RIVO-Noord Zorgviewer Implementation Guide
1.21.0 - CI build

RIVO-Noord Zorgviewer Implementation Guide, published by RIVO-NN HL7NL. This guide is not an authorized publication; it is the continuous build for version 1.21.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/RIVO-Noord/zorgviewer-ig/ and changes regularly. See the Directory of published versions

## Resource Profile: EpisodeOfCare - Detailed Descriptions

Draft as of 2025-10-28

Definitions for the EpisodeOfCare resource profile.

- Key Elements Table
- Differential Elements Table
- Snapshot Elements Table

Guidance on how to interpret the contents of this table can be foundhere

0. EpisodeOfCare
Definition | An association between a patient and an organization / healthcare provider(s) during which time encounters may occur. The managing organization assumes a level of responsibility for the patient during this time. This is the base resource type for everything.
Short | An association of a Patient with an Organization and Healthcare Provider(s) for a period of time that the Organization assumes some level of responsibilityBase Resource
Control | 0..*
Alternate Names | Case Program Problem
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (`contained.contained.empty()`) dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative (`contained.text.empty()`) dom-4: 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-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource (`contained.where(('#'+id in %resource.descendants().reference).not()).empty()`)
2. EpisodeOfCare.implicitRules
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.
Short | A set of rules under which this content was created
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.
Control | 0..1
Type | uri
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
4. EpisodeOfCare.extension:dateFirstEncounter
Slice Name | dateFirstEncounter
Definition | Optional Extension Element - found in all resources.
Short | Optional Extensions Element
Comments | For episodes of care it can be relevant when the first encounter was that a problem/concern was discussed. In primary care / general practitioner use cases this date SHOULD be present.
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(EpisodeOfCare-DateFirstEncounter) (Extension Type: dateTime)
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() | (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
6. EpisodeOfCare.extension:dateLastEncounter
Slice Name | dateLastEncounter
Definition | Optional Extension Element - found in all resources.
Short | Optional Extensions Element
Comments | For episodes of care it can be relevant when the last encounter was that a problem/concern was discussed. In primary care / general practitioner use cases this date SHOULD be present.
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(EpisodeOfCare-DateLastEncounter) (Extension Type: dateTime)
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() | (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
8. EpisodeOfCare.extension:title
Slice Name | title
Definition | Optional Extension Element - found in all resources.
Short | Optional Extensions Element
Comments | For episodes of care it can be relevant to carry the title that the episode of care is known as for the physisian. This is standard for general practitioner workflow. Usually it is the common name for the latest associated Condition
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(EpisodeOfCare-Title) (Extension Type: string)
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() | (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
10. EpisodeOfCare.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Short | Extensions that cannot be ignored
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR
Alternate Names | extensions, user content
12. EpisodeOfCare.status
Definition | planned | waitlist | active | onhold | finished | cancelled.
Short | planned | waitlist | active | onhold | finished | cancelled | entered-in-error
Comments | This element is labeled as a modifier because the status contains codes that mark the episode as not currently valid.
Control | 1..1
Binding | The codes SHALL be taken from EpisodeOfCareStatus http://hl7.org/fhir/ValueSet/episode-of-care-status|3.0.2 (required to `http://hl7.org/fhir/ValueSet/episode-of-care-status` ) The status of the episode of care.
Type | code
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
14. EpisodeOfCare.diagnosis
Definition | The list of diagnosis relevant to this episode of care.
Short | The list of diagnosis relevant to this episode of care
Control | 0..*
Type | BackboneElement
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() | (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
16. EpisodeOfCare.diagnosis.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Short | Extensions that cannot be ignored
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR
Summary | true
Alternate Names | extensions, user content, modifiers
18. EpisodeOfCare.diagnosis.condition
Definition | A list of conditions/problems/diagnoses that this episode of care is intended to be providing care for.
Short | Conditions/problems/diagnoses this episode of care is for
Control | 1..1
Type | Reference(Condition, Condition)
Must Support | true
Summary | true
20. EpisodeOfCare.patient
Definition | The patient who is the focus of this episode of care.
Short | The patient who is the focus of this episode of care
Control | 1..1
Type | Reference(nl-core-patient, Patient)
Summary | true

