profile-EpisodeOfCare
type: StructureDefinition
node role: treeRoot
id:
  v: profile-EpisodeOfCare
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: StructureDefinition profile-EpisodeOfCare Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> 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 #xD; referralRequest #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:referralRequest 0..* ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R4: referralRequest additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference #xD; careManager #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:careManager 0..1 ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] R4: Care manager/care coordinator for the patient additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference #xD; <img src="[binary]" alt="doco" style="background-color: inherit"/> Documentation for this format
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-wg
    l: structuredefinition-wg
  value: Code
    v: fhir
extension:
  extension:
    url:
      v: packageId
      l: packageId
    value: Id
      v: hl7.fhir.uv.xver-r4.r3
  extension:
    url:
      v: version
      l: version
    value: String
      v: 0.1.0
  url:
    v: http://hl7.org/fhir/StructureDefinition/package-source
    l: package-source
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm
    l: structuredefinition-fmm
  value: Integer
    v: 0
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom
        l: structuredefinition-conformance-derivedFrom
      value: Uri
        v: http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r3
        l: hl7.fhir.uv.xver-r4.r3
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: trial-use
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom
        l: structuredefinition-conformance-derivedFrom
      value: Uri
        v: http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r3
        l: hl7.fhir.uv.xver-r4.r3
url:
  v: http://hl7.org/fhir/4.0/StructureDefinition/profile-EpisodeOfCare
  l: profile-EpisodeOfCare
version:
  v: 0.1.0
name:
  v: Profile_R4_EpisodeOfCare_R3
title:
  v: Cross-version Profile for R4.EpisodeOfCare for use in FHIR STU3
status:
  v: active
experimental:
  v: false
date:
  v: 2026-03-17T16:03:29.6779556-05:00
publisher:
  v: FHIR Infrastructure
contact:
  name:
    v: FHIR Infrastructure
  telecom:
    system:
      v: url
    value:
      v: http://www.hl7.org/Special/committees/fiwg
description:
  v: This cross-version profile allows R4 EpisodeOfCare content to be represented via FHIR STU3 EpisodeOfCare resources.
jurisdiction:
  coding:
    system:
      v: http://unstats.un.org/unsd/methods/m49/m49.htm
      l: m49.htm
    code:
      v: 001
    display:
      v: World
fhir version:
  v: 3.0.2
mapping:
  identity:
    v: rim
  uri:
    v: http://hl7.org/v3
    l: v3
  name:
    v: RIM Mapping
mapping:
  identity:
    v: w5
  uri:
    v: http://hl7.org/fhir/w5
    l: w5
  name:
    v: W5 Mapping
kind:
  v: resource
abstract:
  v: false
type:
  v: EpisodeOfCare
base definition:
  v: http://hl7.org/fhir/StructureDefinition/EpisodeOfCare
  l: EpisodeOfCare
derivation:
  v: constraint
snapshot:
  element:
    id:
      v: EpisodeOfCare
    path:
      v: EpisodeOfCare
    short:
      v: 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:
      v: 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:
      v: Case Program Problem
    min:
      v: 0
    max:
      v: *
    base:
      path:
        v: EpisodeOfCare
      min:
        v: 0
      max:
        v: *
    constraint:
      key:
        v: dom-2
      severity:
        v: error
      human:
        v: If the resource is contained in another resource, it SHALL NOT contain nested Resources
      expression:
        v: contained.contained.empty()
      xpath:
        v: not(parent::f:contained and f:contained)
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-1
      severity:
        v: error
      human:
        v: If the resource is contained in another resource, it SHALL NOT contain any narrative
      expression:
        v: contained.text.empty()
      xpath:
        v: not(parent::f:contained and f:text)
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-4
      severity:
        v: error
      human:
        v: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
      expression:
        v: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
      xpath:
        v: not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-3
      severity:
        v: error
      human:
        v: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
      expression:
        v: contained.where(('#'+id in %resource.descendants().reference).not()).empty()
      xpath:
        v: not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    mapping:
      identity:
        v: rim

v: Entity. Role, or Act

identity:
  v: rim
map:
  v: n/a

identity:
  v: w5
map:
  v: workflow.encounter

id:
  v: EpisodeOfCare.id
path:
  v: EpisodeOfCare.id
short:
  v: Logical id of this artifact
definition:
  v: The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
comment:
  v: The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: id
    l: id
is summary:
  v: true

