eHealth Infrastructure
3.3.0 - ci-build
eHealth Infrastructure
3.3.0 - ci-build
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
| Official URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-episodeofcare | Version: 3.3.0 | |||
| Active as of 2024-12-20 | Computable Name: ehealth-episodeofcare | |||
An EpisodeOfCare is an association between a patient and an organization / healthcare provider(s) during which time encounters may occur.
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:
team.The EpisodeOfCare functions as a representation of a program while the activities comprising it are defined in one or more CarePlan resources.
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.
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:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from EpisodeOfCare
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  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 dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management | |
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children |
  Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
   caremanagerOrganization |
1..1 | Reference(ehealth-organization) {r} | Reference to caremanagers organization URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-episodeofcare-caremanagerOrganization ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| teamHistory |
0..* | (Complex) | History of assigned careTeam URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-teamHistory ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| episodeofcareStatusschedule |
0..* | (Complex) | Status Schedule URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-episodeofcare-statusschedule ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| teamschedule |
0..* | (Complex) | Team Schedule URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-teamschedule ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
 participant |
0..* | (Complex) | Who or what is participating URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-participant ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| status |
?!Σ | 1..1 | code | planned | waitlist | active | onhold | finished | cancelled | entered-in-error Binding: EpisodeOfCareStatus (required): The status of the episode of care. ele-1: All FHIR elements must have a @value or children |
 diagnosis |
Σ | 1..* | BackboneElement | The list of diagnosis relevant to this episode of care ele-1: All FHIR elements must have a @value or children |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
  condition |
Σ | 1..1 | Reference(ehealth-condition) {r} | Conditions/problems/diagnoses this episode of care is for ele-1: All FHIR elements must have a @value or children |
| patient |
Σ | 1..1 | Reference(ehealth-patient) {r} | The patient who is the focus of this episode of care ele-1: All FHIR elements must have a @value or children |
| managingOrganization |
Σ | 1..1 | Reference(ehealth-organization) {r} | Organization that assumes care ele-1: All FHIR elements must have a @value or children |
| period |
Σ | 1..1 | Period | Interval during responsibility is assumed ele-1: All FHIR elements must have a @value or children |
| team |
0..* | Reference(ehealth-careteam) {r} | Other practitioners facilitating this episode of care ele-1: All FHIR elements must have a @value or children | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| EpisodeOfCare.status | required | EpisodeOfCareStatushttp://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.1from the FHIR Standard |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| 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 | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| 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 | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| EpisodeOfCare.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard
| ||||
| EpisodeOfCare.status | required | EpisodeOfCareStatushttp://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.1from the FHIR Standard | ||||
| EpisodeOfCare.statusHistory.status | required | EpisodeOfCareStatushttp://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.1from the FHIR Standard | ||||
| EpisodeOfCare.type | example | EpisodeOfCareTypehttp://hl7.org/fhir/ValueSet/episodeofcare-typefrom the FHIR Standard | ||||
| EpisodeOfCare.diagnosis.role | preferred | DiagnosisRolehttp://hl7.org/fhir/ValueSet/diagnosis-rolefrom the FHIR Standard |
This structure is derived from EpisodeOfCare
Summary
Mandatory: 5 elements
Prohibited: 2 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Differential View
This structure is derived from EpisodeOfCare
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| 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 dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management | |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| caremanagerOrganization |
1..1 | Reference(ehealth-organization) {r} | Reference to caremanagers organization URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-episodeofcare-caremanagerOrganization ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| teamHistory |
0..* | (Complex) | History of assigned careTeam URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-teamHistory ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| episodeofcareStatusschedule |
0..* | (Complex) | Status Schedule URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-episodeofcare-statusschedule ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| teamschedule |
0..* | (Complex) | Team Schedule URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-teamschedule ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| participant |
0..* | (Complex) | Who or what is participating URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-participant ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| status |
?!Σ | 1..1 | code | planned | waitlist | active | onhold | finished | cancelled | entered-in-error Binding: EpisodeOfCareStatus (required): The status of the episode of care. ele-1: All FHIR elements must have a @value or children |
| diagnosis |
Σ | 1..* | BackboneElement | The list of diagnosis relevant to this episode of care ele-1: All FHIR elements must have a @value or children |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| condition |
Σ | 1..1 | Reference(ehealth-condition) {r} | Conditions/problems/diagnoses this episode of care is for ele-1: All FHIR elements must have a @value or children |
| patient |
Σ | 1..1 | Reference(ehealth-patient) {r} | The patient who is the focus of this episode of care ele-1: All FHIR elements must have a @value or children |
| managingOrganization |
Σ | 1..1 | Reference(ehealth-organization) {r} | Organization that assumes care ele-1: All FHIR elements must have a @value or children |
| period |
Σ | 1..1 | Period | Interval during responsibility is assumed ele-1: All FHIR elements must have a @value or children |
| team |
0..* | Reference(ehealth-careteam) {r} | Other practitioners facilitating this episode of care ele-1: All FHIR elements must have a @value or children | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| EpisodeOfCare.status | required | EpisodeOfCareStatushttp://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.1from the FHIR Standard |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| 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 | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| 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 | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| EpisodeOfCare.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard
| ||||
| EpisodeOfCare.status | required | EpisodeOfCareStatushttp://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.1from the FHIR Standard | ||||
| EpisodeOfCare.statusHistory.status | required | EpisodeOfCareStatushttp://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.1from the FHIR Standard | ||||
| EpisodeOfCare.type | example | EpisodeOfCareTypehttp://hl7.org/fhir/ValueSet/episodeofcare-typefrom the FHIR Standard | ||||
| EpisodeOfCare.diagnosis.role | preferred | DiagnosisRolehttp://hl7.org/fhir/ValueSet/diagnosis-rolefrom the FHIR Standard |
This structure is derived from EpisodeOfCare
Summary
Mandatory: 5 elements
Prohibited: 2 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Other representations of profile: CSV, Excel, Schematron
IG © 2021+ Den telemedicinske infrastruktur (eHealth Infrastructure). Package dk.ehealth.sundhed.fhir.ig.core#3.3.0 based on FHIR 4.0.1. Generated 2024-12-20