Guidance on how to interpret the contents of this table can be foundhere

0. EpisodeOfCare
2. EpisodeOfCare.status
Must Support | true
4. EpisodeOfCare.diagnosis
6. EpisodeOfCare.diagnosis.condition
Type | Reference(Condition)
Must Support | true

Guidance on how to interpret the contents of this table can be foundhere

0. EpisodeOfCare
Definition | An association between a patient and an organization / healthcare provider(s) during which time encounters may occur. The managing organization assumes a level of responsibility for the patient during this time.
Short | 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
Control | 0..*
Alternate Names | Case Program Problem
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (`contained.contained.empty()`) dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative (`contained.text.empty()`) dom-4: 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-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource (`contained.where(('#'+id in %resource.descendants().reference).not()).empty()`)
2. EpisodeOfCare.id
Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Short | Logical id of this artifact
Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
Control | 0..1
Type | id
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
4. EpisodeOfCare.meta
Definition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.
Short | Metadata about the resource
Control | 0..1
Type | Meta
Summary | true
6. EpisodeOfCare.implicitRules
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.
Short | A set of rules under which this content was created
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.
Control | 0..1
Type | uri
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
8. EpisodeOfCare.language
Definition | The base language in which the resource is written.
Short | Language of the resource content
Comments | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
Control | 0..1
Binding | Unless not suitable, these codes SHALL be taken from Common Languages (extensible to `http://hl7.org/fhir/ValueSet/languages` ) A human language.
Additional Bindings | Purpose
All Languages | Max Binding
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
10. EpisodeOfCare.text
Definition | A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
Short | Text summary of the resource, for human interpretation
Comments | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later.
Control | 0..1 This element is affected by the following invariants: dom-1
Type | Narrative
Alternate Names | narrative, html, xhtml, display
12. EpisodeOfCare.contained
Definition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
Short | Contained, inline Resources
Comments | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.
Control | 0..*
Type | Resource
Alternate Names | inline resources, anonymous resources, contained resources
14. EpisodeOfCare.extension
Definition | Changed: May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Changed:Additional Content defined by implementations
Comments | Added: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Alternate Names | extensions, user content
Slicing | This element introduces a set of slices on `EpisodeOfCare.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
16. EpisodeOfCare.extension:dateFirstEncounter
Slice Name | dateFirstEncounter
Definition | Optional Extension Element - found in all resources.
Short | Optional Extensions Element
Comments | For episodes of care it can be relevant when the first encounter was that a problem/concern was discussed. In primary care / general practitioner use cases this date SHOULD be present.
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(EpisodeOfCare-DateFirstEncounter) (Extension Type: dateTime)
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() | (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
18. EpisodeOfCare.extension:dateLastEncounter
Slice Name | dateLastEncounter
Definition | Optional Extension Element - found in all resources.
Short | Optional Extensions Element
Comments | For episodes of care it can be relevant when the last encounter was that a problem/concern was discussed. In primary care / general practitioner use cases this date SHOULD be present.
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(EpisodeOfCare-DateLastEncounter) (Extension Type: dateTime)
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() | (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
20. EpisodeOfCare.extension:title
Slice Name | title
Definition | Optional Extension Element - found in all resources.
Short | Optional Extensions Element
Comments | For episodes of care it can be relevant to carry the title that the episode of care is known as for the physisian. This is standard for general practitioner workflow. Usually it is the common name for the latest associated Condition
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(EpisodeOfCare-Title) (Extension Type: string)
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() | (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
