eHealth Infrastructure
3.3.0 - ci-build Denmark flag

eHealth Infrastructure, published by Den telemedicinske infrastruktur (eHealth Infrastructure). This guide is not an authorized publication; it is the continuous build for version 3.3.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/fut-infrastructure/implementation-guide/ and changes regularly. See the Directory of published versions

Resource Profile: ehealth-episodeofcare

Official URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-episodeofcare Version: 3.3.0
Active as of 2024-11-07 Computable Name: ehealth-episodeofcare

Introduction

An EpisodeOfCare is an association between a patient and an organization / healthcare provider(s) during which time encounters may occur.

Scope and Usage

In scope of the eHealth infrastructure, creation of an EpisodeOfCare resource is triggered by a number of actions taking place out-of-band, that is, outside the scope of the eHealth infrastructure. Firstly, a patient is diagnosed with one or more conditions; then assessed as fulfilling criteria for enrollment in a telemedical care program leading to a referral being made to an organization providing such program. At this point a Practitioner within the providing organization creates an EpisodeOfCare referring to the Patient and the corresponding Conditions, all in the eHealth infrastructure. Created with status planned, the Practitioner updates the status to active once:

  • a Consent to enroll in the program has been given by the Patient
  • Adjustments have possibly been made to assigned CareTeam(s) in team.

The EpisodeOfCare functions as a representation of a program while the activities comprising it are defined in one or more CarePlan resources.

careManagerOrganization and managingOrganization

An EpisodeOfCare is required to have exactly one reference to the Organization responsible for the treatment through the element ehealth-episodeofcare-caremanagerOrganization.

The element managingOrganization references the Organization which is data controller for the EpisodeOfCare and all other resources directly or indirectly referencing it.

CareTeam and history of CareTeam

The CareTeam(s) currently responsible for the EpisodeOfCare are referenced in element team. Changes in CareTeam references are automatically maintained in the element ehealth-teamHistory.

Usage:

Formal Views of Profile Content

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

This structure is derived from EpisodeOfCare

NameFlagsCard.TypeDescription & Constraintsdoco
.. EpisodeOfCare EpisodeOfCare
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... caremanagerOrganization 1..1 Reference(ehealth-organization) {r} Reference to caremanagers organization
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-episodeofcare-caremanagerOrganization
.... teamHistory 0..* (Complex) History of assigned careTeam
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-teamHistory
.... episodeofcareStatusschedule 0..* (Complex) Status Schedule
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-episodeofcare-statusschedule
.... teamschedule 0..* (Complex) Team Schedule
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-teamschedule
.... participant 0..* (Complex) Who or what is participating
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-participant
... diagnosis 1..* BackboneElement The list of diagnosis relevant to this episode of care
.... condition 1..1 Reference(ehealth-condition) {r} Conditions/problems/diagnoses this episode of care is for
... patient 1..1 Reference(ehealth-patient) {r} The patient who is the focus of this episode of care
... period 1..1 Period Interval during responsibility is assumed
... careManager 0..0
... team 0..* Reference(ehealth-careteam) {r} Other practitioners facilitating this episode of care
... account 0..0

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. EpisodeOfCare 0..* EpisodeOfCare 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 1..* Extension Extension
Slice: Unordered, Open by value:url
.... caremanagerOrganization 1..1 Reference(ehealth-organization) {r} Reference to caremanagers organization
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-episodeofcare-caremanagerOrganization
.... teamHistory 0..* (Complex) History of assigned careTeam
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-teamHistory
.... episodeofcareStatusschedule 0..* (Complex) Status Schedule
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-episodeofcare-statusschedule
.... teamschedule 0..* (Complex) Team Schedule
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-teamschedule
.... participant 0..* (Complex) Who or what is participating
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-participant
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... diagnosis Σ 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 Σ 1..1 Reference(ehealth-condition) {r} Conditions/problems/diagnoses this episode of care is for
... patient Σ 1..1 Reference(ehealth-patient) {r} The patient who is the focus of this episode of care
... managingOrganization Σ 1..1 Reference(ehealth-organization) {r} Organization that assumes care
... period Σ 1..1 Period Interval during responsibility is assumed
... team 0..* Reference(ehealth-careteam) {r} Other practitioners facilitating this episode of care

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
EpisodeOfCare.statusrequiredEpisodeOfCareStatus
http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.1
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. EpisodeOfCare 0..* EpisodeOfCare 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... caremanagerOrganization 1..1 Reference(ehealth-organization) {r} Reference to caremanagers organization
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-episodeofcare-caremanagerOrganization
.... teamHistory 0..* (Complex) History of assigned careTeam
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-teamHistory
.... episodeofcareStatusschedule 0..* (Complex) Status Schedule
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-episodeofcare-statusschedule
.... teamschedule 0..* (Complex) Team Schedule
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-teamschedule
.... participant 0..* (Complex) Who or what is participating
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-participant
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier Business Identifier(s) relevant for this EpisodeOfCare
... status ?!Σ 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 Σ 0..* CodeableConcept Type/class - e.g. specialist referral, disease management
Binding: EpisodeOfCareType (example): The type of the episode of care.


... diagnosis Σ 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 Σ 1..1 Reference(ehealth-condition) {r} Conditions/problems/diagnoses this episode of care is for
.... role Σ 0..1 CodeableConcept Role that this diagnosis has within the episode of care (e.g. admission, billing, discharge …)
Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.

