Patient and Practitioner andor Organisation Relationships.txt

This is indicative of how acute would represent their relationship with a Patient. It does relate 1:1 with HL7v2 messaging (PV1 segment)
This is a maternity episode when the child was born and represents an episode over 5 days. 
Have not included Diagnosis/Condition but this would be applicable here. 
This would be used for Inpatient and Outpatients (and Emergency if part of the PAS/EPR system), 
other parts of the HL7v2 PV1 segment would be covered by FHIR Encounter such as admission, discharge, etc

<EpisodeOfCare xmlns="http://hl7.org/fhir">
   <status value="finished"/>
   <type>
      <coding>
         <system value="http://snomed.info/sct"/>
         <code value="310063007"/>
         <display value="Obstetrics service i.e. MAIN_SPECIALTY=500"/>
      </coding>
   </type>
   <patient>
      <reference value="Patient/1"/>
      <display value="Miss Kanfeld"/>
   </patient>
   <managingOrganization>
      <reference value="Organization/3"/>
      <display value="Derby Teaching Hospitals"/>
   </managingOrganization>
   <period>
      <start value="2008-03-19T00:00:00+00:00"/>
      <end value="2008-03-24T00:00:00+00:00"/>
   </period>
</EpisodeOfCare>

Following on from that episode, child health would begin an child health episode with the child. 
This would be left open until the child reaches 16?

<EpisodeOfCare xmlns="http://hl7.org/fhir">
   <status value="active"/>
   <type>
      <coding>
         <system value="http://snomed.info/sct"/>
         <code value="724441000000105"/>
         <display value="Child Health i.e. MAIN_SPECIALTY=420"/>
      </coding>
   </type>
   <patient>
      <reference value="Patient/1"/>
      <display value="Miss Kanfeld"/>
   </patient>
   <managingOrganization>
      <reference value="Organization/2"/>
      <display value="Derbyshire Community Health"/>
   </managingOrganization>
   <period>
      <start value="2008-03-22T00:00:00+00:00"/>
   </period>
</EpisodeOfCare>

Lastly the GP specialty representation. This includes an extension for Branch site. 
This is also open ended and represents ongoing relationship with the Practice

<EpisodeOfCare xmlns="http://hl7.org/fhir">
   <extension url="https://fhir.hl7.org.uk/CareConnect-GPC-Location-1">
      <valueReference>
         <reference value="Location/1"/>
         <display value="Wilsthorpe Branch Site"/>
      </valueReference>
   </extension>
   <status value="active"/>
   <type>
      <coding>
         <system value="http://snomed.info/sct"/>
         <code value="394814009"/>
         <display value="General practice (specialty) i.e. MAIN_SPECIALTY=100"/>
      </coding>
   </type>
   <patient>
      <reference value="Patient/1"/>
      <display value="Miss Kanfeld"/>
   </patient>
   <managingOrganization>
      <reference value="Organization/1"/>
      <display value="Moir Surgery"/>
   </managingOrganization>
   <period>
      <start value="2008-03-19T00:00:00+00:00"/>
   </period>
   <careManager>
      <reference value="Practitioner/1"/>
      <display value="Dr Bhatia"/>
   </careManager>
</EpisodeOfCare>

Kevin, you've used the same patient in all 3 examples . Example 1 is supposed to be about the mother, Example 2 about the child and Example also about the child (?) - so using different patient references might help the understanding of the overall example.

View first example as child has been born - specialty may be wrong but they would exist on the Acute PAS.

If easier I could replace with a cardiology or emergency specialty.