R4 Ballot #1 (Mixed Normative/Trial use)
AdministrationThis page is part of the FHIR Specification (v3.3.0: R4 Ballot 2). 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: N/A | Ballot Status: Informative | Compartments: Patient, Practitioner |
StructureDefinition for episodeofcare
{
"resourceType": "StructureDefinition",
"id": "EpisodeOfCare",
"meta": {
"lastUpdated": "2018-04-03T12:05:46.262+10:00"
},
"text": {
"status": "generated",
"div": "<div>!-- Snipped for Brevity --></div>"
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status",
"valueString": "Trial Use"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 2
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "pa"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare",
"name": "EpisodeOfCare",
"status": "draft",
"date": "2018-04-03T12:05:46+10:00",
"publisher": "Health Level Seven International (Patient Administration)",
"contact": [
{
"telecom": [
{
"system": "url",
"value": "http://hl7.org/fhir"
}
]
},
{
"telecom": [
{
"system": "url",
"value": "http://www.hl7.org/Special/committees/pafm/index.cfm"
}
]
}
],
"description": "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.",
"fhirVersion": "3.3.0",
"mapping": [
{
"identity": "workflow",
"uri": "http://hl7.org/fhir/workflow",
"name": "Workflow Pattern"
},
{
"identity": "rim",
"uri": "http://hl7.org/v3",
"name": "RIM Mapping"
},
{
"identity": "w5",
"uri": "http://hl7.org/fhir/fivews",
"name": "FiveWs Pattern"
}
],
"kind": "resource",
"abstract": false,
"type": "EpisodeOfCare",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/DomainResource",
"derivation": "specialization",
"snapshot": {
"element": [
{
"id": "EpisodeOfCare",
"path": "EpisodeOfCare",
"short": "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": "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": [
"Case Program Problem"
],
"min": 0,
"max": "*",
"base": {
"path": "EpisodeOfCare",
"min": 0,
"max": "*"
},
"constraint": [
{
"key": "dom-2",
"severity": "error",
"human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
"expression": "contained.contained.empty()",
"xpath": "not(parent::f:contained and f:contained)",
"source": "DomainResource"
},
{
"key": "dom-1",
"severity": "error",
"human": "If the resource is contained in another resource, it SHALL NOT contain any narrative",
"expression": "contained.text.empty()",
"xpath": "not(parent::f:contained and f:text)",
"source": "DomainResource"
},
{
"key": "dom-4",
"severity": "error",
"human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
"xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
"source": "DomainResource"
},
{
"key": "dom-3",
"severity": "error",
"human": "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",
"expression": "contained.all(('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists())",
"xpath": "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
"source": "DomainResource"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "Entity. Role, or Act"
},
{
"identity": "workflow",
"map": "Event"
},
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "EpisodeOfCare.id",
"path": "EpisodeOfCare.id",
"short": "Logical id of this artifact",
"definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"comment": "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": 0,
"max": "1",
"base": {
"path": "Resource.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "id"
}
],
"isModifier": false,
"isSummary": true
},
{
"id": "EpisodeOfCare.meta",
"path": "EpisodeOfCare.meta",
"short": "Metadata about the resource",
"definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.meta",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Meta"
}
],
"isModifier": false,
"isSummary": true
},
{
"id": "EpisodeOfCare.implicitRules",
"path": "EpisodeOfCare.implicitRules",
"short": "A set of rules under which this content was created",
"definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
"comment": "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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.implicitRules",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"isModifier": true,
"isModifierReason": "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
"isSummary": true
},
{
"id": "EpisodeOfCare.language",
"path": "EpisodeOfCare.language",
"short": "Language of the resource content",
"definition": "The base language in which the resource is written.",
"comment": "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": 0,
"max": "1",
"base": {
"path": "Resource.language",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"isModifier": false,
"isSummary": false,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueReference": {
"reference": "http://hl7.org/fhir/ValueSet/all-languages"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "Language"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean": true
}
],
"strength": "extensible",
"description": "A human language.",
"valueSetCanonical": "http://hl7.org/fhir/ValueSet/languages"
}
},
{
"id": "EpisodeOfCare.text",
"path": "EpisodeOfCare.text",
"short": "Text summary of the resource, for human interpretation",
"definition": "A human-readable narrative that contains a summary of the resource and can 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": "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": [
"narrative",
"html",
"xhtml",
"display"
],
"min": 0,
"max": "1",
"base": {
"path": "DomainResource.text",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Narrative"
}
],
"condition": [
"dom-1"
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "Act.text?"