.... rank Σ 0..1 positiveInt Ranking of the diagnosis (for each role type)
... patient Σ 1..1 Reference(ehealth-patient) {r} The patient who is the focus of this episode of care
... managingOrganization Σ 1..1 Reference(ehealth-organization) {r} Organization that assumes care
... period Σ 1..1 Period Interval during responsibility is assumed
... referralRequest 0..* Reference(ServiceRequest) Originating Referral Request(s)
... team 0..* Reference(ehealth-careteam) {r} Other practitioners facilitating this episode of care

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
EpisodeOfCare.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
EpisodeOfCare.statusrequiredEpisodeOfCareStatus
http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.1
from the FHIR Standard
EpisodeOfCare.statusHistory.statusrequiredEpisodeOfCareStatus
http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.1
from the FHIR Standard
EpisodeOfCare.typeexampleEpisodeOfCareType
http://hl7.org/fhir/ValueSet/episodeofcare-type
from the FHIR Standard
EpisodeOfCare.diagnosis.rolepreferredDiagnosisRole
http://hl7.org/fhir/ValueSet/diagnosis-role
from the FHIR Standard

Differential View

This structure is derived from EpisodeOfCare

NameFlagsCard.TypeDescription & Constraintsdoco
.. EpisodeOfCare EpisodeOfCare
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... caremanagerOrganization 1..1 Reference(ehealth-organization) {r} Reference to caremanagers organization
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-episodeofcare-caremanagerOrganization
.... teamHistory 0..* (Complex) History of assigned careTeam
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-teamHistory
.... episodeofcareStatusschedule 0..* (Complex) Status Schedule
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-episodeofcare-statusschedule
.... teamschedule 0..* (Complex) Team Schedule
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-teamschedule
.... participant 0..* (Complex) Who or what is participating
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-participant
... diagnosis 1..* BackboneElement The list of diagnosis relevant to this episode of care
.... condition 1..1 Reference(ehealth-condition) {r} Conditions/problems/diagnoses this episode of care is for
... patient 1..1 Reference(ehealth-patient) {r} The patient who is the focus of this episode of care
... period 1..1 Period Interval during responsibility is assumed
... careManager 0..0
... team 0..* Reference(ehealth-careteam) {r} Other practitioners facilitating this episode of care
... account 0..0

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. EpisodeOfCare 0..* EpisodeOfCare 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 1..* Extension Extension
Slice: Unordered, Open by value:url
.... caremanagerOrganization 1..1 Reference(ehealth-organization) {r} Reference to caremanagers organization
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-episodeofcare-caremanagerOrganization
.... teamHistory 0..* (Complex) History of assigned careTeam
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-teamHistory
.... episodeofcareStatusschedule 0..* (Complex) Status Schedule
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-episodeofcare-statusschedule
.... teamschedule 0..* (Complex) Team Schedule
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-teamschedule
.... participant 0..* (Complex) Who or what is participating
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-participant
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... diagnosis Σ 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 Σ 1..1 Reference(ehealth-condition) {r} Conditions/problems/diagnoses this episode of care is for
... patient Σ 1..1 Reference(ehealth-patient) {r} The patient who is the focus of this episode of care
... managingOrganization Σ 1..1 Reference(ehealth-organization) {r} Organization that assumes care
... period Σ 1..1 Period Interval during responsibility is assumed
... team 0..* Reference(ehealth-careteam) {r} Other practitioners facilitating this episode of care

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
EpisodeOfCare.statusrequiredEpisodeOfCareStatus
http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.1
from the FHIR Standard

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. EpisodeOfCare 0..* EpisodeOfCare 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... caremanagerOrganization 1..1 Reference(ehealth-organization) {r} Reference to caremanagers organization
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-episodeofcare-caremanagerOrganization
.... teamHistory 0..* (Complex) History of assigned careTeam
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-teamHistory
.... episodeofcareStatusschedule 0..* (Complex) Status Schedule
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-episodeofcare-statusschedule
.... teamschedule 0..* (Complex) Team Schedule
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-teamschedule
.... participant 0..* (Complex) Who or what is participating
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-participant
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier Business Identifier(s) relevant for this EpisodeOfCare
... status ?!Σ 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 Σ 0..* CodeableConcept Type/class - e.g. specialist referral, disease management
Binding: EpisodeOfCareType (example): The type of the episode of care.


... diagnosis Σ 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 Σ 1..1 Reference(ehealth-condition) {r} Conditions/problems/diagnoses this episode of care is for
.... role Σ 0..1 CodeableConcept Role that this diagnosis has within the episode of care (e.g. admission, billing, discharge …)
Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.

.... rank Σ 0..1 positiveInt Ranking of the diagnosis (for each role type)
... patient Σ 1..1 Reference(ehealth-patient) {r} The patient who is the focus of this episode of care
... managingOrganization Σ 1..1 Reference(ehealth-organization) {r} Organization that assumes care
... period Σ 1..1 Period Interval during responsibility is assumed
... referralRequest 0..* Reference(ServiceRequest) Originating Referral Request(s)
... team 0..* Reference(ehealth-careteam) {r} Other practitioners facilitating this episode of care

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
EpisodeOfCare.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
EpisodeOfCare.statusrequiredEpisodeOfCareStatus
http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.1
from the FHIR Standard
EpisodeOfCare.statusHistory.statusrequiredEpisodeOfCareStatus
http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.1
from the FHIR Standard
EpisodeOfCare.typeexampleEpisodeOfCareType
http://hl7.org/fhir/ValueSet/episodeofcare-type
from the FHIR Standard
EpisodeOfCare.diagnosis.rolepreferredDiagnosisRole
http://hl7.org/fhir/ValueSet/diagnosis-role
from the FHIR Standard

 

Other representations of profile: CSV, Excel, Schematron