SMART Base Clinical, published by WHO. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/WorldHealthOrganization/smart-base-clinical/ and changes regularly. See the Directory of published versions

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Resource Profile: WHO SMART Guidelines EpisodeOfCare

The WHO SMART Guidelines EpisodeOfCare profile defines conformance requirements and exchange expectations for EpisodeOfCare resources in WHO Smart Guidelines content. EpisodeOfCare resources are used to track enrollment of a patient in a specific guideline for a specific period of time, referred to as a Case in the Clinical Practice Guidelines implementation guide.

Usage:

• Refer to this Resource Profile: WHO SMART Guidelines CarePlan and WHO SMART Guidelines Encounter

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from CPGCase

Name	Flags	Card.	Type	Description & Constraints
EpisodeOfCare	S	0..*	CPGCase	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
identifier	S	1..*	Identifier	Business Identifier(s) relevant for this EpisodeOfCare
use	S	1..1	code	usual | official | temp | secondary | old (If known)
system	S	1..1	uri	The namespace for the identifier value
value	S	1..1	string	The value that is unique
status	S	1..1	code	planned | waitlist | active | onhold | finished | cancelled | entered-in-error
type	S	0..*	CodeableConcept	Type/class - e.g. specialist referral, disease management
diagnosis	S	1..*	BackboneElement	The list of diagnosis relevant to this episode of care
condition	S	1..1	Reference(WHO SMART Guidelines Condition)	Conditions/problems/diagnoses this episode of care is for
role	S	0..1	CodeableConcept	Role that this diagnosis has within the episode of care (e.g. admission, billing, discharge …) Binding: DiagnosisRole (extensible)
rank	S	0..1	positiveInt	Ranking of the diagnosis (for each role type)
patient	S	1..1	Reference(WHO SMART Guidelines Patient)	The patient who is the focus of this episode of care
managingOrganization	S	0..1	Reference(WHO SMART Guidelines Organization)	Organization that assumes care
period	S	0..1	Period	Interval during responsibility is assumed
careManager	S	0..1	Reference(WHO SMART Guidelines Practitioner | WHO SMART Guidelines PractitionerRole)	Care manager/care coordinator for the patient
team	S	0..*	Reference(WHO SMART Guidelines CareTeam)	Other practitioners facilitating this episode of care
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
EpisodeOfCare.diagnosis.role	extensible	DiagnosisRole http://hl7.org/fhir/ValueSet/diagnosis-role from the FHIR Standard

