I’m unfamiliar with the Hospital in the Home visit. Is this HitH visit completely separate from the other hospital visits? Example would be the HitH is distinctly separate care from a patient perspective, not a billing/location perspective. Maybe the HitH could be described as long term care, skilled nursing care or inpatient physical rehabilitation where a person receives many healthcare services in the form of procedures (Ventilator management, wound care, iv’s or Foley catheters). And the “other hospital visits” are either short/outpatient visits for labs, imaging, consults, etc. or it could be for an inpatient stay. If this describes your HitH, I would probably create a HitH record in Visit Occurrence (VO) and then create new records in VO for the other hospital visits since the person is receiving active care in a different Visit form (outpatient, inpatient, etc.).
The Visit Detail (VD) hold details or child records of the parent VO record. So, if the HitH visit is the overarching, continuous visit and the “other hospital visits” are the visits within a visit, use the VO to hold the HitH visit and the VD to record the other hospital visits.
I like @Andrew’s idea of an “episode” of care. I think the HitH, if I understand it correctly, is at a higher, less granular level than the standard VO concepts of Inpatient, Outpatient, ED, etc. The HitH seems like it is an episode and the “other hospital visits” are at the VO level.
I’m interested to learn more!