{
  "resourceType": "StructureDefinition",
  "id": "EpisodeOfCare",
  "meta": {
    "lastUpdated": "2021-01-01T21:58:31.578+00:00"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
      "valueString": "Base.Management"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "trial-use"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 2
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
      "valueCode": "patient"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "pa"
    },
    {
      "url": "http://hl7.org/fhir/build/StructureDefinition/entered-in-error-status",
      "valueCode": ".status=entered-in-error"
    }
  ],
  "url": "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare",
  "version": "4.6.0",
  "name": "EpisodeOfCare",
  "status": "draft",
  "date": "2021-01-01T21:58:31+00:00",
  "publisher": "Health Level Seven International (Patient Administration)",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://hl7.org/fhir"
        }
      ]
    },
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/pafm/index.cfm"
        }
      ]
    }
  ],
  "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.",
  "fhirVersion": "4.6.0",
  "mapping": [
    {
      "identity": "workflow",
      "uri": "http://hl7.org/fhir/workflow",
      "name": "Workflow Pattern"
    },
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    },
    {
      "identity": "w5",
      "uri": "http://hl7.org/fhir/fivews",
      "name": "FiveWs Pattern Mapping"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "EpisodeOfCare",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/DomainResource",
  "derivation": "specialization",
  "differential": {
    "element": [
      {
        "id": "EpisodeOfCare",
        "extension": [
          {
            "url": "http://hl7.org/fhir/build/StructureDefinition/svg",
            "valueCode": "0,0"
          }
        ],
        "path": "EpisodeOfCare",
        "short": "An association of a Patient with an Organization and  Healthcare Provider(s) for a period of time that the Organization assumes some level of responsibility",
        "definition": "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.",
        "alias": [
          "Case Program Problem"
        ],
        "min": 0,
        "max": "*",
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event"
          },
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "w5",
            "map": "workflow.encounter"
          }
        ]
      },
      {
        "id": "EpisodeOfCare.identifier",
        "path": "EpisodeOfCare.identifier",
        "short": "Business Identifier(s) relevant for this EpisodeOfCare",
        "definition": "The EpisodeOfCare may be known by different identifiers for different contexts of use, such as when an external agency is tracking the Episode for funding purposes.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Identifier"
          }
        ],
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.identifier"
          },
          {
            "identity": "w5",
            "map": "FiveWs.identifier"
          }
        ]
      },
      {
        "id": "EpisodeOfCare.status",
        "path": "EpisodeOfCare.status",
        "short": "planned | waitlist | active | onhold | finished | cancelled | entered-in-error",
        "definition": "planned | waitlist | active | onhold | finished | cancelled.",
        "comment": "This element is labeled as a modifier because the status contains codes that mark the episode as not currently valid.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "isModifier": true,
        "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,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "EpisodeOfCareStatus"
            }
          ],
          "strength": "required",
          "description": "The status of the episode of care.",
          "valueSet": "http://hl7.org/fhir/ValueSet/episode-of-care-status"
        },
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.status"
          },
          {
            "identity": "w5",
            "map": "FiveWs.status"
          }
        ]
      },
      {
        "id": "EpisodeOfCare.statusHistory",
        "extension": [
          {
            "url": "http://hl7.org/fhir/build/StructureDefinition/uml-dir",
            "valueCode": "down"
          }
        ],
        "path": "EpisodeOfCare.statusHistory",
        "short": "Past list of status codes (the current status may be included to cover the start date of the status)",
        "definition": "The history of statuses that the EpisodeOfCare has been through (without requiring processing the history of the resource).",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "BackboneElement"
          }
        ]
      },
      {
        "id": "EpisodeOfCare.statusHistory.status",
        "path": "EpisodeOfCare.statusHistory.status",
        "short": "planned | waitlist | active | onhold | finished | cancelled | entered-in-error",
        "definition": "planned | waitlist | active | onhold | finished | cancelled.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "EpisodeOfCareStatus"
            }
          ],
          "strength": "required",
          "description": "The status of the episode of care.",
          "valueSet": "http://hl7.org/fhir/ValueSet/episode-of-care-status"
        }
      },
      {
        "id": "EpisodeOfCare.statusHistory.period",
        "path": "EpisodeOfCare.statusHistory.period",
        "short": "Duration the EpisodeOfCare was in the specified status",
        "definition": "The period during this EpisodeOfCare that the specific status applied.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Period"
          }
        ]
      },
      {
        "id": "EpisodeOfCare.type",
        "path": "EpisodeOfCare.type",
        "short": "Type/class  - e.g. specialist referral, disease management",
        "definition": "A classification of the type of episode of care; e.g. specialist referral, disease management, type of funded care.",
        "comment": "The type can be very important in processing as this could be used in determining if the EpisodeOfCare is relevant to specific government reporting, or other types of classifications.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "EpisodeOfCareType"
            }
          ],
