Patient Administration - the period an organisation is responsible for a patient's care, from accepting a referral to discharge, during which encounters occur (e.g. a community service, an exercise or rehabilitation programme, a mental health team). Follows the Interweave EpisodeOfCare. Not an NHS consultant episode - see Patient Administration.

FDP Canonical Data Model

Equivalent FDP Canonical Data Model (CDM) v1.0.0 objects: Patient Pathway, Outpatient Activity, Consultant Episode.

Differences:

• Partial: CDM Patient Pathway is the referral to treatment (RTT) pathway and Consultant Episode is a consultant's period within a spell - neither is a care episode managed by an organisation - To confirm.

The CDM is a downstream persistence model, used here as evidence of what NHS operations record, not as a design source. Mapping by property name - To confirm. See FDP Canonical Data Model Mapping for the full mapping.

• 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
EpisodeOfCare.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
EpisodeOfCare.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
EpisodeOfCare.identifier	S This element must be supported.	1..*	Identifier	Local identifier, quotable if contacting the service
EpisodeOfCare.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	planned | waitlist | active | onhold | finished | cancelled | entered-in-error Binding: EpisodeOfCareStatus (required): The status of the episode of care.
EpisodeOfCare.statusHistory	S This element must be supported.	0..*	BackboneElement	Past list of status codes (the current status may be included to cover the start date of the status)
EpisodeOfCare.statusHistory.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
EpisodeOfCare.statusHistory.status		1..1	code	planned | waitlist | active | onhold | finished | cancelled | entered-in-error Binding: EpisodeOfCareStatus (required): The status of the episode of care.
EpisodeOfCare.statusHistory.period		1..1	Period	Duration the EpisodeOfCare was in the specified status
EpisodeOfCare.type	S This element must be supported. Σ This element is included in summaries.	0..*	CodeableConcept	Type/class - e.g. specialist referral, disease management Binding: EpisodeOfCareType (example): The type of the episode of care.
EpisodeOfCare.diagnosis	S This element must be supported. Σ This element is included in summaries.	0..*	BackboneElement	The list of diagnosis relevant to this episode of care
EpisodeOfCare.diagnosis.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
EpisodeOfCare.diagnosis.condition	Σ This element is included in summaries.	1..1	Reference(Condition)	Conditions/problems/diagnoses this episode of care is for
EpisodeOfCare.patient	Σ This element is included in summaries.	1..1	Reference(Patient)	The patient who is the focus of this episode of care
EpisodeOfCare.patient.identifier	Σ This element is included in summaries.	0..1	NHSIdentifier	Logical reference, when literal reference is not known
EpisodeOfCare.managingOrganization	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(Organization)	Organization that assumes care
EpisodeOfCare.period	S This element must be supported. Σ This element is included in summaries.	0..1	Period	Interval during responsibility is assumed
EpisodeOfCare.referralRequest	S This element must be supported.	0..*	Reference(Referral Request)	The referral that started this episode
EpisodeOfCare.careManager	S This element must be supported.	0..1	Reference(Practitioner | PractitionerRole)	Care manager/care coordinator for the patient
EpisodeOfCare.team	S This element must be supported.	0..*	Reference(CareTeam)	Other practitioners facilitating this episode of care
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
EpisodeOfCare.status	Base	required	EpisodeOfCareStatus	📍4.0.1	FHIR Std.
EpisodeOfCare.statusHistory.​status	Base	required	EpisodeOfCareStatus	📍4.0.1	FHIR Std.
EpisodeOfCare.type	Base	example	Episode of care type	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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		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
EpisodeOfCare.identifier	S This element must be supported.	1..*	Identifier	Local identifier, quotable if contacting the service
EpisodeOfCare.status	S This element must be supported.	1..1	code	planned | waitlist | active | onhold | finished | cancelled | entered-in-error
EpisodeOfCare.statusHistory	S This element must be supported.	0..*	BackboneElement	Past list of status codes (the current status may be included to cover the start date of the status)
EpisodeOfCare.type	S This element must be supported.	0..*	CodeableConcept	Type/class - e.g. specialist referral, disease management
EpisodeOfCare.diagnosis	S This element must be supported.	0..*	BackboneElement	The list of diagnosis relevant to this episode of care
EpisodeOfCare.patient		1..1	Reference(Patient)	The patient who is the focus of this episode of care
EpisodeOfCare.patient.identifier		0..1	NHSIdentifier	Logical reference, when literal reference is not known
EpisodeOfCare.managingOrganization	S This element must be supported.	1..1	Reference(Organization)	Organization that assumes care
EpisodeOfCare.period	S This element must be supported.	0..1	Period	Interval during responsibility is assumed
EpisodeOfCare.referralRequest	S This element must be supported.	0..*	Reference(Referral Request)	The referral that started this episode
EpisodeOfCare.careManager	S This element must be supported.	0..1	Reference(Practitioner | PractitionerRole)	Care manager/care coordinator for the patient
EpisodeOfCare.team	S This element must be supported.	0..*	Reference(CareTeam)	Other practitioners facilitating this episode of care
Documentation for this format

