Australian Digital Health Agency FHIR Implementation Guide
1.2.0-ci-build - draft
Australian Digital Health Agency FHIR Implementation Guide, published by Australian Digital Health Agency. This guide is not an authorized publication; it is the continuous build for version 1.2.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/AuDigitalHealth/ci-fhir-r4/ and changes regularly. See the Directory of published versions
Draft as of 2024-09-12 |
Definitions for the dh-episodeofcare-mymedicare-1 resource profile.
Guidance on how to interpret the contents of this table can be found here
0. EpisodeOfCare | |
Definition | Information about a GP practice that is or has been registered for the patient in the MyMedicare system. |
Short | GP practice registration information |
Invariants | inv-dh-epoc-03: A patient’s current GP practice shall not have a registration end date ((status = 'active') implies period.end.empty() ) |
2. EpisodeOfCare.status | |
Must Support | true |
Fixed Value | active |
4. EpisodeOfCare.type | |
Control | 1..? |
Must Support | true |
Slicing | This element introduces a set of slices on EpisodeOfCare.type . The slices areUnordered and Open, and can be differentiated using the following discriminators: |
6. EpisodeOfCare.type:primaryCare | |
Slice Name | primaryCare |
Short | GP practice - primary care management |
Control | 1..1 |
Pattern Value | { |
8. EpisodeOfCare.patient | |
Short | The patient |
Type | Reference(ADHA Core Patient) |
Must Support | true |
Invariants | inv-dh-epoc-01: At least reference or a valid identifier shall be present (reference.exists() or identifier.where(system.count() + value.count() >1).exists() ) |
10. EpisodeOfCare.managingOrganization | |
Short | GP practice that is now, or was once, registered for the patient |
Control | 1..? This element is affected by the following invariants: inv-dh-epoc-02 |
Type | Reference(ADHA Core Organization) |
Must Support | true |
Invariants | inv-dh-epoc-02: At least reference or a valid identifier shall be present (reference.exists() or identifier.where(system.count() + value.count() >1).exists() ) |
12. EpisodeOfCare.period | |
Comments | In the context of a MyMedicare registration, a patient's current registered GP practice will only have period.start. A historical entry will have both period.start and period.end. |
Control | 1..? |
Must Support | true |
14. EpisodeOfCare.period.start | |
Short | Registration start date |
Control | 1..? This element is affected by the following invariants: inv-dh-epoc-03 |
Must Support | true |
Guidance on how to interpret the contents of this table can be found here
0. EpisodeOfCare | |
Definition | Information about a GP practice that is or has been registered for the patient in the MyMedicare system. 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 | GP practice registration informationAn association of a Patient with an Organization and Healthcare Provider(s) for a period of time that the Organization assumes some level of responsibility |
Control | 0..* |
Is Modifier | false |
Summary | false |
Alternate Names | Case Program Problem |
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) dom-3: 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 (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()) dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()) dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists()) inv-dh-epoc-03: A patient’s current GP practice shall not have a registration end date ( (status = 'active') implies period.end.empty() ) |
2. EpisodeOfCare.implicitRules | |
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. |
Short | A set of rules under which this content was created |
Comments | 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. |
Control | 0..1 |
Type | uri |
Is Modifier | true because 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 |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
4. EpisodeOfCare.modifierExtension | |
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 and/or the understanding of the containing element's descendants. 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored |
Comments | 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. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them |
Summary | false |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
6. EpisodeOfCare.status | |
Definition | planned | waitlist | active | onhold | finished | cancelled. |
Short | planned | waitlist | active | onhold | finished | cancelled | entered-in-error |
Comments | This element is labeled as a modifier because the status contains codes that mark the episode as not currently valid. |
Control | 1..1 |
Binding | The codes SHALL be taken from EpisodeOfCareStatushttp://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.1 (required to http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.1 )The status of the episode of care. |
Type | code |
Is Modifier | true because 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 |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | true |
Summary | true |
Fixed Value | active |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
8. EpisodeOfCare.type | |
Definition | A classification of the type of episode of care; e.g. specialist referral, disease management, type of funded care. |
Short | Type/class - e.g. specialist referral, disease management |
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. |
Control | 10..* |
Binding | For example codes, see EpisodeOfCareTypehttp://hl7.org/fhir/ValueSet/episodeofcare-type (example to http://hl7.org/fhir/ValueSet/episodeofcare-type )The type of the episode of care. |
