MediRecords FHIR Implementation Guide
1.4.1 - release


Resource Profile: MR EpisodeOfCare

Defining URL:https://fhir.medirecords.com/StructureDefinition/mr-episodeofcare
Version:1.4.1
Name:MREpisodeOfCare
Title:MR EpisodeOfCare
Status:Active as of 2025-02-03 04:29:41+0000
Definition:

Episode of Care profile to represent the MediRecords Case record

Source Resource:XML / JSON / Turtle

The official URL for this profile is: 

https://fhir.medirecords.com/StructureDefinition/mr-episodeofcare

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
... meta
.... lastUpdated S 0..1 instant When the resource version last changed
.... security SC 0..1 Coding Security Labels applied to this resource
inv-mr-meta-security-01: Medirecords supports only U, R security code
... Slices for contained 0..* Resource Contained, inline Resources
Slice: Unordered, Open by type:$this
.... contained:careteam S 0..1 MRCareTeam Planned participants in the coordination and delivery of care for a patient or group
..... id 1..1 id Unique id of contained resource within this instance
... Slices for extension 3..* Extension Extension
Slice: Unordered, Open by value:url
.... linked-document S 0..* Reference(MR DocumentReference) Linked referral letter
URL: https://fhir.medirecords.com/StructureDefinition/mr-referenced-document-ext
.... urgency S 1..1 code Urgency
URL: https://fhir.medirecords.com/StructureDefinition/mr-episode-priority-ext
Binding: RequestPriority (required)
.... topic S 1..1 string Episode subject (or topic)
URL: https://fhir.medirecords.com/StructureDefinition/mr-episode-topic-ext
.... max-sessions S 1..1 integer Max sessions
URL: https://fhir.medirecords.com/StructureDefinition/mr-episode-sessions-ext
.... comment S 0..1 string Comment
URL: https://fhir.medirecords.com/StructureDefinition/mr-comment-note-ext
.... identifier:case-number S 1..1 Identifier Case Number
..... type 1..1 CodeableConcept Description of identifier
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://fhir.medirecords.com/CodeSystem/mr-identifier-type
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: ECN
..... value 1..1 string Case No.
.... identifier:ref-number S 0..1 Identifier Case Ref. Number
..... type 1..1 CodeableConcept Description of identifier
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://fhir.medirecords.com/CodeSystem/mr-identifier-type
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: ERN
..... value 1..1 string Reference Number
... status S 1..1 code planned | active | onhold | waitlist | cancelled | finished
... type S 1..1 CodeableConcept Type/class - e.g. specialist referral, disease management
Binding: MR Episode Type ValueSet (extensible)
... diagnosis 1..* BackboneElement Existing problem(s)
.... condition S 1..1 Reference(MR Condition) Existing problem
..... reference 1..1 string Reference to existing problem
... patient S 1..1 Reference(MR Patient) The patient who is the focus of this episode of care
... managingOrganization S 1..1 Reference(MR Organisation) Practice that initated the case
... period 1..1 Period Interval during responsibility is assumed
.... start S 1..1 dateTime Case start date
.... end S 0..1 dateTime Expiry date
... careManager S 1..1 Reference(MR Practitioner) Care Manager
.... reference 1..1 string Reference to Provider user
... team S 0..1 Reference(MR CareTeam) Case participants (or care team)
.... reference 1..1 string Internal reference to contained CareTeam resource

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated SΣ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security SΣC 0..1 Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


inv-mr-meta-security-01: Medirecords supports only U, R security code
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".


... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... Slices for contained 0..* Resource Contained, inline Resources
Slice: Unordered, Open by type:$this
.... contained:careteam S 0..1 MRCareTeam Planned participants in the coordination and delivery of care for a patient or group
..... id SΣ 1..1 id Unique id of contained resource within this instance
..... 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 BindingsPurpose
AllLanguages Max Binding
..... text 0..1 Narrative Text summary of the resource, for human interpretation
..... contained 0..* Resource Contained, inline Resources
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
..... identifier Σ 0..* Identifier External Ids for this team
..... status ?!Σ 0..1 code proposed | active | suspended | inactive | entered-in-error
Binding: CareTeamStatus (required): Indicates the status of the care team.

