VRIS - Viljatusravi infosüsteem
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VRIS - Viljatusravi infosüsteem, published by TEHIK. 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/TEHIK-EE/ig-ee-vris/ and changes regularly. See the Directory of published versions

Resource Profile: EpisodeOfCare: EE VRIS EpisodeOfCare Pregnancy

Official URL: https://fhir.ee/vris/StructureDefinition/ee-vris-episode-of-care-pregnancy Version: 0.1.0
Draft as of 2026-07-16 Computable Name: EEVRISEpisodeOfCarePregnancy

EpisodeOfCare profile for the WHOLE pregnancy, starting before conception and ending with childbirth. (ee Raseduse kogu elukaar. NB! Profiil peab järgima Encounter-EoC tuleviku struktuuri!).

Usages:

  • This Profile is not used by any profiles in this Specification

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..* EEVRISEpisodeOfCare 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
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... extension 0..0 Extension
Slice: Unordered, Open by value:url
... status ?!Σ 1..1 code planned | waitlist | active | onhold | finished | cancelled | entered-in-error
Binding: EpisodeOfCareStatus (required): The status of the episode of care.
... reason Σ 0..* BackboneElement (ee KAS siia viide observationile?)
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
... patient Σ 1..1 Reference(Patient: EE VRIS Recipient | EE MPI Patient Verified) The patient who is the focus of this episode of care
... managingOrganization Σ 1..1 Reference(Organization) (ee Vastutav organisatsioon, viide SPD-le)
... period Σ 1..1 Period (ee Episoodi periood: algus ja lõpp)
.... extension 0..0 Extension
Slice: Unordered, Open by value:url
.... start ΣC 1..1 dateTime Starting time with inclusive boundary

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
EpisodeOfCare.status Base required Episode Of Care Status 📍5.0.0 FHIR Std.
EpisodeOfCare.statusHistory.​status Base required Episode Of Care Status 📍5.0.0 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 EEVRISEpisodeOfCare

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EpisodeOfCare 0..* EEVRISEpisodeOfCare 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
... identifier 1..* Identifier (ee Episoodi identifikaator)
.... id 0..0 Unique id for inter-element referencing
.... extension 0..0 Extension
.... use 0..0 usual | official | temp | secondary | old (If known)
.... type 0..0 Description of identifier
.... period 0..0 Time period when id is/was valid for use
.... assigner 0..0 Organization that issued id (may be just text)
... statusHistory 0..0 Past list of status codes (the current status may be included to cover the start date of the status)
... type 0..0 (ee Episoodi tüüp, nt viljatusravi tsükkel)
.... id 0..0 Unique id for inter-element referencing
.... extension 0..0 Extension
... diagnosis
.... id 0..0 Unique id for inter-element referencing
.... extension 0..0 Extension
.... modifierExtension 0..0 Extension
.... condition 1..* CodeableReference(Condition: EE VRIS Condition Pregnancy) The medical condition that was addressed during the episode of care
... patient 1..1 Reference(Patient: EE VRIS Recipient | EE MPI Patient Verified) The patient who is the focus of this episode of care
... managingOrganization 1..1 Reference(Organization) (ee Vastutav organisatsioon, viide SPD-le)
... period 1..1 Period (ee Episoodi periood: algus ja lõpp)
.... id 0..0 Unique id for inter-element referencing
.... extension 0..0 Extension
.... start 1..1 dateTime Starting time with inclusive boundary
... referralRequest 0..0 Originating Referral Request(s)
... careManager 0..0 (ee Vastutav arst, viide SPD-le)
... careTeam 0..0 Other practitioners facilitating this episode of care
... account 0..0 The set of accounts that may be used for billing for this EpisodeOfCare

