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 draft, the Practitioner updates the status to active once:
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 at least one care manager (Danish: “Behandlingsansvarlig”) at any time. The careManagers
element states who is the current care manager.
Historical care managers are referenced from the careManagerHistory
element together with the period during which they were current.
An EpisodeOfCare can have a number of responsible CareTeams, Practitioners or Organizations with different roles who are responsible for monitoring different aspects of the EpisodeOfCare. For instance a Practitioner could have the role of “monitoringResponsible”. All responsibles referenced from element responsible
currently hold the responsibility defined by their role.
Historically responsible CareTeams, Practitioners or Organizations are referenced from element responsibleHistory
. This structure is identical to values of the responsible
element except that entries in responsibleHistory
also carry a “period” which states the period during which the referenced party was responsible for the EpisodeOfCare.
The official URL for this profile is:
http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-episodeofcare
This profile builds on EpisodeOfCare.
This profile was published on Fri Jun 07 11:10:06 UTC 2019 as a draft by ehealth.sundhed.dk.
Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.
This structure is derived from EpisodeOfCare
Summary
Mandatory: 4 elements
Prohibited: 2 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
This structure is derived from EpisodeOfCare
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
EpisodeOfCare | 0..* | An association between a patient and an organization / healthcare provider(s) during which time encounters may occur. | ||
extension | 0..* | Extension | Slice: Unordered, Open by value:url | |
ehealth-episodeofcare-careManagers | 1..* | Reference(eHealth Practitioner | eHealth CareTeam | eHealth Organization) {r} | Care managers/care coordinators. URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-episodeofcare-careManagers | |
ehealth-episodeofcare-careManagerHistory | 0..* | (Complex) | History of care managers/care coordinators for the patient. URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-episodeofcare-careManagerHistory | |
ehealth-responsible | 0..* | (Complex) | Individuals, careteam or organization responsible for monitoring this plan. URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible | |
ehealth-responsibleHistory | 0..* | (Complex) | Previous individuals, careteams and organizations responsible for monitoring this plan. URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsibleHistory | |
diagnosis | 1..* | BackboneElement | ||
condition | 1..1 | Reference(eHealth Condition) {r} | ||
patient | 1..1 | Reference(eHealth Patient) {r} | ||
managingOrganization | 1..1 | Reference(eHealth Organization) {r} | ||
period | 1..1 | Period | ||
referralRequest | 0..* | Reference(ReferralRequest) {r} | ||
careManager | 0..0 | |||
team | 0..* | Reference(eHealth CareTeam) {r} | ||
account | 0..0 | |||
Documentation for this format |
This structure is derived from EpisodeOfCare
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
EpisodeOfCare | I | 0..* | An association between a patient and an organization / healthcare provider(s) during which time encounters may occur. | |
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: Common Languages (extensible) | |
text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
contained | 0..* | Resource | Contained, inline Resources | |
extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
ehealth-episodeofcare-careManagers | 1..* | Reference(eHealth Practitioner | eHealth CareTeam | eHealth Organization) {r} | Care managers/care coordinators. URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-episodeofcare-careManagers | |
ehealth-episodeofcare-careManagerHistory | 0..* | (Complex) | History of care managers/care coordinators for the patient. URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-episodeofcare-careManagerHistory | |
ehealth-responsible | 0..* | (Complex) | Individuals, careteam or organization responsible for monitoring this plan. URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible | |
ehealth-responsibleHistory | 0..* | (Complex) | Previous individuals, careteams and organizations responsible for monitoring this plan. URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsibleHistory | |
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) |
statusHistory | I | 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 | xml:id (or equivalent in JSON) | |
extension | 0..* | Extension | Additional Content defined by implementations | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
status | 1..1 | code | planned | waitlist | active | onhold | finished | cancelled | entered-in-error Binding: EpisodeOfCareStatus (required) | |
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) |
diagnosis | ΣI | 1..* | BackboneElement | The list of diagnosis relevant to this episode of care |
id | 0..1 | string | xml:id (or equivalent in JSON) | |
extension | 0..* | Extension | Additional Content defined by implementations | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