id:
  v: EpisodeOfCare.meta
path:
  v: EpisodeOfCare.meta
short:
  v: Metadata about the resource
definition:
  v: 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:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.meta
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Meta
    l: Meta
is summary:
  v: true

id:
  v: EpisodeOfCare.implicitRules
path:
  v: EpisodeOfCare.implicitRules
short:
  v: A set of rules under which this content was created
definition:
  v: A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.
comment:
  v: 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. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.implicitRules
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
is modifier:
  v: true
is summary:
  v: true

id:
  v: EpisodeOfCare.language
path:
  v: EpisodeOfCare.language
short:
  v: Language of the resource content
definition:
  v: The base language in which the resource is written.
comment:
  v: 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:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.language
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet
      l: elementdefinition-maxValueSet
    value: Reference
      l: 3.0
      l: .2
      reference:
        v: http://hl7.org/fhir/ValueSet/all-languages|3.0.2
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: Language
  strength:
    v: extensible
  description:
    v: A human language.
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/languages|3.0.2

id:
  v: EpisodeOfCare.text
path:
  v: EpisodeOfCare.text
short:
  v: Text summary of the resource, for human interpretation
definition:
  v: 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.
comment:
  v: Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later.
alias:
  v: narrative
alias:
  v: html
alias:
  v: xhtml
alias:
  v: display
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Narrative
    l: Narrative
condition:
  v: dom-1
mapping:
  identity:
    v: rim
  map:
    v: Act.text?

id:
  v: EpisodeOfCare.contained
path:
  v: EpisodeOfCare.contained
short:
  v: Contained, inline Resources
definition:
  v: 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.
comment:
  v: 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:
  v: inline resources
alias:
  v: anonymous resources
alias:
  v: contained resources
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.contained
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Resource
    l: Resource
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: EpisodeOfCare.extension
path:
  v: EpisodeOfCare.extension
short:
  v: Additional Content defined by implementations
definition:
  v: 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.
comment:
  v: 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:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: EpisodeOfCare.modifierExtension
path:
  v: EpisodeOfCare.modifierExtension
short:
  v: Extensions that cannot be ignored
definition:
  v: 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.
comment:
  v: 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:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
is modifier:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: EpisodeOfCare.identifier
path:
  v: EpisodeOfCare.identifier
short:
  v: Business Identifier(s) relevant for this EpisodeOfCare
definition:
  v: 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.
min:
  v: 0
max:
  v: *
base:
  path:
    v: EpisodeOfCare.identifier
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Identifier
    l: Identifier
mapping:
  identity:
    v: w5
  map:
    v: id

id:
  v: EpisodeOfCare.status
path:
  v: EpisodeOfCare.status
short:
  v: planned | waitlist | active | onhold | finished | cancelled | entered-in-error
definition:
  v: planned | waitlist | active | onhold | finished | cancelled.
comment:
  v: This element is labeled as a modifier because the status contains codes that mark the episode as not currently valid.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EpisodeOfCare.status
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
    l: code
is modifier:
  v: true
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: EpisodeOfCareStatus
  strength:
    v: required
  description:
    v: The status of the episode of care.
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/episode-of-care-status|3.0.2
mapping:
  identity:
    v: w5
  map:
    v: status

id:
  v: EpisodeOfCare.statusHistory
path:
  v: EpisodeOfCare.statusHistory
short:
  v: Past list of status codes (the current status may be included to cover the start date of the status)
definition:
  v: The history of statuses that the EpisodeOfCare has been through (without requiring processing the history of the resource).
min:
  v: 0
max:
  v: *
base:
  path:
    v: EpisodeOfCare.statusHistory
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element

id:
  v: EpisodeOfCare.statusHistory.id
path:
  v: EpisodeOfCare.statusHistory.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: EpisodeOfCare.statusHistory.extension
path:
  v: EpisodeOfCare.statusHistory.extension
short:
  v: Additional Content defined by implementations
definition:
  v: 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.
comment:
  v: 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:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: EpisodeOfCare.statusHistory.modifierExtension
path:
  v: EpisodeOfCare.statusHistory.modifierExtension
short:
  v: Extensions that cannot be ignored
definition:
  v: 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.
comment:
  v: 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:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
is modifier:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: EpisodeOfCare.statusHistory.status
path:
  v: EpisodeOfCare.statusHistory.status
short:
  v: planned | waitlist | active | onhold | finished | cancelled | entered-in-error
definition:
  v: planned | waitlist | active | onhold | finished | cancelled.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EpisodeOfCare.statusHistory.status
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
    l: code
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: EpisodeOfCareStatus
  strength:
    v: required
  description:
    v: The status of the episode of care.
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/episode-of-care-status|3.0.2

