Netherlands - Generic Functions for data exchange Implementation Guide
0.3.0 - ci-build Netherlands

Netherlands - Generic Functions for data exchange Implementation Guide, published by Stichting Nuts. This guide is not an authorized publication; it is the continuous build for version 0.3.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/nuts-foundation/nl-generic-functions-ig/ and changes regularly. See the Directory of published versions

Resource Profile: NL Generic Functions EpisodeOfCare Profile

Official URL: http://nuts-foundation.github.io/nl-generic-functions-ig/StructureDefinition/nl-gf-episodeofcare Version: 0.3.0
Draft as of 2026-01-06 Computable Name: NlGfEpisodeOfCare

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

Usages:

  • CapabilityStatements using this Profile: Localization Service
  • This Profile is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EpisodeOfCare 0..* NlcoreEpisodeOfCare EpisodeOfCare
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... extension:comment N 0..1 (Complex) Optional Extensions Element
URL: http://nictiz.nl/fhir/StructureDefinition/ext-Comment
..... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/ext-Comment"
.... extension:episodeOfCareName N 0..1 string Optional Extensions Element
URL: http://nictiz.nl/fhir/StructureDefinition/ext-EpisodeOfCare.EpisodeOfCareName
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... identifier:AssignedId 1..1 Identifier Business Identifier(s) relevant for this EpisodeOfCare
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... system Σ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string The value that is unique
Example General: 123456
..... assigner Σ 1..1 Reference(Organization) Organization that issued id (may be just text)
...... identifier Σ 1..1 Identifier Logical reference, when literal reference is not known
....... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
....... type Σ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
........ coding Σ 1..1 Coding Code defined by a terminology system
......... system Σ 0..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/provenance-participant-type
......... code Σ 0..1 code Symbol in syntax defined by the system
Required Pattern: author
....... system Σ 0..1 uri The namespace for the identifier value
Required Pattern: http://fhir.nl/fhir/NamingSystem/ura
....... value Σ 1..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.
... diagnosis Σ 0..1 BackboneElement The list of diagnosis relevant to this episode of care
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... condition Σ 1..1 Reference(Condition | nl core Problem) FocusEpisodeOfCare
... patient Σ 1..1 Reference(Patient | nl core Patient) The patient who is the focus of this episode of care

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
EpisodeOfCare.identifier:AssignedId.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
EpisodeOfCare.identifier:AssignedId.​assigner.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
EpisodeOfCare.identifier:AssignedId.​assigner.identifier.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
EpisodeOfCare.status Base required EpisodeOfCareStatus 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error EpisodeOfCare If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error EpisodeOfCare If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error EpisodeOfCare If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error EpisodeOfCare If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice EpisodeOfCare A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from NlcoreEpisodeOfCare

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EpisodeOfCare 0..* NlcoreEpisodeOfCare EpisodeOfCare
... Slices for identifier 1..* Identifier Business Identifier(s) relevant for this EpisodeOfCare
Slice: Unordered, Open by value:$this
.... identifier:AssignedId 1..1 Identifier Business Identifier(s) relevant for this EpisodeOfCare
..... system 1..1 uri The namespace for the identifier value
..... value 1..1 string The value that is unique
..... assigner 1..1 Reference(Organization) Organization that issued id (may be just text)
...... identifier 1..1 Identifier Logical reference, when literal reference is not known
....... type 1..1 CodeableConcept Description of identifier
........ coding 1..1 Coding Code defined by a terminology system
......... system 0..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/provenance-participant-type
......... code 0..1 code Symbol in syntax defined by the system
Required Pattern: author
....... system 0..1 uri The namespace for the identifier value
Required Pattern: http://fhir.nl/fhir/NamingSystem/ura
....... value 1..1 string The value that is unique