22. EpisodeOfCare.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Short | Extensions that cannot be ignored
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR
Alternate Names | extensions, user content
24. EpisodeOfCare.identifier
Definition | The EpisodeOfCare may be known by different identifiers for different contexts of use, such as when an external agency is tracking the Episode for funding purposes.
Short | Business Identifier(s) relevant for this EpisodeOfCare
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..*
Type | Identifier
26. EpisodeOfCare.status
Definition | planned | waitlist | active | onhold | finished | cancelled.
Short | planned | waitlist | active | onhold | finished | cancelled | entered-in-error
Comments | This element is labeled as a modifier because the status contains codes that mark the episode as not currently valid.
Control | 1..1
Binding | The codes SHALL be taken from EpisodeOfCareStatus (required to `http://hl7.org/fhir/ValueSet/episode-of-care-status` ) The status of the episode of care.
Type | code
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
28. EpisodeOfCare.statusHistory
Definition | The history of statuses that the EpisodeOfCare has been through (without requiring processing the history of the resource).
Short | Past list of status codes (the current status may be included to cover the start date of the status)
Control | 0..*
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() | (children().count() > id.count())`)
30. EpisodeOfCare.statusHistory.id
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | xml:id (or equivalent in JSON)
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
32. EpisodeOfCare.statusHistory.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional Content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Alternate Names | extensions, user content
34. EpisodeOfCare.statusHistory.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Short | Extensions that cannot be ignored
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR
Summary | true
Alternate Names | extensions, user content, modifiers
36. EpisodeOfCare.statusHistory.status
Definition | planned | waitlist | active | onhold | finished | cancelled.
Short | planned | waitlist | active | onhold | finished | cancelled | entered-in-error
Control | 1..1
Binding | The codes SHALL be taken from EpisodeOfCareStatus (required to `http://hl7.org/fhir/ValueSet/episode-of-care-status` ) The status of the episode of care.
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
38. EpisodeOfCare.statusHistory.period
Definition | The period during this EpisodeOfCare that the specific status applied.
Short | Duration the EpisodeOfCare was in the specified status
Control | 1..1
Type | Period
40. EpisodeOfCare.type
Definition | A classification of the type of episode of care; e.g. specialist referral, disease management, type of funded care.
Short | Type/class - e.g. specialist referral, disease management
Comments | The type can be very important in processing as this could be used in determining if the EpisodeOfCare is relevant to specific government reporting, or other types of classifications.
Control | 0..*
Binding | For example codes, see EpisodeOfCareType (example to `http://hl7.org/fhir/ValueSet/episodeofcare-type` ) The type of the episode of care
Type | CodeableConcept
Summary | true
42. EpisodeOfCare.type.id
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | xml:id (or equivalent in JSON)
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
44. EpisodeOfCare.type.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional Content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Alternate Names | extensions, user content
Slicing | This element introduces a set of slices on `EpisodeOfCare.type.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
46. EpisodeOfCare.type.coding
Definition | A reference to a code defined by a terminology system.
Short | Code defined by a terminology system
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..*
Type | Coding
Summary | true
Requirements | Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.
48. EpisodeOfCare.type.text
Definition | If needed, a short, written description of the concern. Mainly in first-line care this will be used for the episode name.
Short | ConcernLabel
Comments | Very often the text is the same as a displayName of one of the codings.
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Alternate Names | ConcernLabel
50. EpisodeOfCare.diagnosis
Definition | The list of diagnosis relevant to this episode of care.
Short | The list of diagnosis relevant to this episode of care
Control | 0..*
Type | BackboneElement
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() | (children().count() > id.count())`)
52. EpisodeOfCare.diagnosis.id
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | xml:id (or equivalent in JSON)
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
54. EpisodeOfCare.diagnosis.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional Content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Alternate Names | extensions, user content
