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.r4.core
derivation: specialization
name: EpisodeOfCare
type: EpisodeOfCare
elements:
  patient:
    short: The patient who is the focus of this episode of care
    refers: ['http://hl7.org/fhir/StructureDefinition/Patient']
    type: Reference
    isSummary: true
    index: 10
  diagnosis:
    short: The list of diagnosis relevant to this episode of care
    type: BackboneElement
    array: true
    isSummary: true
    index: 6
    elements:
      condition:
        short: Conditions/problems/diagnoses this episode of care is for
        refers: ['http://hl7.org/fhir/StructureDefinition/Condition']
        type: Reference
        isSummary: true
        index: 7
      role:
        short: Role that this diagnosis has within the episode of care (e.g. admission, billing, discharge …)
        type: CodeableConcept
        binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/ValueSet/diagnosis-role'}
        isSummary: true
        index: 8
      rank: {type: positiveInt, short: Ranking of the diagnosis (for each role type), isSummary: true, index: 9}
    required: [condition]
  managingOrganization:
    short: Organization that assumes care
    refers: ['http://hl7.org/fhir/StructureDefinition/Organization']
    type: Reference
    isSummary: true
    index: 11
  type:
    short: Type/class  - e.g. specialist referral, disease management
    type: CodeableConcept
    array: true
    binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/episodeofcare-type'}
    isSummary: true
    index: 5
  account:
    short: The set of accounts that may be used for billing for this EpisodeOfCare
    refers: ['http://hl7.org/fhir/StructureDefinition/Account']
    type: Reference
    array: true
    index: 16
  referralRequest:
    short: Originating Referral Request(s)
    refers: ['http://hl7.org/fhir/StructureDefinition/ServiceRequest']
    type: Reference
    array: true
    index: 13
  team:
    short: Other practitioners facilitating this episode of care
    refers: ['http://hl7.org/fhir/StructureDefinition/CareTeam']
    type: Reference
    array: true
    index: 15
  status:
    isModifier: true
    short: planned | waitlist | active | onhold | finished | cancelled | entered-in-error
    type: code
    binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.1'}
    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
    index: 1
  identifier: {type: Identifier, short: Business Identifier(s) relevant for this EpisodeOfCare, array: true, index: 0}
  period: {short: Interval during responsibility is assumed, type: Period, isSummary: true, index: 12}
  careManager:
    short: Care manager/care coordinator for the patient
    refers: ['http://hl7.org/fhir/StructureDefinition/Practitioner', 'http://hl7.org/fhir/StructureDefinition/PractitionerRole']
    type: Reference
    index: 14
  statusHistory:
    type: BackboneElement
    short: Past list of status codes (the current status may be included to cover the start date of the status)
    array: true
    index: 2
    elements:
      status:
        type: 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'}
        index: 3
      period: {type: Period, short: Duration the EpisodeOfCare was in the specified status, index: 4}
    required: [status, period]
package_version: 4.0.1
class: resource
kind: resource
url: http://hl7.org/fhir/StructureDefinition/EpisodeOfCare
base: http://hl7.org/fhir/StructureDefinition/DomainResource
version: 4.0.1
required: [status, patient]