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EpisodeOfCare 0..* NlcoreEpisodeOfCare EpisodeOfCare
... 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
... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... extension:comment N 0..1 (Complex) Optional Extensions Element
URL: http://nictiz.nl/fhir/StructureDefinition/ext-Comment
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/ext-Comment"
..... value[x] 0..1 string Comment
.... extension:episodeOfCareName N 0..1 string Optional Extensions Element
URL: http://nictiz.nl/fhir/StructureDefinition/ext-EpisodeOfCare.EpisodeOfCareName
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier 1..* Identifier Business Identifier(s) relevant for this EpisodeOfCare
Slice: Unordered, Open by value:$this
.... identifier:AssignedId 1..1 Identifier Business Identifier(s) relevant for this EpisodeOfCare
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
..... system Σ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string The value that is unique
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 1..1 Reference(Organization) Organization that issued id (may be just text)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
...... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
...... identifier Σ 1..1 Identifier Logical reference, when literal reference is not known
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
....... type Σ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ coding Σ 1..1 Coding Code defined by a terminology system
......... id 0..1 string Unique id for inter-element referencing
......... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
......... system Σ 0..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/provenance-participant-type
......... version Σ 0..1 string Version of the system - if relevant
......... code Σ 0..1 code Symbol in syntax defined by the system
Required Pattern: author
......... display Σ 0..1 string Representation defined by the system
......... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
........ text Σ 0..1 string Plain text representation of the concept
....... system Σ 0..1 uri The namespace for the identifier value
Required Pattern: http://fhir.nl/fhir/NamingSystem/ura
....... value Σ 1..1 string The value that is unique
Example General: 123456
....... period Σ 0..1 Period Time period when id is/was valid for use
....... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
...... display Σ 0..1 string Text alternative for the resource
... status ?!Σ 1..1 code planned | waitlist | active | onhold | finished | cancelled | entered-in-error
Binding: EpisodeOfCareStatus (required): The status of the episode of care.
... statusHistory 0..* BackboneElement Past list of status codes (the current status may be included to cover the start date of the status)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... status 1..1 code planned | waitlist | active | onhold | finished | cancelled | entered-in-error
Binding: EpisodeOfCareStatus (required): The status of the episode of care.
.... period 1..1 Period Duration the EpisodeOfCare was in the specified status
... type Σ 0..* CodeableConcept Type/class - e.g. specialist referral, disease management
Binding: EpisodeOfCareType (example): The type of the episode of care.
... diagnosis Σ 0..1 BackboneElement The list of diagnosis relevant to this episode of care
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... condition Σ 1..1 Reference(Condition | nl core Problem) FocusEpisodeOfCare
.... role Σ 0..1 CodeableConcept Role that this diagnosis has within the episode of care (e.g. admission, billing, discharge …)
Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
.... rank Σ 0..1 positiveInt Ranking of the diagnosis (for each role type)
... patient Σ 1..1 Reference(Patient | nl core Patient) The patient who is the focus of this episode of care
... managingOrganization Σ 0..1 Reference(Organization) Organization that assumes care
... period Σ 0..1 Period Interval during responsibility is assumed
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... start ΣC 0..1 dateTime StartDate
.... end ΣC 0..1 dateTime EndDate
... referralRequest 0..* Reference(ServiceRequest) Originating Referral Request(s)
... careManager 0..1 Reference(Practitioner | PractitionerRole) Care manager/care coordinator for the patient
... team 0..* Reference(CareTeam) Other practitioners facilitating this episode of care
... account 0..* Reference(Account) The set of accounts that may be used for billing for this EpisodeOfCare

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
EpisodeOfCare.language Base preferred Common Languages 📦4.0.1 FHIR Std.
EpisodeOfCare.identifier:AssignedId.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
EpisodeOfCare.identifier:AssignedId.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
EpisodeOfCare.identifier:AssignedId.​assigner.type Base extensible ResourceType 📍4.0.1 FHIR Std.
EpisodeOfCare.identifier:AssignedId.​assigner.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
EpisodeOfCare.identifier:AssignedId.​assigner.identifier.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
EpisodeOfCare.status Base required EpisodeOfCareStatus 📍4.0.1 FHIR Std.
EpisodeOfCare.statusHistory.​status Base required EpisodeOfCareStatus 📍4.0.1 FHIR Std.
EpisodeOfCare.type Base example Episode of care type 📦4.0.1 FHIR Std.
EpisodeOfCare.diagnosis.​role Base preferred DiagnosisRole 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error EpisodeOfCare If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error EpisodeOfCare If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error EpisodeOfCare If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error EpisodeOfCare If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice EpisodeOfCare A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from NlcoreEpisodeOfCare

