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.

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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
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
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
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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
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 | Σ C | 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 | Σ C | 0..1 | dateTime | StartDate
end | Σ C | 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
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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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
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
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
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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
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 | Σ C | 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 | Σ C | 0..1 | dateTime | StartDate
end | Σ C | 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
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