This page is part of the FHIR Specification (v1.2.0: STU 3 Draft). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2
StructureDefinition for episodeofcare
{ "resourceType": "StructureDefinition", "id": "EpisodeOfCare", "meta": { "lastUpdated": "2015-12-11T17:38:40.294+11:00" }, "text": { "status": "generated", "div": "<div>!-- Snipped for Brevity --></div>" }, "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm", "valueInteger": 1 } ], "url": "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare", "name": "EpisodeOfCare", "status": "draft", "publisher": "Health Level Seven International (Patient Administration)", "contact": [ { "telecom": [ { "system": "other", "value": "http://hl7.org/fhir" } ] }, { "telecom": [ { "system": "other", "value": "http://www.hl7.org/Special/committees/pafm/index.cfm" } ] } ], "date": "2015-12-11T17:38:40+11:00", "description": "Base StructureDefinition for EpisodeOfCare Resource", "fhirVersion": "1.2.0", "mapping": [ { "identity": "w5", "uri": "http://hl7.org/fhir/w5", "name": "W5 Mapping" }, { "identity": "rim", "uri": "http://hl7.org/v3", "name": "RIM" } ], "kind": "resource", "abstract": false, "base": "http://hl7.org/fhir/StructureDefinition/DomainResource", "snapshot": { "element": [ { "path": "EpisodeOfCare", "short": "An association of a Patient with an Organization and Healthcare Provider(s) for a period of time that the Organization assumes some level of responsibility", "definition": "An association between a patient and an organization / healthcare provider(s) during which time encounters may occur. The managing organization assumes a level of responsibility for the patient during this time.", "alias": [ "Case Program Problem" ], "min": 0, "max": "*", "type": [ { "code": "DomainResource" } ], "mapping": [ { "identity": "w5", "map": "workflow.encounter" } ] }, { "path": "EpisodeOfCare.id", "short": "Logical id of this artifact", "definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.", "comments": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation. Bundles always have an id, though it is usually a generated UUID.", "min": 0, "max": "1", "type": [ { "code": "id" } ], "isSummary": true }, { "path": "EpisodeOfCare.meta", "short": "Metadata about the resource", "definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.", "min": 0, "max": "1", "type": [ { "code": "Meta" } ], "isSummary": true }, { "path": "EpisodeOfCare.implicitRules", "short": "A set of rules under which this content was created", "definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.", "comments": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element as much as possible.", "min": 0, "max": "1", "type": [ { "code": "uri" } ], "isModifier": true, "isSummary": true }, { "path": "EpisodeOfCare.language", "short": "Language of the resource content", "definition": "The base language in which the resource is written.", "comments": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).", "min": 0, "max": "1", "type": [ { "code": "code" } ], "binding": { "strength": "required", "description": "A human language.", "valueSetUri": "http://tools.ietf.org/html/bcp47" } }, { "path": "EpisodeOfCare.text", "short": "Text summary of the resource, for human interpretation", "definition": "A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.", "comments": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative.", "alias": [ "narrative", "html", "xhtml", "display" ], "min": 0, "max": "1", "type": [ { "code": "Narrative" } ], "condition": [ "dom-1" ], "mapping": [ { "identity": "rim", "map": "Act.text?" } ] }, { "path": "EpisodeOfCare.contained", "short": "Contained, inline Resources", "definition": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.", "comments": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.", "alias": [ "inline resources", "anonymous resources", "contained resources" ], "min": 0, "max": "*", "type": [ { "code": "Resource" } ], "mapping": [ { "identity": "rim", "map": "N/A" } ] }, { "path": "EpisodeOfCare.extension", "short": "Additional Content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "type": [ { "code": "Extension" } ], "mapping": [ { "identity": "rim", "map": "N/A" } ] }, { "path": "EpisodeOfCare.modifierExtension", "short": "Extensions that cannot be ignored", "definition": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.", "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "type": [ { "code": "Extension" } ], "isModifier": true, "mapping": [ { "identity": "rim", "map": "N/A" } ] }, { "path": "EpisodeOfCare.identifier", "short": "Identifier(s) for the EpisodeOfCare", "definition": "Identifier(s) by which this EpisodeOfCare is known.", "min": 0, "max": "*", "type": [ { "code": "Identifier" } ], "mapping": [ { "identity": "w5", "map": "id" } ] }, { "path": "EpisodeOfCare.status", "short": "planned | waitlist | active | onhold | finished | cancelled", "definition": "planned | waitlist | active | onhold | finished | cancelled.", "min": 1, "max": "1", "type": [ { "code": "code" } ], "isModifier": true, "isSummary": true, "binding": { "strength": "required", "description": "The status of the encounter.