Overview#
Once a community follow-up referral has been made, the hard part is operational continuity: who owns the visit, when it is due, which visits are overdue, and how the community paramedic records the outcome without losing the context of the original episode. If that scheduling layer lives outside the clinical workflow, referrals become promises rather than planned work.
The ePCR Home Visits and Community Follow-Up module gives community teams a working visit list tied to the originating referral. Visits can be assigned, reviewed by urgency, opened from a mobile-friendly queue, and progressed through their operational status so the follow-up service has the same discipline around planned care that response teams have around live incidents.
Last Reviewed: 2026-04-17 Last Updated: 2026-04-17
Key Features#
- Assigned Visit Queue: Give each community clinician a live list of upcoming visits rather than a static spreadsheet or email summary.
- Urgency-Aware Prioritisation: Make routine, urgent, and immediate follow-up visible at a glance.
- Overdue Visit Highlighting: Surface overdue visits clearly so teams can intervene before continuity is lost.
- Referral Linkage: Keep each visit tied to the originating referral and programme context.
- Operational Status Tracking: Progress visits through scheduled, in-progress, completed, cancelled, or no-show states.
- Mobile-Friendly Access: Let community staff open the visit workflow from a field-facing mobile environment.
Use Cases#
- Community Paramedic Caseload Management: A clinician starts the shift with a clear list of assigned visits and urgency cues.
- Frailty and Chronic Disease Follow-Up: Scheduled visits continue the work started during the original ambulance encounter.
- Overdue Review by Supervisors: A team lead identifies which follow-ups are slipping and reassigns or escalates them.
- Programme-Based Follow-Up: Home visits stay grouped by programme rather than disappearing into a generic task list.
Integration#
- Community Paramedic Referrals: Visit records begin from the structured referral workflow rather than a separate admin intake.
- Mobile Responder and Shift Workflows: The visit queue fits into the wider field workflow used by the community team.
- Clinical Governance and Outcomes: Follow-up completion can be reviewed alongside the originating encounter and later outcomes.
- Scheduling and Workload Views: Assigned visits can complement wider staffing and caseload management workflows.
Open Standards#
- HL7 FHIR Appointment: scheduled visits can align with a standard model for planned patient contacts.
- HL7 FHIR Task: operational ownership and status progression can align with a standard work-assignment pattern.
- HL7 FHIR CarePlan: visit activity can align with a broader ongoing care plan where required.
- ISO 8601: scheduled and completed visit times use a standard date-time representation.
- WGS 84 / EPSG:4326: home-visit location context can align with the standard map reference model used elsewhere in the platform.