Estonian Base Implementation Guide
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Estonian Base Implementation Guide - Local Development build (v1.0.0). See the Directory of published versions

Resource Profile: EEBase EpisodeOfCare

Official URL: https://fhir.ee/StructureDefinition/ee-episode-of-care Version: 1.0.0
Draft as of 2023-05-29 Computable Name: EEBaseEpisodeOfCare

An association between a patient and an organization/healthcare provider(s) over a period of time. The managing organization assumes a level of responsibility for the patient during this time. EpisodeOfCare acts as a container resource that links a series of Encounters together for problems/issues (specific condition).

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 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
... identifier S0..*IdentifierBusiness Identifier(s) relevant for this EpisodeOfCare
... status S1..1codeplanned | waitlist | active | onhold | finished | cancelled | entered-in-error
... type S0..*CodeableConceptType/class - e.g. specialist referral, disease management
.... value 0..*CodeableReference(Condition | Procedure | EEBase Observation | EEBase HealthcareService)Medical reason to be addressed
... patient S1..1Reference(EEBase Patient)The patient who is the focus of this episode of care
... managingOrganization S0..1Reference(EEBase Organization)Organization that assumes responsibility for care coordination
... period S0..1PeriodInterval during responsibility is assumed
... careManager 0..1Reference(EEBase Practitioner | EEBase PractitionerRole)Care manager/care coordinator for the patient

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
... contained 0..*ResourceContained, inline Resources
... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
... status ?!SΣ1..1codeplanned | waitlist | active | onhold | finished | cancelled | entered-in-error
Binding: EpisodeOfCareStatus (required): The status of the episode of care.

... type SΣ0..*CodeableConceptType/class - e.g. specialist referral, disease management
Binding: EpisodeOfCareType (example): The type of the episode of care.


... patient SΣ1..1Reference(EEBase Patient)The patient who is the focus of this episode of care
... managingOrganization SΣ0..1Reference(EEBase Organization)Organization that assumes responsibility for care coordination
... period SΣ0..1PeriodInterval during responsibility is assumed
... careManager 0..1Reference(EEBase Practitioner | EEBase PractitionerRole)Care manager/care coordinator for the patient

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
EpisodeOfCare.statusrequiredEpisodeOfCareStatus
EpisodeOfCare.typeexampleEpisodeOfCareType

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorEpisodeOfCareIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorEpisodeOfCareIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorEpisodeOfCareIf 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-5errorEpisodeOfCareIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceEpisodeOfCareA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
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
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
... identifier S0..*IdentifierBusiness Identifier(s) relevant for this EpisodeOfCare
... status ?!SΣ1..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 SΣ0..*CodeableConceptType/class - e.g. specialist referral, disease management
Binding: EpisodeOfCareType (example): The type of the episode of care.


... reason Σ0..*BackboneElementThe list of medical reasons that are expected to be addressed during the 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
.... use Σ0..1CodeableConceptWhat the reason value should be used for/as
Binding: EncounterReasonUse (example)
.... value Σ0..*CodeableReference(Condition | Procedure | EEBase Observation | EEBase HealthcareService)Medical reason to be addressed
Binding: EncounterReasonCodes (example)
... diagnosis Σ0..*BackboneElementThe list of medical conditions that were addressed during the 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 Σ0..*CodeableReference(Condition)The medical condition that was addressed during the episode of care
Binding: ConditionProblemDiagnosisCodes (example)
.... use Σ0..1CodeableConceptRole that this diagnosis has within the episode of care (e.g. admission, billing, discharge …)
Binding: EncounterDiagnosisUse (preferred): The type of diagnosis this condition represents.

... patient SΣ1..1Reference(EEBase Patient)The patient who is the focus of this episode of care
... managingOrganization SΣ0..1Reference(EEBase Organization)Organization that assumes responsibility for care coordination
... period SΣ0..1PeriodInterval during responsibility is assumed
... referralRequest 0..*Reference(ServiceRequest)Originating Referral Request(s)
... careManager 0..1Reference(EEBase Practitioner | EEBase PractitionerRole)Care manager/care coordinator for the patient
... careTeam 0..*Reference(CareTeam)Other practitioners facilitating this episode of care
... account 0..*Reference(Account)The set of accounts that may be used for billing for this EpisodeOfCare

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
EpisodeOfCare.languagerequiredAllLanguages
EpisodeOfCare.statusrequiredEpisodeOfCareStatus
EpisodeOfCare.statusHistory.statusrequiredEpisodeOfCareStatus
EpisodeOfCare.typeexampleEpisodeOfCareType
EpisodeOfCare.reason.useexampleEncounterReasonUse
EpisodeOfCare.reason.valueexampleEncounterReasonCodes
EpisodeOfCare.diagnosis.conditionexampleConditionProblemDiagnosisCodes
EpisodeOfCare.diagnosis.usepreferredEncounterDiagnosisUse