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/episode-of-care-status" } }, "mapping": [ { "identity": "w5", "map": "status" } ] }, { "path": "EpisodeOfCare.statusHistory", "short": "Past list of status codes", "definition": "The history of statuses that the EpisodeOfCare has been through (without requiring processing the history of the resource).", "min": 0, "max": "*", "type": [ { "code": "BackboneElement" } ] }, { "path": "EpisodeOfCare.statusHistory.id", "representation": [ "xmlAttr" ], "short": "xml:id (or equivalent in JSON)", "definition": "unique id for the element within a resource (for internal references).", "min": 0, "max": "1", "type": [ { "code": "id" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "path": "EpisodeOfCare.statusHistory.extension", "short": "Additional Content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "type": [ { "code": "Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "path": "EpisodeOfCare.statusHistory.modifierExtension", "short": "Extensions that cannot be ignored", "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.", "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "type": [ { "code": "Extension" } ], "isModifier": true, "mapping": [ { "identity": "rim", "map": "N/A" } ] }, { "path": "EpisodeOfCare.statusHistory.status", "short": "planned | waitlist | active | onhold | finished | cancelled", "definition": "planned | waitlist | active | onhold | finished | cancelled.", "min": 1, "max": "1", "type": [ { "code": "code" } ], "binding": { "strength": "required", "description": "The status of the encounter.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/episode-of-care-status" } } }, { "path": "EpisodeOfCare.statusHistory.period", "short": "Period for the status", "definition": "The period during this EpisodeOfCare that the specific status applied.", "min": 1, "max": "1", "type": [ { "code": "Period" } ] }, { "path": "EpisodeOfCare.type", "short": "Type/class - e.g. specialist referral, disease management", "definition": "A classification of the type of encounter; e.g. specialist referral, disease management, type of funded care.", "comments": "The type can be very important in processing as this could be used in determining if the EpisodeOfCare is relevant to specific government reporting, or other types of classifications.", "min": 0, "max": "*", "type": [ { "code": "CodeableConcept" } ], "isSummary": true, "binding": { "strength": "example", "description": "The type of the encounter." }, "mapping": [ { "identity": "w5", "map": "class" } ] }, { "path": "EpisodeOfCare.condition", "short": "Conditions/problems/diagnoses this episode of care is for", "definition": "A list of conditions/problems/diagnoses that this episode of care is intended to be providing care for.", "min": 0, "max": "*", "type": [ { "code": "Reference", "profile": [ "http://hl7.org/fhir/StructureDefinition/Condition" ] } ], "mapping": [ { "identity": "w5", "map": "what" } ] }, { "path": "EpisodeOfCare.patient", "short": "Patient for this episode of care", "definition": "The patient that this EpisodeOfCare applies to.", "min": 1, "max": "1", "type": [ { "code": "Reference", "profile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ] } ], "isSummary": true, "mapping": [ { "identity": "w5", "map": "who.focus" } ] }, { "path": "EpisodeOfCare.managingOrganization", "short": "Organization that assumes care", "definition": "The organization that has assumed the specific responsibilities for the specified duration.", "min": 0, "max": "1", "type": [ { "code": "Reference", "profile": [ "http://hl7.org/fhir/StructureDefinition/Organization" ] } ], "isSummary": true }, { "path": "EpisodeOfCare.period", "short": "Interval during responsibility is assumed", "definition": "The interval during which the managing organization assumes the defined responsibility.", "min": 0, "max": "1", "type": [ { "code": "Period" } ], "isSummary": true, "mapping": [ { "identity": "w5", "map": "when.init" } ] }, { "path": "EpisodeOfCare.referralRequest", "short": "Originating Referral Request(s)", "definition": "Referral Request(s) that are fulfilled by this EpisodeOfCare, incoming referrals.", "min": 0, "max": "*", "type": [ { "code": "Reference", "profile": [ "http://hl7.org/fhir/StructureDefinition/ReferralRequest" ] } ] }, { "path": "EpisodeOfCare.careManager", "short": "Care