{
"description": "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.",
"_filename": "EpisodeOfCare.json",
"package_name": "hl7.fhir.r4.id.core",
"date": "2019-11-01T09:29:23+11:00",
"derivation": "specialization",
"meta": {
"lastUpdated": "2022-01-10T03:07:15.444+00:00"
},
"publisher": "Health Level Seven International (Patient Administration)",
"fhirVersion": "4.0.1",
"name": "EpisodeOfCare",
"mapping": [ {
"uri": "http://hl7.org/fhir/workflow",
"name": "Workflow Pattern",
"identity": "workflow"
}, {
"uri": "http://hl7.org/v3",
"name": "RIM Mapping",
"identity": "rim"
}, {
"uri": "http://hl7.org/fhir/fivews",
"name": "FiveWs Pattern Mapping",
"identity": "w5"
} ],
"abstract": false,
"type": "EpisodeOfCare",
"experimental": null,
"resourceType": "StructureDefinition",
"title": null,
"package_version": "0.1.0",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
"valueString": "Base.Management"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "trial-use"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 2
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
"valueCode": "patient"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "pa"
} ],
"status": "draft",
"id": "51e1d958-c485-437d-9e21-0bd50309d39d",
"kind": "resource",
"url": "https://fhir.kemkes.go.id/r4/StructureDefinition/EpisodeOfCare",
"version": "4.0.1",
"differential": {
"element": [ {
"id": "EpisodeOfCare",
"path": "EpisodeOfCare",
"alias": [ "Case Program Problem" ],
"short": "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",
"mapping": [ {
"map": "Event",
"identity": "workflow"
}, {
"map": "n/a",
"identity": "rim"
} ],
"definition": "An association between a patient and an organization / healthcare provider(s) during which time encounters may occur. The managing organization assumes a level of responsibility for the patient during this time."
}, {
"id": "EpisodeOfCare.identifier",
"path": "EpisodeOfCare.identifier",
"type": [ {
"code": "Identifier"
} ],
"short": "Business Identifier(s) relevant for this EpisodeOfCare",
"mapping": [ {
"map": "Event.identifier",
"identity": "workflow"
}, {
"map": "FiveWs.identifier",
"identity": "w5"
} ],
"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."
}, {
"path": "EpisodeOfCare.status",
"min": 1,
"definition": "planned | waitlist | active | onhold | finished | cancelled.",
"isModifier": true,
"short": "planned | waitlist | active | onhold | finished | cancelled | entered-in-error",
"mapping": [ {
"map": "Event.status",
"identity": "workflow"
}, {
"map": "FiveWs.status",
"identity": "w5"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.1",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "EpisodeOfCareStatus"
} ],
"description": "The status of the episode of care."
},
"max": "1",
"id": "EpisodeOfCare.status",
"comment": "This element is labeled as a modifier because the status contains codes that mark the episode as not currently valid.",
"isModifierReason": "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",
"isSummary": true
}, {
"id": "EpisodeOfCare.statusHistory",
"path": "EpisodeOfCare.statusHistory",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Past list of status codes (the current status may be included to cover the start date of the status)",
"definition": "The history of statuses that the EpisodeOfCare has been through (without requiring processing the history of the resource)."
}, {
"id": "EpisodeOfCare.statusHistory.status",
"max": "1",
"min": 1,
"path": "EpisodeOfCare.statusHistory.status",
"type": [ {
"code": "code"
} ],
"short": "planned | waitlist | active | onhold | finished | cancelled | entered-in-error",
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.1",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "EpisodeOfCareStatus"
} ],
"description": "The status of the episode of care."
},
"definition": "planned | waitlist | active | onhold | finished | cancelled."
}, {
"id": "EpisodeOfCare.statusHistory.period",
"max": "1",
"min": 1,
"path": "EpisodeOfCare.statusHistory.period",
"type": [ {
"code": "Period"
} ],
"short": "Duration the EpisodeOfCare was in the specified status",
"definition": "The period during this EpisodeOfCare that the specific status applied."
}, {
"path": "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",
"mapping": [ {
"map": "Event.code",
"identity": "workflow"
}, {
"map": "FiveWs.class",
"identity": "w5"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "example",
"valueSet": "http://hl7.org/fhir/ValueSet/episodeofcare-type",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "EpisodeOfCareType"
} ],
"description": "The type of the episode of care."
},
"id": "EpisodeOfCare.type",
"comment": "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.",
"isSummary": true
}, {
"id": "EpisodeOfCare.diagnosis",
"path": "EpisodeOfCare.diagnosis",
"type": [ {
"code": "BackboneElement"
} ],
"short": "The list of diagnosis relevant to this episode of care",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString": "Diagnosis"
} ],
"isSummary": true,
"definition": "The list of diagnosis relevant to this episode of care."
