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.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
EpisodeOfCare		0..*	EpisodeOfCare	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
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:caremanagerOrganization		1..1	Reference(ehealth-organization) {r}	Reference to caremanagers organization URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-episodeofcare-caremanagerOrganization
extension:teamHistory		0..*	(Complex)	History of assigned careTeam URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-teamHistory
extension:episodeofcareStatusschedule		0..*	(Complex)	Status Schedule URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-episodeofcare-statusschedule
extension:teamschedule		0..*	(Complex)	Team Schedule URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-teamschedule
extension:participant		0..*	(Complex)	Who or what is participating URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-participant
Slices for extension				Content/Rules for all slices
extension:function		0..1	Extension	Extension
extension		0..0
url		1..1	uri	"function"
value[x]		0..1	Coding	Value of extension Binding: Participant Function (required)
extension:actor		0..1	Extension	The participant
extension		0..0
url		1..1	uri	"actor"
extension:actorref		0..1	Extension	The participant ref (string)
extension		0..0
url		1..1	uri	"actorref"
url		1..1	uri	"http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-participant"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	planned | waitlist | active | onhold | finished | cancelled | entered-in-error Binding: EpisodeOfCareStatus (required): The status of the episode of care.
diagnosis	Σ	1..*	BackboneElement	The list of diagnosis relevant to this episode of care
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	Σ	1..1	Reference(ehealth-condition) {r}	Conditions/problems/diagnoses this episode of care is for
patient	Σ	1..1	Reference(ehealth-patient) {r}	The patient who is the focus of this episode of care
managingOrganization	Σ	1..1	Reference(ehealth-organization) {r}	Organization that assumes care
period	Σ	1..1	Period	Interval during responsibility is assumed
team		0..*	Reference(ehealth-careteam) {r}	Other practitioners facilitating this episode of care
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
EpisodeOfCare.extension:participant.extension:function.value[x]	required	ParticipantFunction(a valid code from Participant Function) http://ehealth.sundhed.dk/vs/participant-function From this IG
EpisodeOfCare.status	required	EpisodeOfCareStatus(a valid code from Episode Of Care Status) http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	EpisodeOfCare	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	EpisodeOfCare	If 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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	EpisodeOfCare	If 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-5	error	EpisodeOfCare	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	EpisodeOfCare	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from EpisodeOfCare