}
]
},
{
"id": "EpisodeOfCare.contained",
"path": "EpisodeOfCare.contained",
"short": "Contained, inline Resources",
"definition": "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": "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": [
"inline resources",
"anonymous resources",
"contained resources"
],
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.contained",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Resource"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "EpisodeOfCare.extension",
"path": "EpisodeOfCare.extension",
"short": "Additional Content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the resource. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "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": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "EpisodeOfCare.modifierExtension",
"path": "EpisodeOfCare.modifierExtension",
"short": "Extensions that cannot be ignored",
"definition": "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. 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": "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": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"isModifier": true,
"isModifierReason": "Not known why this is labelled a modifier",
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "EpisodeOfCare.identifier",
"path": "EpisodeOfCare.identifier",
"short": "Business Identifier(s) relevant for this EpisodeOfCare",
"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.",
"min": 0,
"max": "*",
"base": {
"path": "EpisodeOfCare.identifier",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Identifier"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "workflow",
"map": "Event.identifier"
},
{
"identity": "w5",
"map": "FiveWs.identifier"
}
]
},
{
"id": "EpisodeOfCare.status",
"path": "EpisodeOfCare.status",
"short": "planned | waitlist | active | onhold | finished | cancelled | entered-in-error",
"definition": "planned | waitlist | active | onhold | finished | cancelled.",
"comment": "This element is labeled as a modifier because the status contains codes that mark the episode as not currently valid.",
"min": 1,
"max": "1",
"base": {
"path": "EpisodeOfCare.status",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"isModifier": true,
"isModifierReason": "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "EpisodeOfCareStatus"
}
],
"strength": "required",
"description": "The status of the episode of care.",
"valueSetCanonical": "http://hl7.org/fhir/ValueSet/episode-of-care-status"
},
"mapping": [
{
"identity": "workflow",
"map": "Event.status"
},
{
"identity": "w5",
"map": "FiveWs.status"
}
]
},
{
"id": "EpisodeOfCare.statusHistory",
"path": "EpisodeOfCare.statusHistory",
"short": "Past list of status codes (the current status may be included to cover the start date of the status)",
"definition": "The history of statuses that the EpisodeOfCare has been through (without requiring processing the history of the resource).",
"min": 0,
"max": "*",
"base": {
"path": "EpisodeOfCare.statusHistory",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "Element"
}
],
"isModifier": false,
"isSummary": false
},
{
"id": "EpisodeOfCare.statusHistory.id",
"path": "EpisodeOfCare.statusHistory.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "EpisodeOfCare.statusHistory.extension",
"path": "EpisodeOfCare.statusHistory.extension",
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "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": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "EpisodeOfCare.statusHistory.modifierExtension",
"path": "EpisodeOfCare.statusHistory.modifierExtension",
"short": "Extensions that cannot be ignored",
"definition": "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 in which it is contained. Usually modifier elements provide negation or qualification. 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 can 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": "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": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"isModifier": true,
"isModifierReason": "modifierExtension is reserved for use where modifier extensions must be used",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "EpisodeOfCare.statusHistory.status",