}, {
"path": "EpisodeOfCare.diagnosis.condition",
"min": 1,
"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",
"mapping": [ {
"map": "Event.reasonReference",
"identity": "workflow"
}, {
"map": "FiveWs.what[x]",
"identity": "w5"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Condition" ]
} ],
"max": "1",
"id": "EpisodeOfCare.diagnosis.condition",
"isSummary": true
}, {
"id": "EpisodeOfCare.diagnosis.role",
"max": "1",
"path": "EpisodeOfCare.diagnosis.role",
"type": [ {
"code": "CodeableConcept"
} ],
"short": "Role that this diagnosis has within the episode of care (e.g. admission, billing, discharge …)",
"binding": {
"strength": "preferred",
"valueSet": "http://hl7.org/fhir/ValueSet/diagnosis-role",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "DiagnosisRole"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean": true
} ],
"description": "The type of diagnosis this condition represents."
},
"isSummary": true,
"definition": "Role that this diagnosis has within the episode of care (e.g. admission, billing, discharge …)."
}, {
"id": "EpisodeOfCare.diagnosis.rank",
"max": "1",
"path": "EpisodeOfCare.diagnosis.rank",
"type": [ {
"code": "positiveInt"
} ],
"short": "Ranking of the diagnosis (for each role type)",
"isSummary": true,
"definition": "Ranking of the diagnosis (for each role type)."
}, {
"path": "EpisodeOfCare.patient",
"min": 1,
"definition": "The patient who is the focus of this episode of care.",
"short": "The patient who is the focus of this episode of care",
"mapping": [ {
"map": "Event.subject",
"identity": "workflow"
}, {
"map": "FiveWs.subject[x]",
"identity": "w5"
}, {
"map": "FiveWs.subject",
"identity": "w5"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ]
} ],
"max": "1",
"id": "EpisodeOfCare.patient",
"isSummary": true
}, {
"id": "EpisodeOfCare.managingOrganization",
"max": "1",
"path": "EpisodeOfCare.managingOrganization",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization" ]
} ],
"short": "Organization that assumes care",
"mapping": [ {
"map": "Event.performer.actor",
"identity": "workflow"
} ],
"isSummary": true,
"definition": "The organization that has assumed the specific responsibilities for the specified duration."
}, {
"id": "EpisodeOfCare.period",
"max": "1",
"path": "EpisodeOfCare.period",
"type": [ {
"code": "Period"
} ],
"short": "Interval during responsibility is assumed",
"mapping": [ {
"map": "Event.occurrence[x]",
"identity": "workflow"
}, {
"map": "FiveWs.init",
"identity": "w5"
} ],
"isSummary": true,
"definition": "The interval during which the managing organization assumes the defined responsibility."
}, {
"id": "EpisodeOfCare.referralRequest",
"path": "EpisodeOfCare.referralRequest",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/ServiceRequest" ]
} ],
"short": "Originating Referral Request(s)",
"mapping": [ {
"map": "Event.basedOn",
"identity": "workflow"
} ],
"definition": "Referral Request(s) that are fulfilled by this EpisodeOfCare, incoming referrals."
}, {
"id": "EpisodeOfCare.careManager",
"max": "1",
"path": "EpisodeOfCare.careManager",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole" ]
} ],
"short": "Care manager/care coordinator for the patient",
"mapping": [ {
"map": "Event.performer.actor",
"identity": "workflow"
} ],
"definition": "The practitioner that is the care manager/care coordinator for this patient."
}, {
"id": "EpisodeOfCare.team",
"path": "EpisodeOfCare.team",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/CareTeam" ]
} ],
"alias": [ "CareTeam" ],
"short": "Other practitioners facilitating this episode of care",
"mapping": [ {
"map": "Event.performer.actor",
"identity": "workflow"
} ],
"definition": "The list of practitioners that may be facilitating this episode of care for specific purposes."
}, {
"id": "EpisodeOfCare.account",
"path": "EpisodeOfCare.account",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Account" ]
} ],
"short": "The set of accounts that may be used for billing for this EpisodeOfCare",
"comment": "The billing system may choose to allocate billable items associated with the EpisodeOfCare to different referenced Accounts based on internal business rules.",
"definition": "The set of accounts that may be used for billing for this EpisodeOfCare."
} ]
},
"contact": [ {
"telecom": [ {
"value": "http://hl7.org/fhir",
"system": "url"
} ]
}, {
"telecom": [ {
"value": "http://www.hl7.org/Special/committees/pafm/index.cfm",
"system": "url"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/DomainResource"
}