Name	Flags	Card.	Type	Description & Constraints
EpisodeOfCare	S	0..*	CPGCase	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
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
enrolledIn	S	0..*	canonical()	CPG Enrolled In Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-enrolledIn
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	S	1..*	Identifier	Business Identifier(s) relevant for this EpisodeOfCare
use	?!SΣ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
status	?!SΣ	1..1	code	planned | waitlist | active | onhold | finished | cancelled | entered-in-error Binding: EpisodeOfCareStatus (required): The status of the episode of care.
type	SΣ	0..*	CodeableConcept	Type/class - e.g. specialist referral, disease management Binding: EpisodeOfCareType (preferred): Expresses the type of an episode of care
diagnosis	SΣ	1..*	BackboneElement	The list of diagnosis relevant to this episode of care
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	SΣ	1..1	Reference(WHO SMART Guidelines Condition)	Conditions/problems/diagnoses this episode of care is for
role	SΣ	0..1	CodeableConcept	Role that this diagnosis has within the episode of care (e.g. admission, billing, discharge …) Binding: DiagnosisRole (extensible)
rank	SΣ	0..1	positiveInt	Ranking of the diagnosis (for each role type)
patient	SΣ	1..1	Reference(WHO SMART Guidelines Patient)	The patient who is the focus of this episode of care
managingOrganization	SΣ	0..1	Reference(WHO SMART Guidelines Organization)	Organization that assumes care
period	SΣ	0..1	Period	Interval during responsibility is assumed
careManager	S	0..1	Reference(WHO SMART Guidelines Practitioner | WHO SMART Guidelines PractitionerRole)	Care manager/care coordinator for the patient
team	S	0..*	Reference(WHO SMART Guidelines CareTeam)	Other practitioners facilitating this episode of care
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
EpisodeOfCare.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
EpisodeOfCare.status	required	EpisodeOfCareStatus http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.1 from the FHIR Standard
EpisodeOfCare.type	preferred	EpisodeOfCareType http://hl7.org/fhir/ValueSet/episodeofcare-type from the FHIR Standard
EpisodeOfCare.diagnosis.role	extensible	DiagnosisRole http://hl7.org/fhir/ValueSet/diagnosis-role from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	EpisodeOfCare	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	EpisodeOfCare	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	error	EpisodeOfCare	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	error	EpisodeOfCare	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	EpisodeOfCare	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
EpisodeOfCare	S	0..*	CPGCase	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
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
enrolledIn	S	0..*	canonical()	CPG Enrolled In Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-enrolledIn
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	S	1..*	Identifier	Business Identifier(s) relevant for this EpisodeOfCare
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!SΣ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!SΣ	1..1	code	planned | waitlist | active | onhold | finished | cancelled | entered-in-error Binding: EpisodeOfCareStatus (required): The status of the episode of care.
statusHistory		0..*	BackboneElement	Past list of status codes (the current status may be included to cover the start date of the status)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status		1..1	code	planned | waitlist | active | onhold | finished | cancelled | entered-in-error Binding: EpisodeOfCareStatus (required): The status of the episode of care.
period		1..1	Period	Duration the EpisodeOfCare was in the specified status
type	SΣ	0..*	CodeableConcept	Type/class - e.g. specialist referral, disease management Binding: EpisodeOfCareType (preferred): Expresses the type of an episode of care
diagnosis	SΣ	1..*	BackboneElement	The list of diagnosis relevant to this episode of care
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	SΣ	1..1	Reference(WHO SMART Guidelines Condition)	Conditions/problems/diagnoses this episode of care is for
role	SΣ	0..1	CodeableConcept	Role that this diagnosis has within the episode of care (e.g. admission, billing, discharge …) Binding: DiagnosisRole (extensible)
rank	SΣ	0..1	positiveInt	Ranking of the diagnosis (for each role type)
patient	SΣ	1..1	Reference(WHO SMART Guidelines Patient)	The patient who is the focus of this episode of care
managingOrganization	SΣ	0..1	Reference(WHO SMART Guidelines Organization)	Organization that assumes care
period	SΣ	0..1	Period	Interval during responsibility is assumed
referralRequest		0..*	Reference(ServiceRequest)	Originating Referral Request(s)
careManager	S	0..1	Reference(WHO SMART Guidelines Practitioner | WHO SMART Guidelines PractitionerRole)	Care manager/care coordinator for the patient
team	S	0..*	Reference(WHO SMART Guidelines CareTeam)	Other practitioners facilitating this episode of care
account		0..*	Reference(Account)	The set of accounts that may be used for billing for this EpisodeOfCare
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
EpisodeOfCare.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
EpisodeOfCare.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
EpisodeOfCare.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
EpisodeOfCare.status	required	EpisodeOfCareStatus http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.1 from the FHIR Standard
EpisodeOfCare.statusHistory.status	required	EpisodeOfCareStatus http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.1 from the FHIR Standard
EpisodeOfCare.type	preferred	EpisodeOfCareType http://hl7.org/fhir/ValueSet/episodeofcare-type from the FHIR Standard
EpisodeOfCare.diagnosis.role	extensible	DiagnosisRole http://hl7.org/fhir/ValueSet/diagnosis-role from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	EpisodeOfCare	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	EpisodeOfCare	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	error	EpisodeOfCare	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	error	EpisodeOfCare	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	EpisodeOfCare	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from CPGCase

Summary

Mandatory: 4 elements
Must-Support: 15 elements

Structures

This structure refers to these other structures:

• WHO SMART Guidelines Condition (http://smart.who.int/base-clinical/StructureDefinition/sg-condition)
• WHO SMART Guidelines Patient (http://smart.who.int/base-clinical/StructureDefinition/sg-patient)
• WHO SMART Guidelines Organization (http://smart.who.int/base-clinical/StructureDefinition/sg-organization)
• WHO SMART Guidelines Practitioner (http://smart.who.int/base-clinical/StructureDefinition/sg-practitioner)
• WHO SMART Guidelines PractitionerRole (http://smart.who.int/base-clinical/StructureDefinition/sg-practitionerrole)
• WHO SMART Guidelines CareTeam (http://smart.who.int/base-clinical/StructureDefinition/sg-careteam)

