This page is part of the FHIR Specification (v3.2.0: R4 Ballot 1). 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
Patient Administration Work Group | Maturity Level: 2 | Trial Use | Compartments: Patient, Practitioner |
Detailed Descriptions for the elements in the EpisodeOfCare resource.
EpisodeOfCare | |
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. |
Control | 1..1 |
Alternate Names | Case Program Problem |
EpisodeOfCare.identifier | |
Definition | 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. |
Note | This is a business identifer, not a resource identifier (see discussion) |
Control | 0..* |
Type | Identifier |
EpisodeOfCare.status | |
Definition | planned | waitlist | active | onhold | finished | cancelled. |
Control | 1..1 |
Terminology Binding | EpisodeOfCareStatus (Required) |
Type | code |
Is Modifier | true |
Summary | true |
Comments | This element is labeled as a modifier because the status contains codes that mark the episode as not currently valid. |
EpisodeOfCare.statusHistory | |
Definition | The history of statuses that the EpisodeOfCare has been through (without requiring processing the history of the resource). |
Control | 0..* |
EpisodeOfCare.statusHistory.status | |
Definition | planned | waitlist | active | onhold | finished | cancelled. |
Control | 1..1 |
Terminology Binding | EpisodeOfCareStatus (Required) |
Type | code |
EpisodeOfCare.statusHistory.period | |
Definition | The period during this EpisodeOfCare that the specific status applied. |
Control | 1..1 |
Type | Period |
EpisodeOfCare.type | |
Definition | A classification of the type of episode of care; e.g. specialist referral, disease management, type of funded care. |
Control | 0..* |
Terminology Binding | EpisodeOfCareType (Example) |
Type | CodeableConcept |
Summary | true |
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. |
EpisodeOfCare.diagnosis | |
Definition | The list of diagnosis relevant to this episode of care. |
Control | 0..* |
Summary | true |
EpisodeOfCare.diagnosis.condition | |
Definition | A list of conditions/problems/diagnoses that this episode of care is intended to be providing care for. |
Control | 1..1 |
Type | Reference(Condition) |
Summary | true |
EpisodeOfCare.diagnosis.role | |
Definition | Role that this diagnosis has within the episode of care (e.g. admission, billing, discharge …). |
Control | 0..1 |
Terminology Binding | DiagnosisRole (Preferred) |
Type | CodeableConcept |
Summary | true |
EpisodeOfCare.diagnosis.rank | |
Definition | Ranking of the diagnosis (for each role type). |
Control | 0..1 |
Type | positiveInt |
Summary | true |
EpisodeOfCare.patient | |
Definition | The patient who is the focus of this episode of care. |
Control | 1..1 |
Type | Reference(Patient) |
Summary | true |
EpisodeOfCare.managingOrganization | |
Definition | The organization that has assumed the specific responsibilities for the specified duration. |
Control | 0..1 |
Type | Reference(Organization) |
Summary | true |
EpisodeOfCare.period | |
Definition | The interval during which the managing organization assumes the defined responsibility. |
Control | 0..1 |
Type | Period |
Summary | true |
EpisodeOfCare.referralRequest | |
Definition | Referral Request(s) that are fulfilled by this EpisodeOfCare, incoming referrals. |
Control | 0..* |
Type | Reference(ServiceRequest) |
EpisodeOfCare.careManager | |
Definition | The practitioner that is the care manager/care co-ordinator for this patient. |
Control | 0..1 |
Type | Reference(Practitioner) |
EpisodeOfCare.team | |
Definition | The list of practitioners that may be facilitating this episode of care for specific purposes. |
Control | 0..* |
Type | Reference(CareTeam) |
Alternate Names | CareTeam |
EpisodeOfCare.account | |
Definition | The set of accounts that may be used for billing for this EpisodeOfCare. |
Control | 0..* |
Type | Reference(Account) |
Comments | The billing system may choose to allocate billable items associated with the EpisodeOfCare to different referenced Accounts based on internal business rules. |