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) |
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(ReferralRequest) {r} | Originating Referral Request(s) | |
team | 0..* | Reference(eHealth CareTeam) {r} | Other practitioners facilitating this episode of care | |
Documentation for this format |
This structure is derived from EpisodeOfCare
Summary
Mandatory: 4 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
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
EpisodeOfCare | 0..* | An association between a patient and an organization / healthcare provider(s) during which time encounters may occur. | ||
extension | 0..* | Extension | Slice: Unordered, Open by value:url | |
ehealth-episodeofcare-careManagers | 1..* | Reference(eHealth Practitioner | eHealth CareTeam | eHealth Organization) {r} | Care managers/care coordinators. URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-episodeofcare-careManagers | |
ehealth-episodeofcare-careManagerHistory | 0..* | (Complex) | History of care managers/care coordinators for the patient. URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-episodeofcare-careManagerHistory | |
ehealth-responsible | 0..* | (Complex) | Individuals, careteam or organization responsible for monitoring this plan. URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible | |
ehealth-responsibleHistory | 0..* | (Complex) | Previous individuals, careteams and organizations responsible for monitoring this plan. URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsibleHistory | |
diagnosis | 1..* | BackboneElement | ||
condition | 1..1 | Reference(eHealth Condition) {r} | ||
patient | 1..1 | Reference(eHealth Patient) {r} | ||
managingOrganization | 1..1 | Reference(eHealth Organization) {r} | ||
period | 1..1 | Period | ||
referralRequest | 0..* | Reference(ReferralRequest) {r} | ||
careManager | 0..0 | |||
team | 0..* | Reference(eHealth CareTeam) {r} | ||
account | 0..0 | |||
Documentation for this format |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
EpisodeOfCare | I | 0..* | An association between a patient and an organization / healthcare provider(s) during which time encounters may occur. | |
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: Common Languages (extensible) | |
text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
contained | 0..* | Resource | Contained, inline Resources | |
extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
ehealth-episodeofcare-careManagers | 1..* | Reference(eHealth Practitioner | eHealth CareTeam | eHealth Organization) {r} | Care managers/care coordinators. URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-episodeofcare-careManagers | |
ehealth-episodeofcare-careManagerHistory | 0..* | (Complex) | History of care managers/care coordinators for the patient. URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-episodeofcare-careManagerHistory | |
ehealth-responsible | 0..* | (Complex) | Individuals, careteam or organization responsible for monitoring this plan. URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible | |
ehealth-responsibleHistory | 0..* | (Complex) | Previous individuals, careteams and organizations responsible for monitoring this plan. URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsibleHistory | |
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) |
statusHistory | I | 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 | xml:id (or equivalent in JSON) | |
extension | 0..* | Extension | Additional Content defined by implementations | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
status | 1..1 | code | planned | waitlist | active | onhold | finished | cancelled | entered-in-error Binding: EpisodeOfCareStatus (required) | |
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) |
diagnosis | ΣI | 1..* | BackboneElement | The list of diagnosis relevant to this episode of care |
id | 0..1 | string | xml:id (or equivalent in JSON) | |
extension | 0..* | Extension | Additional Content defined by implementations | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
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) |
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(ReferralRequest) {r} | Originating Referral Request(s) | |
team | 0..* | Reference(eHealth CareTeam) {r} | Other practitioners facilitating this episode of care | |
Documentation for this format |
Path | Name | Conformance | ValueSet |
EpisodeOfCare.language | Common Languages | extensible | Common Languages |
EpisodeOfCare.status | EpisodeOfCareStatus | required | EpisodeOfCareStatus |
EpisodeOfCare.statusHistory.status | EpisodeOfCareStatus | required | EpisodeOfCareStatus |
EpisodeOfCare.type | EpisodeOfCareType | example | EpisodeOfCareType |
EpisodeOfCare.diagnosis.role | DiagnosisRole | preferred | DiagnosisRole |
Id | Path | Details | Requirements |
dom-2 | EpisodeOfCare | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-1 | EpisodeOfCare | If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty() | |
dom-4 | EpisodeOfCare | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-3 | EpisodeOfCare | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty() | |
ele-1 | EpisodeOfCare.statusHistory | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
ele-1 | EpisodeOfCare.diagnosis | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) |