manager/care co-ordinator for the patient", "definition": "The practitioner that is the care manager/care co-ordinator for this patient.", "min": 0, "max": "1", "type": [ { "code": "Reference", "profile": [ "http://hl7.org/fhir/StructureDefinition/Practitioner" ] } ] }, { "path": "EpisodeOfCare.careTeam", "short": "Other practitioners facilitating this episode of care", "definition": "The list of practitioners that may be facilitating this episode of care for specific purposes.", "min": 0, "max": "*", "type": [ { "code": "BackboneElement" } ] }, { "path": "EpisodeOfCare.careTeam.id", "representation": [ "xmlAttr" ], "short": "xml:id (or equivalent in JSON)", "definition": "unique id for the element within a resource (for internal references).", "min": 0, "max": "1", "type": [ { "code": "id" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "path": "EpisodeOfCare.careTeam.extension", "short": "Additional Content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "type": [ { "code": "Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "path": "EpisodeOfCare.careTeam.modifierExtension", "short": "Extensions that cannot be ignored", "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.", "comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "type": [ { "code": "Extension" } ], "isModifier": true, "mapping": [ { "identity": "rim", "map": "N/A" } ] }, { "path": "EpisodeOfCare.careTeam.role", "short": "Role taken by this team member", "definition": "The role this team member is taking within this episode of care.", "min": 0, "max": "*", "type": [ { "code": "CodeableConcept" } ], "binding": { "strength": "example", "description": "Type of participation expected by a team member.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/participant-role" } } }, { "path": "EpisodeOfCare.careTeam.period", "short": "Period of time for this role", "definition": "The period of time this practitioner is performing some role within the episode of care.", "min": 0, "max": "1", "type": [ { "code": "Period" } ] }, { "path": "EpisodeOfCare.careTeam.member", "short": "The practitioner (or Organization) within the team", "definition": "The practitioner (or Organization) within the team.", "comments": "Where an Organization is included in the CareTeam, it is really providing some form of services to the EpisodeOfCare (e.g. Jim's Mowing Services) the details of the services would be included on a CarePlan.", "min": 0, "max": "1", "type": [ { "code": "Reference", "profile": [ "http://hl7.org/fhir/StructureDefinition/Practitioner" ] }, { "code": "Reference", "profile": [ "http://hl7.org/fhir/StructureDefinition/Organization" ] } ], "mapping": [ { "identity": "w5", "map": "who" } ] } ] }, "differential": { "element": [ { "path": "EpisodeOfCare", "short": "An association of a Patient with an Organization and Healthcare Provider(s) for a period of time that the Organization assumes some level of responsibility", "definition": "An association between a patient and an organization / healthcare provider(s) during which time encounters may occur. The managing organization assumes a level of responsibility for the patient during this time.", "alias": [ "Case Program Problem" ], "min": 0, "max": "*", "type": [ { "code": "DomainResource" } ], "mapping": [ { "identity": "w5", "map": "workflow.encounter" } ] }, { "path": "EpisodeOfCare.identifier", "short": "Identifier(s) for the EpisodeOfCare", "definition": "Identifier(s) by which this EpisodeOfCare is known.", "min": 0, "max": "*", "type": [ { "code": "Identifier" } ], "mapping": [ { "identity": "w5", "map": "id" } ] }, { "path": "EpisodeOfCare.status", "short": "planned | waitlist | active | onhold | finished | cancelled", "definition": "planned | waitlist | active | onhold | finished | cancelled.", "min": 1, "max": "1", "type": [ { "code": "code" } ], "isModifier": true, "isSummary": true, "binding": { "strength": "required", "description": "The status of the encounter.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/episode-of-care-status" } }, "mapping": [ { "identity": "w5", "map": "status" } ] }, { "path": "EpisodeOfCare.statusHistory", "short": "Past list of status codes", "definition": "The history of statuses that the EpisodeOfCare has been through (without requiring processing the history of the resource).", "min": 0, "max": "*", "type": [ { "code": "BackboneElement" } ] }, { "path": "EpisodeOfCare.statusHistory.status", "short": "planned | waitlist | active | onhold | finished | cancelled", "definition": "planned | waitlist | active | onhold | finished | cancelled.", "min": 1, "max": "1", "type": [ { "code": "code" } ], "binding": { "strength": "required", "description": "The status of the encounter.