id:
  v: EpisodeOfCare.statusHistory.period
path:
  v: EpisodeOfCare.statusHistory.period
short:
  v: Duration the EpisodeOfCare was in the specified status
definition:
  v: The period during this EpisodeOfCare that the specific status applied.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EpisodeOfCare.statusHistory.period
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Period
    l: Period

id:
  v: EpisodeOfCare.type
path:
  v: EpisodeOfCare.type
short:
  v: Type/class - e.g. specialist referral, disease management
definition:
  v: A classification of the type of episode of care; e.g. specialist referral, disease management, type of funded care.
comment:
  v: 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:
  v: 0
max:
  v: *
base:
  path:
    v: EpisodeOfCare.type
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: EpisodeOfCareType
  strength:
    v: example
  description:
    v: The type of the episode of care
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/episodeofcare-type|3.0.2
mapping:
  identity:
    v: w5
  map:
    v: class

id:
  v: EpisodeOfCare.diagnosis
path:
  v: EpisodeOfCare.diagnosis
short:
  v: The list of diagnosis relevant to this episode of care
definition:
  v: The list of diagnosis relevant to this episode of care.
min:
  v: 0
max:
  v: *
base:
  path:
    v: EpisodeOfCare.diagnosis
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is summary:
  v: true

id:
  v: EpisodeOfCare.diagnosis.id
path:
  v: EpisodeOfCare.diagnosis.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: EpisodeOfCare.diagnosis.extension
path:
  v: EpisodeOfCare.diagnosis.extension
short:
  v: Additional Content defined by implementations
definition:
  v: 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.
comment:
  v: 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:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: EpisodeOfCare.diagnosis.modifierExtension
path:
  v: EpisodeOfCare.diagnosis.modifierExtension
short:
  v: Extensions that cannot be ignored
definition:
  v: 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.
comment:
  v: 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:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
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  v: 0
max:
  v: *
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  path:
    v: BackboneElement.modifierExtension
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    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
is modifier:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: EpisodeOfCare.diagnosis.condition
path:
  v: EpisodeOfCare.diagnosis.condition
short:
  v: Conditions/problems/diagnoses this episode of care is for
definition:
  v: A list of conditions/problems/diagnoses that this episode of care is intended to be providing care for.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EpisodeOfCare.diagnosis.condition
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    v: 1
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Condition
    l: Condition
is summary:
  v: true
mapping:
  identity:
    v: w5
  map:
    v: what

id:
  v: EpisodeOfCare.diagnosis.role
path:
  v: EpisodeOfCare.diagnosis.role
short:
  v: Role that this diagnosis has within the episode of care (e.g. admission, billing, discharge …)
definition:
  v: Role that this diagnosis has within the episode of care (e.g. admission, billing, discharge …).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EpisodeOfCare.diagnosis.role
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: DiagnosisRole
  strength:
    v: preferred
  description:
    v: The type of diagnosis this condition represents
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/diagnosis-role|3.0.2

id:
  v: EpisodeOfCare.diagnosis.rank
path:
  v: EpisodeOfCare.diagnosis.rank
short:
  v: Ranking of the diagnosis (for each role type)
definition:
  v: Ranking of the diagnosis (for each role type).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EpisodeOfCare.diagnosis.rank
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: positiveInt
    l: positiveInt
is summary:
  v: true

id:
  v: EpisodeOfCare.patient
path:
  v: EpisodeOfCare.patient
short:
  v: The patient who is the focus of this episode of care
definition:
  v: The patient who is the focus of this episode of care.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: EpisodeOfCare.patient
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Patient
    l: Patient
is summary:
  v: true
mapping:
  identity:
    v: w5
  map:
    v: who.focus

