Atrius India Core FHIR Implementation Guide
0.1.0 - ci-build

Atrius India Core FHIR Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Atrius India Core EpisodeOfCare

Official URL: https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-episode-of-care Version: 0.1.0
Draft as of 2026-07-24 Computable Name: AtriusInEpisodeOfCare
Other Identifiers: OID:1.3.6.1.4.1.66219.1.42.52

Inpatient or longitudinal care episode for ADT. Links Encounter chain for a hospital stay.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EpisodeOfCare 0..* EpisodeOfCare(4.0.1) 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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... status ?!SΣ 1..1 code planned | waitlist | active | onhold | finished | cancelled | entered-in-error
Binding: EpisodeOfCareStatus (required): The status of the episode of care.
... patient SΣ 1..1 Reference(Atrius India Core Patient(0.1.0)) The patient who is the focus of this episode of care
... managingOrganization SΣ 0..1 Reference(Atrius India Core Organization(0.1.0)) Organization that assumes care
... period SΣ 0..1 Period Interval during responsibility is assumed

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
EpisodeOfCare.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 EpisodeOfCare.implicitRules, EpisodeOfCare.modifierExtension, EpisodeOfCare.status, EpisodeOfCare.type, EpisodeOfCare.patient, EpisodeOfCare.managingOrganization, EpisodeOfCare.period All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error EpisodeOfCare.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EpisodeOfCare 0..* EpisodeOfCare(4.0.1) 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
... status S 1..1 code planned | waitlist | active | onhold | finished | cancelled | entered-in-error
... type S 0..* CodeableConcept Type/class - e.g. specialist referral, disease management
... patient S 1..1 Reference(Atrius India Core Patient(0.1.0)) The patient who is the focus of this episode of care
... period S 0..1 Period Interval during responsibility is assumed

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EpisodeOfCare 0..* EpisodeOfCare(4.0.1) 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
... 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
... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier 0..* Identifier Business Identifier(s) relevant for this EpisodeOfCare
... status ?!SΣ 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
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... 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 0..* CodeableConcept Type/class - e.g. specialist referral, disease management
Binding: EpisodeOfCareType (example): The type of the episode of care.
... diagnosis Σ 0..* 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
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... condition Σ 1..1 Reference(Condition) 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 SΣ 1..1 Reference(Atrius India Core Patient(0.1.0)) The patient who is the focus of this episode of care
... managingOrganization SΣ 0..1 Reference(Atrius India Core Organization(0.1.0)) Organization that assumes care
... period SΣ 0..1 Period Interval during responsibility is assumed
... referralRequest 0..* Reference(ServiceRequest) Originating Referral Request(s)
... careManager 0..1 Reference(Practitioner | PractitionerRole) Care manager/care coordinator for the patient
... team 0..* Reference(CareTeam) Other practitioners facilitating this episode of care
... account 0..* Reference(Account) The set of accounts that may be used for billing for this EpisodeOfCare

doco Documentation for this format

Terminology Bindings

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.

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 EpisodeOfCare.meta, EpisodeOfCare.implicitRules, EpisodeOfCare.language, EpisodeOfCare.text, EpisodeOfCare.extension, EpisodeOfCare.modifierExtension, EpisodeOfCare.identifier, EpisodeOfCare.status, EpisodeOfCare.statusHistory, EpisodeOfCare.statusHistory.extension, EpisodeOfCare.statusHistory.modifierExtension, EpisodeOfCare.statusHistory.status, EpisodeOfCare.statusHistory.period, EpisodeOfCare.type, EpisodeOfCare.diagnosis, EpisodeOfCare.diagnosis.extension, EpisodeOfCare.diagnosis.modifierExtension, EpisodeOfCare.diagnosis.condition, EpisodeOfCare.diagnosis.role, EpisodeOfCare.diagnosis.rank, EpisodeOfCare.patient, EpisodeOfCare.managingOrganization, EpisodeOfCare.period, EpisodeOfCare.referralRequest, EpisodeOfCare.careManager, EpisodeOfCare.team, EpisodeOfCare.account All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error EpisodeOfCare.extension, EpisodeOfCare.modifierExtension, EpisodeOfCare.statusHistory.extension, EpisodeOfCare.statusHistory.modifierExtension, EpisodeOfCare.diagnosis.extension, EpisodeOfCare.diagnosis.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EpisodeOfCare 0..* EpisodeOfCare(4.0.1) 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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... status ?!SΣ 1..1 code planned | waitlist | active | onhold | finished | cancelled | entered-in-error
Binding: EpisodeOfCareStatus (required): The status of the episode of care.
... patient SΣ 1..1 Reference(Atrius India Core Patient(0.1.0)) The patient who is the focus of this episode of care
... managingOrganization SΣ 0..1 Reference(Atrius India Core Organization(0.1.0)) Organization that assumes care
... period SΣ 0..1 Period Interval during responsibility is assumed

