Kenya Core FHIR Implementation Guide (IG)
0.1.0 - ci-build

Kenya Core FHIR Implementation Guide (IG), published by IntelliSOFT Consulting. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IntelliSOFT-Consulting/Kenya-core-FHIR-IG/ and changes regularly. See the Directory of published versions

Resource Profile: Kenya Core EpisodeOfCare Profile

Official URL: http://example.org/StructureDefinition/kenya-core-episodeofcare Version: 0.1.0
Draft as of 2026-01-27 Computable Name: KenyaCoreEpisodeOfCare

An association between a patient and an organization / healthcare provider during which time encounters may occur and healthcare services are provided.

Usages:

  • This Profile is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EpisodeOfCare 0..* EpisodeOfCare 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 SΣ 1..1 id Logical id of this artifact
... meta SΣ 1..1 Meta Metadata about the resource
.... profile Σ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to

Fixed Value: https://fhir.sha.go.ke/fhir/StructureDefinition/kenya-core-episodeofcare|1.0.0
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... status ?!SΣ 1..1 code planned | waitlist | active | onhold | finished | cancelled | entered-in-error
Binding: Episode of Care Status Value Set (required)
... type SΣ 0..* CodeableConcept Type/class - e.g. specialist referral, disease management
Binding: Episode of Care Type Value Set (required)
... diagnosis SΣ 0..* BackboneElement The list of diagnosis relevant to this episode of care
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... condition SΣ 1..1 Reference(KenyaCore Condition Profile) Conditions/problems/diagnoses this episode of care is for
... patient SΣ 1..1 Reference(KenyaCore Patient Profile) The patient who is the focus of this episode of care
... managingOrganization SΣ 0..1 Reference(KenyaCore Organization Profile) Organization that assumes care
... period SΣ 0..1 Period Interval during responsibility is assumed
... careManager S 0..1 Reference(KenyaCore Practitioner Profile) Care manager/care coordinator for the patient

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
EpisodeOfCare.status Base required Episode of Care Status Value Set 📦0.1.0 This IG
EpisodeOfCare.type Base required Episode of Care Type Value Set 📦0.1.0 This IG

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 **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from EpisodeOfCare

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EpisodeOfCare 0..* EpisodeOfCare 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 S 1..1 id Logical id of this artifact
... meta S 1..1 Meta Metadata about the resource
.... profile 1..* canonical(StructureDefinition) Profiles this resource claims to conform to
Fixed Value: https://fhir.sha.go.ke/fhir/StructureDefinition/kenya-core-episodeofcare|1.0.0
... status S 1..1 code planned | waitlist | active | onhold | finished | cancelled | entered-in-error
Binding: Episode of Care Status Value Set (required)
... diagnosis S 0..* BackboneElement The list of diagnosis relevant to this episode of care
.... condition S 1..1 Reference(KenyaCore Condition Profile) Conditions/problems/diagnoses this episode of care is for
... patient S 1..1 Reference(KenyaCore Patient Profile) The patient who is the focus of this episode of care
... managingOrganization S 0..1 Reference(KenyaCore Organization Profile) Organization that assumes care
... period S 0..1 Period Interval during responsibility is assumed
... careManager S 0..1 Reference(KenyaCore Practitioner Profile) Care manager/care coordinator for the patient

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
EpisodeOfCare.status Base required Episode of Care Status Value Set 📦0.1.0 This IG
EpisodeOfCare.type Base required Episode of Care Type Value Set 📦0.1.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EpisodeOfCare 0..* EpisodeOfCare 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 SΣ 1..1 id Logical id of this artifact
... meta SΣ 1..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to

Fixed Value: https://fhir.sha.go.ke/fhir/StructureDefinition/kenya-core-episodeofcare|1.0.0
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... 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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... 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: Episode of Care Status Value Set (required)
... 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
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... 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: Episode of Care Type Value Set (required)
... diagnosis SΣ 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
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... condition SΣ 1..1 Reference(KenyaCore Condition Profile) 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(KenyaCore Patient Profile) The patient who is the focus of this episode of care
... managingOrganization SΣ 0..1 Reference(KenyaCore Organization Profile) Organization that assumes care
... period SΣ 0..1 Period Interval during responsibility is assumed
... referralRequest 0..* Reference(ServiceRequest) Originating Referral Request(s)
... careManager S 0..1 Reference(KenyaCore Practitioner Profile) 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.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
EpisodeOfCare.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
EpisodeOfCare.language Base preferred Common Languages 📍4.0.1 FHIR Std.
EpisodeOfCare.status Base required Episode of Care Status Value Set 📦0.1.0 This IG
EpisodeOfCare.statusHistory.​status Base required EpisodeOfCareStatus 📍4.0.1 FHIR Std.
EpisodeOfCare.type Base required Episode of Care Type Value Set 📦0.1.0 This IG
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 **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EpisodeOfCare 0..* EpisodeOfCare 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 SΣ 1..1 id Logical id of this artifact
... meta SΣ 1..1 Meta Metadata about the resource
.... profile Σ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to