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Differential View

This structure is derived from EpisodeOfCare

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
... identifier S0..*IdentifierBusiness Identifier(s) relevant for this EpisodeOfCare
... status S1..1codeplanned | waitlist | active | onhold | finished | cancelled | entered-in-error
... type S0..*CodeableConceptType/class - e.g. specialist referral, disease management
.... value 0..*CodeableReference(Condition | Procedure | EEBase Observation | EEBase HealthcareService)Medical reason to be addressed
... patient S1..1Reference(EEBase Patient)The patient who is the focus of this episode of care
... managingOrganization S0..1Reference(EEBase Organization)Organization that assumes responsibility for care coordination
... period S0..1PeriodInterval during responsibility is assumed
... careManager 0..1Reference(EEBase Practitioner | EEBase PractitionerRole)Care manager/care coordinator for the patient

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
... contained 0..*ResourceContained, inline Resources
... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
... status ?!SΣ1..1codeplanned | waitlist | active | onhold | finished | cancelled | entered-in-error
Binding: EpisodeOfCareStatus (required): The status of the episode of care.

... type SΣ0..*CodeableConceptType/class - e.g. specialist referral, disease management
Binding: EpisodeOfCareType (example): The type of the episode of care.


... patient SΣ1..1Reference(EEBase Patient)The patient who is the focus of this episode of care
... managingOrganization SΣ0..1Reference(EEBase Organization)Organization that assumes responsibility for care coordination
... period SΣ0..1PeriodInterval during responsibility is assumed
... careManager 0..1Reference(EEBase Practitioner | EEBase PractitionerRole)Care manager/care coordinator for the patient

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
EpisodeOfCare.statusrequiredEpisodeOfCareStatus
EpisodeOfCare.typeexampleEpisodeOfCareType

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorEpisodeOfCareIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorEpisodeOfCareIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorEpisodeOfCareIf 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-5errorEpisodeOfCareIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceEpisodeOfCareA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

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
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
... identifier S0..*IdentifierBusiness Identifier(s) relevant for this EpisodeOfCare
... status ?!SΣ1..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 SΣ0..*CodeableConceptType/class - e.g. specialist referral, disease management
Binding: EpisodeOfCareType (example): The type of the episode of care.


... reason Σ0..*BackboneElementThe list of medical reasons that are expected to be addressed during the 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
.... use Σ0..1CodeableConceptWhat the reason value should be used for/as
Binding: EncounterReasonUse (example)
.... value Σ0..*CodeableReference(Condition | Procedure | EEBase Observation | EEBase HealthcareService)Medical reason to be addressed
Binding: EncounterReasonCodes (example)
... diagnosis Σ0..*BackboneElementThe list of medical conditions that were addressed during the 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 Σ0..*CodeableReference(Condition)The medical condition that was addressed during the episode of care
Binding: ConditionProblemDiagnosisCodes (example)
.... use Σ0..1CodeableConceptRole that this diagnosis has within the episode of care (e.g. admission, billing, discharge …)
Binding: EncounterDiagnosisUse (preferred): The type of diagnosis this condition represents.

... patient SΣ1..1Reference(EEBase Patient)The patient who is the focus of this episode of care
... managingOrganization SΣ0..1Reference(EEBase Organization)Organization that assumes responsibility for care coordination
... period SΣ0..1PeriodInterval during responsibility is assumed
... referralRequest 0..*Reference(ServiceRequest)Originating Referral Request(s)
... careManager 0..1Reference(EEBase Practitioner | EEBase PractitionerRole)Care manager/care coordinator for the patient
... careTeam 0..*Reference(CareTeam)Other practitioners facilitating this episode of care
... account 0..*Reference(Account)The set of accounts that may be used for billing for this EpisodeOfCare

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
EpisodeOfCare.languagerequiredAllLanguages
EpisodeOfCare.statusrequiredEpisodeOfCareStatus
EpisodeOfCare.statusHistory.statusrequiredEpisodeOfCareStatus
EpisodeOfCare.typeexampleEpisodeOfCareType
EpisodeOfCare.reason.useexampleEncounterReasonUse
EpisodeOfCare.reason.valueexampleEncounterReasonCodes
EpisodeOfCare.diagnosis.conditionexampleConditionProblemDiagnosisCodes
EpisodeOfCare.diagnosis.usepreferredEncounterDiagnosisUse

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

 

Other representations of profile: CSV, Excel, Schematron