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
EpisodeOfCare.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 EpisodeOfCare.implicitRules, EpisodeOfCare.modifierExtension, EpisodeOfCare.status, EpisodeOfCare.type, EpisodeOfCare.patient, EpisodeOfCare.managingOrganization, EpisodeOfCare.period All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error EpisodeOfCare.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EpisodeOfCare 0..* EpisodeOfCare(4.0.1) 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
... status S 1..1 code planned | waitlist | active | onhold | finished | cancelled | entered-in-error
... type S 0..* CodeableConcept Type/class - e.g. specialist referral, disease management
... patient S 1..1 Reference(Atrius India Core Patient(0.1.0)) The patient who is the focus of this episode of care
... period S 0..1 Period Interval during responsibility is assumed

doco Documentation for this format

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EpisodeOfCare 0..* EpisodeOfCare(4.0.1) 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
... 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
... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier 0..* Identifier Business Identifier(s) relevant for this EpisodeOfCare
... status ?!SΣ 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
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... 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 0..* CodeableConcept Type/class - e.g. specialist referral, disease management
Binding: EpisodeOfCareType (example): The type of the episode of care.
... diagnosis Σ 0..* 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
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... condition Σ 1..1 Reference(Condition) 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 SΣ 1..1 Reference(Atrius India Core Patient(0.1.0)) The patient who is the focus of this episode of care
... managingOrganization SΣ 0..1 Reference(Atrius India Core Organization(0.1.0)) Organization that assumes care
... period SΣ 0..1 Period Interval during responsibility is assumed
... referralRequest 0..* Reference(ServiceRequest) Originating Referral Request(s)
... careManager 0..1 Reference(Practitioner | PractitionerRole) Care manager/care coordinator for the patient
... team 0..* Reference(CareTeam) Other practitioners facilitating this episode of care
... account 0..* Reference(Account) The set of accounts that may be used for billing for this EpisodeOfCare

doco Documentation for this format

Terminology Bindings

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.

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 EpisodeOfCare.meta, EpisodeOfCare.implicitRules, EpisodeOfCare.language, EpisodeOfCare.text, EpisodeOfCare.extension, EpisodeOfCare.modifierExtension, EpisodeOfCare.identifier, EpisodeOfCare.status, EpisodeOfCare.statusHistory, EpisodeOfCare.statusHistory.extension, EpisodeOfCare.statusHistory.modifierExtension, EpisodeOfCare.statusHistory.status, EpisodeOfCare.statusHistory.period, EpisodeOfCare.type, EpisodeOfCare.diagnosis, EpisodeOfCare.diagnosis.extension, EpisodeOfCare.diagnosis.modifierExtension, EpisodeOfCare.diagnosis.condition, EpisodeOfCare.diagnosis.role, EpisodeOfCare.diagnosis.rank, EpisodeOfCare.patient, EpisodeOfCare.managingOrganization, EpisodeOfCare.period, EpisodeOfCare.referralRequest, EpisodeOfCare.careManager, EpisodeOfCare.team, EpisodeOfCare.account All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error EpisodeOfCare.extension, EpisodeOfCare.modifierExtension, EpisodeOfCare.statusHistory.extension, EpisodeOfCare.statusHistory.modifierExtension, EpisodeOfCare.diagnosis.extension, EpisodeOfCare.diagnosis.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

 

Other representations of profile: CSV, Excel, Schematron