id:
  v: EpisodeOfCare.managingOrganization
path:
  v: EpisodeOfCare.managingOrganization
short:
  v: Organization that assumes care
definition:
  v: The organization that has assumed the specific responsibilities for the specified duration.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EpisodeOfCare.managingOrganization
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Organization
    l: Organization
is summary:
  v: true

id:
  v: EpisodeOfCare.period
path:
  v: EpisodeOfCare.period
short:
  v: Interval during responsibility is assumed
definition:
  v: The interval during which the managing organization assumes the defined responsibility.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EpisodeOfCare.period
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Period
    l: Period
is summary:
  v: true
mapping:
  identity:
    v: w5
  map:
    v: when.init

id:
  v: EpisodeOfCare.referralRequest
path:
  v: EpisodeOfCare.referralRequest
short:
  v: Originating Referral Request(s)
definition:
  v: Referral Request(s) that are fulfilled by this EpisodeOfCare, incoming referrals.
min:
  v: 0
max:
  v: *
base:
  path:
    v: EpisodeOfCare.referralRequest
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/ReferralRequest
    l: ReferralRequest

id:
  v: EpisodeOfCare.referralRequest.id
path:
  v: EpisodeOfCare.referralRequest.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: EpisodeOfCare.referralRequest.extension
path:
  v: EpisodeOfCare.referralRequest.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  ordered:
    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension

id:
  v: EpisodeOfCare.referralRequest.extension:referralRequest
path:
  v: EpisodeOfCare.referralRequest.extension
slice name:
  v: referralRequest
short:
  v: R4: referralRequest additional types
definition:
  v: R4: `EpisodeOfCare.referralRequest` additional types from child elements (display, identifier, reference, type)
comment:
  v: Element `EpisodeOfCare.referralRequest` is mapped to FHIR STU3 element `EpisodeOfCare.referralRequest` as `SourceIsBroaderThanTarget`. The mappings for `EpisodeOfCare.referralRequest` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4 element `EpisodeOfCare.referralRequest` with unmapped reference targets: ServiceRequest.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/StructureDefinition/alternate-reference
    l: alternate-reference

id:
  v: EpisodeOfCare.referralRequest.reference
path:
  v: EpisodeOfCare.referralRequest.reference
short:
  v: Literal reference, Relative, internal or absolute URL
definition:
  v: A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
comment:
  v: Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.reference
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
condition:
  v: ref-1
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: EpisodeOfCare.referralRequest.identifier
path:
  v: EpisodeOfCare.referralRequest.identifier
short:
  v: Logical reference, when literal reference is not known
definition:
  v: An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
comment:
  v: When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.identifier
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Identifier
    l: Identifier
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .identifier

id:
  v: EpisodeOfCare.referralRequest.display
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: EpisodeOfCare.referralRequest.display
short:
  v: Text alternative for the resource
definition:
  v: Plain text narrative that identifies the resource in addition to the resource reference.
comment:
  v: This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.display
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: EpisodeOfCare.careManager
path:
  v: EpisodeOfCare.careManager
short:
  v: Care manager/care co-ordinator for the patient
definition:
  v: The practitioner that is the care manager/care co-ordinator for this patient.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: EpisodeOfCare.careManager
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Practitioner
    l: Practitioner

id:
  v: EpisodeOfCare.careManager.id
path:
  v: EpisodeOfCare.careManager.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: EpisodeOfCare.careManager.extension
path:
  v: EpisodeOfCare.careManager.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  ordered:
    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension

id:
  v: EpisodeOfCare.careManager.extension:careManager
path:
  v: EpisodeOfCare.careManager.extension
slice name:
  v: careManager
short:
  v: R4: Care manager/care coordinator for the patient additional types
definition:
  v: R4: `EpisodeOfCare.careManager` additional types from child elements (display, identifier, reference, type)
comment:
  v: Element `EpisodeOfCare.careManager` is mapped to FHIR STU3 element `EpisodeOfCare.careManager` as `SourceIsBroaderThanTarget`. The mappings for `EpisodeOfCare.careManager` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4 element `EpisodeOfCare.careManager` with unmapped reference targets: PractitionerRole.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/StructureDefinition/alternate-reference
    l: alternate-reference