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EpisodeOfCare 0..* EEVRISEpisodeOfCare 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 Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... 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 ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier 1..* Identifier (ee Episoodi identifikaator)
.... extension 0..0 Extension
Slice: Unordered, Open by value:url
.... system Σ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value ΣC 0..1 string The value that is unique
Example General: 123456
... status ?!Σ 1..1 code planned | waitlist | active | onhold | finished | cancelled | entered-in-error
Binding: EpisodeOfCareStatus (required): The status of the episode of care.
... reason Σ 0..* BackboneElement (ee KAS siia viide observationile?)
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... use Σ 0..1 CodeableConcept What the reason value should be used for/as
Binding: EncounterReasonUse (example)
.... value Σ 0..* CodeableReference(Condition | Procedure | Observation | HealthcareService) Medical reason to be addressed
Binding: EncounterReasonCodes (example)
... diagnosis Σ 0..* BackboneElement The list of medical conditions that were addressed during the episode of care
.... condition Σ 1..* CodeableReference(Condition: EE VRIS Condition Pregnancy) The medical condition that was addressed during the episode of care
Binding: ConditionProblemDiagnosisCodes (example)
.... use Σ 0..1 CodeableConcept Role that this diagnosis has within the episode of care (e.g. admission, billing, discharge …)
Binding: EncounterDiagnosisUse (preferred): The type of diagnosis this condition represents.
... patient Σ 1..1 Reference(Patient: EE VRIS Recipient | EE MPI Patient Verified) The patient who is the focus of this episode of care
... managingOrganization Σ 1..1 Reference(Organization) (ee Vastutav organisatsioon, viide SPD-le)
... period Σ 1..1 Period (ee Episoodi periood: algus ja lõpp)
.... extension 0..0 Extension
Slice: Unordered, Open by value:url
.... start ΣC 1..1 dateTime Starting time with inclusive boundary
.... end ΣC 0..1 dateTime End time with inclusive boundary, if not ongoing

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
EpisodeOfCare.language Base required All Languages 📍5.0.0 FHIR Std.
EpisodeOfCare.status Base required Episode Of Care Status 📍5.0.0 FHIR Std.
EpisodeOfCare.statusHistory.​status Base required Episode Of Care Status 📍5.0.0 FHIR Std.
EpisodeOfCare.reason.​use Base example Encounter Reason Use 📍5.0.0 FHIR Std.
EpisodeOfCare.reason.​value Base example Encounter Reason Codes 📍5.0.0 FHIR Std.
EpisodeOfCare.diagnosis.​condition Base example Condition/Problem/Diagnosis Codes 📍5.0.0 FHIR Std.
EpisodeOfCare.diagnosis.​use Base preferred Encounter Diagnosis Use 📍5.0.0 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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..* EEVRISEpisodeOfCare 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
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... extension 0..0 Extension
Slice: Unordered, Open by value:url
... status ?!Σ 1..1 code planned | waitlist | active | onhold | finished | cancelled | entered-in-error
Binding: EpisodeOfCareStatus (required): The status of the episode of care.
... reason Σ 0..* BackboneElement (ee KAS siia viide observationile?)
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
... patient Σ 1..1 Reference(Patient: EE VRIS Recipient | EE MPI Patient Verified) The patient who is the focus of this episode of care
... managingOrganization Σ 1..1 Reference(Organization) (ee Vastutav organisatsioon, viide SPD-le)
... period Σ 1..1 Period (ee Episoodi periood: algus ja lõpp)
.... extension 0..0 Extension
Slice: Unordered, Open by value:url
.... start ΣC 1..1 dateTime Starting time with inclusive boundary

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
EpisodeOfCare.status Base required Episode Of Care Status 📍5.0.0 FHIR Std.
EpisodeOfCare.statusHistory.​status Base required Episode Of Care Status 📍5.0.0 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 EEVRISEpisodeOfCare

