VRIS - Viljatusravi infosüsteem
0.1.0 - draft

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.

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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
identifier |  | 1..* | Identifier | (ee Episoodi identifikaator)
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 | Σ C | 1..1 | dateTime | Starting time with inclusive boundary
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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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)
reason |  | 0..* | BackboneElement | (ee KAS siia viide observationile?)
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
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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
language |  | 0..1 | code | Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language
Additional Bindings | Purpose
CommonLanguages | Starter
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 | Σ C | 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 | Σ C | 1..1 | dateTime | Starting time with inclusive boundary
end | Σ C | 0..1 | dateTime | End time with inclusive boundary, if not ongoing
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()`

This structure is derived from EEVRISEpisodeOfCare

Summary

Mandatory: 4 elements(1 nested mandatory element)
Prohibited: 19 elements

Structures

This structure refers to these other structures:

- Condition: EE VRIS Condition Pregnancy (https://fhir.ee/vris/StructureDefinition/ee-vris-condition-pregnancy)
- Patient: EE VRIS Recipient (https://fhir.ee/vris/StructureDefinition/ee-vris-recipient)
- EE MPI Patient Verified (https://fhir.ee/mpi/StructureDefinition/ee-mpi-patient-verified)

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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
identifier |  | 1..* | Identifier | (ee Episoodi identifikaator)
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 | Σ C | 1..1 | dateTime | Starting time with inclusive boundary
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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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)
reason |  | 0..* | BackboneElement | (ee KAS siia viide observationile?)
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
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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
language |  | 0..1 | code | Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language
Additional Bindings | Purpose
CommonLanguages | Starter
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 | Σ C | 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 | Σ C | 1..1 | dateTime | Starting time with inclusive boundary
end | Σ C | 0..1 | dateTime | End time with inclusive boundary, if not ongoing
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()`

This structure is derived from EEVRISEpisodeOfCare

Summary

Mandatory: 4 elements(1 nested mandatory element)
Prohibited: 19 elements

Structures

This structure refers to these other structures:

- Condition: EE VRIS Condition Pregnancy (https://fhir.ee/vris/StructureDefinition/ee-vris-condition-pregnancy)
- Patient: EE VRIS Recipient (https://fhir.ee/vris/StructureDefinition/ee-vris-recipient)
- EE MPI Patient Verified (https://fhir.ee/mpi/StructureDefinition/ee-mpi-patient-verified)

Other representations of profile: CSV, Excel, Schematron