"path": "EpisodeOfCare.statusHistory.status",
"short": "planned | waitlist | active | onhold | finished | cancelled | entered-in-error",
"definition": "planned | waitlist | active | onhold | finished | cancelled.",
"min": 1,
"max": "1",
"base": {
"path": "EpisodeOfCare.statusHistory.status",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"isModifier": false,
"isSummary": false,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "EpisodeOfCareStatus"
}
],
"strength": "required",
"description": "The status of the episode of care.",
"valueSetCanonical": "http://hl7.org/fhir/ValueSet/episode-of-care-status"
}
},
{
"id": "EpisodeOfCare.statusHistory.period",
"path": "EpisodeOfCare.statusHistory.period",
"short": "Duration the EpisodeOfCare was in the specified status",
"definition": "The period during this EpisodeOfCare that the specific status applied.",
"min": 1,
"max": "1",
"base": {
"path": "EpisodeOfCare.statusHistory.period",
"min": 1,
"max": "1"
},
"type": [
{
"code": "Period"
}
],
"isModifier": false,
"isSummary": false
},
{
"id": "EpisodeOfCare.type",
"path": "EpisodeOfCare.type",
"short": "Type/class - e.g. specialist referral, disease management",
"definition": "A classification of the type of episode of care; e.g. specialist referral, disease management, type of funded care.",
"comment": "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": 0,
"max": "*",
"base": {
"path": "EpisodeOfCare.type",
"min": 0,
"max": "*"
},
"type": [
{
"code": "CodeableConcept"
}
],
"isModifier": false,
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "EpisodeOfCareType"
}
],
"strength": "example",
"description": "The type of the episode of care",
"valueSetCanonical": "http://hl7.org/fhir/ValueSet/episodeofcare-type"
},
"mapping": [
{
"identity": "workflow",
"map": "Event.code"
},
{
"identity": "w5",
"map": "FiveWs.class"
}
]
},
{
"id": "EpisodeOfCare.diagnosis",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString": "Diagnosis"
}
],
"path": "EpisodeOfCare.diagnosis",
"short": "The list of diagnosis relevant to this episode of care",
"definition": "The list of diagnosis relevant to this episode of care.",
"min": 0,
"max": "*",
"base": {
"path": "EpisodeOfCare.diagnosis",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "Element"
}
],
"isModifier": false,
"isSummary": true
},
{
"id": "EpisodeOfCare.diagnosis.id",
"path": "EpisodeOfCare.diagnosis.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "EpisodeOfCare.diagnosis.extension",
"path": "EpisodeOfCare.diagnosis.extension",
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "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": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "EpisodeOfCare.diagnosis.modifierExtension",
"path": "EpisodeOfCare.diagnosis.modifierExtension",
"short": "Extensions that cannot be ignored",
"definition": "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 in which it is contained. Usually modifier elements provide negation or qualification. 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 can 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": "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": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"isModifier": true,
"isModifierReason": "modifierExtension is reserved for use where modifier extensions must be used",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "EpisodeOfCare.diagnosis.condition",
"path": "EpisodeOfCare.diagnosis.condition",
"short": "Conditions/problems/diagnoses this episode of care is for",
"definition": "A list of conditions/problems/diagnoses that this episode of care is intended to be providing care for.",
"min": 1,
"max": "1",
"base": {
"path": "EpisodeOfCare.diagnosis.condition",
"min": 1,
"max": "1"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Condition"
]
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "workflow",
"map": "Event.reasonReference"
},
{
"identity": "w5",
"map": "FiveWs.what[x]"
}
]
},
{
"id": "EpisodeOfCare.diagnosis.role",
"path": "EpisodeOfCare.diagnosis.role",
"short": "Role that this diagnosis has within the episode of care (e.g. admission, billing, discharge …)",
"definition": "Role that this diagnosis has within the episode of care (e.g. admission, billing, discharge …).",
"min": 0,
"max": "1",
"base": {
