OUT-PATIENT ATTENDANCES CONSULTANT will always form part of a CONSULTANT OUT-PATIENT EPISODE although they do not always occur at CONSULTANT CLINIC SESSIONS.

3. CLINIC ATTENDANCES CONSULTANT will always have an OUT-PATIENT APPOINTMENT CONSULTANT (even when the PATIENT arrives with no prior notice), but an OUT-PATIENT APPOINTMENT CONSULTANT will not always result in an attendance.

4. An episode could involve shared consultant care in which case the CONSULTANTS sharing responsibility for the PATIENTS with the main CONSULTANT are SHARED CARE OUT-PATIENT CONSULTANTS.

5. For each CONSULTANT CLINIC, sessions are generally held at regular intervals in the same LOCATION. CONSULTANT CLINIC SESSIONS have a number of APPOINTMENT SLOTS. Patients attending sessions will be allocated one or more APPOINTMENT SLOTS.

6. The attribute TIME SEEN, used to calculate the waiting time between the appointment and consultation, need only be recorded for CLINIC ATTENDANCES CONSULTANT on a sampling basis to be determined locally.

7. A PATIENT PROCEDURE performed during an OUT-PATIENT ATTENDANCE CONSULTANT must have at least one PATIENT PROCEDURE CLASSIFICATION classified by a READ CLASSIFICATION.

8. OUT-PATIENT ATTENDANCES CONSULTANT may lead to a DECISION TO ADMIT.