eHealth Infrastructure
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Resource Profile: ehealth-episodeofcare

Official URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-episodeofcare Version: latest
Active as of 2024-06-07 Computable Name: ehealth-episodeofcare

Introduction

An EpisodeOfCare is an association between a patient and an organization / healthcare provider(s) during which time encounters may occur.

Scope and Usage

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 planned, the Practitioner updates the status to active once:

  • a Consent to enroll in the program has been given by the Patient
  • Adjustments have possibly been made to assigned CareTeam(s) in team.

The EpisodeOfCare functions as a representation of a program while the activities comprising it are defined in one or more CarePlan resources.

careManagerOrganization and managingOrganization

An EpisodeOfCare is required to have exactly one reference to the Organization responsible for the treatment through the element ehealth-episodeofcare-caremanagerOrganization.

The element managingOrganization references the Organization which is data controller for the EpisodeOfCare and all other resources directly or indirectly referencing it.

CareTeam and history of CareTeam

The CareTeam(s) currently responsible for the EpisodeOfCare are referenced in element team. Changes in CareTeam references are automatically maintained in the element ehealth-teamHistory.

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from EpisodeOfCare

NameFlagsCard.TypeDescription & Constraintsdoco
.. EpisodeOfCare EpisodeOfCare
... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
... caremanagerOrganization 1..1Reference(ehealth-organization) {r}Reference to caremanagers organization
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-episodeofcare-caremanagerOrganization
... teamHistory 0..*(Complex)History of assigned careTeam
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-teamHistory
... teamschedule 0..*(Complex)Team Schedule
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-teamschedule
... diagnosis 1..*BackboneElementThe list of diagnosis relevant to this episode of care
.... condition 1..1Reference(ehealth-condition) {r}Conditions/problems/diagnoses this episode of care is for
... patient 1..1Reference(ehealth-patient) {r}The patient who is the focus of this episode of care
... managingOrganization 1..1Reference(ehealth-organization) {r}Organization that assumes care
... period 1..1PeriodInterval during responsibility is assumed
... careManager 0..0
... team 0..*Reference(ehealth-careteam) {r}Other practitioners facilitating this episode of care
... account 0..0

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. EpisodeOfCare 0..*EpisodeOfCareAn association of a Patient with an Organization and Healthcare Provider(s) for a period of time that the Organization assumes some level of responsibility
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
... caremanagerOrganization 1..1Reference(ehealth-organization) {r}Reference to caremanagers organization
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-episodeofcare-caremanagerOrganization
... episodeofcareStatusschedule 0..*(Complex)Status Schedule
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-episodeofcare-statusschedule
... teamschedule 0..*(Complex)Team Schedule
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-teamschedule
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!Σ1..1codeplanned | waitlist | active | onhold | finished | cancelled | entered-in-error
Binding: EpisodeOfCareStatus (required): The status of the episode of care.

... diagnosis Σ1..*BackboneElementThe list of diagnosis relevant to this episode of care
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... condition Σ1..1Reference(ehealth-condition) {r}Conditions/problems/diagnoses this episode of care is for
... patient Σ1..1Reference(ehealth-patient) {r}The patient who is the focus of this episode of care
... managingOrganization Σ1..1Reference(ehealth-organization) {r}Organization that assumes care
... period Σ1..1PeriodInterval during responsibility is assumed
... team 0..*Reference(ehealth-careteam) {r}Other practitioners facilitating this episode of care

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
EpisodeOfCare.statusrequiredEpisodeOfCareStatus
http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.1
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. EpisodeOfCare 0..*EpisodeOfCareAn association of a Patient with an Organization and Healthcare Provider(s) for a period of time that the Organization assumes some level of responsibility
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
... caremanagerOrganization 1..1Reference(ehealth-organization) {r}Reference to caremanagers organization
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-episodeofcare-caremanagerOrganization
... teamHistory 0..*(Complex)History of assigned careTeam
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-teamHistory
... episodeofcareStatusschedule 0..*(Complex)Status Schedule
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-episodeofcare-statusschedule
... teamschedule 0..*(Complex)Team Schedule
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-teamschedule
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier 0..*IdentifierBusiness Identifier(s) relevant for this EpisodeOfCare
... status ?!Σ1..1codeplanned | waitlist | active | onhold | finished | cancelled | entered-in-error
Binding: EpisodeOfCareStatus (required): The status of the episode of care.