"path": "EpisodeOfCare.diagnosis.role",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"isModifier": false,
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "DiagnosisRole"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean": true
}
],
"strength": "preferred",
"description": "The type of diagnosis this condition represents",
"valueSetCanonical": "http://hl7.org/fhir/ValueSet/diagnosis-role"
}
},
{
"id": "EpisodeOfCare.diagnosis.rank",
"path": "EpisodeOfCare.diagnosis.rank",
"short": "Ranking of the diagnosis (for each role type)",
"definition": "Ranking of the diagnosis (for each role type).",
"min": 0,
"max": "1",
"base": {
"path": "EpisodeOfCare.diagnosis.rank",
"min": 0,
"max": "1"
},
"type": [
{
"code": "positiveInt"
}
],
"isModifier": false,
"isSummary": true
},
{
"id": "EpisodeOfCare.patient",
"path": "EpisodeOfCare.patient",
"short": "The patient who is the focus of this episode of care",
"definition": "The patient who is the focus of this episode of care.",
"min": 1,
"max": "1",
"base": {
"path": "EpisodeOfCare.patient",
"min": 1,
"max": "1"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Patient"
]
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "workflow",
"map": "Event.subject"
},
{
"identity": "w5",
"map": "FiveWs.subject[x]"
},
{
"identity": "w5",
"map": "FiveWs.subject"
}
]
},
{
"id": "EpisodeOfCare.managingOrganization",
"path": "EpisodeOfCare.managingOrganization",
"short": "Organization that assumes care",
"definition": "The organization that has assumed the specific responsibilities for the specified duration.",
"min": 0,
"max": "1",
"base": {
"path": "EpisodeOfCare.managingOrganization",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Organization"
]
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "workflow",
"map": "Event.performer.actor"
}
]
},
{
"id": "EpisodeOfCare.period",
"path": "EpisodeOfCare.period",
"short": "Interval during responsibility is assumed",
"definition": "The interval during which the managing organization assumes the defined responsibility.",
"min": 0,
"max": "1",
"base": {
"path": "EpisodeOfCare.period",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Period"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "workflow",
"map": "Event.occurrence[x]"
},
{
"identity": "w5",
"map": "FiveWs.init"
}
]
},
{
"id": "EpisodeOfCare.referralRequest",
"path": "EpisodeOfCare.referralRequest",
"short": "Originating Referral Request(s)",
"definition": "Referral Request(s) that are fulfilled by this EpisodeOfCare, incoming referrals.",
"min": 0,
"max": "*",
"base": {
"path": "EpisodeOfCare.referralRequest",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/ServiceRequest"
]
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "workflow",
"map": "Event.basedOn"
}
]
},
{
"id": "EpisodeOfCare.careManager",
"path": "EpisodeOfCare.careManager",
"short": "Care manager/care coordinator for the patient",
"definition": "The practitioner that is the care manager/care coordinator for this patient.",
"min": 0,
"max": "1",
"base": {
"path": "EpisodeOfCare.careManager",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Practitioner"
]
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "workflow",
"map": "Event.performer.actor"
}
]
},
{
"id": "EpisodeOfCare.team",
"path": "EpisodeOfCare.team",
"short": "Other practitioners facilitating this episode of care",
"definition": "The list of practitioners that may be facilitating this episode of care for specific purposes.",
"alias": [
"CareTeam"
],
"min": 0,
"max": "*",
"base": {
"path": "EpisodeOfCare.team",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/CareTeam"
]
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "workflow",
"map": "Event.performer.actor"
}
]
},
{
"id": "EpisodeOfCare.account",
"path": "EpisodeOfCare.account",
"short": "The set of accounts that may be used for billing for this EpisodeOfCare",
"definition": "The set of accounts that may be used for billing for this EpisodeOfCare.",
"comment": "The billing system may choose to allocate billable items associated with the EpisodeOfCare to different referenced Accounts based on internal business rules.",
"min": 0,
"max": "*",
"base": {
"path": "EpisodeOfCare.account",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Account"
]
}
],
"isModifier": false,
