This page is part of the Clinical Guidelines (v2.0.0-ballot: STU2 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions

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Resource Profile: CPG Case

CPG case represents a specific case of a patient enrolled in a particular pathway. The enrollment may have been automatic, prompted, or manual.

Usage:

• Refer to this Resource Profile: CPG Encounter, CPG Enrollment Task, CPG Plan For Extension and CPG Summary For Extension
• Examples for this Resource Profile: EpisodeOfCare/chf-scenario1-eoc and EpisodeOfCare/ep-scenario4-eoc

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from EpisodeOfCare

Name	Flags	Card.	Type	Description & Constraints
EpisodeOfCare			EpisodeOfCare
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
enrolledIn	S	0..*	canonical()	CPG Enrolled In Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-enrolledIn
type		0..*	CodeableConcept	Type/class - e.g. specialist referral, disease management Binding: EpisodeOfCareType (preferred): Expresses the type of an episode of care
diagnosis		1..*	BackboneElement	The list of diagnosis relevant to this episode of care
condition		1..1	Reference(CPG Condition)	Conditions/problems/diagnoses this episode of care is for
patient		1..1	Reference(CPG Patient)	The patient who is the focus of this episode of care
period	S	0..1	Period	Interval during responsibility is assumed
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
EpisodeOfCare.type	preferred	EpisodeOfCareType

Name	Flags	Card.	Type	Description & Constraints
EpisodeOfCare		0..*	EpisodeOfCare	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
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
enrolledIn	S	0..*	canonical()	CPG Enrolled In Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-enrolledIn
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	planned | waitlist | active | onhold | finished | cancelled | entered-in-error Binding: EpisodeOfCareStatus (required): The status of the episode of care.
type	Σ	0..*	CodeableConcept	Type/class - e.g. specialist referral, disease management Binding: EpisodeOfCareType (preferred): Expresses the type of an episode of care
diagnosis	Σ	1..*	BackboneElement	The list of diagnosis relevant to this episode of care
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	Σ	1..1	Reference(CPG Condition)	Conditions/problems/diagnoses this episode of care is for
patient	Σ	1..1	Reference(CPG Patient)	The patient who is the focus of this episode of care
period	SΣ	0..1	Period	Interval during responsibility is assumed
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
EpisodeOfCare.status	required	EpisodeOfCareStatus
EpisodeOfCare.type	preferred	EpisodeOfCareType

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	EpisodeOfCare	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	EpisodeOfCare	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	EpisodeOfCare	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	EpisodeOfCare	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	EpisodeOfCare	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
EpisodeOfCare		0..*	EpisodeOfCare	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
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
enrolledIn	S	0..*	canonical()	CPG Enrolled In Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-enrolledIn
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	Business Identifier(s) relevant for this EpisodeOfCare
status	?!Σ	1..1	code	planned | waitlist | active | onhold | finished | cancelled | entered-in-error Binding: EpisodeOfCareStatus (required): The status of the episode of care.
statusHistory		0..*	BackboneElement	Past list of status codes (the current status may be included to cover the start date of the status)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status		1..1	code	planned | waitlist | active | onhold | finished | cancelled | entered-in-error Binding: EpisodeOfCareStatus (required): The status of the episode of care.
period		1..1	Period	Duration the EpisodeOfCare was in the specified status
type	Σ	0..*	CodeableConcept	Type/class - e.g. specialist referral, disease management Binding: EpisodeOfCareType (preferred): Expresses the type of an episode of care
diagnosis	Σ	1..*	BackboneElement	The list of diagnosis relevant to this episode of care
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	Σ	1..1	Reference(CPG Condition)	Conditions/problems/diagnoses this episode of care is for
role	Σ	0..1	CodeableConcept	Role that this diagnosis has within the episode of care (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
rank	Σ	0..1	positiveInt	Ranking of the diagnosis (for each role type)
patient	Σ	1..1	Reference(CPG Patient)	The patient who is the focus of this episode of care
managingOrganization	Σ	0..1	Reference(Organization)	Organization that assumes care
period	SΣ	0..1	Period	Interval during responsibility is assumed
referralRequest		0..*	Reference(ServiceRequest)	Originating Referral Request(s)
careManager		0..1	Reference(Practitioner | PractitionerRole)	Care manager/care coordinator for the patient
team		0..*	Reference(CareTeam)	Other practitioners facilitating this episode of care
account		0..*	Reference(Account)	The set of accounts that may be used for billing for this EpisodeOfCare
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
EpisodeOfCare.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
EpisodeOfCare.status	required	EpisodeOfCareStatus
EpisodeOfCare.statusHistory.status	required	EpisodeOfCareStatus
EpisodeOfCare.type	preferred	EpisodeOfCareType
EpisodeOfCare.diagnosis.role	preferred	DiagnosisRole

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	EpisodeOfCare	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	EpisodeOfCare	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	EpisodeOfCare	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	EpisodeOfCare	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	EpisodeOfCare	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from EpisodeOfCare