id:
  v: EpisodeOfCare.careManager.reference
path:
  v: EpisodeOfCare.careManager.reference
short:
  v: Literal reference, Relative, internal or absolute URL
definition:
  v: A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
comment:
  v: Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.reference
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
condition:
  v: ref-1
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: EpisodeOfCare.careManager.identifier
path:
  v: EpisodeOfCare.careManager.identifier
short:
  v: Logical reference, when literal reference is not known
definition:
  v: An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
comment:
  v: When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.identifier
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Identifier
    l: Identifier
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .identifier

id:
  v: EpisodeOfCare.careManager.display
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: EpisodeOfCare.careManager.display
short:
  v: Text alternative for the resource
definition:
  v: Plain text narrative that identifies the resource in addition to the resource reference.
comment:
  v: This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.display
  min:
    v: 0
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    v: 1
type:
  code:
    v: string
    l: string
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: EpisodeOfCare.team
path:
  v: EpisodeOfCare.team
short:
  v: Other practitioners facilitating this episode of care
definition:
  v: The list of practitioners that may be facilitating this episode of care for specific purposes.
alias:
  v: CareTeam
min:
  v: 0
max:
  v: *
base:
  path:
    v: EpisodeOfCare.team
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/CareTeam
    l: CareTeam

id:
  v: EpisodeOfCare.account
path:
  v: EpisodeOfCare.account
short:
  v: The set of accounts that may be used for billing for this EpisodeOfCare
definition:
  v: The set of accounts that may be used for billing for this EpisodeOfCare.
comment:
  v: The billing system may choose to allocate billable items associated with the EpisodeOfCare to different referenced Accounts based on internal business rules.
min:
  v: 0
max:
  v: *
base:
  path:
    v: EpisodeOfCare.account
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Account
    l: Account

element:
  id:
    v: EpisodeOfCare
  path:
    v: EpisodeOfCare
element:
  id:
    v: EpisodeOfCare.referralRequest.extension
  path:
    v: EpisodeOfCare.referralRequest.extension
  slicing:
    discriminator:
      type:
        v: value
      path:
        v: url
    ordered:
      v: false
    rules:
      v: open
  min:
    v: 0
  max:
    v: *
element:
  id:
    v: EpisodeOfCare.referralRequest.extension:referralRequest
  path:
    v: EpisodeOfCare.referralRequest.extension
  slice name:
    v: referralRequest
  short:
    v: R4: referralRequest additional types
  definition:
    v: R4: `EpisodeOfCare.referralRequest` additional types from child elements (display, identifier, reference, type)
  comment:
    v: Element `EpisodeOfCare.referralRequest` is mapped to FHIR STU3 element `EpisodeOfCare.referralRequest` as `SourceIsBroaderThanTarget`. The mappings for `EpisodeOfCare.referralRequest` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4 element `EpisodeOfCare.referralRequest` with unmapped reference targets: ServiceRequest.
  min:
    v: 0
  max:
    v: *
  base:
    path:
      v: DomainResource.extension
    min:
      v: 0
    max:
      v: *
  type:
    code:
      v: Extension
      l: Extension
    profile:
      v: http://hl7.org/fhir/StructureDefinition/alternate-reference
      l: alternate-reference
element:
  id:
    v: EpisodeOfCare.careManager.extension
  path:
    v: EpisodeOfCare.careManager.extension
  slicing:
    discriminator:
      type:
        v: value
      path:
        v: url
    ordered:
      v: false
    rules:
      v: open
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    v: 0
  max:
    v: *
element:
  id:
    v: EpisodeOfCare.careManager.extension:careManager
  path:
    v: EpisodeOfCare.careManager.extension
  slice name:
    v: careManager
  short:
    v: R4: Care manager/care coordinator for the patient additional types
  definition:
    v: R4: `EpisodeOfCare.careManager` additional types from child elements (display, identifier, reference, type)
  comment:
    v: Element `EpisodeOfCare.careManager` is mapped to FHIR STU3 element `EpisodeOfCare.careManager` as `SourceIsBroaderThanTarget`. The mappings for `EpisodeOfCare.careManager` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4 element `EpisodeOfCare.careManager` with unmapped reference targets: PractitionerRole.
  min:
    v: 0
  max:
    v: 1
  base:
    path:
      v: DomainResource.extension
    min:
      v: 0
    max:
      v: *
  type:
    code:
      v: Extension
      l: Extension
    profile:
      v: http://hl7.org/fhir/StructureDefinition/alternate-reference
      l: alternate-reference