<status value="active" /> <date value="2025-05-17T20:17:06.3613088+00:00" /> <fhirVersion value="4.0.1" /> <mapping> <identity value="MHA-PDS-Mapping" /> <name value="MHA PDS Mapping" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="EpisodeOfCare" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/EpisodeOfCare" /> <derivation value="constraint" /> <differential> <element id="EpisodeOfCare"> <path value="EpisodeOfCare" /> <constraint> <key value="mha-eoc-key-1" /> <severity value="error" /> <human value="Service Termination Date SHALL be present when Service Termination Reason is present" /> <expression value="status.extension('https://ontariohealth.ca/fhir/StructureDefinition/ca-on-ext-ServiceTerminationReason').exists() = period.end.exists()" /> </constraint> <constraint> <key value="mha-eoc-key-2" /> <severity value="error" /> <human value="Service Termination Date SHALL be present when status is 'finished'" /> <expression value="status = 'finished' implies period.end.exists()" /> </constraint> <constraint> <key value="mha-eoc-key-3" /> <severity value="error" /> <human value="If status is 'active' and both service enrollment date and service initiation date are present, service initiation date must be equal to or after the service enrollment date" /> <expression value="status = 'active' implies (period.start.exists().not() or extension.where(url = 'http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ext-ServiceInitiationDate').exists().not() or period.start.toString().substring(0,10) <= extension.where(url = 'http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ext-ServiceInitiationDate').value.toString().substring(0,10))" /> </constraint> <constraint> <key value="mha-eoc-key-4" /> <severity value="error" /> <human value="If status is 'active', at least one of service enrollment date or service initiation date SHALL be present" /> <expression value="status = 'active' implies (period.start.exists() or extension.where(url = 'http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ext-ServiceInitiationDate').exists())" /> </constraint> <constraint> <key value="mha-eoc-key-5" /> <severity value="error" /> <human value="If status is 'cancelled' or 'finished', service termination date and termination reason SHALL be present" /> <expression value="status in ('cancelled'|'finished') implies period.end.exists() and status.extension('https://ontariohealth.ca/fhir/StructureDefinition/ca-on-ext-ServiceTerminationReason').exists()" /> </constraint> <constraint> <key value="mha-eoc-key-6" /> <severity value="error" /> <human value="Service enrollment or service initiation date SHALL only exist when status is 'active' or 'finished'" /> <expression value="status in ('active'|'finished') implies period.start.exists() or extension('http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ext-ServiceInitiationDate').exists()" /> </constraint> <constraint> <key value="mha-eoc-key-7" /> <severity value="error" /> <human value="If status is 'planned', Service enrollment and service initiation date SHALL not be provided" /> <expression value="status = 'planned' implies period.start.exists().not() and extension('http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ext-ServiceInitiationDate').exists().not()" /> </constraint> <mustSupport value="true" /> <mapping> <identity value="MHA-PDS-Mapping" /> <map value="MHA-PDS-Mapping" /> </mapping> </element> <element id="EpisodeOfCare.meta"> <path value="EpisodeOfCare.meta" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="EpisodeOfCare.meta.profile"> <path value="EpisodeOfCare.meta.profile" /> <min value="1" /> <max value="1" /> <fixedCanonical value="http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-profile-episodeofcare" /> <mustSupport value="true" /> </element> <element id="EpisodeOfCare.extension:FirstContactDate"> <path value="EpisodeOfCare.extension" /> <sliceName value="FirstContactDate" /> <definition value="The date the client first experienced contact with an HSP regarding a specific program" /> <max value="1" /> <type> <code value="Extension" /> <profile value="https://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-ext-FirstContactDate" /> </type> <mustSupport value="true" /> </element> <element id="EpisodeOfCare.extension:EligibilityScreeningDate"> <path value="EpisodeOfCare.extension" /> <sliceName value="EligibilityScreeningDate" /> <definition value="The date at which an eligibility determination is done by HSP and client is accepted (eligible) or not accepted (ineligible) into program/service ." /> <type> <code value="Extension" /> <profile value="http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ext-eligibilityScreeningDate" /> </type> </element> <element id="EpisodeOfCare.extension:EligibilityScreeningDate.value[x]"> <path value="EpisodeOfCare.extension.value[x]" /> <mustSupport value="true" /> <mapping> <identity value="MHA-PDS-Mapping" /> <map value="Eligibility Screening Date" /> </mapping> </element> <element id="EpisodeOfCare.extension:ServiceInitiationDate"> <path value="EpisodeOfCare.extension" /> <sliceName value="ServiceInitiationDate" /> <type> <code value="Extension" /> <profile