          "strength": "example",
          "description": "The type of the episode of care.",
          "valueSet": "http://hl7.org/fhir/ValueSet/episodeofcare-type"
        },
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.code"
          },
          {
            "identity": "w5",
            "map": "FiveWs.class"
          }
        ]
      },
      {
        "id": "EpisodeOfCare.diagnosis",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Diagnosis"
          }
        ],
        "path": "EpisodeOfCare.diagnosis",
        "short": "The list of diagnosis relevant to this episode of care",
        "definition": "The list of diagnosis relevant to this episode of care.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "isSummary": true
      },
      {
        "id": "EpisodeOfCare.diagnosis.condition",
        "path": "EpisodeOfCare.diagnosis.condition",
        "short": "Conditions/problems/diagnoses this episode of care is for",
        "definition": "A list of conditions/problems/diagnoses that this episode of care is intended to be providing care for.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Condition"
            ]
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.reasonReference"
          },
          {
            "identity": "w5",
            "map": "FiveWs.what[x]"
          }
        ]
      },
      {
        "id": "EpisodeOfCare.diagnosis.role",
        "path": "EpisodeOfCare.diagnosis.role",
        "short": "Role that this diagnosis has within the episode of care (e.g. admission, billing, discharge …)",
        "definition": "Role that this diagnosis has within the episode of care (e.g. admission, billing, discharge …).",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "DiagnosisRole"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean": true
            }
          ],
          "strength": "preferred",
          "description": "The type of diagnosis this condition represents.",
          "valueSet": "http://hl7.org/fhir/ValueSet/diagnosis-role"
        }
      },
      {
        "id": "EpisodeOfCare.diagnosis.rank",
        "path": "EpisodeOfCare.diagnosis.rank",
        "short": "Ranking of the diagnosis (for each role type)",
        "definition": "Ranking of the diagnosis (for each role type).",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "positiveInt"
          }
        ],
        "isSummary": true
      },
      {
        "id": "EpisodeOfCare.patient",
        "path": "EpisodeOfCare.patient",
        "short": "The patient who is the focus of this episode of care",
        "definition": "The patient who is the focus of this episode of care.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Patient"
            ]
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.subject"
          },
          {
            "identity": "w5",
            "map": "FiveWs.subject[x]"
          },
          {
            "identity": "w5",
            "map": "FiveWs.subject"
          }
        ]
      },
      {
        "id": "EpisodeOfCare.managingOrganization",
        "extension": [
          {
            "url": "http://hl7.org/fhir/build/StructureDefinition/committee-notes",
            "valueString": "This was left as 0..1 to permit small systems having an implied Organization."
          }
        ],
        "path": "EpisodeOfCare.managingOrganization",
        "short": "Organization that assumes care",
        "definition": "The organization that has assumed the specific responsibilities for the specified duration.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.performer.actor"
          }
        ]
      },
      {
        "id": "EpisodeOfCare.period",
        "path": "EpisodeOfCare.period",
        "short": "Interval during responsibility is assumed",
        "definition": "The interval during which the managing organization assumes the defined responsibility.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Period"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.occurrence[x]"
          },
          {
            "identity": "w5",
            "map": "FiveWs.init"
          }
        ]
      },
      {
        "id": "EpisodeOfCare.referralRequest",
        "path": "EpisodeOfCare.referralRequest",
        "short": "Originating Referral Request(s)",
        "definition": "Referral Request(s) that are fulfilled by this EpisodeOfCare, incoming referrals.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/ServiceRequest"
            ]
          }
        ],
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.basedOn"
          }
        ]
      },
      {
        "id": "EpisodeOfCare.careManager",
        "path": "EpisodeOfCare.careManager",
        "short": "Care manager/care coordinator for the patient",
        "definition": "The practitioner that is the care manager/care coordinator for this patient.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole"
            ]
          }
        ],
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.performer.actor"
          }
        ]
      },
      {
        "id": "EpisodeOfCare.team",
        "extension": [
          {
            "url": "http://hl7.org/fhir/build/StructureDefinition/uml-dir",
            "valueCode": "right"
          }
        ],
        "path": "EpisodeOfCare.team",
        "short": "Other practitioners facilitating this episode of care",
        "definition": "The list of practitioners that may be facilitating this episode of care for specific purposes.",
        "alias": [
          "CareTeam"
        ],
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/CareTeam"
            ]
          }
        ],
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.performer.actor"
          }
        ]
      },
      {
        "id": "EpisodeOfCare.account",
        "path": "EpisodeOfCare.account",
        "short": "The set of accounts that may be used for billing for this EpisodeOfCare",
        "definition": "The set of accounts that may be used for billing for this EpisodeOfCare.",
        "comment": "The billing system may choose to allocate billable items associated with the EpisodeOfCare to different referenced Accounts based on internal business rules.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Account"
            ]
          }
        ]
      }
    ]
  }
}