R4 Draft for Comment

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 GroupMaturity 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.

Control1..1
Alternate NamesCase 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.

NoteThis is a business identifer, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
EpisodeOfCare.status
Definition

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

Control1..1
Terminology BindingEpisodeOfCareStatus (Required)
Typecode
Is Modifiertrue
Summarytrue
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).

Control0..*
EpisodeOfCare.statusHistory.status
Definition

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

Control1..1
Terminology BindingEpisodeOfCareStatus (Required)
Typecode
EpisodeOfCare.statusHistory.period
Definition

The period during this EpisodeOfCare that the specific status applied.

Control1..1
TypePeriod
EpisodeOfCare.type
Definition

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

Control0..*
Terminology BindingEpisodeOfCareType (Example)
TypeCodeableConcept
Summarytrue
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.

Control0..*
Summarytrue
EpisodeOfCare.diagnosis.condition
Definition

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

Control1..1
TypeReference(Condition)
Summarytrue
EpisodeOfCare.diagnosis.role
Definition

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

Control0..1
Terminology BindingDiagnosisRole (Preferred)
TypeCodeableConcept
Summarytrue
EpisodeOfCare.diagnosis.rank
Definition

Ranking of the diagnosis (for each role type).

Control0..1
TypepositiveInt
Summarytrue
EpisodeOfCare.patient
Definition

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

Control1..1
TypeReference(Patient)
Summarytrue
EpisodeOfCare.managingOrganization
Definition

The organization that has assumed the specific responsibilities for the specified duration.

Control0..1
TypeReference(Organization)
Summarytrue
EpisodeOfCare.period
Definition

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

Control0..1
TypePeriod
Summarytrue
EpisodeOfCare.referralRequest
Definition

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

Control0..*
TypeReference(ServiceRequest)
EpisodeOfCare.careManager
Definition

The practitioner that is the care manager/care co-ordinator for this patient.

Control0..1
TypeReference(Practitioner)
EpisodeOfCare.team
Definition

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

Control0..*
TypeReference(CareTeam)
Alternate NamesCareTeam
EpisodeOfCare.account
Definition

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

Control0..*
TypeReference(Account)
Comments

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