Fixed Value: https://fhir.sha.go.ke/fhir/StructureDefinition/kenya-core-episodeofcare|1.0.0
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... status ?!SΣ 1..1 code planned | waitlist | active | onhold | finished | cancelled | entered-in-error
Binding: Episode of Care Status Value Set (required)
... type SΣ 0..* CodeableConcept Type/class - e.g. specialist referral, disease management
Binding: Episode of Care Type Value Set (required)
... diagnosis SΣ 0..* BackboneElement The list of diagnosis relevant to this episode of care
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... condition SΣ 1..1 Reference(KenyaCore Condition Profile) Conditions/problems/diagnoses this episode of care is for
... patient SΣ 1..1 Reference(KenyaCore Patient Profile) The patient who is the focus of this episode of care
... managingOrganization SΣ 0..1 Reference(KenyaCore Organization Profile) Organization that assumes care
... period SΣ 0..1 Period Interval during responsibility is assumed
... careManager S 0..1 Reference(KenyaCore Practitioner Profile) Care manager/care coordinator for the patient

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
EpisodeOfCare.status Base required Episode of Care Status Value Set 📦0.1.0 This IG
EpisodeOfCare.type Base required Episode of Care Type Value Set 📦0.1.0 This IG

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 **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

This structure is derived from EpisodeOfCare

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EpisodeOfCare 0..* EpisodeOfCare 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 S 1..1 id Logical id of this artifact
... meta S 1..1 Meta Metadata about the resource
.... profile 1..* canonical(StructureDefinition) Profiles this resource claims to conform to
Fixed Value: https://fhir.sha.go.ke/fhir/StructureDefinition/kenya-core-episodeofcare|1.0.0
... status S 1..1 code planned | waitlist | active | onhold | finished | cancelled | entered-in-error
Binding: Episode of Care Status Value Set (required)
... diagnosis S 0..* BackboneElement The list of diagnosis relevant to this episode of care
.... condition S 1..1 Reference(KenyaCore Condition Profile) Conditions/problems/diagnoses this episode of care is for
... patient S 1..1 Reference(KenyaCore Patient Profile) The patient who is the focus of this episode of care
... managingOrganization S 0..1 Reference(KenyaCore Organization Profile) Organization that assumes care
... period S 0..1 Period Interval during responsibility is assumed
... careManager S 0..1 Reference(KenyaCore Practitioner Profile) Care manager/care coordinator for the patient

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
EpisodeOfCare.status Base required Episode of Care Status Value Set 📦0.1.0 This IG
EpisodeOfCare.type Base required Episode of Care Type Value Set 📦0.1.0 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EpisodeOfCare 0..* EpisodeOfCare 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 SΣ 1..1 id Logical id of this artifact
... meta SΣ 1..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to

Fixed Value: https://fhir.sha.go.ke/fhir/StructureDefinition/kenya-core-episodeofcare|1.0.0
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... 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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... 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: Episode of Care Status Value Set (required)
... 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
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... 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: Episode of Care Type Value Set (required)
... diagnosis SΣ 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
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... condition SΣ 1..1 Reference(KenyaCore Condition Profile) 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(KenyaCore Patient Profile) The patient who is the focus of this episode of care
... managingOrganization SΣ 0..1 Reference(KenyaCore Organization Profile) Organization that assumes care
... period SΣ 0..1 Period Interval during responsibility is assumed
... referralRequest 0..* Reference(ServiceRequest) Originating Referral Request(s)
... careManager S 0..1 Reference(KenyaCore Practitioner Profile) 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.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
EpisodeOfCare.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
EpisodeOfCare.language Base preferred Common Languages 📍4.0.1 FHIR Std.
EpisodeOfCare.status Base required Episode of Care Status Value Set 📦0.1.0 This IG
EpisodeOfCare.statusHistory.​status Base required EpisodeOfCareStatus 📍4.0.1 FHIR Std.
EpisodeOfCare.type Base required Episode of Care Type Value Set 📦0.1.0 This IG
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 **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

 

Other representations of profile: CSV, Excel, Schematron