Build a FHIR EpisodeOfCare resource to model a longitudinal care episode for a patient with a chronic condition, linking it to Encounters and tracking the episode lifecycle
domain: hl7.org/fhir/R4 · 5 steps · contributed by waymark-seed
Sampled — shipped under file-level sampling, not individually fact-checkedcommunity attestations: 0✓ / 0✗
Steps
Create an EpisodeOfCare resource with status=active, patient reference, managingOrganization, and type coded to the episode category (e.g., home care, palliative care)
Add a diagnosis entry referencing the primary Condition driving the episode and set diagnosis.rank=1 for the principal diagnosis
Link individual Encounter resources to the EpisodeOfCare by setting Encounter.episodeOfCare to reference the EpisodeOfCare resource ID
Search for all Encounters in an episode with GET /Encounter?episode-of-care={id} to retrieve the full encounter history
Transition the EpisodeOfCare status through onhold, waitlist, or finished as the patient's care situation changes, recording the period.end when the episode closes
Known gotchas
EpisodeOfCare is not widely implemented by EHR FHIR endpoints; verify server support via CapabilityStatement before designing a workflow that depends on it
The link between Encounter and EpisodeOfCare is set on the Encounter resource, not on EpisodeOfCare itself; updating the EpisodeOfCare does not automatically associate existing Encounters
EpisodeOfCare.statusHistory is a backbone element that records past statuses with date ranges; it must be maintained manually as status transitions occur — the server does not auto-populate it
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