Summary

Mandatory: 1 element
Must-Support: 2 elements

Structures

This structure refers to these other structures:

• CPG Condition (http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-condition)
• CPG Patient (http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-patient)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-enrolledIn

Differential View

This structure is derived from EpisodeOfCare

Name	Flags	Card.	Type	Description & Constraints
EpisodeOfCare			EpisodeOfCare
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
enrolledIn	S	0..*	canonical()	CPG Enrolled In Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-enrolledIn
type		0..*	CodeableConcept	Type/class - e.g. specialist referral, disease management Binding: EpisodeOfCareType (preferred): Expresses the type of an episode of care
diagnosis		1..*	BackboneElement	The list of diagnosis relevant to this episode of care
condition		1..1	Reference(CPG Condition)	Conditions/problems/diagnoses this episode of care is for
patient		1..1	Reference(CPG Patient)	The patient who is the focus of this episode of care
period	S	0..1	Period	Interval during responsibility is assumed
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
EpisodeOfCare.type	preferred	EpisodeOfCareType

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
EpisodeOfCare		0..*	EpisodeOfCare	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
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
enrolledIn	S	0..*	canonical()	CPG Enrolled In Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-enrolledIn
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	planned | waitlist | active | onhold | finished | cancelled | entered-in-error Binding: EpisodeOfCareStatus (required): The status of the episode of care.
type	Σ	0..*	CodeableConcept	Type/class - e.g. specialist referral, disease management Binding: EpisodeOfCareType (preferred): Expresses the type of an episode of care
diagnosis	Σ	1..*	BackboneElement	The list of diagnosis relevant to this episode of care
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	Σ	1..1	Reference(CPG Condition)	Conditions/problems/diagnoses this episode of care is for
patient	Σ	1..1	Reference(CPG Patient)	The patient who is the focus of this episode of care
period	SΣ	0..1	Period	Interval during responsibility is assumed
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
EpisodeOfCare.status	required	EpisodeOfCareStatus
EpisodeOfCare.type	preferred	EpisodeOfCareType

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	EpisodeOfCare	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	EpisodeOfCare	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	EpisodeOfCare	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	EpisodeOfCare	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	EpisodeOfCare	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
EpisodeOfCare		0..*	EpisodeOfCare	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
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
enrolledIn	S	0..*	canonical()	CPG Enrolled In Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-enrolledIn
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	Business Identifier(s) relevant for this EpisodeOfCare
status	?!Σ	1..1	code	planned | waitlist | active | onhold | finished | cancelled | entered-in-error Binding: EpisodeOfCareStatus (required): The status of the episode of care.
statusHistory		0..*	BackboneElement	Past list of status codes (the current status may be included to cover the start date of the status)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status		1..1	code	planned | waitlist | active | onhold | finished | cancelled | entered-in-error Binding: EpisodeOfCareStatus (required): The status of the episode of care.
period		1..1	Period	Duration the EpisodeOfCare was in the specified status
type	Σ	0..*	CodeableConcept	Type/class - e.g. specialist referral, disease management Binding: EpisodeOfCareType (preferred): Expresses the type of an episode of care
diagnosis	Σ	1..*	BackboneElement	The list of diagnosis relevant to this episode of care
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	Σ	1..1	Reference(CPG Condition)	Conditions/problems/diagnoses this episode of care is for
role	Σ	0..1	CodeableConcept	Role that this diagnosis has within the episode of care (e.g. admission, billing, discharge …) Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
rank	Σ	0..1	positiveInt	Ranking of the diagnosis (for each role type)
patient	Σ	1..1	Reference(CPG Patient)	The patient who is the focus of this episode of care
managingOrganization	Σ	0..1	Reference(Organization)	Organization that assumes care
period	SΣ	0..1	Period	Interval during responsibility is assumed
referralRequest		0..*	Reference(ServiceRequest)	Originating Referral Request(s)
careManager		0..1	Reference(Practitioner | PractitionerRole)	Care manager/care coordinator for the patient
team		0..*	Reference(CareTeam)	Other practitioners facilitating this episode of care
account		0..*	Reference(Account)	The set of accounts that may be used for billing for this EpisodeOfCare
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
EpisodeOfCare.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
EpisodeOfCare.status	required	EpisodeOfCareStatus
EpisodeOfCare.statusHistory.status	required	EpisodeOfCareStatus
EpisodeOfCare.type	preferred	EpisodeOfCareType
EpisodeOfCare.diagnosis.role	preferred	DiagnosisRole

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	EpisodeOfCare	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	EpisodeOfCare	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	EpisodeOfCare	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	EpisodeOfCare	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	EpisodeOfCare	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from EpisodeOfCare

Summary

Mandatory: 1 element
Must-Support: 2 elements

Structures

This structure refers to these other structures:

• CPG Condition (http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-condition)
• CPG Patient (http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-patient)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-enrolledIn

Other representations of profile: CSV, Excel, Schematron