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{
"resourceType": "StructureDefinition",
"url": "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-profile-episodeofcare",
"version": "2.0.0",
"name": "EpisodeOfCare",
"title": "MHA EpisodeOfCare",
"status": "active",
"date": "2025-05-17T20:17:06.3613088+00:00",
"fhirVersion": "4.0.1",
"mapping": [
{
"identity": "MHA-PDS-Mapping",
"name": "MHA PDS Mapping"
}
],
"kind": "resource",
"abstract": false,
"type": "EpisodeOfCare",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare",
"derivation": "constraint",
"differential": {
"element": [
{
"id": "EpisodeOfCare",
"path": "EpisodeOfCare",
"constraint": [
{
"key": "mha-eoc-key-1",
"severity": "error",
"human": "Service Termination Date SHALL be present when Service Termination Reason is present",
"expression": "status.extension('https://ontariohealth.ca/fhir/StructureDefinition/ca-on-ext-ServiceTerminationReason').exists() = period.end.exists()"
},
{
"key": "mha-eoc-key-2",
"severity": "error",
"human": "Service Termination Date SHALL be present when status is 'finished'",
"expression": "status = 'finished' implies period.end.exists()"
},
{
"key": "mha-eoc-key-3",
"severity": "error",
"human": "If status is 'active' and both service enrollment date and service initiation date are present, service initiation date must be equal to or after the service enrollment date",
"expression": "status = 'active' implies (period.start.exists().not() or extension.where(url = 'http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ext-ServiceInitiationDate').exists().not() or period.start.toString().substring(0,10) <= extension.where(url = 'http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ext-ServiceInitiationDate').value.toString().substring(0,10))"
},
{
"key": "mha-eoc-key-4",
"severity": "error",
"human": "If status is 'active', at least one of service enrollment date or service initiation date SHALL be present",
"expression": "status = 'active' implies (period.start.exists() or extension.where(url = 'http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ext-ServiceInitiationDate').exists())"
},
{
"key": "mha-eoc-key-5",
"severity": "error",
"human": "If status is 'cancelled' or 'finished', service termination date and termination reason SHALL be present",
"expression": "status in ('cancelled'|'finished') implies period.end.exists() and status.extension('https://ontariohealth.ca/fhir/StructureDefinition/ca-on-ext-ServiceTerminationReason').exists()"
},
{
"key": "mha-eoc-key-6",
"severity": "error",
"human": "Service enrollment or service initiation date SHALL only exist when status is 'active' or 'finished'",
"expression": "status in ('active'|'finished') implies period.start.exists() or extension('http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ext-ServiceInitiationDate').exists()"
},
{
"key": "mha-eoc-key-7",
"severity": "error",
"human": "If status is 'planned', Service enrollment and service initiation date SHALL not be provided",
"expression": "status = 'planned' implies period.start.exists().not() and extension('http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ext-ServiceInitiationDate').exists().not()"
}
],
"mustSupport": true,
"mapping": [
{
"identity": "MHA-PDS-Mapping",
"map": "MHA-PDS-Mapping"
}
]
},
{
"id": "EpisodeOfCare.meta",
"path": "EpisodeOfCare.meta",
"min": 1,
"mustSupport": true
},
{
"id": "EpisodeOfCare.meta.profile",
"path": "EpisodeOfCare.meta.profile",
"min": 1,
"max": "1",
"fixedCanonical": "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-profile-episodeofcare",
"mustSupport": true
},
{
"id": "EpisodeOfCare.extension:FirstContactDate",
"path": "EpisodeOfCare.extension",
"sliceName": "FirstContactDate",
"definition": "The date the client first experienced contact with an HSP regarding a specific program",
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"https://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-ext-FirstContactDate"
]
}
],
"mustSupport": true
},
{
"id": "EpisodeOfCare.extension:EligibilityScreeningDate",
"path": "EpisodeOfCare.extension",
"sliceName": "EligibilityScreeningDate",
"definition": "The date at which an eligibility determination is done by HSP and client is accepted (eligible) or not accepted (ineligible) into program/service .",
"type": [
{
"code": "Extension",
"profile": [
"http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ext-eligibilityScreeningDate"
]
}
]
},
{
"id": "EpisodeOfCare.extension:EligibilityScreeningDate.value[x]",
"path": "EpisodeOfCare.extension.value[x]",
"mustSupport": true,
"mapping": [
{
"identity": "MHA-PDS-Mapping",
"map": "Eligibility Screening Date"
}
]
},
{