Summary

Mandatory: 9 elements

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of EpisodeOfCare.identifier

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EpisodeOfCare 0..* NlcoreEpisodeOfCare EpisodeOfCare
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... extension:comment N 0..1 (Complex) Optional Extensions Element
URL: http://nictiz.nl/fhir/StructureDefinition/ext-Comment
..... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/ext-Comment"
.... extension:episodeOfCareName N 0..1 string Optional Extensions Element
URL: http://nictiz.nl/fhir/StructureDefinition/ext-EpisodeOfCare.EpisodeOfCareName
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... identifier:AssignedId 1..1 Identifier Business Identifier(s) relevant for this EpisodeOfCare
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... system Σ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string The value that is unique
Example General: 123456
..... assigner Σ 1..1 Reference(Organization) Organization that issued id (may be just text)
...... identifier Σ 1..1 Identifier Logical reference, when literal reference is not known
....... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
....... type Σ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
........ coding Σ 1..1 Coding Code defined by a terminology system
......... system Σ 0..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/provenance-participant-type
......... code Σ 0..1 code Symbol in syntax defined by the system
Required Pattern: author
....... system Σ 0..1 uri The namespace for the identifier value
Required Pattern: http://fhir.nl/fhir/NamingSystem/ura
....... value Σ 1..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.
... diagnosis Σ 0..1 BackboneElement The list of diagnosis relevant to this episode of care
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... condition Σ 1..1 Reference(Condition | nl core Problem) FocusEpisodeOfCare
... patient Σ 1..1 Reference(Patient | nl core Patient) The patient who is the focus of this episode of care

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
EpisodeOfCare.identifier:AssignedId.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
EpisodeOfCare.identifier:AssignedId.​assigner.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
EpisodeOfCare.identifier:AssignedId.​assigner.identifier.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
EpisodeOfCare.status Base required EpisodeOfCareStatus 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error EpisodeOfCare If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error EpisodeOfCare If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error EpisodeOfCare If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error EpisodeOfCare If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice EpisodeOfCare A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

This structure is derived from NlcoreEpisodeOfCare

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EpisodeOfCare 0..* NlcoreEpisodeOfCare EpisodeOfCare
... Slices for identifier 1..* Identifier Business Identifier(s) relevant for this EpisodeOfCare
Slice: Unordered, Open by value:$this
.... identifier:AssignedId 1..1 Identifier Business Identifier(s) relevant for this EpisodeOfCare
..... system 1..1 uri The namespace for the identifier value
..... value 1..1 string The value that is unique
..... assigner 1..1 Reference(Organization) Organization that issued id (may be just text)
...... identifier 1..1 Identifier Logical reference, when literal reference is not known
....... type 1..1 CodeableConcept Description of identifier
........ coding 1..1 Coding Code defined by a terminology system
......... system 0..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/provenance-participant-type
......... code 0..1 code Symbol in syntax defined by the system
Required Pattern: author
....... system 0..1 uri The namespace for the identifier value
Required Pattern: http://fhir.nl/fhir/NamingSystem/ura
....... value 1..1 string The value that is unique