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
EpisodeOfCare.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
EpisodeOfCare.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
EpisodeOfCare.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
EpisodeOfCare.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
EpisodeOfCare.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
EpisodeOfCare.contained		0..*	Resource	Contained, inline Resources
EpisodeOfCare.extension		0..*	Extension	Additional content defined by implementations
EpisodeOfCare.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
EpisodeOfCare.identifier	S This element must be supported.	1..*	Identifier	Local identifier, quotable if contacting the service
EpisodeOfCare.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	planned | waitlist | active | onhold | finished | cancelled | entered-in-error Binding: EpisodeOfCareStatus (required): The status of the episode of care.
EpisodeOfCare.statusHistory	S This element must be supported.	0..*	BackboneElement	Past list of status codes (the current status may be included to cover the start date of the status)
EpisodeOfCare.statusHistory.id		0..1	string	Unique id for inter-element referencing
EpisodeOfCare.statusHistory.extension		0..*	Extension	Additional content defined by implementations
EpisodeOfCare.statusHistory.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
EpisodeOfCare.statusHistory.status		1..1	code	planned | waitlist | active | onhold | finished | cancelled | entered-in-error Binding: EpisodeOfCareStatus (required): The status of the episode of care.
EpisodeOfCare.statusHistory.period		1..1	Period	Duration the EpisodeOfCare was in the specified status
EpisodeOfCare.type	S This element must be supported. Σ This element is included in summaries.	0..*	CodeableConcept	Type/class - e.g. specialist referral, disease management Binding: EpisodeOfCareType (example): The type of the episode of care.
EpisodeOfCare.diagnosis	S This element must be supported. Σ This element is included in summaries.	0..*	BackboneElement	The list of diagnosis relevant to this episode of care
EpisodeOfCare.diagnosis.id		0..1	string	Unique id for inter-element referencing
EpisodeOfCare.diagnosis.extension		0..*	Extension	Additional content defined by implementations
EpisodeOfCare.diagnosis.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
EpisodeOfCare.diagnosis.condition	Σ This element is included in summaries.	1..1	Reference(Condition)	Conditions/problems/diagnoses this episode of care is for
EpisodeOfCare.diagnosis.role	Σ This element is included in summaries.	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.
EpisodeOfCare.diagnosis.rank	Σ This element is included in summaries.	0..1	positiveInt	Ranking of the diagnosis (for each role type)
EpisodeOfCare.patient	Σ This element is included in summaries.	1..1	Reference(Patient)	The patient who is the focus of this episode of care
EpisodeOfCare.patient.id		0..1	string	Unique id for inter-element referencing
EpisodeOfCare.patient.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
EpisodeOfCare.patient.reference	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
EpisodeOfCare.patient.type	Σ This element is included in summaries.	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).
EpisodeOfCare.patient.identifier	Σ This element is included in summaries.	0..1	NHSIdentifier	Logical reference, when literal reference is not known
EpisodeOfCare.patient.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
EpisodeOfCare.managingOrganization	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(Organization)	Organization that assumes care
EpisodeOfCare.period	S This element must be supported. Σ This element is included in summaries.	0..1	Period	Interval during responsibility is assumed
EpisodeOfCare.referralRequest	S This element must be supported.	0..*	Reference(Referral Request)	The referral that started this episode
EpisodeOfCare.careManager	S This element must be supported.	0..1	Reference(Practitioner | PractitionerRole)	Care manager/care coordinator for the patient
EpisodeOfCare.team	S This element must be supported.	0..*	Reference(CareTeam)	Other practitioners facilitating this episode of care
EpisodeOfCare.account		0..*	Reference(Account)	The set of accounts that may be used for billing for this EpisodeOfCare
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
EpisodeOfCare.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
EpisodeOfCare.status	Base	required	EpisodeOfCareStatus	📍4.0.1	FHIR Std.
EpisodeOfCare.statusHistory.​status	Base	required	EpisodeOfCareStatus	📍4.0.1	FHIR Std.
EpisodeOfCare.type	Base	example	Episode of care type	📍4.0.1	FHIR Std.
EpisodeOfCare.diagnosis.​role	Base	preferred	DiagnosisRole	📍4.0.1	FHIR Std.