Type | CodeableConcept |
Is Modifier | false |
Must Support | true |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
Slicing | This element introduces a set of slices on EpisodeOfCare.type . The slices areUnordered and Open, and can be differentiated using the following discriminators: |
10. EpisodeOfCare.type:primaryCare | |
Slice Name | primaryCare |
Definition | A classification of the type of episode of care; e.g. specialist referral, disease management, type of funded care. |
Short | GP practice - primary care managementType/class - e.g. specialist referral, disease management |
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. |
Control | 10..1* |
Binding | For example codes, see EpisodeOfCareTypehttp://hl7.org/fhir/ValueSet/episodeofcare-type (example to http://hl7.org/fhir/ValueSet/episodeofcare-type )The type of the episode of care. |
Type | CodeableConcept |
Is Modifier | false |
Summary | true |
Pattern Value | { |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
12. EpisodeOfCare.patient | |
Definition | The patient who is the focus of this episode of care. |
Short | The patientThe patient who is the focus of this episode of care |
Control | 1..1 This element is affected by the following invariants: inv-dh-epoc-01 |
Type | Reference(ADHA Core Patient, Patient) |
Is Modifier | false |
Must Support | true |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) inv-dh-epoc-01: At least reference or a valid identifier shall be present ( reference.exists() or identifier.where(system.count() + value.count() >1).exists() ) |
14. EpisodeOfCare.managingOrganization | |
Definition | The organization that has assumed the specific responsibilities for the specified duration. |
Short | GP practice that is now, or was once, registered for the patientOrganization that assumes care |
Control | 10..1 This element is affected by the following invariants: inv-dh-epoc-02 |
Type | Reference(ADHA Core Organization, Organization) |
Is Modifier | false |
Must Support | true |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) inv-dh-epoc-02: At least reference or a valid identifier shall be present ( reference.exists() or identifier.where(system.count() + value.count() >1).exists() ) |
16. EpisodeOfCare.period | |
Definition | The interval during which the managing organization assumes the defined responsibility. |
Short | Interval during responsibility is assumed |
Comments | In the context of a MyMedicare registration, a patient's current registered GP practice will only have period.start. A historical entry will have both period.start and period.end. |
Control | 10..1 |
Type | Period |
Is Modifier | false |
Must Support | true |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
18. EpisodeOfCare.period.start | |
Definition | The start of the period. The boundary is inclusive. |
Short | Registration start dateStarting time with inclusive boundary |
Comments | If the low element is missing, the meaning is that the low boundary is not known. |
Control | 10..1 This element is affected by the following invariants: per-1, inv-dh-epoc-03 |
Type | dateTime |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | true |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
Guidance on how to interpret the contents of this table can be found here
0. EpisodeOfCare | |||||
Definition | Information about a GP practice that is or has been registered for the patient in the MyMedicare system. | ||||
Short | GP practice registration information | ||||
Control | 0..* | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | Case Program Problem | ||||
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty() )dom-3: 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 ( contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() )dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated ( contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() )dom-5: If a resource is contained in another resource, it SHALL NOT have a security label ( contained.meta.security.empty() )dom-6: A resource should have narrative for robust management ( text.`div`.exists() )inv-dh-epoc-03: A patient’s current GP practice shall not have a registration end date ( (status = 'active') implies period.end.empty() ) | ||||
2. EpisodeOfCare.id | |||||
Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. | ||||
Short | Logical id of this artifact | ||||
Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation. | ||||
Control | 0..1 | ||||
Type | id | ||||
Is Modifier | false | ||||
Summary | true | ||||
4. EpisodeOfCare.meta | |||||
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. | ||||
Short | Metadata about the resource | ||||
Control | 0..1 | ||||
Type | Meta | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
6. EpisodeOfCare.implicitRules | |||||
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. | ||||
Short | A set of rules under which this content was created | ||||
Comments | 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. | ||||
Control | 0..1 | ||||
Type | uri | ||||
Is Modifier | true because 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 | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
8. EpisodeOfCare.language | |||||
Definition | The base language in which the resource is written. | ||||
Short | Language of the resource content | ||||
Comments | 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). | ||||
Control | 0..1 | ||||
Binding | The codes SHOULD be taken from CommonLanguages (preferred to http://hl7.org/fhir/ValueSet/languages )A human language.
| ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
10. EpisodeOfCare.text | |||||
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. | ||||
Short | Text summary of the resource, for human interpretation | ||||
Comments | 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 information is added later. | ||||
Control | 0..1 | ||||
Type | Narrative | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | narrative, html, xhtml, display | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
12. EpisodeOfCare.contained | |||||
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. | ||||
Short | Contained, inline Resources | ||||
Comments | 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. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels. | ||||
Control | 0..* | ||||
Type | Resource | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | inline resources, anonymous resources, contained resources | ||||
14. EpisodeOfCare.extension | |||||
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. | ||||
Short | Additional content defined by implementations | ||||
Comments | 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
16. EpisodeOfCare.modifierExtension | |||||
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 and/or the understanding of the containing element's descendants. 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | Extensions that cannot be ignored | ||||
Comments | 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them | ||||
Summary | false | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
18. 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. | ||||
Short | Business Identifier(s) relevant for this EpisodeOfCare | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..* | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
20. EpisodeOfCare.status | |||||
Definition | planned | waitlist | active | onhold | finished | cancelled. | ||||
Short | planned | waitlist | active | onhold | finished | cancelled | entered-in-error | ||||
Comments | This element is labeled as a modifier because the status contains codes that mark the episode as not currently valid. | ||||
Control | 1..1 | ||||
Binding | The codes SHALL be taken from EpisodeOfCareStatus (required to http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.1 )The status of the episode of care. | ||||
Type | code | ||||
Is Modifier | true because 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 | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Fixed Value | active | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
22. EpisodeOfCare.statusHistory | |||||
Definition | The history of statuses that the EpisodeOfCare has been through (without requiring processing the history of the resource). | ||||
Short | Past list of status codes (the current status may be included to cover the start date of the status) | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
24. EpisodeOfCare.statusHistory.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
26. EpisodeOfCare.statusHistory.extension | |||||
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. | ||||
Short | Additional content defined by implementations | ||||
Comments | 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
28. EpisodeOfCare.statusHistory.modifierExtension | |||||
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 and/or the understanding of the containing element's descendants. 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
30. EpisodeOfCare.statusHistory.status | |||||
Definition | planned | waitlist | active | onhold | finished | cancelled. | ||||
Short | planned | waitlist | active | onhold | finished | cancelled | entered-in-error | ||||
Control | 1..1 | ||||
Binding | The codes SHALL be taken from EpisodeOfCareStatus (required to http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.1 )The status of the episode of care. | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
32. EpisodeOfCare.statusHistory.period | |||||
Definition | The period during this EpisodeOfCare that the specific status applied. | ||||
Short | Duration the EpisodeOfCare was in the specified status | ||||
Control | 1..1 | ||||
Type | Period | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
34. EpisodeOfCare.type | |||||
Definition | A classification of the type of episode of care; e.g. specialist referral, disease management, type of funded care. | ||||
Short | Type/class - e.g. specialist referral, disease management | ||||
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. | ||||
Control | 1..* | ||||
Binding | For example codes, see EpisodeOfCareType (example to http://hl7.org/fhir/ValueSet/episodeofcare-type )The type of the episode of care. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
Slicing | This element introduces a set of slices on EpisodeOfCare.type . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
36. EpisodeOfCare.type:primaryCare | |||||
Slice Name | primaryCare | ||||
Definition | A classification of the type of episode of care; e.g. specialist referral, disease management, type of funded care. | ||||
Short | GP practice - primary care management | ||||
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. | ||||
Control | 1..1 | ||||
Binding | For example codes, see EpisodeOfCareType (example to http://hl7.org/fhir/ValueSet/episodeofcare-type )The type of the episode of care. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | true | ||||
Pattern Value | { | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
38. EpisodeOfCare.diagnosis | |||||
Definition | The list of diagnosis relevant to this episode of care. | ||||
Short | The list of diagnosis relevant to this episode of care | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
40. EpisodeOfCare.diagnosis.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
42. EpisodeOfCare.diagnosis.extension | |||||
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. | ||||