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
EpisodeOfCare			EpisodeOfCare
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:caremanagerOrganization		1..1	Reference(ehealth-organization) {r}	Reference to caremanagers organization URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-episodeofcare-caremanagerOrganization
extension:teamHistory		0..*	(Complex)	History of assigned careTeam URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-teamHistory
extension:episodeofcareStatusschedule		0..*	(Complex)	Status Schedule URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-episodeofcare-statusschedule
extension:teamschedule		0..*	(Complex)	Team Schedule URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-teamschedule
extension:participant		0..*	(Complex)	Who or what is participating URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-participant
Slices for extension				Content/Rules for all slices
extension:function		0..1	Extension	Extension
value[x]		0..1	Coding	Value of extension Binding: Participant Function (required)
diagnosis		1..*	BackboneElement	The list of diagnosis relevant to this episode of care
condition		1..1	Reference(ehealth-condition) {r}	Conditions/problems/diagnoses this episode of care is for
patient		1..1	Reference(ehealth-patient) {r}	The patient who is the focus of this episode of care
managingOrganization		1..1	Reference(ehealth-organization) {r}	Organization that assumes care
period		1..1	Period	Interval during responsibility is assumed
careManager		0..0
team		0..*	Reference(ehealth-careteam) {r}	Other practitioners facilitating this episode of care
account		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
EpisodeOfCare.extension:participant.extension:function.value[x]	required	ParticipantFunction(a valid code from Participant Function) http://ehealth.sundhed.dk/vs/participant-function From this IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
EpisodeOfCare		0..*	EpisodeOfCare	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
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:caremanagerOrganization		1..1	Reference(ehealth-organization) {r}	Reference to caremanagers organization URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-episodeofcare-caremanagerOrganization
extension:teamHistory		0..*	(Complex)	History of assigned careTeam URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-teamHistory
extension:episodeofcareStatusschedule		0..*	(Complex)	Status Schedule URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-episodeofcare-statusschedule
extension:teamschedule		0..*	(Complex)	Team Schedule URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-teamschedule
extension:participant		0..*	(Complex)	Who or what is participating URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-participant
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:function		0..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"function"
value[x]		0..1	Coding	Value of extension Binding: Participant Function (required)
extension:actor		0..1	Extension	The participant
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"actor"
value[x]		0..1	Reference(CareTeam | Practitioner) {r}	Value of extension
extension:actorref		0..1	Extension	The participant ref (string)
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"actorref"
value[x]		0..1	string	Value of extension
url		1..1	uri	"http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-participant"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	Business Identifier(s) relevant for this EpisodeOfCare
status	?!Σ	1..1	code	planned | waitlist | active | onhold | finished | cancelled | entered-in-error Binding: EpisodeOfCareStatus (required): The status of the episode of care.
statusHistory		0..*	BackboneElement	Past list of status codes (the current status may be included to cover the start date of the status)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status		1..1	code	planned | waitlist | active | onhold | finished | cancelled | entered-in-error Binding: EpisodeOfCareStatus (required): The status of the episode of care.
period		1..1	Period	Duration the EpisodeOfCare was in the specified status
type	Σ	0..*	CodeableConcept	Type/class - e.g. specialist referral, disease management Binding: EpisodeOfCareType (example): The type of the episode of care.
diagnosis	Σ	1..*	BackboneElement	The list of diagnosis relevant to this episode of care
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	Σ	1..1	Reference(ehealth-condition) {r}	Conditions/problems/diagnoses this episode of care is for
role	Σ	0..1	CodeableConcept	Role 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	Σ	0..1	positiveInt	Ranking of the diagnosis (for each role type)
patient	Σ	1..1	Reference(ehealth-patient) {r}	The patient who is the focus of this episode of care
managingOrganization	Σ	1..1	Reference(ehealth-organization) {r}	Organization that assumes care
period	Σ	1..1	Period	Interval 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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
EpisodeOfCare.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
EpisodeOfCare.extension:participant.extension:function.value[x]	required	ParticipantFunction(a valid code from Participant Function) http://ehealth.sundhed.dk/vs/participant-function From this IG
EpisodeOfCare.status	required	EpisodeOfCareStatus(a valid code from Episode Of Care Status) http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.1 From the FHIR Standard
EpisodeOfCare.statusHistory.status	required	EpisodeOfCareStatus(a valid code from Episode Of Care Status) http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.1 From the FHIR Standard
EpisodeOfCare.type	example	EpisodeOfCareType http://hl7.org/fhir/ValueSet/episodeofcare-type From the FHIR Standard
EpisodeOfCare.diagnosis.role	preferred	DiagnosisRole http://hl7.org/fhir/ValueSet/diagnosis-role From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	EpisodeOfCare	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	EpisodeOfCare	If 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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	EpisodeOfCare	If 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-5	error	EpisodeOfCare	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	EpisodeOfCare	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
EpisodeOfCare		0..*	EpisodeOfCare	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
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:caremanagerOrganization		1..1	Reference(ehealth-organization) {r}	Reference to caremanagers organization URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-episodeofcare-caremanagerOrganization
extension:teamHistory		0..*	(Complex)	History of assigned careTeam URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-teamHistory
extension:episodeofcareStatusschedule		0..*	(Complex)	Status Schedule URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-episodeofcare-statusschedule
extension:teamschedule		0..*	(Complex)	Team Schedule URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-teamschedule
extension:participant		0..*	(Complex)	Who or what is participating URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-participant
Slices for extension				Content/Rules for all slices
extension:function		0..1	Extension	Extension
extension		0..0
url		1..1	uri	"function"
value[x]		0..1	Coding	Value of extension Binding: Participant Function (required)
extension:actor		0..1	Extension	The participant
extension		0..0
url		1..1	uri	"actor"
extension:actorref		0..1	Extension	The participant ref (string)
extension		0..0
url		1..1	uri	"actorref"
url		1..1	uri	"http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-participant"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	planned | waitlist | active | onhold | finished | cancelled | entered-in-error Binding: EpisodeOfCareStatus (required): The status of the episode of care.
diagnosis	Σ	1..*	BackboneElement	The list of diagnosis relevant to this episode of care
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	Σ	1..1	Reference(ehealth-condition) {r}	Conditions/problems/diagnoses this episode of care is for
patient	Σ	1..1	Reference(ehealth-patient) {r}	The patient who is the focus of this episode of care
managingOrganization	Σ	1..1	Reference(ehealth-organization) {r}	Organization that assumes care
period	Σ	1..1	Period	Interval during responsibility is assumed
team		0..*	Reference(ehealth-careteam) {r}	Other practitioners facilitating this episode of care
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
EpisodeOfCare.extension:participant.extension:function.value[x]	required	ParticipantFunction(a valid code from Participant Function) http://ehealth.sundhed.dk/vs/participant-function From this IG
EpisodeOfCare.status	required	EpisodeOfCareStatus(a valid code from Episode Of Care Status) http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	EpisodeOfCare	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	EpisodeOfCare	If 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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	EpisodeOfCare	If 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-5	error	EpisodeOfCare	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	EpisodeOfCare	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Differential View