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. EpisodeOfCare 0..* NlcoreEpisodeOfCare EpisodeOfCare
... 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
... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... extension:comment N 0..1 (Complex) Optional Extensions Element
URL: http://nictiz.nl/fhir/StructureDefinition/ext-Comment
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://nictiz.nl/fhir/StructureDefinition/ext-Comment"
..... value[x] 0..1 string Comment
.... extension:episodeOfCareName N 0..1 string Optional Extensions Element
URL: http://nictiz.nl/fhir/StructureDefinition/ext-EpisodeOfCare.EpisodeOfCareName
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier 1..* Identifier Business Identifier(s) relevant for this EpisodeOfCare
Slice: Unordered, Open by value:$this
.... identifier:AssignedId 1..1 Identifier Business Identifier(s) relevant for this EpisodeOfCare
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
..... system Σ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string The value that is unique
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 1..1 Reference(Organization) Organization that issued id (may be just text)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
...... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
...... identifier Σ 1..1 Identifier Logical reference, when literal reference is not known
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
....... type Σ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ coding Σ 1..1 Coding Code defined by a terminology system
......... id 0..1 string Unique id for inter-element referencing
......... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
......... system Σ 0..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/provenance-participant-type
......... version Σ 0..1 string Version of the system - if relevant
......... code Σ 0..1 code Symbol in syntax defined by the system
Required Pattern: author
......... display Σ 0..1 string Representation defined by the system
......... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
........ text Σ 0..1 string Plain text representation of the concept
....... system Σ 0..1 uri The namespace for the identifier value
Required Pattern: http://fhir.nl/fhir/NamingSystem/ura
....... value Σ 1..1 string The value that is unique
Example General: 123456
....... period Σ 0..1 Period Time period when id is/was valid for use
....... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
...... display Σ 0..1 string Text alternative for the resource
... status ?!Σ 1..1 code planned | waitlist | active | onhold | finished | cancelled | entered-in-error
Binding: EpisodeOfCareStatus (required): The status of the episode of care.
... statusHistory 0..* BackboneElement Past list of status codes (the current status may be included to cover the start date of the status)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... status 1..1 code planned | waitlist | active | onhold | finished | cancelled | entered-in-error
Binding: EpisodeOfCareStatus (required): The status of the episode of care.
.... period 1..1 Period Duration the EpisodeOfCare was in the specified status
... type Σ 0..* CodeableConcept Type/class - e.g. specialist referral, disease management
Binding: EpisodeOfCareType (example): The type of the episode of care.
... diagnosis Σ 0..1 BackboneElement The list of diagnosis relevant to this episode of care
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... condition Σ 1..1 Reference(Condition | nl core Problem) FocusEpisodeOfCare
.... role Σ 0..1 CodeableConcept Role that this diagnosis has within the episode of care (e.g. admission, billing, discharge …)
Binding: DiagnosisRole (preferred): The type of diagnosis this condition represents.
.... rank Σ 0..1 positiveInt Ranking of the diagnosis (for each role type)
... patient Σ 1..1 Reference(Patient | nl core Patient) The patient who is the focus of this episode of care
... managingOrganization Σ 0..1 Reference(Organization) Organization that assumes care
... period Σ 0..1 Period Interval during responsibility is assumed
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... start ΣC 0..1 dateTime StartDate
.... end ΣC 0..1 dateTime EndDate
... referralRequest 0..* Reference(ServiceRequest) Originating Referral Request(s)
... careManager 0..1 Reference(Practitioner | PractitionerRole) Care manager/care coordinator for the patient
... team 0..* Reference(CareTeam) Other practitioners facilitating this episode of care
... account 0..* Reference(Account) The set of accounts that may be used for billing for this EpisodeOfCare

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
EpisodeOfCare.language Base preferred Common Languages 📦4.0.1 FHIR Std.
EpisodeOfCare.identifier:AssignedId.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
EpisodeOfCare.identifier:AssignedId.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
EpisodeOfCare.identifier:AssignedId.​assigner.type Base extensible ResourceType 📍4.0.1 FHIR Std.
EpisodeOfCare.identifier:AssignedId.​assigner.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
EpisodeOfCare.identifier:AssignedId.​assigner.identifier.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
EpisodeOfCare.status Base required EpisodeOfCareStatus 📍4.0.1 FHIR Std.
EpisodeOfCare.statusHistory.​status Base required EpisodeOfCareStatus 📍4.0.1 FHIR Std.
EpisodeOfCare.type Base example Episode of care type 📦4.0.1 FHIR Std.
EpisodeOfCare.diagnosis.​role Base preferred DiagnosisRole 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error EpisodeOfCare If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error EpisodeOfCare If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error EpisodeOfCare If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error EpisodeOfCare If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice EpisodeOfCare A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from NlcoreEpisodeOfCare

Summary

Mandatory: 9 elements

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of EpisodeOfCare.identifier

 

Other representations of profile: CSV, Excel, Schematron