Dit profiel is het resultaat van de vergelijking tussen de zib2017 STU3 en zibs2020 R4 FHIR Profiel, relevante informatiestandarden en de implementaties in de ontsloten systemen en instellingen. Voornamelijk bedoeld voor houvast van een client en voor validatie van output.

Zorginformatiebouwsteen

N.B. ZorgEpisode komt uit de Huisartsgegevensset en is een zib2020 en FHIR R4. Voor het deel dat wij gebruiken is deze volledig compatibel met zib2017 en STU3.

ZIB ZorgEpisode

View Definition

ViewDefinition voor EpisodeOfCare

UI Wireframe

Zorgepisodes

Gegevensherkomst

Request

1. Opvragen (search) zorgepisodes inclusief problemen

   GET <ontsluiten-bronsysteem-base>/EpisodeOfCare?patient=<fhir_patient_id>&_include=Condition:diagnosis

Bronsysteem herkennen

De Zorgviewer-backend of Ontsluiten bronsysteem MOET na bevragen van het bronsysteem aan elk resultaat resource een meta-tag toevoegen met de AGB, OID of URA identifier van de zorgaanbieder (zie Organization voor voorbeelden). Dit wordt vervolgens gebruikt in de "Bron" kolom in de Zorgviewer-frontend. N.B. We gebruiken hier een pre-adopt van de FHIR R4 Meta.source.

Toevoegen aan elke response, dus per resource (bij een read) of per Bundle (bij een search):

"meta": {
    "extension": [ {
        "url": "http://hl7.org/fhir/4.0/StructureDefinition/extension-Meta.source",
        "valueUri": "urn:oid:2.16.840.1.113883.2.4.3.8"
    } ]
}

Alternatief: Elke entry van een search response Bundle bevat een referentie naar de bijbehorende Patient (<resource>.subject|patient). Elke patient heeft een Patient.managingOrganization en in de gerefereerde Organization.identifier staat vervolgens o.a. de OID van het bronsysyeem. Of je gebruikt de identifiers om een volledige Organization op te zoeken in het adresboek en zie inhoud hier.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
EpisodeOfCare		0..*	nl-core-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
EpisodeOfCare.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
EpisodeOfCare.Slices for extension	S This element must be supported.	0..*	?gen-e1? [CanonicalType[http://nictiz.nl/fhir/StructureDefinition/ext-EpisodeOfCare.EpisodeOfCareName]]	Extension URL: http://nictiz.nl/fhir/StructureDefinition/ext-EpisodeOfCare.EpisodeOfCareName Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
EpisodeOfCare.Slices for extension.extension:dateFirstEncounter		0..1	dateTime	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/EpisodeOfCare-DateFirstEncounter Constraints: ext-1
EpisodeOfCare.Slices for extension.extension:dateLastEncounter		0..1	dateTime	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/EpisodeOfCare-DateLastEncounter Constraints: ext-1
EpisodeOfCare.Slices for extension.extension:title		0..1	string	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/EpisodeOfCare-Title Constraints: ext-1
EpisodeOfCare.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
EpisodeOfCare.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	planned | waitlist | active | onhold | finished | cancelled | entered-in-error Binding: EpisodeOfCareStatus (required): The status of the episode of care.
EpisodeOfCare.type	S This element must be supported. Σ This element is included in summaries.	0..*	CodeableConcept	Type/class - e.g. specialist referral, disease management Binding: EpisodeOfCareType (example): The type of the episode of care
EpisodeOfCare.diagnosis	Σ This element is included in summaries.	0..*	BackboneElement	The list of diagnosis relevant to this episode of care
EpisodeOfCare.diagnosis.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored
EpisodeOfCare.diagnosis.condition	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(Condition)	Conditions/problems/diagnoses this episode of care is for
EpisodeOfCare.patient	Σ This element is included in summaries.	1..1	Reference(nl-core-patient)	The patient who is the focus of this episode of care
EpisodeOfCare.period	S This element must be supported. Σ This element is included in summaries.	0..1	Period	Interval during responsibility is assumed
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
EpisodeOfCare.status	Base	required	EpisodeOfCareStatus	📦3.0.2	FHIR Std.
EpisodeOfCare.type	Base	example	EpisodeOfCareType	📦3.0.2	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-1	error	EpisodeOfCare	If the resource is contained in another resource, it SHALL NOT contain any narrative	contained.text.empty()
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	contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() | (children().count() > id.count())
ext-1	error	EpisodeOfCare.extension:dateFirstEncounter, EpisodeOfCare.extension:dateLastEncounter, EpisodeOfCare.extension:title	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from nl-core-episodeofcare