EpisodeOfCare.patient.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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
EpisodeOfCare.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
EpisodeOfCare.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
EpisodeOfCare.identifier	S This element must be supported.	1..*	Identifier	Local identifier, quotable if contacting the service
EpisodeOfCare.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	planned | waitlist | active | onhold | finished | cancelled | entered-in-error Binding: EpisodeOfCareStatus (required): The status of the episode of care.
EpisodeOfCare.statusHistory	S This element must be supported.	0..*	BackboneElement	Past list of status codes (the current status may be included to cover the start date of the status)
EpisodeOfCare.statusHistory.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
EpisodeOfCare.statusHistory.status		1..1	code	planned | waitlist | active | onhold | finished | cancelled | entered-in-error Binding: EpisodeOfCareStatus (required): The status of the episode of care.
EpisodeOfCare.statusHistory.period		1..1	Period	Duration the EpisodeOfCare was in the specified status
EpisodeOfCare.type	S This element must be supported. Σ This element is included in summaries.	0..*	CodeableConcept	Type/class - e.g. specialist referral, disease management Binding: EpisodeOfCareType (example): The type of the episode of care.
EpisodeOfCare.diagnosis	S This element must be supported. Σ This element is included in summaries.	0..*	BackboneElement	The list of diagnosis relevant to this episode of care
EpisodeOfCare.diagnosis.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
EpisodeOfCare.diagnosis.condition	Σ This element is included in summaries.	1..1	Reference(Condition)	Conditions/problems/diagnoses this episode of care is for
EpisodeOfCare.patient	Σ This element is included in summaries.	1..1	Reference(Patient)	The patient who is the focus of this episode of care
EpisodeOfCare.patient.identifier	Σ This element is included in summaries.	0..1	NHSIdentifier	Logical reference, when literal reference is not known
EpisodeOfCare.managingOrganization	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(Organization)	Organization that assumes care
EpisodeOfCare.period	S This element must be supported. Σ This element is included in summaries.	0..1	Period	Interval during responsibility is assumed
EpisodeOfCare.referralRequest	S This element must be supported.	0..*	Reference(Referral Request)	The referral that started this episode
EpisodeOfCare.careManager	S This element must be supported.	0..1	Reference(Practitioner | PractitionerRole)	Care manager/care coordinator for the patient
EpisodeOfCare.team	S This element must be supported.	0..*	Reference(CareTeam)	Other practitioners facilitating this episode of care
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
EpisodeOfCare.status	Base	required	EpisodeOfCareStatus	📍4.0.1	FHIR Std.
EpisodeOfCare.statusHistory.​status	Base	required	EpisodeOfCareStatus	📍4.0.1	FHIR Std.
EpisodeOfCare.type	Base	example	Episode of care type	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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		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
EpisodeOfCare.identifier	S This element must be supported.	1..*	Identifier	Local identifier, quotable if contacting the service
EpisodeOfCare.status	S This element must be supported.	1..1	code	planned | waitlist | active | onhold | finished | cancelled | entered-in-error
EpisodeOfCare.statusHistory	S This element must be supported.	0..*	BackboneElement	Past list of status codes (the current status may be included to cover the start date of the status)
EpisodeOfCare.type	S This element must be supported.	0..*	CodeableConcept	Type/class - e.g. specialist referral, disease management
EpisodeOfCare.diagnosis	S This element must be supported.	0..*	BackboneElement	The list of diagnosis relevant to this episode of care
EpisodeOfCare.patient		1..1	Reference(Patient)	The patient who is the focus of this episode of care
EpisodeOfCare.patient.identifier		0..1	NHSIdentifier	Logical reference, when literal reference is not known
EpisodeOfCare.managingOrganization	S This element must be supported.	1..1	Reference(Organization)	Organization that assumes care
EpisodeOfCare.period	S This element must be supported.	0..1	Period	Interval during responsibility is assumed
EpisodeOfCare.referralRequest	S This element must be supported.	0..*	Reference(Referral Request)	The referral that started this episode
EpisodeOfCare.careManager	S This element must be supported.	0..1	Reference(Practitioner | PractitionerRole)	Care manager/care coordinator for the patient
EpisodeOfCare.team	S This element must be supported.	0..*	Reference(CareTeam)	Other practitioners facilitating this episode of care
Documentation for this format