"isSummary": false
}
]
},
"differential": {
"element": [
{
"id": "EpisodeOfCare",
"path": "EpisodeOfCare",
"short": "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": "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": [
"Case Program Problem"
],
"min": 0,
"max": "*",
"mapping": [
{
"identity": "workflow",
"map": "Event"
},
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "EpisodeOfCare.identifier",
"path": "EpisodeOfCare.identifier",
"short": "Business Identifier(s) relevant for this EpisodeOfCare",
"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.",
"min": 0,
"max": "*",
"type": [
{
"code": "Identifier"
}
],
"mapping": [
{
"identity": "workflow",
"map": "Event.identifier"
},
{
"identity": "w5",
"map": "FiveWs.identifier"
}
]
},
{
"id": "EpisodeOfCare.status",
"path": "EpisodeOfCare.status",
"short": "planned | waitlist | active | onhold | finished | cancelled | entered-in-error",
"definition": "planned | waitlist | active | onhold | finished | cancelled.",
"comment": "This element is labeled as a modifier because the status contains codes that mark the episode as not currently valid.",
"min": 1,
"max": "1",
"type": [
{
"code": "code"
}
],
"isModifier": true,
"isModifierReason": "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "EpisodeOfCareStatus"
}
],
"strength": "required",
"description": "The status of the episode of care.",
"valueSetCanonical": "http://hl7.org/fhir/ValueSet/episode-of-care-status"
},
"mapping": [
{
"identity": "workflow",
"map": "Event.status"
},
{
"identity": "w5",
"map": "FiveWs.status"
}
]
},
{
"id": "EpisodeOfCare.statusHistory",
"path": "EpisodeOfCare.statusHistory",
"short": "Past list of status codes (the current status may be included to cover the start date of the status)",
"definition": "The history of statuses that the EpisodeOfCare has been through (without requiring processing the history of the resource).",
"min": 0,
"max": "*",
"type": [
{
"code": "BackboneElement"
}
]
},
{
"id": "EpisodeOfCare.statusHistory.status",
"path": "EpisodeOfCare.statusHistory.status",
"short": "planned | waitlist | active | onhold | finished | cancelled | entered-in-error",
"definition": "planned | waitlist | active | onhold | finished | cancelled.",
"min": 1,
"max": "1",
"type": [
{
"code": "code"
}
],
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "EpisodeOfCareStatus"
}
],
"strength": "required",
"description": "The status of the episode of care.",
"valueSetCanonical": "http://hl7.org/fhir/ValueSet/episode-of-care-status"
}
},
{
"id": "EpisodeOfCare.statusHistory.period",
"path": "EpisodeOfCare.statusHistory.period",
"short": "Duration the EpisodeOfCare was in the specified status",
"definition": "The period during this EpisodeOfCare that the specific status applied.",
"min": 1,
"max": "1",
"type": [
{
"code": "Period"
}
]
},
{
"id": "EpisodeOfCare.type",
"path": "EpisodeOfCare.type",
"short": "Type/class - e.g. specialist referral, disease management",
"definition": "A classification of the type of episode of care; e.g. specialist referral, disease management, type of funded care.",
"comment": "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": 0,
"max": "*",
"type": [
{
"code": "CodeableConcept"
}
],
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "EpisodeOfCareType"
}
],
"strength": "example",
"description": "The type of the episode of care",
"valueSetCanonical": "http://hl7.org/fhir/ValueSet/episodeofcare-type"
},
"mapping": [
{
"identity": "workflow",
"map": "Event.code"
},
{
"identity": "w5",
"map": "FiveWs.class"
}
]
},
{
"id": "EpisodeOfCare.diagnosis",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString": "Diagnosis"
}
],
"path": "EpisodeOfCare.diagnosis",
"short": "The list of diagnosis relevant to this episode of care",
"definition": "The list of diagnosis relevant to this episode of care.",
"min": 0,
"max": "*",
"type": [
{
"code": "BackboneElement"
}
],
"isSummary": true
},
{
"id": "EpisodeOfCare.diagnosis.condition",
"path": "EpisodeOfCare.diagnosis.condition",
"short": "Conditions/problems/diagnoses this episode of care is for",
"definition": "A list of conditions/problems/diagnoses that this episode of care is intended to be providing care for.",
"min": 1,
"max": "1",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Condition"