Differential View

This structure is derived from CPGCase

Name	Flags	Card.	Type	Description & Constraints
EpisodeOfCare	S	0..*	CPGCase	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
identifier	S	1..*	Identifier	Business Identifier(s) relevant for this EpisodeOfCare
use	S	1..1	code	usual | official | temp | secondary | old (If known)
system	S	1..1	uri	The namespace for the identifier value
value	S	1..1	string	The value that is unique
status	S	1..1	code	planned | waitlist | active | onhold | finished | cancelled | entered-in-error
type	S	0..*	CodeableConcept	Type/class - e.g. specialist referral, disease management
diagnosis	S	1..*	BackboneElement	The list of diagnosis relevant to this episode of care
condition	S	1..1	Reference(WHO SMART Guidelines Condition)	Conditions/problems/diagnoses this episode of care is for
role	S	0..1	CodeableConcept	Role that this diagnosis has within the episode of care (e.g. admission, billing, discharge …) Binding: DiagnosisRole (extensible)
rank	S	0..1	positiveInt	Ranking of the diagnosis (for each role type)
patient	S	1..1	Reference(WHO SMART Guidelines Patient)	The patient who is the focus of this episode of care
managingOrganization	S	0..1	Reference(WHO SMART Guidelines Organization)	Organization that assumes care
period	S	0..1	Period	Interval during responsibility is assumed
careManager	S	0..1	Reference(WHO SMART Guidelines Practitioner | WHO SMART Guidelines PractitionerRole)	Care manager/care coordinator for the patient
team	S	0..*	Reference(WHO SMART Guidelines CareTeam)	Other practitioners facilitating this episode of care
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
EpisodeOfCare.diagnosis.role	extensible	DiagnosisRole http://hl7.org/fhir/ValueSet/diagnosis-role from the FHIR Standard