... statusHistory 0..*BackboneElementPast list of status codes (the current status may be included to cover the start date of the status)
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... status 1..1codeplanned | waitlist | active | onhold | finished | cancelled | entered-in-error
Binding: EpisodeOfCareStatus (required): The status of the episode of care.

.... period 1..1PeriodDuration the EpisodeOfCare was in the specified status
... type Σ0..*CodeableConceptType/class - e.g. specialist referral, disease management
Binding: EpisodeOfCareType (example): The type of the episode of care.


... diagnosis Σ1..*BackboneElementThe list of diagnosis relevant to this episode of care
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... condition Σ1..1Reference(ehealth-condition) {r}Conditions/problems/diagnoses this episode of care is for
.... role Σ0..1CodeableConceptRole that this diagnosis has within the episode of care (e.g. admission, billing, discharge …)
Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.

.... rank Σ0..1positiveIntRanking of the diagnosis (for each role type)
... patient Σ1..1Reference(ehealth-patient) {r}The patient who is the focus of this episode of care
... managingOrganization Σ1..1Reference(ehealth-organization) {r}Organization that assumes care
... period Σ1..1PeriodInterval during responsibility is assumed
... referralRequest 0..*Reference(ServiceRequest)Originating Referral Request(s)
... team 0..*Reference(ehealth-careteam) {r}Other practitioners facilitating this episode of care

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
EpisodeOfCare.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
EpisodeOfCare.statusrequiredEpisodeOfCareStatus
http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.1
from the FHIR Standard
EpisodeOfCare.statusHistory.statusrequiredEpisodeOfCareStatus
http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.1
from the FHIR Standard
EpisodeOfCare.typeexampleEpisodeOfCareType
http://hl7.org/fhir/ValueSet/episodeofcare-type
from the FHIR Standard
EpisodeOfCare.diagnosis.rolepreferredDiagnosisRole
http://hl7.org/fhir/ValueSet/diagnosis-role
from the FHIR Standard

Differential View

This structure is derived from EpisodeOfCare

NameFlagsCard.TypeDescription & Constraintsdoco
.. EpisodeOfCare EpisodeOfCare
... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
... caremanagerOrganization 1..1Reference(ehealth-organization) {r}Reference to caremanagers organization
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-episodeofcare-caremanagerOrganization
... teamHistory 0..*(Complex)History of assigned careTeam
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-teamHistory
... teamschedule 0..*(Complex)Team Schedule
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-teamschedule
... diagnosis 1..*BackboneElementThe list of diagnosis relevant to this episode of care
.... condition 1..1Reference(ehealth-condition) {r}Conditions/problems/diagnoses this episode of care is for
... patient 1..1Reference(ehealth-patient) {r}The patient who is the focus of this episode of care
... managingOrganization 1..1Reference(ehealth-organization) {r}Organization that assumes care
... period 1..1PeriodInterval during responsibility is assumed
... careManager 0..0
... team 0..*Reference(ehealth-careteam) {r}Other practitioners facilitating this episode of care
... account 0..0

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. EpisodeOfCare 0..*EpisodeOfCareAn association of a Patient with an Organization and Healthcare Provider(s) for a period of time that the Organization assumes some level of responsibility
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
... caremanagerOrganization 1..1Reference(ehealth-organization) {r}Reference to caremanagers organization
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-episodeofcare-caremanagerOrganization
... episodeofcareStatusschedule 0..*(Complex)Status Schedule
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-episodeofcare-statusschedule
... teamschedule 0..*(Complex)Team Schedule
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-teamschedule
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!Σ1..1codeplanned | waitlist | active | onhold | finished | cancelled | entered-in-error
Binding: EpisodeOfCareStatus (required): The status of the episode of care.