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/episode-of-care-status" } } }, { "path": "EpisodeOfCare.statusHistory.period", "short": "Period for the status", "definition": "The period during this EpisodeOfCare that the specific status applied.", "min": 1, "max": "1", "type": [ { "code": "Period" } ] }, { "path": "EpisodeOfCare.type", "short": "Type/class - e.g. specialist referral, disease management", "definition": "A classification of the type of encounter; e.g. specialist referral, disease management, type of funded care.", "comments": "The type can be very important in processing as this could be used in determining if the EpisodeOfCare is relevant to specific government reporting, or other types of classifications.", "min": 0, "max": "*", "type": [ { "code": "CodeableConcept" } ], "isSummary": true, "binding": { "strength": "example", "description": "The type of the encounter." }, "mapping": [ { "identity": "w5", "map": "class" } ] }, { "path": "EpisodeOfCare.condition", "short": "Conditions/problems/diagnoses this episode of care is for", "definition": "A list of conditions/problems/diagnoses that this episode of care is intended to be providing care for.", "min": 0, "max": "*", "type": [ { "code": "Reference", "profile": [ "http://hl7.org/fhir/StructureDefinition/Condition" ] } ], "mapping": [ { "identity": "w5", "map": "what" } ] }, { "path": "EpisodeOfCare.patient", "short": "Patient for this episode of care", "definition": "The patient that this EpisodeOfCare applies to.", "min": 1, "max": "1", "type": [ { "code": "Reference", "profile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ] } ], "isSummary": true, "mapping": [ { "identity": "w5", "map": "who.focus" } ] }, { "path": "EpisodeOfCare.managingOrganization", "short": "Organization that assumes care", "definition": "The organization that has assumed the specific responsibilities for the specified duration.", "min": 0, "max": "1", "type": [ { "code": "Reference", "profile": [ "http://hl7.org/fhir/StructureDefinition/Organization" ] } ], "isSummary": true }, { "path": "EpisodeOfCare.period", "short": "Interval during responsibility is assumed", "definition": "The interval during which the managing organization assumes the defined responsibility.", "min": 0, "max": "1", "type": [ { "code": "Period" } ], "isSummary": true, "mapping": [ { "identity": "w5", "map": "when.init" } ] }, { "path": "EpisodeOfCare.referralRequest", "short": "Originating Referral Request(s)", "definition": "Referral Request(s) that are fulfilled by this EpisodeOfCare, incoming referrals.", "min": 0, "max": "*", "type": [ { "code": "Reference", "profile": [ "http://hl7.org/fhir/StructureDefinition/ReferralRequest" ] } ] }, { "path": "EpisodeOfCare.careManager", "short": "Care manager/care co-ordinator for the patient", "definition": "The practitioner that is the care manager/care co-ordinator for this patient.", "min": 0, "max": "1", "type": [ { "code": "Reference", "profile": [ "http://hl7.org/fhir/StructureDefinition/Practitioner" ] } ] }, { "path": "EpisodeOfCare.careTeam", "short": "Other practitioners facilitating this episode of care", "definition": "The list of practitioners that may be facilitating this episode of care for specific purposes.", "min": 0, "max": "*", "type": [ { "code": "BackboneElement" } ] }, { "path": "EpisodeOfCare.careTeam.role", "short": "Role taken by this team member", "definition": "The role this team member is taking within this episode of care.", "min": 0, "max": "*", "type": [ { "code": "CodeableConcept" } ], "binding": { "strength": "example", "description": "Type of participation expected by a team member.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/participant-role" } } }, { "path": "EpisodeOfCare.careTeam.period", "short": "Period of time for this role", "definition": "The period of time this practitioner is performing some role within the episode of care.", "min": 0, "max": "1", "type": [ { "code": "Period" } ] }, { "path": "EpisodeOfCare.careTeam.member", "short": "The practitioner (or Organization) within the team", "definition": "The practitioner (or Organization) within the team.", "comments": "Where an Organization is included in the CareTeam, it is really providing some form of services to the EpisodeOfCare (e.g. Jim's Mowing Services) the details of the services would be included on a CarePlan.", "min": 0, "max": "1", "type": [ { "code": "Reference", "profile": [ "http://hl7.org/fhir/StructureDefinition/Practitioner" ] }, { "code": "Reference", "profile": [ "http://hl7.org/fhir/StructureDefinition/Organization" ] } ], "mapping": [ { "identity": "w5", "map": "who" } ] } ] } }
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.