value="http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ext-ServiceInitiationDate" /> </type> <mustSupport value="true" /> </element> <element id="EpisodeOfCare.extension:InitialAssessmentDate"> <path value="EpisodeOfCare.extension" /> <sliceName value="InitialAssessmentDate" /> <definition value="The date the client completed an initial assessment for a service" /> <type> <code value="Extension" /> <profile value="http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ext-InitialAssessmentDate" /> </type> <mustSupport value="true" /> </element> <element id="EpisodeOfCare.extension:InitialAssessmentDate.value[x]"> <path value="EpisodeOfCare.extension.value[x]" /> <mapping> <identity value="MHA-PDS-Mapping" /> <map value="Initial Assessment Date" /> </mapping> </element> <element id="EpisodeOfCare.identifier"> <path value="EpisodeOfCare.identifier" /> <min value="1" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="EpisodeOfCare.identifier.system"> <path value="EpisodeOfCare.identifier.system" /> <min value="1" /> <mustSupport value="true" /> <binding> <strength value="required" /> <description value="The identifier URIs for patient episode of care" /> <valueSet value="http://ontariohealth.ca/fhir/ValueSet/mha/EpisodeOfCare-identifier-system" /> </binding> </element> <element id="EpisodeOfCare.identifier.value"> <path value="EpisodeOfCare.identifier.value" /> <min value="1" /> <mustSupport value="true" /> <mapping> <identity value="MHA-PDS-Mapping" /> <map value="Episode of Care Identifier" /> </mapping> </element> <element id="EpisodeOfCare.status"> <path value="EpisodeOfCare.status" /> <constraint> <key value="status-key-1" /> <severity value="error" /> <human value="Service Termination Reason must be provided only when EOC status is "finished" or "cancelled"" /> <expression value="value in ('finished' | 'cancelled') implies $this.extension('https://ontariohealth.ca/fhir/StructureDefinition/ca-on-ext-ServiceTerminationReason').exists()" /> </constraint> <constraint> <key value="status-key-2" /> <severity value="error" /> <human value="When service is terminated and termination reason is present, outbound referral source SHALL be empty when continuity indicates no further service planned" /> <expression value="(value = 'finished' and $this.extension.extension('continuity').value.code ='3') implies $this.extension.extension('outbound-referral-source').empty()" /> </constraint> <mustSupport value="true" /> <mapping> <identity value="MHA-PDS-Mapping" /> <map value="Health Service Status" /> </mapping> </element> <element id="EpisodeOfCare.status.extension:serviceTerminationReason"> <path value="EpisodeOfCare.status.extension" /> <sliceName value="serviceTerminationReason" /> <max value="1" /> <type> <code value="Extension" /> <profile value="https://ontariohealth.ca/fhir/StructureDefinition/ca-on-ext-ServiceTerminationReason" /> </type> <mustSupport value="true" /> <isModifier value="false" /> </element> <element id="EpisodeOfCare.patient"> <path value="EpisodeOfCare.patient" /> <type> <code value="Reference" /> <targetProfile value="http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-profile-patient" /> </type> <mustSupport value="true" /> </element> <element id="EpisodeOfCare.patient.reference"> <path value="EpisodeOfCare.patient.reference" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="EpisodeOfCare.managingOrganization"> <path value="EpisodeOfCare.managingOrganization" /> <min value="1" /> <type> <code value="Reference" /> <targetProfile value="http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-profile-organization" /> </type> <mustSupport value="true" /> </element> <element id="EpisodeOfCare.managingOrganization.reference"> <path value="EpisodeOfCare.managingOrganization.reference" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="EpisodeOfCare.period"> <path value="EpisodeOfCare.period" /> <mustSupport value="true" /> </element> <element id="EpisodeOfCare.period.start"> <path value="EpisodeOfCare.period.start" /> <definition value="The start of the period. The boundary is inclusive. The date the HSP deems the client eligible for treatment and enrolled in the service." /> <mustSupport value="true" /> <mapping> <identity value="MHA-PDS-Mapping" /> <map value="Service Enrollment Date" /> </mapping> </element> <element id="EpisodeOfCare.period.end"> <path value="EpisodeOfCare.period.end" /> <comment value="The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03. The date when the client's need for service has ended or as per the HSP service termination criteria" /> <mustSupport value="true" /> <mapping> <identity value="MHA-PDS-Mapping" /> <map value="Service Termination Date" /> </mapping> </element> <element id="EpisodeOfCare.referralRequest"> <path value="EpisodeOfCare.referralRequest" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-profile-servicerequest" /> </type> <mustSupport value="true" /> </element> <element id="EpisodeOfCare.referralRequest.reference"> <path value="EpisodeOfCare.referralRequest.reference" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="EpisodeOfCare.account"> <path value="EpisodeOfCare.account" /> <max value="1" /> </element> </differential> </StructureDefinition>