..... category Σ 0..* CodeableConcept Type of team
Binding: CareTeamCategory (example): Indicates the type of care team.


..... name Σ 0..1 string Name of the team, such as crisis assessment team
..... subject Σ 0..1 Reference(Patient | Group) Who care team is for
..... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
..... period Σ 0..1 Period Time period team covers
..... participant C 0..* BackboneElement Members of the team
ctm-1: CareTeam.participant.onBehalfOf can only be populated when CareTeam.participant.member is a Practitioner
...... 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
...... role Σ 0..* CodeableConcept Type of involvement
Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.


...... member SΣ 1..1 Reference(MR Practitioner | MR Organisation Service Provider | MR PractitionerRole Contact) Care team member
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
....... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

....... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
....... display Σ 0..1 string Name of team member
...... onBehalfOf Σ 0..1 Reference(Organization) Organization of the practitioner
...... period 0..1 Period Time period of participant
..... reasonCode 0..* CodeableConcept Why the care team exists
Binding: SNOMEDCTClinicalFindings (example): Indicates the reason for the care team.


..... reasonReference 0..* Reference(Condition) Why the care team exists
..... managingOrganization SΣ 1..1 Reference(MR Organisation) Organization responsible for the care team
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
...... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

...... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
...... display Σ 0..1 string Text alternative for the resource
..... telecom 0..* ContactPoint A contact detail for the care team (that applies to all members)
..... note 0..* Annotation Comments made about the CareTeam
... Slices for extension 3..* Extension Extension
Slice: Unordered, Open by value:url
.... linked-document S 0..* Reference(MR DocumentReference) Linked referral letter
URL: https://fhir.medirecords.com/StructureDefinition/mr-referenced-document-ext
.... urgency S 1..1 code Urgency
URL: https://fhir.medirecords.com/StructureDefinition/mr-episode-priority-ext
Binding: RequestPriority (required)
.... topic S 1..1 string Episode subject (or topic)
URL: https://fhir.medirecords.com/StructureDefinition/mr-episode-topic-ext
.... max-sessions S 1..1 integer Max sessions
URL: https://fhir.medirecords.com/StructureDefinition/mr-episode-sessions-ext
.... comment S 0..1 string Comment
URL: https://fhir.medirecords.com/StructureDefinition/mr-comment-note-ext
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier 1..* Identifier Business Identifier(s) relevant for this EpisodeOfCare
Slice: Unordered, Closed by pattern:type
.... identifier:case-number S 1..1 Identifier Case Number
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://fhir.medirecords.com/CodeSystem/mr-identifier-type
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: ECN
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system Σ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string Case No.
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:ref-number S 0..1 Identifier Case Ref. Number
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://fhir.medirecords.com/CodeSystem/mr-identifier-type
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: ERN
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system Σ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string Reference Number
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... status ?!SΣ 1..1 code planned | active | onhold | waitlist | cancelled | finished
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 SΣ 1..1 CodeableConcept Type/class - e.g. specialist referral, disease management
Binding: MR Episode Type ValueSet (extensible)
... diagnosis Σ 1..* BackboneElement Existing problem(s)
.... 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 SΣ 1..1 Reference(MR Condition) Existing problem
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... reference ΣC 1..1 string Reference to existing problem
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource
.... 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 SΣ 1..1 Reference(MR Patient) The patient who is the focus of this episode of care
... managingOrganization SΣ 1..1 Reference(MR Organisation) Practice that initated the case
... period Σ 1..1 Period Interval during responsibility is assumed
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... start SΣC 1..1 dateTime Case start date
.... end SΣC 0..1 dateTime Expiry date
... referralRequest 0..* Reference(ServiceRequest) Originating Referral Request(s)
... careManager S 1..1 Reference(MR Practitioner) Care Manager
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 1..1 string Reference to Provider user
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... team S 0..1 Reference(MR CareTeam) Case participants (or care team)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 1..1 string Internal reference to contained CareTeam resource
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... account 0..* Reference(Account) The set of accounts that may be used for billing for this EpisodeOfCare