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
EpisodeOfCare		0..*	nl-core-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
EpisodeOfCare.extension	S This element must be supported.	0..*	?gen-e1? [CanonicalType[http://nictiz.nl/fhir/StructureDefinition/ext-EpisodeOfCare.EpisodeOfCareName]]	Extension URL: http://nictiz.nl/fhir/StructureDefinition/ext-EpisodeOfCare.EpisodeOfCareName
EpisodeOfCare.type	S This element must be supported.	0..*	CodeableConcept	Type/class - e.g. specialist referral, disease management
EpisodeOfCare.diagnosis
EpisodeOfCare.diagnosis.condition	S This element must be supported.	1..1	Reference(Condition)	Conditions/problems/diagnoses this episode of care is for
EpisodeOfCare.period	S This element must be supported.	0..1	Period	Interval during responsibility is assumed
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
EpisodeOfCare		0..*	nl-core-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
EpisodeOfCare.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
EpisodeOfCare.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
EpisodeOfCare.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
EpisodeOfCare.language		0..1	code	Language of the resource content Binding: Common Languages (extensible): A human language. Additional Bindings Purpose All Languages Max Binding
EpisodeOfCare.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
EpisodeOfCare.contained		0..*	Resource	Contained, inline Resources
EpisodeOfCare.Slices for extension	S This element must be supported.	0..*	?gen-e1? [CanonicalType[http://nictiz.nl/fhir/StructureDefinition/ext-EpisodeOfCare.EpisodeOfCareName]]	Extension URL: http://nictiz.nl/fhir/StructureDefinition/ext-EpisodeOfCare.EpisodeOfCareName Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
EpisodeOfCare.Slices for extension.extension:dateFirstEncounter		0..1	dateTime	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/EpisodeOfCare-DateFirstEncounter Constraints: ext-1
EpisodeOfCare.Slices for extension.extension:dateLastEncounter		0..1	dateTime	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/EpisodeOfCare-DateLastEncounter Constraints: ext-1
EpisodeOfCare.Slices for extension.extension:title		0..1	string	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/EpisodeOfCare-Title Constraints: ext-1
EpisodeOfCare.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
EpisodeOfCare.identifier		0..*	Identifier	Business Identifier(s) relevant for this EpisodeOfCare
EpisodeOfCare.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	planned | waitlist | active | onhold | finished | cancelled | entered-in-error Binding: EpisodeOfCareStatus (required): The status of the episode of care.
EpisodeOfCare.statusHistory		0..*	BackboneElement	Past list of status codes (the current status may be included to cover the start date of the status)
EpisodeOfCare.statusHistory.id		0..1	string	xml:id (or equivalent in JSON)
EpisodeOfCare.statusHistory.extension		0..*	Extension	Additional Content defined by implementations
EpisodeOfCare.statusHistory.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored
EpisodeOfCare.statusHistory.status		1..1	code	planned | waitlist | active | onhold | finished | cancelled | entered-in-error Binding: EpisodeOfCareStatus (required): The status of the episode of care.
EpisodeOfCare.statusHistory.period		1..1	Period	Duration the EpisodeOfCare was in the specified status
EpisodeOfCare.type	S This element must be supported. Σ This element is included in summaries.	0..*	CodeableConcept	Type/class - e.g. specialist referral, disease management Binding: EpisodeOfCareType (example): The type of the episode of care
EpisodeOfCare.type.id		0..1	string	xml:id (or equivalent in JSON)
EpisodeOfCare.type.extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
EpisodeOfCare.type.coding	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system
EpisodeOfCare.type.text	Σ This element is included in summaries.	0..1	string	ConcernLabel
EpisodeOfCare.diagnosis	Σ This element is included in summaries.	0..*	BackboneElement	The list of diagnosis relevant to this episode of care
EpisodeOfCare.diagnosis.id		0..1	string	xml:id (or equivalent in JSON)
EpisodeOfCare.diagnosis.extension		0..*	Extension	Additional Content defined by implementations
EpisodeOfCare.diagnosis.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored
EpisodeOfCare.diagnosis.condition	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(Condition)	Conditions/problems/diagnoses this episode of care is for
EpisodeOfCare.diagnosis.role	Σ This element is included in summaries.	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
EpisodeOfCare.diagnosis.rank	Σ This element is included in summaries.	0..1	positiveInt	Ranking of the diagnosis (for each role type)
EpisodeOfCare.patient	Σ This element is included in summaries.	1..1	Reference(nl-core-patient)	The patient who is the focus of this episode of care
EpisodeOfCare.managingOrganization	Σ This element is included in summaries.	0..1	Reference(nl-core-organization)	Organization that assumes care