"id": "EpisodeOfCare.extension:ServiceInitiationDate",
"path": "EpisodeOfCare.extension",
"sliceName": "ServiceInitiationDate",
"type": [
{
"code": "Extension",
"profile": [
"http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ext-ServiceInitiationDate"
]
}
],
"mustSupport": true
},
{
"id": "EpisodeOfCare.extension:InitialAssessmentDate",
"path": "EpisodeOfCare.extension",
"sliceName": "InitialAssessmentDate",
"definition": "The date the client completed an initial assessment for a service",
"type": [
{
"code": "Extension",
"profile": [
"http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ext-InitialAssessmentDate"
]
}
],
"mustSupport": true
},
{
"id": "EpisodeOfCare.extension:InitialAssessmentDate.value[x]",
"path": "EpisodeOfCare.extension.value[x]",
"mapping": [
{
"identity": "MHA-PDS-Mapping",
"map": "Initial Assessment Date"
}
]
},
{
"id": "EpisodeOfCare.identifier",
"path": "EpisodeOfCare.identifier",
"min": 1,
"max": "1",
"mustSupport": true
},
{
"id": "EpisodeOfCare.identifier.system",
"path": "EpisodeOfCare.identifier.system",
"min": 1,
"mustSupport": true,
"binding": {
"strength": "required",
"description": "The identifier URIs for patient episode of care",
"valueSet": "http://ontariohealth.ca/fhir/ValueSet/mha/EpisodeOfCare-identifier-system"
}
},
{
"id": "EpisodeOfCare.identifier.value",
"path": "EpisodeOfCare.identifier.value",
"min": 1,
"mustSupport": true,
"mapping": [
{
"identity": "MHA-PDS-Mapping",
"map": "Episode of Care Identifier"
}
]
},
{
"id": "EpisodeOfCare.status",
"path": "EpisodeOfCare.status",
"constraint": [
{
"key": "status-key-1",
"severity": "error",
"human": "Service Termination Reason must be provided only when EOC status is \"finished\" or \"cancelled\"",
"expression": "value in ('finished' | 'cancelled') implies $this.extension('https://ontariohealth.ca/fhir/StructureDefinition/ca-on-ext-ServiceTerminationReason').exists()"
},
{
"key": "status-key-2",
"severity": "error",
"human": "When service is terminated and termination reason is present, outbound referral source SHALL be empty when continuity indicates no further service planned",
"expression": "(value = 'finished' and $this.extension.extension('continuity').value.code ='3') implies $this.extension.extension('outbound-referral-source').empty()"
}
],
"mustSupport": true,
"mapping": [
{
"identity": "MHA-PDS-Mapping",
"map": "Health Service Status"
}
]
},
{
"id": "EpisodeOfCare.status.extension:serviceTerminationReason",
"path": "EpisodeOfCare.status.extension",
"sliceName": "serviceTerminationReason",
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"https://ontariohealth.ca/fhir/StructureDefinition/ca-on-ext-ServiceTerminationReason"
]
}
],
"mustSupport": true,
"isModifier": false
},
{
"id": "EpisodeOfCare.patient",
"path": "EpisodeOfCare.patient",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-profile-patient"
]
}
],
"mustSupport": true
},
{
"id": "EpisodeOfCare.patient.reference",
"path": "EpisodeOfCare.patient.reference",
"min": 1,
"mustSupport": true
},
{
"id": "EpisodeOfCare.managingOrganization",
"path": "EpisodeOfCare.managingOrganization",
"min": 1,
"type": [
{
"code": "Reference",
"targetProfile": [
"http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-profile-organization"
]
}
],
"mustSupport": true
},
{
"id": "EpisodeOfCare.managingOrganization.reference",
"path": "EpisodeOfCare.managingOrganization.reference",
"min": 1,
"mustSupport": true
},
{
"id": "EpisodeOfCare.period",
"path": "EpisodeOfCare.period",
"mustSupport": true
},
{
"id": "EpisodeOfCare.period.start",
"path": "EpisodeOfCare.period.start",
"definition": "The start of the period. The boundary is inclusive.\r\n\r\nThe date the HSP deems the client eligible for treatment and enrolled in the service.",
"mustSupport": true,
"mapping": [
{
"identity": "MHA-PDS-Mapping",
"map": "Service Enrollment Date"
}
]
},
{
"id": "EpisodeOfCare.period.end",
"path": "EpisodeOfCare.period.end",
"comment": "The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.\r\n\r\nThe date when the client's need for service has ended or as per the HSP service termination criteria",
"mustSupport": true,
"mapping": [
{
"identity": "MHA-PDS-Mapping",
"map": "Service Termination Date"
}
]
},
{
"id": "EpisodeOfCare.referralRequest",
"path": "EpisodeOfCare.referralRequest",
"max": "1",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-profile-servicerequest"
]
}
],
"mustSupport": true
},
{
"id": "EpisodeOfCare.referralRequest.reference",
"path": "EpisodeOfCare.referralRequest.reference",
"min": 1,
"mustSupport": true
},
{
"id": "EpisodeOfCare.account",
"path": "EpisodeOfCare.account",
"max": "1"
}
]
}
}
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