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
EpisodeOfCare	S	0..*	CPGCase	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
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
enrolledIn	S	0..*	canonical()	CPG Enrolled In Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-enrolledIn
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	S	1..*	Identifier	Business Identifier(s) relevant for this EpisodeOfCare
use	?!SΣ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
status	?!SΣ	1..1	code	planned | waitlist | active | onhold | finished | cancelled | entered-in-error Binding: EpisodeOfCareStatus (required): The status of the episode of care.
type	SΣ	0..*	CodeableConcept	Type/class - e.g. specialist referral, disease management Binding: EpisodeOfCareType (preferred): Expresses the type of an episode of care
diagnosis	SΣ	1..*	BackboneElement	The list of diagnosis relevant to this episode of care
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	SΣ	1..1	Reference(WHO SMART Guidelines Condition)	Conditions/problems/diagnoses this episode of care is for
role	SΣ	0..1	CodeableConcept	Role that this diagnosis has within the episode of care (e.g. admission, billing, discharge …) Binding: DiagnosisRole (extensible)
rank	SΣ	0..1	positiveInt	Ranking of the diagnosis (for each role type)
patient	SΣ	1..1	Reference(WHO SMART Guidelines Patient)	The patient who is the focus of this episode of care
managingOrganization	SΣ	0..1	Reference(WHO SMART Guidelines Organization)	Organization that assumes care
period	SΣ	0..1	Period	Interval during responsibility is assumed
careManager	S	0..1	Reference(WHO SMART Guidelines Practitioner | WHO SMART Guidelines PractitionerRole)	Care manager/care coordinator for the patient
team	S	0..*	Reference(WHO SMART Guidelines CareTeam)	Other practitioners facilitating this episode of care
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
EpisodeOfCare.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
EpisodeOfCare.status	required	EpisodeOfCareStatus http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.1 from the FHIR Standard
EpisodeOfCare.type	preferred	EpisodeOfCareType http://hl7.org/fhir/ValueSet/episodeofcare-type from the FHIR Standard
EpisodeOfCare.diagnosis.role	extensible	DiagnosisRole http://hl7.org/fhir/ValueSet/diagnosis-role from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	EpisodeOfCare	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	EpisodeOfCare	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	error	EpisodeOfCare	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	error	EpisodeOfCare	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	EpisodeOfCare	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
EpisodeOfCare	S	0..*	CPGCase	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
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
enrolledIn	S	0..*	canonical()	CPG Enrolled In Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-enrolledIn
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	S	1..*	Identifier	Business Identifier(s) relevant for this EpisodeOfCare
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!SΣ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!SΣ	1..1	code	planned | waitlist | active | onhold | finished | cancelled | entered-in-error Binding: EpisodeOfCareStatus (required): The status of the episode of care.
statusHistory		0..*	BackboneElement	Past list of status codes (the current status may be included to cover the start date of the status)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status		1..1	code	planned | waitlist | active | onhold | finished | cancelled | entered-in-error Binding: EpisodeOfCareStatus (required): The status of the episode of care.
period		1..1	Period	Duration the EpisodeOfCare was in the specified status
type	SΣ	0..*	CodeableConcept	Type/class - e.g. specialist referral, disease management Binding: EpisodeOfCareType (preferred): Expresses the type of an episode of care
diagnosis	SΣ	1..*	BackboneElement	The list of diagnosis relevant to this episode of care
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	SΣ	1..1	Reference(WHO SMART Guidelines Condition)	Conditions/problems/diagnoses this episode of care is for
role	SΣ	0..1	CodeableConcept	Role that this diagnosis has within the episode of care (e.g. admission, billing, discharge …) Binding: DiagnosisRole (extensible)
rank	SΣ	0..1	positiveInt	Ranking of the diagnosis (for each role type)
patient	SΣ	1..1	Reference(WHO SMART Guidelines Patient)	The patient who is the focus of this episode of care
managingOrganization	SΣ	0..1	Reference(WHO SMART Guidelines Organization)	Organization that assumes care
period	SΣ	0..1	Period	Interval during responsibility is assumed
referralRequest		0..*	Reference(ServiceRequest)	Originating Referral Request(s)
careManager	S	0..1	Reference(WHO SMART Guidelines Practitioner | WHO SMART Guidelines PractitionerRole)	Care manager/care coordinator for the patient
team	S	0..*	Reference(WHO SMART Guidelines CareTeam)	Other practitioners facilitating this episode of care
account		0..*	Reference(Account)	The set of accounts that may be used for billing for this EpisodeOfCare
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
EpisodeOfCare.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
EpisodeOfCare.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
EpisodeOfCare.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
EpisodeOfCare.status	required	EpisodeOfCareStatus http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.1 from the FHIR Standard
EpisodeOfCare.statusHistory.status	required	EpisodeOfCareStatus http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.1 from the FHIR Standard
EpisodeOfCare.type	preferred	EpisodeOfCareType http://hl7.org/fhir/ValueSet/episodeofcare-type from the FHIR Standard
EpisodeOfCare.diagnosis.role	extensible	DiagnosisRole http://hl7.org/fhir/ValueSet/diagnosis-role from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	EpisodeOfCare	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	EpisodeOfCare	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	error	EpisodeOfCare	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	error	EpisodeOfCare	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	EpisodeOfCare	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from CPGCase

Summary

Mandatory: 4 elements
Must-Support: 15 elements

Structures

This structure refers to these other structures:

• WHO SMART Guidelines Condition (http://smart.who.int/base-clinical/StructureDefinition/sg-condition)
• WHO SMART Guidelines Patient (http://smart.who.int/base-clinical/StructureDefinition/sg-patient)
• WHO SMART Guidelines Organization (http://smart.who.int/base-clinical/StructureDefinition/sg-organization)
• WHO SMART Guidelines Practitioner (http://smart.who.int/base-clinical/StructureDefinition/sg-practitioner)
• WHO SMART Guidelines PractitionerRole (http://smart.who.int/base-clinical/StructureDefinition/sg-practitionerrole)
• WHO SMART Guidelines CareTeam (http://smart.who.int/base-clinical/StructureDefinition/sg-careteam)

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