EpisodeOfCare.period	S This element must be supported. Σ This element is included in summaries.	0..1	Period	Interval during responsibility is assumed
EpisodeOfCare.referralRequest		0..*	Reference(ReferralRequest)	Originating Referral Request(s)
EpisodeOfCare.careManager		0..1	Reference(nl-core-practitioner)	Care manager/care co-ordinator for the patient
EpisodeOfCare.careManager.id		0..1	string	xml:id (or equivalent in JSON)
EpisodeOfCare.careManager.Slices for extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
EpisodeOfCare.careManager.Slices for extension.extension:practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference Constraints: ext-1
EpisodeOfCare.careManager.reference	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
EpisodeOfCare.careManager.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
EpisodeOfCare.careManager.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
EpisodeOfCare.team		0..*	Reference(CareTeam)	Other practitioners facilitating this episode of care
EpisodeOfCare.account		0..*	Reference(Account)	The set of accounts that may be used for billing for this EpisodeOfCare
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
EpisodeOfCare.language	Base	extensible	Common Languages	📦3.0.2	FHIR Std.
EpisodeOfCare.status	Base	required	EpisodeOfCareStatus	📦3.0.2	FHIR Std.
EpisodeOfCare.statusHistory.​status	Base	required	EpisodeOfCareStatus	📦3.0.2	FHIR Std.
EpisodeOfCare.type	Base	example	EpisodeOfCareType	📦3.0.2	FHIR Std.
EpisodeOfCare.diagnosis.​role	Base	preferred	DiagnosisRole	📦3.0.2	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-1	error	EpisodeOfCare	If the resource is contained in another resource, it SHALL NOT contain any narrative	contained.text.empty()
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	contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() | (children().count() > id.count())
ext-1	error	EpisodeOfCare.extension:dateFirstEncounter, EpisodeOfCare.extension:dateLastEncounter, EpisodeOfCare.extension:title, EpisodeOfCare.careManager.extension:practitionerRole	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
EpisodeOfCare		0..*	nl-core-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
EpisodeOfCare.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
EpisodeOfCare.Slices for extension	S This element must be supported.	0..*	?gen-e1? [CanonicalType[http://nictiz.nl/fhir/StructureDefinition/ext-EpisodeOfCare.EpisodeOfCareName]]	Extension URL: http://nictiz.nl/fhir/StructureDefinition/ext-EpisodeOfCare.EpisodeOfCareName Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
EpisodeOfCare.Slices for extension.extension:dateFirstEncounter		0..1	dateTime	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/EpisodeOfCare-DateFirstEncounter Constraints: ext-1
EpisodeOfCare.Slices for extension.extension:dateLastEncounter		0..1	dateTime	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/EpisodeOfCare-DateLastEncounter Constraints: ext-1
EpisodeOfCare.Slices for extension.extension:title		0..1	string	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/EpisodeOfCare-Title Constraints: ext-1
EpisodeOfCare.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
EpisodeOfCare.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	planned | waitlist | active | onhold | finished | cancelled | entered-in-error Binding: EpisodeOfCareStatus (required): The status of the episode of care.
EpisodeOfCare.type	S This element must be supported. Σ This element is included in summaries.	0..*	CodeableConcept	Type/class - e.g. specialist referral, disease management Binding: EpisodeOfCareType (example): The type of the episode of care
EpisodeOfCare.diagnosis	Σ This element is included in summaries.	0..*	BackboneElement	The list of diagnosis relevant to this episode of care
EpisodeOfCare.diagnosis.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored
EpisodeOfCare.diagnosis.condition	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(Condition)	Conditions/problems/diagnoses this episode of care is for
EpisodeOfCare.patient	Σ This element is included in summaries.	1..1	Reference(nl-core-patient)	The patient who is the focus of this episode of care
EpisodeOfCare.period	S This element must be supported. Σ This element is included in summaries.	0..1	Period	Interval during responsibility is assumed
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
EpisodeOfCare.status	Base	required	EpisodeOfCareStatus	📦3.0.2	FHIR Std.
EpisodeOfCare.type	Base	example	EpisodeOfCareType	📦3.0.2	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-1	error	EpisodeOfCare	If the resource is contained in another resource, it SHALL NOT contain any narrative	contained.text.empty()
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	contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() | (children().count() > id.count())
ext-1	error	EpisodeOfCare.extension:dateFirstEncounter, EpisodeOfCare.extension:dateLastEncounter, EpisodeOfCare.extension:title	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Differential View