56. EpisodeOfCare.diagnosis.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Short | Extensions that cannot be ignored
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR
Summary | true
Alternate Names | extensions, user content, modifiers
58. EpisodeOfCare.diagnosis.condition
Definition | A list of conditions/problems/diagnoses that this episode of care is intended to be providing care for.
Short | Conditions/problems/diagnoses this episode of care is for
Control | 1..1
Type | Reference(Condition)
Must Support | true
Summary | true
60. EpisodeOfCare.diagnosis.role
Definition | Role that this diagnosis has within the episode of care (e.g. admission, billing, discharge …).
Short | Role that this diagnosis has within the episode of care (e.g. admission, billing, discharge …)
Control | 0..1
Binding | The codes SHOULD be taken from DiagnosisRole (preferred to `http://hl7.org/fhir/ValueSet/diagnosis-role` ) The type of diagnosis this condition represents
Type | CodeableConcept
Summary | true
62. EpisodeOfCare.diagnosis.rank
Definition | Ranking of the diagnosis (for each role type).
Short | Ranking of the diagnosis (for each role type)
Control | 0..1
Type | positiveInt
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
64. EpisodeOfCare.patient
Definition | The patient who is the focus of this episode of care.
Short | The patient who is the focus of this episode of care
Control | 1..1
Type | Reference(nl-core-patient)
Summary | true
66. EpisodeOfCare.managingOrganization
Definition | The organization that has assumed the specific responsibilities for the specified duration.
Short | Organization that assumes care
Control | 0..1
Type | Reference(nl-core-organization)
Summary | true
68. EpisodeOfCare.period
Definition | The interval during which the managing organization assumes the defined responsibility.
Short | Interval during responsibility is assumed
Control | 0..1
Type | Period
Summary | true
70. EpisodeOfCare.referralRequest
Definition | Referral Request(s) that are fulfilled by this EpisodeOfCare, incoming referrals.
Short | Originating Referral Request(s)
Control | 0..*
Type | Reference(ReferralRequest)
72. EpisodeOfCare.careManager
Definition | The practitioner that is the care manager/care co-ordinator for this patient.
Short | Care manager/care co-ordinator for the patient
Control | 0..1
Type | Reference(nl-core-practitioner)
74. EpisodeOfCare.careManager.id
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | xml:id (or equivalent in JSON)
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
XML Format | In the XML format, this property is represented as an attribute.
76. EpisodeOfCare.careManager.extension
Definition | Changed: May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Changed:Additional Content defined by implementations
Comments | Added: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Alternate Names | extensions, user content
Slicing | This element introduces a set of slices on `EpisodeOfCare.careManager.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
78. EpisodeOfCare.careManager.extension:practitionerRole
Slice Name | practitionerRole
Definition | Optional Extension Element - found in all resources.
Short | Optional Extensions Element
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..1 This element is affected by the following invariants: ele-1
Type | Extension(PractitionerRole Reference) (Extension Type: Reference)
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() | (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
80. EpisodeOfCare.careManager.reference
Definition | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
Short | Literal reference, Relative, internal or absolute URL
Comments | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
Control | 0..1 This element is affected by the following invariants: ref-1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
82. EpisodeOfCare.careManager.identifier
Definition | An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
Short | Logical reference, when literal reference is not known
Comments | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..1
Type | Identifier
Summary | true
84. EpisodeOfCare.careManager.display
Definition | Plain text narrative that identifies the resource in addition to the resource reference.
Short | Text alternative for the resource
Comments | This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
86. EpisodeOfCare.team
Definition | The list of practitioners that may be facilitating this episode of care for specific purposes.
Short | Other practitioners facilitating this episode of care
Control | 0..*
Type | Reference(CareTeam)
Alternate Names | CareTeam
88. EpisodeOfCare.account
Definition | The set of accounts that may be used for billing for this EpisodeOfCare.
Short | The set of accounts that may be used for billing for this EpisodeOfCare
Comments | The billing system may choose to allocate billable items associated with the EpisodeOfCare to different referenced Accounts based on internal business rules.
Control | 0..*
Type | Reference(Account)