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.
package_name: hl7.fhir.r5.examples
derivation: specialization
name: EpisodeOfCare
type: EpisodeOfCare
elements:
  patient:
    isModifier: false
    short: The patient who is the focus of this episode of care
    refers: ['http://hl7.org/fhir/StructureDefinition/Patient']
    type: Reference
    mustSupport: false
    isSummary: true
    index: 12
  diagnosis:
    isModifier: false
    short: The list of medical conditions that were addressed during the episode of care
    type: BackboneElement
    mustSupport: false
    array: true
    isSummary: true
    index: 9
    elements:
      condition:
        isModifier: false
        short: The medical condition that was addressed during the episode of care
        type: CodeableReference
        mustSupport: false
        array: true
        binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/condition-code'}
        isSummary: true
        index: 10
      use:
        isModifier: false
        short: Role that this diagnosis has within the episode of care (e.g. admission, billing, discharge …)
        type: CodeableConcept
        mustSupport: false
        binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/ValueSet/encounter-diagnosis-use'}
        isSummary: true
        index: 11
  managingOrganization:
    isModifier: false
    short: Organization that assumes responsibility for care coordination
    refers: ['http://hl7.org/fhir/StructureDefinition/Organization']
    type: Reference
    mustSupport: false
    isSummary: true
    index: 13
  type:
    isModifier: false
    short: Type/class  - e.g. specialist referral, disease management
    type: CodeableConcept
    mustSupport: false
    array: true
    binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/episodeofcare-type'}
    isSummary: true
    index: 5
  account:
    isModifier: false
    short: The set of accounts that may be used for billing for this EpisodeOfCare
    refers: ['http://hl7.org/fhir/StructureDefinition/Account']
    type: Reference
    mustSupport: false
    array: true
    isSummary: false
    index: 18
  referralRequest:
    isModifier: false
    short: Originating Referral Request(s)
    refers: ['http://hl7.org/fhir/StructureDefinition/ServiceRequest']
    type: Reference
    mustSupport: false
    array: true
    isSummary: false
    index: 15
  reason:
    isModifier: false
    short: The list of medical reasons that are expected to be addressed during the episode of care
    type: BackboneElement
    mustSupport: false
    array: true
    isSummary: true
    index: 6
    elements:
      use:
        isModifier: false
        short: What the reason value should be used for/as
        type: CodeableConcept
        mustSupport: false
        binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/encounter-reason-use'}
        isSummary: true
        index: 7
      value:
        isModifier: false
        short: Medical reason to be addressed
        type: CodeableReference
        mustSupport: false
        array: true
        binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/encounter-reason'}
        isSummary: true
        index: 8
  status:
    isModifier: true
    short: planned | waitlist | active | onhold | finished | cancelled | entered-in-error
    index: 1
    type: code
    mustSupport: false
    binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/episode-of-care-status|5.0.0-draft-final'}
    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
  identifier: {isModifier: false, short: Business Identifier(s) relevant for this EpisodeOfCare, type: Identifier, mustSupport: false, array: true, isSummary: false, index: 0}
  period: {isModifier: false, short: Interval during responsibility is assumed, type: Period, mustSupport: false, isSummary: true, index: 14}
  careManager:
    isModifier: false
    short: Care manager/care coordinator for the patient
    refers: ['http://hl7.org/fhir/StructureDefinition/Practitioner', 'http://hl7.org/fhir/StructureDefinition/PractitionerRole']
    type: Reference
    mustSupport: false
    isSummary: false
    index: 16
  careTeam:
    isModifier: false
    short: Other practitioners facilitating this episode of care
    refers: ['http://hl7.org/fhir/StructureDefinition/CareTeam']
    type: Reference
    mustSupport: false
    array: true
    isSummary: false
    index: 17
  statusHistory:
    isModifier: false
    short: Past list of status codes (the current status may be included to cover the start date of the status)
    index: 2
    type: BackboneElement
    mustSupport: false
    array: true
    elements:
      status:
        isModifier: false
        short: planned | waitlist | active | onhold | finished | cancelled | entered-in-error
        type: code
        mustSupport: false
        binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/episode-of-care-status|5.0.0-draft-final'}
        isSummary: false
        index: 3
      period: {isModifier: false, short: Duration the EpisodeOfCare was in the specified status, type: Period, mustSupport: false, isSummary: false, index: 4}
    required: [status, period]
    isSummary: false
package_version: 5.0.0-draft-final
class: resource
kind: resource
url: http://hl7.org/fhir/StructureDefinition/EpisodeOfCare
base: http://hl7.org/fhir/StructureDefinition/DomainResource
version: 5.0.0-draft-final
required: [status, patient]