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... meta Σ 0..1 Meta Metadata about the resource
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... security ΣC 0..1 Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


inv-mr-meta-security-01: Medirecords supports only U, R security code
... Slices for contained Content/Rules for all slices
.... contained:careteam 0..1 MRCareTeam Planned participants in the coordination and delivery of care for a patient or group
..... id Σ 1..1 id Unique id of contained resource within this instance
..... participant C 0..* BackboneElement Members of the team
...... member Σ 1..1 Reference(MR Practitioner | MR Organisation Service Provider | MR PractitionerRole Contact) Care team member
..... managingOrganization Σ 1..1 Reference(MR Organisation) Organization responsible for the care team
... Slices for extension Content/Rules for all slices
.... linked-document 0..* Reference(MR DocumentReference) Linked referral letter
URL: https://fhir.medirecords.com/StructureDefinition/mr-referenced-document-ext
.... urgency 1..1 code Urgency
URL: https://fhir.medirecords.com/StructureDefinition/mr-episode-priority-ext
Binding: RequestPriority (required)
.... topic 1..1 string Episode subject (or topic)
URL: https://fhir.medirecords.com/StructureDefinition/mr-episode-topic-ext
.... max-sessions 1..1 integer Max sessions
URL: https://fhir.medirecords.com/StructureDefinition/mr-episode-sessions-ext
.... comment 0..1 string Comment
URL: https://fhir.medirecords.com/StructureDefinition/mr-comment-note-ext
.... identifier:case-number 1..1 Identifier Case Number
.... identifier:ref-number 0..1 Identifier Case Ref. Number
... status ?!Σ 1..1 code planned | active | onhold | waitlist | cancelled | finished
Binding: EpisodeOfCareStatus (required): The status of the episode of care.

... type Σ 1..1 CodeableConcept Type/class - e.g. specialist referral, disease management
Binding: MR Episode Type ValueSet (extensible)
... diagnosis Σ 1..* BackboneElement Existing problem(s)
.... condition Σ 1..1 Reference(MR Condition) Existing problem
... patient Σ 1..1 Reference(MR Patient) The patient who is the focus of this episode of care
... managingOrganization Σ 1..1 Reference(MR Organisation) Practice that initated the case
... period Σ 1..1 Period Interval during responsibility is assumed
.... start ΣC 1..1 dateTime Case start date
.... end ΣC 0..1 dateTime Expiry date
... careManager 1..1 Reference(MR Practitioner) Care Manager
... team 0..1 Reference(MR CareTeam) Case participants (or care team)

doco Documentation for this format

Differential View

This structure is derived from EpisodeOfCare

NameFlagsCard.TypeDescription & Constraintsdoco
.. EpisodeOfCare EpisodeOfCare
... meta
.... lastUpdated S 0..1 instant When the resource version last changed
.... security SC 0..1 Coding Security Labels applied to this resource
inv-mr-meta-security-01: Medirecords supports only U, R security code
... Slices for contained 0..* Resource Contained, inline Resources
Slice: Unordered, Open by type:$this
.... contained:careteam S 0..1 MRCareTeam Planned participants in the coordination and delivery of care for a patient or group
..... id 1..1 id Unique id of contained resource within this instance
... Slices for extension 3..* Extension Extension
Slice: Unordered, Open by value:url
.... linked-document S 0..* Reference(MR DocumentReference) Linked referral letter
URL: https://fhir.medirecords.com/StructureDefinition/mr-referenced-document-ext
.... urgency S 1..1 code Urgency
URL: https://fhir.medirecords.com/StructureDefinition/mr-episode-priority-ext
Binding: RequestPriority (required)
.... topic S 1..1 string Episode subject (or topic)
URL: https://fhir.medirecords.com/StructureDefinition/mr-episode-topic-ext
.... max-sessions S 1..1 integer Max sessions
URL: https://fhir.medirecords.com/StructureDefinition/mr-episode-sessions-ext
.... comment S 0..1 string Comment
URL: https://fhir.medirecords.com/StructureDefinition/mr-comment-note-ext
.... identifier:case-number S 1..1 Identifier Case Number
..... type 1..1 CodeableConcept Description of identifier
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://fhir.medirecords.com/CodeSystem/mr-identifier-type
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: ECN
..... value 1..1 string Case No.
.... identifier:ref-number S 0..1 Identifier Case Ref. Number
..... type 1..1 CodeableConcept Description of identifier
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://fhir.medirecords.com/CodeSystem/mr-identifier-type
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: ERN
..... value 1..1 string Reference Number
... status S 1..1 code planned | active | onhold | waitlist | cancelled | finished
... type S 1..1 CodeableConcept Type/class - e.g. specialist referral, disease management
Binding: MR Episode Type ValueSet (extensible)
... diagnosis 1..* BackboneElement Existing problem(s)
.... condition S 1..1 Reference(MR Condition) Existing problem
..... reference 1..1 string Reference to existing problem
... patient S 1..1 Reference(MR Patient) The patient who is the focus of this episode of care
... managingOrganization S 1..1 Reference(MR Organisation) Practice that initated the case
... period 1..1 Period Interval during responsibility is assumed
.... start S 1..1 dateTime Case start date
.... end S 0..1 dateTime Expiry date
... careManager S 1..1 Reference(MR Practitioner) Care Manager
.... reference 1..1 string Reference to Provider user
... team S 0..1 Reference(MR CareTeam) Case participants (or care team)
.... reference 1..1 string Internal reference to contained CareTeam resource