This structure is derived from EpisodeOfCare

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
EpisodeOfCare			EpisodeOfCare
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:caremanagerOrganization		1..1	Reference(ehealth-organization) {r}	Reference to caremanagers organization URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-episodeofcare-caremanagerOrganization
extension:teamHistory		0..*	(Complex)	History of assigned careTeam URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-teamHistory
extension:episodeofcareStatusschedule		0..*	(Complex)	Status Schedule URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-episodeofcare-statusschedule
extension:teamschedule		0..*	(Complex)	Team Schedule URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-teamschedule
extension:participant		0..*	(Complex)	Who or what is participating URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-participant
Slices for extension				Content/Rules for all slices
extension:function		0..1	Extension	Extension
value[x]		0..1	Coding	Value of extension Binding: Participant Function (required)
diagnosis		1..*	BackboneElement	The list of diagnosis relevant to this episode of care
condition		1..1	Reference(ehealth-condition) {r}	Conditions/problems/diagnoses this episode of care is for
patient		1..1	Reference(ehealth-patient) {r}	The patient who is the focus of this episode of care
managingOrganization		1..1	Reference(ehealth-organization) {r}	Organization that assumes care
period		1..1	Period	Interval during responsibility is assumed
careManager		0..0
team		0..*	Reference(ehealth-careteam) {r}	Other practitioners facilitating this episode of care
account		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
EpisodeOfCare.extension:participant.extension:function.value[x]	required	ParticipantFunction(a valid code from Participant Function) http://ehealth.sundhed.dk/vs/participant-function From this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
EpisodeOfCare		0..*	EpisodeOfCare	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
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:caremanagerOrganization		1..1	Reference(ehealth-organization) {r}	Reference to caremanagers organization URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-episodeofcare-caremanagerOrganization
extension:teamHistory		0..*	(Complex)	History of assigned careTeam URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-teamHistory
extension:episodeofcareStatusschedule		0..*	(Complex)	Status Schedule URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-episodeofcare-statusschedule
extension:teamschedule		0..*	(Complex)	Team Schedule URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-teamschedule
extension:participant		0..*	(Complex)	Who or what is participating URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-participant
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:function		0..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"function"
value[x]		0..1	Coding	Value of extension Binding: Participant Function (required)
extension:actor		0..1	Extension	The participant
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"actor"
value[x]		0..1	Reference(CareTeam | Practitioner) {r}	Value of extension
extension:actorref		0..1	Extension	The participant ref (string)
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"actorref"
value[x]		0..1	string	Value of extension
url		1..1	uri	"http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-participant"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	Business Identifier(s) relevant for this EpisodeOfCare
status	?!Σ	1..1	code	planned | waitlist | active | onhold | finished | cancelled | entered-in-error Binding: EpisodeOfCareStatus (required): The status of the episode of care.
statusHistory		0..*	BackboneElement	Past list of status codes (the current status may be included to cover the start date of the status)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status		1..1	code	planned | waitlist | active | onhold | finished | cancelled | entered-in-error Binding: EpisodeOfCareStatus (required): The status of the episode of care.
period		1..1	Period	Duration the EpisodeOfCare was in the specified status
type	Σ	0..*	CodeableConcept	Type/class - e.g. specialist referral, disease management Binding: EpisodeOfCareType (example): The type of the episode of care.
diagnosis	Σ	1..*	BackboneElement	The list of diagnosis relevant to this episode of care
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
condition	Σ	1..1	Reference(ehealth-condition) {r}	Conditions/problems/diagnoses this episode of care is for
role	Σ	0..1	CodeableConcept	Role 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	Σ	0..1	positiveInt	Ranking of the diagnosis (for each role type)
patient	Σ	1..1	Reference(ehealth-patient) {r}	The patient who is the focus of this episode of care
managingOrganization	Σ	1..1	Reference(ehealth-organization) {r}	Organization that assumes care
period	Σ	1..1	Period	Interval 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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
EpisodeOfCare.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
EpisodeOfCare.extension:participant.extension:function.value[x]	required	ParticipantFunction(a valid code from Participant Function) http://ehealth.sundhed.dk/vs/participant-function From this IG
EpisodeOfCare.status	required	EpisodeOfCareStatus(a valid code from Episode Of Care Status) http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.1 From the FHIR Standard
EpisodeOfCare.statusHistory.status	required	EpisodeOfCareStatus(a valid code from Episode Of Care Status) http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.1 From the FHIR Standard
EpisodeOfCare.type	example	EpisodeOfCareType http://hl7.org/fhir/ValueSet/episodeofcare-type From the FHIR Standard
EpisodeOfCare.diagnosis.role	preferred	DiagnosisRole http://hl7.org/fhir/ValueSet/diagnosis-role From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	EpisodeOfCare	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	EpisodeOfCare	If 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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	EpisodeOfCare	If 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-5	error	EpisodeOfCare	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	EpisodeOfCare	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from EpisodeOfCare

Summary

Mandatory: 5 elements
Prohibited: 2 elements

Structures

This structure refers to these other structures:

• ehealth-condition (http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-condition)
• ehealth-patient (http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-patient)
• ehealth-organization (http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-organization)
• ehealth-careteam (http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-careteam)

Extensions

This structure refers to these extensions:

• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-episodeofcare-caremanagerOrganization
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-teamHistory
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-episodeofcare-statusschedule
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-teamschedule
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-participant