]
}
],
"isSummary": true,
"mapping": [
{
"identity": "workflow",
"map": "Event.reasonReference"
},
{
"identity": "w5",
"map": "FiveWs.what[x]"
}
]
},
{
"id": "EpisodeOfCare.diagnosis.role",
"path": "EpisodeOfCare.diagnosis.role",
"short": "Role that this diagnosis has within the episode of care (e.g. admission, billing, discharge …)",
"definition": "Role that this diagnosis has within the episode of care (e.g. admission, billing, discharge …).",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "DiagnosisRole"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean": true
}
],
"strength": "preferred",
"description": "The type of diagnosis this condition represents",
"valueSetCanonical": "http://hl7.org/fhir/ValueSet/diagnosis-role"
}
},
{
"id": "EpisodeOfCare.diagnosis.rank",
"path": "EpisodeOfCare.diagnosis.rank",
"short": "Ranking of the diagnosis (for each role type)",
"definition": "Ranking of the diagnosis (for each role type).",
"min": 0,
"max": "1",
"type": [
{
"code": "positiveInt"
}
],
"isSummary": true
},
{
"id": "EpisodeOfCare.patient",
"path": "EpisodeOfCare.patient",
"short": "The patient who is the focus of this episode of care",
"definition": "The patient who is the focus of this episode of care.",
"min": 1,
"max": "1",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Patient"
]
}
],
"isSummary": true,
"mapping": [
{
"identity": "workflow",
"map": "Event.subject"
},
{
"identity": "w5",
"map": "FiveWs.subject[x]"
},
{
"identity": "w5",
"map": "FiveWs.subject"
}
]
},
{
"id": "EpisodeOfCare.managingOrganization",
"path": "EpisodeOfCare.managingOrganization",
"short": "Organization that assumes care",
"definition": "The organization that has assumed the specific responsibilities for the specified duration.",
"min": 0,
"max": "1",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Organization"
]
}
],
"isSummary": true,
"mapping": [
{
"identity": "workflow",
"map": "Event.performer.actor"
}
]
},
{
"id": "EpisodeOfCare.period",
"path": "EpisodeOfCare.period",
"short": "Interval during responsibility is assumed",
"definition": "The interval during which the managing organization assumes the defined responsibility.",
"min": 0,
"max": "1",
"type": [
{
"code": "Period"
}
],
"isSummary": true,
"mapping": [
{
"identity": "workflow",
"map": "Event.occurrence[x]"
},
{
"identity": "w5",
"map": "FiveWs.init"
}
]
},
{
"id": "EpisodeOfCare.referralRequest",
"path": "EpisodeOfCare.referralRequest",
"short": "Originating Referral Request(s)",
"definition": "Referral Request(s) that are fulfilled by this EpisodeOfCare, incoming referrals.",
"min": 0,
"max": "*",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/ServiceRequest"
]
}
],
"mapping": [
{
"identity": "workflow",
"map": "Event.basedOn"
}
]
},
{
"id": "EpisodeOfCare.careManager",
"path": "EpisodeOfCare.careManager",
"short": "Care manager/care coordinator for the patient",
"definition": "The practitioner that is the care manager/care coordinator for this patient.",
"min": 0,
"max": "1",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Practitioner"
]
}
],
"mapping": [
{
"identity": "workflow",
"map": "Event.performer.actor"
}
]
},
{
"id": "EpisodeOfCare.team",
"path": "EpisodeOfCare.team",
"short": "Other practitioners facilitating this episode of care",
"definition": "The list of practitioners that may be facilitating this episode of care for specific purposes.",
"alias": [
"CareTeam"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/CareTeam"
]
}
],
"mapping": [
{
"identity": "workflow",
"map": "Event.performer.actor"
}
]
},
{
"id": "EpisodeOfCare.account",
"path": "EpisodeOfCare.account",
"short": "The set of accounts that may be used for billing for this EpisodeOfCare",
"definition": "The set of accounts that may be used for billing for this EpisodeOfCare.",
"comment": "The billing system may choose to allocate billable items associated with the EpisodeOfCare to different referenced Accounts based on internal business rules.",
"min": 0,
"max": "*",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Account"
]
}
]
}
]
}
}
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.
®© HL7.org 2011+. FHIR Mixed Nomative/Trial Use Ballot (v3.3.0-13671) generated on Tue, Apr 3, 2018 12:15+1000. QA Page
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