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated SΣ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security SΣC 0..1 Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


inv-mr-meta-security-01: Medirecords supports only U, R security code
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".


... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... Slices for contained 0..* Resource Contained, inline Resources
Slice: Unordered, Open by type:$this
.... contained:careteam S 0..1 MRCareTeam Planned participants in the coordination and delivery of care for a patient or group
..... id SΣ 1..1 id Unique id of contained resource within this instance
..... 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 BindingsPurpose
AllLanguages Max Binding
..... text 0..1 Narrative Text summary of the resource, for human interpretation
..... contained 0..* Resource Contained, inline Resources
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
..... identifier Σ 0..* Identifier External Ids for this team
..... status ?!Σ 0..1 code proposed | active | suspended | inactive | entered-in-error
Binding: CareTeamStatus (required): Indicates the status of the care team.

..... category Σ 0..* CodeableConcept Type of team
Binding: CareTeamCategory (example): Indicates the type of care team.


..... name Σ 0..1 string Name of the team, such as crisis assessment team
..... subject Σ 0..1 Reference(Patient | Group) Who care team is for
..... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
..... period Σ 0..1 Period Time period team covers
..... participant C 0..* BackboneElement Members of the team
ctm-1: CareTeam.participant.onBehalfOf can only be populated when CareTeam.participant.member is a Practitioner
...... 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
...... role Σ 0..* CodeableConcept Type of involvement
Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.


...... member SΣ 1..1 Reference(MR Practitioner | MR Organisation Service Provider | MR PractitionerRole Contact) Care team member
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
....... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

....... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
....... display Σ 0..1 string Name of team member
...... onBehalfOf Σ 0..1 Reference(Organization) Organization of the practitioner
...... period 0..1 Period Time period of participant
..... reasonCode 0..* CodeableConcept Why the care team exists
Binding: SNOMEDCTClinicalFindings (example): Indicates the reason for the care team.


..... reasonReference 0..* Reference(Condition) Why the care team exists
..... managingOrganization SΣ 1..1 Reference(MR Organisation) Organization responsible for the care team
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
...... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

...... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
...... display Σ 0..1 string Text alternative for the resource
..... telecom 0..* ContactPoint A contact detail for the care team (that applies to all members)
..... note 0..* Annotation Comments made about the CareTeam
... Slices for extension 3..* Extension Extension
Slice: Unordered, Open by value:url
.... linked-document S 0..* Reference(MR DocumentReference) Linked referral letter
URL: https://fhir.medirecords.com/StructureDefinition/mr-referenced-document-ext
.... urgency S 1..1 code Urgency
URL: https://fhir.medirecords.com/StructureDefinition/mr-episode-priority-ext
Binding: RequestPriority (required)
.... topic S 1..1 string Episode subject (or topic)
URL: https://fhir.medirecords.com/StructureDefinition/mr-episode-topic-ext
.... max-sessions S 1..1 integer Max sessions
URL: https://fhir.medirecords.com/StructureDefinition/mr-episode-sessions-ext
.... comment S 0..1 string Comment
URL: https://fhir.medirecords.com/StructureDefinition/mr-comment-note-ext
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier 1..* Identifier Business Identifier(s) relevant for this EpisodeOfCare
Slice: Unordered, Closed by pattern:type
.... identifier:case-number S 1..1 Identifier Case Number
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://fhir.medirecords.com/CodeSystem/mr-identifier-type
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: ECN
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system Σ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string Case No.
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:ref-number S 0..1 Identifier Case Ref. Number
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: https://fhir.medirecords.com/CodeSystem/mr-identifier-type
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: ERN
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... system Σ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string Reference Number
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... status ?!SΣ 1..1 code planned | active | onhold | waitlist | cancelled | finished
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 SΣ 1..1 CodeableConcept Type/class - e.g. specialist referral, disease management
Binding: MR Episode Type ValueSet (extensible)
... diagnosis Σ 1..* BackboneElement Existing problem(s)
.... 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 SΣ 1..1 Reference(MR Condition) Existing problem
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... reference ΣC 1..1 string Reference to existing problem
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource
.... 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 SΣ 1..1 Reference(MR Patient) The patient who is the focus of this episode of care
... managingOrganization SΣ 1..1 Reference(MR Organisation) Practice that initated the case
... period Σ 1..1 Period Interval during responsibility is assumed
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... start SΣC 1..1 dateTime Case start date
.... end SΣC 0..1 dateTime Expiry date
... referralRequest 0..* Reference(ServiceRequest) Originating Referral Request(s)
... careManager S 1..1 Reference(MR Practitioner) Care Manager
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 1..1 string Reference to Provider user
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... team S 0..1 Reference(MR CareTeam) Case participants (or care team)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 1..1 string Internal reference to contained CareTeam resource
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... account 0..* Reference(Account) The set of accounts that may be used for billing for this EpisodeOfCare

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet / CodeURI
EpisodeOfCare.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
EpisodeOfCare.meta.tagexampleCommonTags
http://hl7.org/fhir/ValueSet/common-tags
from the FHIR Standard
EpisodeOfCare.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
EpisodeOfCare.contained:careteam.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
EpisodeOfCare.contained:careteam.statusrequiredCareTeamStatus
http://hl7.org/fhir/ValueSet/care-team-status|4.0.1
from the FHIR Standard
EpisodeOfCare.contained:careteam.categoryexampleCareTeamCategory
http://hl7.org/fhir/ValueSet/care-team-category
from the FHIR Standard
EpisodeOfCare.contained:careteam.participant.roleexampleParticipantRoles
http://hl7.org/fhir/ValueSet/participant-role
from the FHIR Standard
EpisodeOfCare.contained:careteam.participant.member.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
EpisodeOfCare.contained:careteam.reasonCodeexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
from the FHIR Standard
EpisodeOfCare.contained:careteam.managingOrganization.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
EpisodeOfCare.identifier:case-number.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
EpisodeOfCare.identifier:case-number.typeextensiblePattern: ECN
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
EpisodeOfCare.identifier:ref-number.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
EpisodeOfCare.identifier:ref-number.typeextensiblePattern: ERN
http://hl7.org/fhir/ValueSet/identifier-type
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.typeextensibleMREpisodeType
https://fhir.medirecords.com/ValueSet/mr-episode-type
from this IG
EpisodeOfCare.diagnosis.condition.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
EpisodeOfCare.diagnosis.rolepreferredDiagnosisRole
http://hl7.org/fhir/ValueSet/diagnosis-role
from the FHIR Standard
EpisodeOfCare.careManager.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
EpisodeOfCare.team.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
ctm-1errorEpisodeOfCare.contained:careteam.participantCareTeam.participant.onBehalfOf can only be populated when CareTeam.participant.member is a Practitioner
: onBehalfOf.exists() implies (member.resolve().iif(empty(), true, ofType(Practitioner).exists()))
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().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-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()
inv-mr-meta-security-01errorEpisodeOfCare.meta.securityMedirecords supports only U, R security code
: code.exists() implies (code = 'U' or code = 'R')