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EpisodeOfCare 0..* EEVRISEpisodeOfCare 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
... identifier 1..* Identifier (ee Episoodi identifikaator)
.... id 0..0 Unique id for inter-element referencing
.... extension 0..0 Extension
.... use 0..0 usual | official | temp | secondary | old (If known)
.... type 0..0 Description of identifier
.... period 0..0 Time period when id is/was valid for use
.... assigner 0..0 Organization that issued id (may be just text)
... statusHistory 0..0 Past list of status codes (the current status may be included to cover the start date of the status)
... type 0..0 (ee Episoodi tüüp, nt viljatusravi tsükkel)
.... id 0..0 Unique id for inter-element referencing
.... extension 0..0 Extension
... diagnosis
.... id 0..0 Unique id for inter-element referencing
.... extension 0..0 Extension
.... modifierExtension 0..0 Extension
.... condition 1..* CodeableReference(Condition: EE VRIS Condition Pregnancy) The medical condition that was addressed during the episode of care
... patient 1..1 Reference(Patient: EE VRIS Recipient | EE MPI Patient Verified) The patient who is the focus of this episode of care
... managingOrganization 1..1 Reference(Organization) (ee Vastutav organisatsioon, viide SPD-le)
... period 1..1 Period (ee Episoodi periood: algus ja lõpp)
.... id 0..0 Unique id for inter-element referencing
.... extension 0..0 Extension
.... start 1..1 dateTime Starting time with inclusive boundary
... referralRequest 0..0 Originating Referral Request(s)
... careManager 0..0 (ee Vastutav arst, viide SPD-le)
... careTeam 0..0 Other practitioners facilitating this episode of care
... account 0..0 The set of accounts that may be used for billing for this EpisodeOfCare

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EpisodeOfCare 0..* EEVRISEpisodeOfCare 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 Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... 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 ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier 1..* Identifier (ee Episoodi identifikaator)
.... extension 0..0 Extension
Slice: Unordered, Open by value:url
.... system Σ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value ΣC 0..1 string The value that is unique
Example General: 123456
... status ?!Σ 1..1 code planned | waitlist | active | onhold | finished | cancelled | entered-in-error
Binding: EpisodeOfCareStatus (required): The status of the episode of care.
... reason Σ 0..* BackboneElement (ee KAS siia viide observationile?)
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... use Σ 0..1 CodeableConcept What the reason value should be used for/as
Binding: EncounterReasonUse (example)
.... value Σ 0..* CodeableReference(Condition | Procedure | Observation | HealthcareService) Medical reason to be addressed
Binding: EncounterReasonCodes (example)
... diagnosis Σ 0..* BackboneElement The list of medical conditions that were addressed during the episode of care
.... condition Σ 1..* CodeableReference(Condition: EE VRIS Condition Pregnancy) The medical condition that was addressed during the episode of care
Binding: ConditionProblemDiagnosisCodes (example)
.... use Σ 0..1 CodeableConcept Role that this diagnosis has within the episode of care (e.g. admission, billing, discharge …)
Binding: EncounterDiagnosisUse (preferred): The type of diagnosis this condition represents.
... patient Σ 1..1 Reference(Patient: EE VRIS Recipient | EE MPI Patient Verified) The patient who is the focus of this episode of care
... managingOrganization Σ 1..1 Reference(Organization) (ee Vastutav organisatsioon, viide SPD-le)
... period Σ 1..1 Period (ee Episoodi periood: algus ja lõpp)
.... extension 0..0 Extension
Slice: Unordered, Open by value:url
.... start ΣC 1..1 dateTime Starting time with inclusive boundary
.... end ΣC 0..1 dateTime End time with inclusive boundary, if not ongoing

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
EpisodeOfCare.language Base required All Languages 📍5.0.0 FHIR Std.
EpisodeOfCare.status Base required Episode Of Care Status 📍5.0.0 FHIR Std.
EpisodeOfCare.statusHistory.​status Base required Episode Of Care Status 📍5.0.0 FHIR Std.
EpisodeOfCare.reason.​use Base example Encounter Reason Use 📍5.0.0 FHIR Std.
EpisodeOfCare.reason.​value Base example Encounter Reason Codes 📍5.0.0 FHIR Std.
EpisodeOfCare.diagnosis.​condition Base example Condition/Problem/Diagnosis Codes 📍5.0.0 FHIR Std.
EpisodeOfCare.diagnosis.​use Base preferred Encounter Diagnosis Use 📍5.0.0 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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