Snapshot ViewView

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
EpisodeOfCare.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
EpisodeOfCare.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
EpisodeOfCare.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
EpisodeOfCare.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
EpisodeOfCare.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
EpisodeOfCare.contained		0..*	Resource	Contained, inline Resources
EpisodeOfCare.extension		0..*	Extension	Additional content defined by implementations
EpisodeOfCare.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
EpisodeOfCare.identifier	S This element must be supported.	1..*	Identifier	Local identifier, quotable if contacting the service
EpisodeOfCare.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	planned | waitlist | active | onhold | finished | cancelled | entered-in-error Binding: EpisodeOfCareStatus (required): The status of the episode of care.
EpisodeOfCare.statusHistory	S This element must be supported.	0..*	BackboneElement	Past list of status codes (the current status may be included to cover the start date of the status)
EpisodeOfCare.statusHistory.id		0..1	string	Unique id for inter-element referencing
EpisodeOfCare.statusHistory.extension		0..*	Extension	Additional content defined by implementations
EpisodeOfCare.statusHistory.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
EpisodeOfCare.statusHistory.status		1..1	code	planned | waitlist | active | onhold | finished | cancelled | entered-in-error Binding: EpisodeOfCareStatus (required): The status of the episode of care.
EpisodeOfCare.statusHistory.period		1..1	Period	Duration the EpisodeOfCare was in the specified status
EpisodeOfCare.type	S This element must be supported. Σ This element is included in summaries.	0..*	CodeableConcept	Type/class - e.g. specialist referral, disease management Binding: EpisodeOfCareType (example): The type of the episode of care.
EpisodeOfCare.diagnosis	S This element must be supported. Σ This element is included in summaries.	0..*	BackboneElement	The list of diagnosis relevant to this episode of care
EpisodeOfCare.diagnosis.id		0..1	string	Unique id for inter-element referencing
EpisodeOfCare.diagnosis.extension		0..*	Extension	Additional content defined by implementations
EpisodeOfCare.diagnosis.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
EpisodeOfCare.diagnosis.condition	Σ This element is included in summaries.	1..1	Reference(Condition)	Conditions/problems/diagnoses this episode of care is for
EpisodeOfCare.diagnosis.role	Σ This element is included in summaries.	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.
EpisodeOfCare.diagnosis.rank	Σ This element is included in summaries.	0..1	positiveInt	Ranking of the diagnosis (for each role type)
EpisodeOfCare.patient	Σ This element is included in summaries.	1..1	Reference(Patient)	The patient who is the focus of this episode of care
EpisodeOfCare.patient.id		0..1	string	Unique id for inter-element referencing
EpisodeOfCare.patient.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
EpisodeOfCare.patient.reference	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
EpisodeOfCare.patient.type	Σ This element is included in summaries.	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).
EpisodeOfCare.patient.identifier	Σ This element is included in summaries.	0..1	NHSIdentifier	Logical reference, when literal reference is not known
EpisodeOfCare.patient.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
EpisodeOfCare.managingOrganization	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(Organization)	Organization that assumes care
EpisodeOfCare.period	S This element must be supported. Σ This element is included in summaries.	0..1	Period	Interval during responsibility is assumed
EpisodeOfCare.referralRequest	S This element must be supported.	0..*	Reference(Referral Request)	The referral that started this episode
EpisodeOfCare.careManager	S This element must be supported.	0..1	Reference(Practitioner | PractitionerRole)	Care manager/care coordinator for the patient
EpisodeOfCare.team	S This element must be supported.	0..*	Reference(CareTeam)	Other practitioners facilitating this episode of care
EpisodeOfCare.account		0..*	Reference(Account)	The set of accounts that may be used for billing for this EpisodeOfCare
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
EpisodeOfCare.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
EpisodeOfCare.status	Base	required	EpisodeOfCareStatus	📍4.0.1	FHIR Std.
EpisodeOfCare.statusHistory.​status	Base	required	EpisodeOfCareStatus	📍4.0.1	FHIR Std.
EpisodeOfCare.type	Base	example	Episode of care type	📍4.0.1	FHIR Std.
EpisodeOfCare.diagnosis.​role	Base	preferred	DiagnosisRole	📍4.0.1	FHIR Std.
EpisodeOfCare.patient.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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: 2 elements
Must-Support: 10 elements

Structures

This structure refers to these other structures:

• Patient (https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Patient)
• NHS Identifier (https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/NHSIdentifier)
• Organization (https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Organization)
• Referral Request (https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/ReferralRequest)
• Practitioner (https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Practitioner)
• PractitionerRole (https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/PractitionerRole)