Hospital Billing Model - Episodes

  • Hey everyone,

    I am working on a hospital billing model. Charges, Payments, Adjustments, Episodes, all by doctor, patient, financial class, etc.

    What I have so far -

    FactAR_Transactions - payments, adjustments, etc

    FactEpisode - the actual admission event

    DimPatient

    DimPhysician

    DimFinancialClass

    DimDepartment

    DimService

    DimProcedure

    and other Dims

    I'm stuck on episodes. At times, an episode seems like a dimension and a fact. For example, sometimes we look at Payments by Episode. The Episode fact grain does not include payments, nor does FactPayments include episodes. An episode is an event, right? So I figured it was only to be a fact.

    So if we have FactPayments and FactEpisodes, how would I get to Payments by Episode? This is where Episode seemed like a dimension needed in the grain of FactPayments.

    I have no problem creating an Episode Dim, but I just wondered if I'm missing something in a drill-across method or some way to bring payments and episodes together when FactPayments doesn't include episodes?

    Thank you for any help!

  • For me, an Episode is a DIMension (probably Type II SCD) and EpisodeEvents and EpisodeStatus are FACTs.

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