Short | Additional content defined by implementations | ||||
Comments | 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
44. EpisodeOfCare.diagnosis.modifierExtension | |||||
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 and/or the understanding of the containing element's descendants. 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
46. EpisodeOfCare.diagnosis.condition | |||||
Definition | A list of conditions/problems/diagnoses that this episode of care is intended to be providing care for. | ||||
Short | Conditions/problems/diagnoses this episode of care is for | ||||
Control | 1..1 | ||||
Type | Reference(Condition) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
48. EpisodeOfCare.diagnosis.role | |||||
Definition | Role that this diagnosis has within the episode of care (e.g. admission, billing, discharge …). | ||||
Short | Role that this diagnosis has within the episode of care (e.g. admission, billing, discharge …) | ||||
Control | 0..1 | ||||
Binding | The codes SHOULD be taken from DiagnosisRole (preferred to http://hl7.org/fhir/ValueSet/diagnosis-role )The type of diagnosis this condition represents. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
50. EpisodeOfCare.diagnosis.rank | |||||
Definition | Ranking of the diagnosis (for each role type). | ||||
Short | Ranking of the diagnosis (for each role type) | ||||
Control | 0..1 | ||||
Type | positiveInt | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
52. EpisodeOfCare.patient | |||||
Definition | The patient who is the focus of this episode of care. | ||||
Short | The patient | ||||
Control | 1..1 This element is affected by the following invariants: inv-dh-epoc-01 | ||||
Type | Reference(ADHA Core Patient) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )inv-dh-epoc-01: At least reference or a valid identifier shall be present ( reference.exists() or identifier.where(system.count() + value.count() >1).exists() ) | ||||
54. EpisodeOfCare.managingOrganization | |||||
Definition | The organization that has assumed the specific responsibilities for the specified duration. | ||||
Short | GP practice that is now, or was once, registered for the patient | ||||
Control | 1..1 This element is affected by the following invariants: inv-dh-epoc-02 | ||||
Type | Reference(ADHA Core Organization) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )inv-dh-epoc-02: At least reference or a valid identifier shall be present ( reference.exists() or identifier.where(system.count() + value.count() >1).exists() ) | ||||
56. EpisodeOfCare.period | |||||
Definition | The interval during which the managing organization assumes the defined responsibility. | ||||
Short | Interval during responsibility is assumed | ||||
Comments | In the context of a MyMedicare registration, a patient's current registered GP practice will only have period.start. A historical entry will have both period.start and period.end. | ||||
Control | 1..1 | ||||
Type | Period | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
58. EpisodeOfCare.period.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
60. EpisodeOfCare.period.extension | |||||
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. | ||||
Short | Additional content defined by implementations | ||||
Comments | 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. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on EpisodeOfCare.period.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
62. EpisodeOfCare.period.start | |||||
Definition | The start of the period. The boundary is inclusive. | ||||
Short | Registration start date | ||||
Comments | If the low element is missing, the meaning is that the low boundary is not known. | ||||
Control | 1..1 This element is affected by the following invariants: per-1, inv-dh-epoc-03 | ||||
Type | dateTime | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
64. EpisodeOfCare.period.end | |||||
Definition | The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time. | ||||
Short | End time with inclusive boundary, if not ongoing | ||||
Comments | The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03. | ||||
Control | 0..1 This element is affected by the following invariants: per-1 | ||||
Type | dateTime | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Meaning if Missing | If the end of the period is missing, it means that the period is ongoing | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
66. EpisodeOfCare.referralRequest | |||||
Definition | Referral Request(s) that are fulfilled by this EpisodeOfCare, incoming referrals. | ||||
Short | Originating Referral Request(s) | ||||
Control | 0..* | ||||
Type | Reference(ServiceRequest) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
68. EpisodeOfCare.careManager | |||||
Definition | The practitioner that is the care manager/care coordinator for this patient. | ||||
Short | Care manager/care coordinator for the patient | ||||
Control | 0..1 | ||||
Type | Reference(Practitioner, PractitionerRole) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
70. EpisodeOfCare.team | |||||
Definition | The list of practitioners that may be facilitating this episode of care for specific purposes. | ||||
Short | Other practitioners facilitating this episode of care | ||||
Control | 0..* | ||||
Type | Reference(CareTeam) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | CareTeam | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
72. EpisodeOfCare.account | |||||
Definition | The set of accounts that may be used for billing for this EpisodeOfCare. | ||||
Short | The set of accounts that may be used for billing for this EpisodeOfCare | ||||
Comments | The billing system may choose to allocate billable items associated with the EpisodeOfCare to different referenced Accounts based on internal business rules. | ||||
Control | 0..* | ||||
Type | Reference(Account) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |