Episode of Care Definitions

When using Episode of Care definitions, it is important to understand the difference in file types and which one best suits your needs. Although the definitions need logic applied to make them applicable for implementation, these free files provide a pivotal foundation for new payment models or performance analysis.

Before downloading the files, we recommend you familiarize yourself with An Introduction to ECRs (the title refers to a previous name for the definitions—ECRs—and will soon be updated; the substantive content remains valid) to better understand the principles and guidelines, as well as boundaries and sub-types rationale, that were followed in order to create these definitions.

Summary Descriptions
The Episode of Care Definition Summary Descriptions, are available for all users interested in understanding the scope and boundaries of a specific episode. These summary descriptions are not the full machine-readable files and therefore, additional information and logic needs to be considered and applied through an analytical system in order to fit the user's needs for which the metadata files are more useful.

Summary Description
When using these definition summaries, it is important to understand the distinction between the clinical logic of an episode system and the service assignment and other rules associated to the construction of episodes. These rules have been defined by as part of the PROMETHEUS Analytics system, which is available from certified third parties.

Metadata Files
We are currently reviewing our ‘API access and XML Download of Episode Definitions’ policies. The access to download this information will be unavailable until further notice. We apologize for any inconvenience this may cause. If you have additional questions or need further assistance, contact us using the ‘CONTACT’ link on top of the page. Thank you.