This structure is derived from nl-core-episodeofcare

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
EpisodeOfCare		0..*	nl-core-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
EpisodeOfCare.extension	S This element must be supported.	0..*	?gen-e1? [CanonicalType[http://nictiz.nl/fhir/StructureDefinition/ext-EpisodeOfCare.EpisodeOfCareName]]	Extension URL: http://nictiz.nl/fhir/StructureDefinition/ext-EpisodeOfCare.EpisodeOfCareName
EpisodeOfCare.type	S This element must be supported.	0..*	CodeableConcept	Type/class - e.g. specialist referral, disease management
EpisodeOfCare.diagnosis
EpisodeOfCare.diagnosis.condition	S This element must be supported.	1..1	Reference(Condition)	Conditions/problems/diagnoses this episode of care is for
EpisodeOfCare.period	S This element must be supported.	0..1	Period	Interval during responsibility is assumed
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
EpisodeOfCare		0..*	nl-core-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
EpisodeOfCare.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
EpisodeOfCare.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
EpisodeOfCare.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
EpisodeOfCare.language		0..1	code	Language of the resource content Binding: Common Languages (extensible): A human language. Additional Bindings Purpose All Languages Max Binding
EpisodeOfCare.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
EpisodeOfCare.contained		0..*	Resource	Contained, inline Resources
EpisodeOfCare.Slices for extension	S This element must be supported.	0..*	?gen-e1? [CanonicalType[http://nictiz.nl/fhir/StructureDefinition/ext-EpisodeOfCare.EpisodeOfCareName]]	Extension URL: http://nictiz.nl/fhir/StructureDefinition/ext-EpisodeOfCare.EpisodeOfCareName Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
EpisodeOfCare.Slices for extension.extension:dateFirstEncounter		0..1	dateTime	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/EpisodeOfCare-DateFirstEncounter Constraints: ext-1
EpisodeOfCare.Slices for extension.extension:dateLastEncounter		0..1	dateTime	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/EpisodeOfCare-DateLastEncounter Constraints: ext-1
EpisodeOfCare.Slices for extension.extension:title		0..1	string	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/EpisodeOfCare-Title Constraints: ext-1
EpisodeOfCare.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
EpisodeOfCare.identifier		0..*	Identifier	Business Identifier(s) relevant for this EpisodeOfCare
EpisodeOfCare.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	planned | waitlist | active | onhold | finished | cancelled | entered-in-error Binding: EpisodeOfCareStatus (required): The status of the episode of care.
EpisodeOfCare.statusHistory		0..*	BackboneElement	Past list of status codes (the current status may be included to cover the start date of the status)
EpisodeOfCare.statusHistory.id		0..1	string	xml:id (or equivalent in JSON)
EpisodeOfCare.statusHistory.extension		0..*	Extension	Additional Content defined by implementations
EpisodeOfCare.statusHistory.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored
EpisodeOfCare.statusHistory.status		1..1	code	planned | waitlist | active | onhold | finished | cancelled | entered-in-error Binding: EpisodeOfCareStatus (required): The status of the episode of care.
EpisodeOfCare.statusHistory.period		1..1	Period	Duration the EpisodeOfCare was in the specified status
EpisodeOfCare.type	S This element must be supported. Σ This element is included in summaries.	0..*	CodeableConcept	Type/class - e.g. specialist referral, disease management Binding: EpisodeOfCareType (example): The type of the episode of care
EpisodeOfCare.type.id		0..1	string	xml:id (or equivalent in JSON)
EpisodeOfCare.type.extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
