FHIR CI-Build

This is the Continuous Integration Build of FHIR (will be incorrect/inconsistent at times).
See the Directory of published versions icon

Patient Administration icon Work GroupMaturity Level: 2 Trial UseSecurity Category: Patient Compartments: Patient, Practitioner

Detailed Descriptions for the elements in the EpisodeOfCare resource.

EpisodeOfCare
Element IdEpisodeOfCare
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.

Short DisplayAn association of a Patient with an Organization and Healthcare Provider(s) for a period of time that the Organization assumes some level of responsibility
Cardinality0..*
TypeDomainResource
Alternate NamesCase Program Problem
Summaryfalse
EpisodeOfCare.identifier
Element IdEpisodeOfCare.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.

Short DisplayBusiness Identifier(s) relevant for this EpisodeOfCare
NoteThis is a business identifier, not a resource identifier (see discussion)
Cardinality0..*
TypeIdentifier
Summaryfalse
EpisodeOfCare.status
Element IdEpisodeOfCare.status
Definition

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

Short Displayplanned | waitlist | active | onhold | finished | cancelled | entered-in-error
Cardinality1..1
Terminology BindingEpisodeOfCareStatus (Required)
Typecode
Is Modifiertrue (Reason: 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)
Summarytrue
Comments

This element is labeled as a modifier because the status contains codes that mark the episode as not currently valid.

EpisodeOfCare.statusHistory
Element IdEpisodeOfCare.statusHistory
Definition

The history of statuses that the EpisodeOfCare has been through (without requiring processing the history of the resource).

Short DisplayPast list of status codes (the current status may be included to cover the start date of the status)
Cardinality0..*
Summaryfalse
EpisodeOfCare.statusHistory.status
Element IdEpisodeOfCare.statusHistory.status
Definition

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

Short Displayplanned | waitlist | active | onhold | finished | cancelled | entered-in-error
Cardinality1..1
Terminology BindingEpisodeOfCareStatus (Required)
Typecode
Summaryfalse
EpisodeOfCare.statusHistory.period
Element IdEpisodeOfCare.statusHistory.period
Definition

The period during this EpisodeOfCare that the specific status applied.

Short DisplayDuration the EpisodeOfCare was in the specified status
Cardinality1..1
TypePeriod
Summaryfalse
EpisodeOfCare.type
Element IdEpisodeOfCare.type
Definition

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

Short DisplayType/class - e.g. specialist referral, disease management
Cardinality0..*
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
Element IdEpisodeOfCare.diagnosis
Definition

The list of diagnosis relevant to this episode of care.

Short DisplayThe list of diagnosis relevant to this episode of care
Cardinality0..*
Summarytrue
EpisodeOfCare.diagnosis.condition
Element IdEpisodeOfCare.diagnosis.condition
Definition

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

Short DisplayConditions/problems/diagnoses this episode of care is for
Cardinality1..1
Terminology BindingCondition/Problem/Diagnosis Codes (Example)
TypeCodeableReference(Condition)
Summarytrue
EpisodeOfCare.diagnosis.role
Element IdEpisodeOfCare.diagnosis.role
Definition

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

Short DisplayRole that this diagnosis has within the episode of care (e.g. admission, billing, discharge …)
Cardinality0..1
Terminology BindingDiagnosisRole (Preferred)
TypeCodeableConcept
Summarytrue
EpisodeOfCare.diagnosis.rank
Element IdEpisodeOfCare.diagnosis.rank
Definition

Ranking of the diagnosis (for each role type).

Short DisplayRanking of the diagnosis (for each role type)
Cardinality0..1
TypepositiveInt
Summarytrue
EpisodeOfCare.patient
Element IdEpisodeOfCare.patient
Definition

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

Short DisplayThe patient who is the focus of this episode of care
Cardinality1..1
TypeReference(Patient)
Summarytrue
EpisodeOfCare.managingOrganization
Element IdEpisodeOfCare.managingOrganization
Definition

The organization that has assumed the specific responsibilities for care coordination, care delivery, or other services for the specified duration.

Short DisplayOrganization that assumes responsibility for care coordination
Cardinality0..1
TypeReference(Organization)
Summarytrue
Comments

If multiple organizations are involved in care delivery, the care teams from those organizations would be represented in EpisodeOfCare.team, while the primary organization managing the care would be listed in EpisodeOfCare.managingOrganization. Other organizations may have their own EpisodeOfCare for tracking their activities.

EpisodeOfCare.period
Element IdEpisodeOfCare.period
Definition

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

Short DisplayInterval during responsibility is assumed
Cardinality0..1
TypePeriod
Summarytrue
EpisodeOfCare.referralRequest
Element IdEpisodeOfCare.referralRequest
Definition

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

Short DisplayOriginating Referral Request(s)
Cardinality0..*
TypeReference(ServiceRequest)
Summaryfalse
EpisodeOfCare.careManager
Element IdEpisodeOfCare.careManager
Definition

The practitioner that is the care manager/care coordinator for this patient.

Short DisplayCare manager/care coordinator for the patient
Cardinality0..1
TypeReference(Practitioner | PractitionerRole)
Summaryfalse
EpisodeOfCare.careTeam
Element IdEpisodeOfCare.careTeam
Definition

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

Short DisplayOther practitioners facilitating this episode of care
Cardinality0..*
TypeReference(CareTeam)
Alternate NamesCareTeam
Summaryfalse
EpisodeOfCare.account
Element IdEpisodeOfCare.account
Definition

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

Short DisplayThe set of accounts that may be used for billing for this EpisodeOfCare
Cardinality0..*
TypeReference(Account)
Summaryfalse
Comments

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