... diagnosis Σ1..*BackboneElementThe list of diagnosis relevant to this episode of care
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... condition Σ1..1Reference(ehealth-condition) {r}Conditions/problems/diagnoses this episode of care is for
... patient Σ1..1Reference(ehealth-patient) {r}The patient who is the focus of this episode of care
... managingOrganization Σ1..1Reference(ehealth-organization) {r}Organization that assumes care
... period Σ1..1PeriodInterval during responsibility is assumed
... team 0..*Reference(ehealth-careteam) {r}Other practitioners facilitating this episode of care

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
EpisodeOfCare.statusrequiredEpisodeOfCareStatus
http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.1
from the FHIR Standard

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. EpisodeOfCare 0..*EpisodeOfCareAn association of a Patient with an Organization and Healthcare Provider(s) for a period of time that the Organization assumes some level of responsibility
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
... caremanagerOrganization 1..1Reference(ehealth-organization) {r}Reference to caremanagers organization
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-episodeofcare-caremanagerOrganization
... teamHistory 0..*(Complex)History of assigned careTeam
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-teamHistory
... episodeofcareStatusschedule 0..*(Complex)Status Schedule
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-episodeofcare-statusschedule
... teamschedule 0..*(Complex)Team Schedule
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-teamschedule
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier 0..*IdentifierBusiness Identifier(s) relevant for this EpisodeOfCare
... status ?!Σ1..1codeplanned | waitlist | active | onhold | finished | cancelled | entered-in-error
Binding: EpisodeOfCareStatus (required): The status of the episode of care.

... statusHistory 0..*BackboneElementPast list of status codes (the current status may be included to cover the start date of the status)
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... status 1..1codeplanned | waitlist | active | onhold | finished | cancelled | entered-in-error
Binding: EpisodeOfCareStatus (required): The status of the episode of care.

.... period 1..1PeriodDuration the EpisodeOfCare was in the specified status
... type Σ0..*CodeableConceptType/class - e.g. specialist referral, disease management
Binding: EpisodeOfCareType (example): The type of the episode of care.


... diagnosis Σ1..*BackboneElementThe list of diagnosis relevant to this episode of care
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... condition Σ1..1Reference(ehealth-condition) {r}Conditions/problems/diagnoses this episode of care is for
.... role Σ0..1CodeableConceptRole that this diagnosis has within the episode of care (e.g. admission, billing, discharge …)
Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.

.... rank Σ0..1positiveIntRanking of the diagnosis (for each role type)
... patient Σ1..1Reference(ehealth-patient) {r}The patient who is the focus of this episode of care
... managingOrganization Σ1..1Reference(ehealth-organization) {r}Organization that assumes care
... period Σ1..1PeriodInterval during responsibility is assumed
... referralRequest 0..*Reference(ServiceRequest)Originating Referral Request(s)
... team 0..*Reference(ehealth-careteam) {r}Other practitioners facilitating this episode of care

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
EpisodeOfCare.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
EpisodeOfCare.statusrequiredEpisodeOfCareStatus
http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.1
from the FHIR Standard
EpisodeOfCare.statusHistory.statusrequiredEpisodeOfCareStatus
http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.1
from the FHIR Standard
EpisodeOfCare.typeexampleEpisodeOfCareType
http://hl7.org/fhir/ValueSet/episodeofcare-type
from the FHIR Standard
EpisodeOfCare.diagnosis.rolepreferredDiagnosisRole
http://hl7.org/fhir/ValueSet/diagnosis-role
from the FHIR Standard

 

Other representations of profile: CSV, Excel, Schematron