EpisodeOfCare.type.coding	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system
EpisodeOfCare.type.text	Σ This element is included in summaries.	0..1	string	ConcernLabel
EpisodeOfCare.diagnosis	Σ This element is included in summaries.	0..*	BackboneElement	The list of diagnosis relevant to this episode of care
EpisodeOfCare.diagnosis.id		0..1	string	xml:id (or equivalent in JSON)
EpisodeOfCare.diagnosis.extension		0..*	Extension	Additional Content defined by implementations
EpisodeOfCare.diagnosis.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored
EpisodeOfCare.diagnosis.condition	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(Condition)	Conditions/problems/diagnoses this episode of care is for
EpisodeOfCare.diagnosis.role	Σ This element is included in summaries.	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
EpisodeOfCare.diagnosis.rank	Σ This element is included in summaries.	0..1	positiveInt	Ranking of the diagnosis (for each role type)
EpisodeOfCare.patient	Σ This element is included in summaries.	1..1	Reference(nl-core-patient)	The patient who is the focus of this episode of care
EpisodeOfCare.managingOrganization	Σ This element is included in summaries.	0..1	Reference(nl-core-organization)	Organization that assumes care
EpisodeOfCare.period	S This element must be supported. Σ This element is included in summaries.	0..1	Period	Interval during responsibility is assumed
EpisodeOfCare.referralRequest		0..*	Reference(ReferralRequest)	Originating Referral Request(s)
EpisodeOfCare.careManager		0..1	Reference(nl-core-practitioner)	Care manager/care co-ordinator for the patient
EpisodeOfCare.careManager.id		0..1	string	xml:id (or equivalent in JSON)
EpisodeOfCare.careManager.Slices for extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
EpisodeOfCare.careManager.Slices for extension.extension:practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference Constraints: ext-1
EpisodeOfCare.careManager.reference	Σ This element is included in summaries. C	0..1	string	Literal reference, Relative, internal or absolute URL
EpisodeOfCare.careManager.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
EpisodeOfCare.careManager.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
EpisodeOfCare.team		0..*	Reference(CareTeam)	Other practitioners facilitating this episode of care
EpisodeOfCare.account		0..*	Reference(Account)	The set of accounts that may be used for billing for this EpisodeOfCare
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
EpisodeOfCare.language	Base	extensible	Common Languages	📦3.0.2	FHIR Std.
EpisodeOfCare.status	Base	required	EpisodeOfCareStatus	📦3.0.2	FHIR Std.
EpisodeOfCare.statusHistory.​status	Base	required	EpisodeOfCareStatus	📦3.0.2	FHIR Std.
EpisodeOfCare.type	Base	example	EpisodeOfCareType	📦3.0.2	FHIR Std.
EpisodeOfCare.diagnosis.​role	Base	preferred	DiagnosisRole	📦3.0.2	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-1	error	EpisodeOfCare	If the resource is contained in another resource, it SHALL NOT contain any narrative	contained.text.empty()
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	contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() | (children().count() > id.count())
ext-1	error	EpisodeOfCare.extension:dateFirstEncounter, EpisodeOfCare.extension:dateLastEncounter, EpisodeOfCare.extension:title, EpisodeOfCare.careManager.extension:practitionerRole	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from nl-core-episodeofcare

Summary

Must-Support: 4 elements

Structures

This structure refers to these other structures:

• Condition (http://fhir.hl7.nl/zorgviewer/StructureDefinition/Condition)

Extensions

This structure refers to these extensions:

• Unable to summarise extension http://nictiz.nl/fhir/StructureDefinition/ext-EpisodeOfCare.EpisodeOfCareName (no extension found)