Copy of 'GP Connect Data Model | FHIR STU3 Representation'

Notice: This guidance is under active development by NHS England and content may be added or updated on a regular basis.

Profile: CareConnect-EpisodeOfCare-1

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Reference

Canonical URI: https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-EpisodeOfCare-1

The canonical URI is the stable FHIR identifier for this profile and is not currently available as a browsable web page.

Data model element usage

Element Use CareConnect (STU3) UK Core (R4)
identifier
status
statusHistory
type
diagnosis
patient
managingOrganization
period
referralRequest
careManager
team
account

identifier

Usage

Required

Guidance

External Id(s) for this record

Example
<identifier>
    <system value="https://foo.bar/id/familymemberhistory" />
    <value value="fef26348-ccd1-440b-940e-ba1ec058cf21" />
</identifier>

status

Usage

Optional

Guidance

The status of the Spisode of Care

e.g. planned | waitlist | active | onhold | finished | cancelled | entered-in-error.

Example
    <status>
        <code value="cancelled" />
        <display value="cancelled" />
    </status>

statusHistory

Usage

Optional

Guidance

This element does not need to be populated.

Example
<statusHistory>
    <status value="in-progress" />
    <period>
        <start value="2022-10-28T08:06:00+00:00" />
        <end value="2022-10-28T08:14:00+00:00" />
    </period>
</statusHistory>

type

Usage

Optional

Guidance

Type/class - e.g. specialist referral, disease management Binding (example): The type of the episode of care
( https://hl7.org/fhir/stu3/valueset-episodeofcare-type.html )

Example
<coding>
    <system value="https://hl7.org/fhir/stu3/valueset-episodeofcare-type.html" />
    <code value="hacc" />
    <display value="Home and Community Care" />
</coding>

diagnosis

Usage

Mandatory

Guidance

Originating Referral Request(s) Constraint (ref-1): SHALL have a contained resource if a local reference is provided

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Example
<diagnosis>
    <condition value="RR4455433" />
</diagnosis>

patient

Usage

Mandatory

Guidance

A reference to the patient who the episode of care relates to

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Example
<patient>
    <reference value="patient-9929alp" />
</patient>

managingOrganization

Usage

Required

Guidance

A reference to the 'managing' organisation. For locations that are managed by GP practices, see Branch surgeries for more details.

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Example
<managingOrganization>
    <reference value="organisation-9929alp" />
</managingOrganization>

period

Usage

Required

Guidance

The period element is a required element which means it MUST be populated with values when they are known to the provider system.

  • The period.start represents the date and time when the consultation started.
  • The period.end reperesents the date when populated and the duration is known.
Example
<period>
    <start value="2022-10-28T13:38:00+00:00" />
    <end value="2022-10-28T13:53:00+00:00" />
</period>

referralRequest

Usage

Mandatory

Guidance

Originating Referral Request(s) Constraint (ref-1): SHALL have a contained resource if a local reference is provided

Command 'pagelink' could not render: Page not found.

Example
<referralrequest>
    <reference value="RR4455433" />
</referralrequest>

careManager

Usage

Mandatory

Guidance

Care manager/care co-ordinator for the patient Constraint (ref-1): SHALL have a contained resource if a local reference is provided`

Command 'pagelink' could not render: Page not found.

Example
<practitioner>
    <actor>
        <reference value="practitioner-9093012" />
    </actor>
</practitioner>

team

Usage

Mandatory

Guidance

Other practitioners facilitating this episode of care Constraint (ref-1): SHALL have a contained resource if a local reference is provided

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Example
<careteam>
    <member>
        <reference value="practitioner-9093012" />
    </member>
</careteam>

account

Usage

Optional

Guidance

The set of accounts that may be used for billing for this EpisodeOfCare Constraint (ref-1): SHALL have a contained resource if a local reference is provided

A use-case for population of this element within GP connect has yet to be defined.

Example
<account>
    <reference value="account-p8827akl" />
</account>
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