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.

The EpisodeOfCare may be known by different identifiers for different contexts of use, such as when an external agency is tracking the Episode for funding purposes.

planned | waitlist | active | onhold | finished | cancelled.

This element is labeled as a modifier because the status contains codes that mark the episode as not currently valid.

The history of statuses that the EpisodeOfCare has been through (without requiring processing the history of the resource).

planned | waitlist | active | onhold | finished | cancelled.

The period during this EpisodeOfCare that the specific status applied.

A classification of the type of episode of care; e.g. specialist referral, disease management, type of funded care.

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.

The list of diagnosis relevant to this episode of care.

A list of conditions/problems/diagnoses that this episode of care is intended to be providing care for.

Role that this diagnosis has within the episode of care (e.g. admission, billing, discharge …).

Ranking of the diagnosis (for each role type).

The patient who is the focus of this episode of care.

The organization that has assumed the specific responsibilities for care coordination, care delivery, or other services for the specified duration.

If multiple organizations are involved in care delivery, the care teams from those organizations would be represented in EpisodeOfCare.team, while the primary organization managing the care would be listed in EpisodeOfCare.managingOrganization. Other organizations may have their own EpisodeOfCare for tracking their activities.

The interval during which the managing organization assumes the defined responsibility.

Referral Request(s) that are fulfilled by this EpisodeOfCare, incoming referrals.

The practitioner that is the care manager/care coordinator for this patient.

The list of practitioners that may be facilitating this episode of care for specific purposes.

The set of accounts that may be used for billing for this EpisodeOfCare.

The billing system may choose to allocate billable items associated with the EpisodeOfCare to different referenced Accounts based on internal business rules.