Nictiz FHIR NL STU3 Zib2017 - Local Development build (v1.3.15) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Resource Profile: nl-core-episodeofcare
| Official URL: http://fhir.nl/fhir/StructureDefinition/nl-core-episodeofcare | Version: 1.3.15 | |||
| Active as of 2025-09-22 | Computable Name: nl-core-episodeofcare | |||
Copyright/Legal: CC0 |
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An EpisodeOfCare resource as defined for the Dutch realm
Usages:
- Refer to this Profile: context extension for nl-core-episodeofcare, nl-core-careplan, nl-core-careteam, nl-core-observation... Show 9 more
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.
This structure is derived from EpisodeOfCare
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  EpisodeOfCare |
0..* | EpisodeOfCare | An association of a Patient with an Organization and Healthcare Provider(s) for a period of time that the Organization assumes some level of responsibility | |
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
  Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
   extension:dateFirstEncounter |
0..1 | dateTime | Extension URL: http://nictiz.nl/fhir/StructureDefinition/EpisodeOfCare-DateFirstEncounter | |
| extension:dateLastEncounter |
0..1 | dateTime | Extension URL: http://nictiz.nl/fhir/StructureDefinition/EpisodeOfCare-DateLastEncounter | |
 extension:title |
0..1 | string | Extension URL: http://nictiz.nl/fhir/StructureDefinition/EpisodeOfCare-Title | |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
 identifier |
0..* | Identifier | Business Identifier(s) relevant for this EpisodeOfCare | |
| status |
?!Σ | 1..1 | code | planned | waitlist | active | onhold | finished | cancelled | entered-in-error Binding: EpisodeOfCareStatus (required): The status of the episode of care. |
 patient |
Σ | 1..1 | Reference(nl-core-patient) | The patient who is the focus of this episode of care |
| managingOrganization |
Σ | 0..1 | Reference(nl-core-organization) | Organization that assumes care |
| period |
Σ | 0..1 | Period | Interval during responsibility is assumed |
 careManager |
0..1 | Reference(nl-core-practitioner) | Care manager/care co-ordinator for the patient | |
 Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:practitionerRole |
0..1 | Reference(nl-core-practitionerrole) | Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference | |
| Documentation for this format | ||||
Terminology Bindings
| Path | Conformance | ValueSet | URI |
| EpisodeOfCare.status | required | EpisodeOfCareStatushttp://hl7.org/fhir/ValueSet/episode-of-care-status|3.0.2From the FHIR Standard |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| dom-1 | error | EpisodeOfCare | If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty() | |
| dom-2 | error | EpisodeOfCare | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | EpisodeOfCare | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty() | |
| dom-4 | error | EpisodeOfCare | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| EpisodeOfCare |
0..* | EpisodeOfCare | An association of a Patient with an Organization and Healthcare Provider(s) for a period of time that the Organization assumes some level of responsibility | |||||
| 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: Common Languages (extensible): A human language.
| |||||
| 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 | Extension Slice: Unordered, Open by value:url | |||||
| extension:dateFirstEncounter |
0..1 | dateTime | Extension URL: http://nictiz.nl/fhir/StructureDefinition/EpisodeOfCare-DateFirstEncounter | |||||
| extension:dateLastEncounter |
0..1 | dateTime | Extension URL: http://nictiz.nl/fhir/StructureDefinition/EpisodeOfCare-DateLastEncounter | |||||
| extension:title |
0..1 | string | Extension URL: http://nictiz.nl/fhir/StructureDefinition/EpisodeOfCare-Title | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
0..* | Identifier | Business Identifier(s) relevant for this EpisodeOfCare | |||||
| 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 | xml:id (or equivalent in JSON) | |||||
| extension |
0..* | Extension | Additional Content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||
| 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 | ||||
| id |
0..1 | string | xml:id (or equivalent in JSON) | |||||
| extension |
0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system | ||||
| text |
Σ | 0..1 | string | ConcernLabel | ||||
| diagnosis |
Σ | 0..* | BackboneElement | The list of diagnosis relevant to this episode of care | ||||
| id |
0..1 | string | xml:id (or equivalent in JSON) | |||||
| extension |
0..* | Extension | Additional Content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||
| condition |
Σ | 1..1 | Reference(HCIM Problem) | Conditions/problems/diagnoses this episode of care is for | ||||
| 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(nl-core-patient) | The patient who is the focus of this episode of care | ||||
| managingOrganization |
Σ | 0..1 | Reference(nl-core-organization) | Organization that assumes care | ||||
| period |
Σ | 0..1 | Period | Interval during responsibility is assumed | ||||
| referralRequest |
0..* | Reference(ReferralRequest) | Originating Referral Request(s) | |||||
| careManager |
0..1 | Reference(nl-core-practitioner) | Care manager/care co-ordinator for the patient | |||||
| id |
0..1 | string | xml:id (or equivalent in JSON) | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:practitionerRole |
0..1 | Reference(nl-core-practitionerrole) | Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference | |||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| 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 | Conformance | ValueSet | URI | |||
| EpisodeOfCare.language | extensible | Common Languageshttp://hl7.org/fhir/ValueSet/languages|3.0.2From the FHIR Standard
| ||||
| EpisodeOfCare.status | required | EpisodeOfCareStatushttp://hl7.org/fhir/ValueSet/episode-of-care-status|3.0.2From the FHIR Standard | ||||
| EpisodeOfCare.statusHistory.status | required | EpisodeOfCareStatushttp://hl7.org/fhir/ValueSet/episode-of-care-status|3.0.2From the FHIR Standard | ||||
| EpisodeOfCare.type | example | EpisodeOfCareTypehttp://hl7.org/fhir/ValueSet/episodeofcare-type|3.0.2From the FHIR Standard | ||||
| EpisodeOfCare.diagnosis.role | preferred | DiagnosisRolehttp://hl7.org/fhir/ValueSet/diagnosis-role|3.0.2From the FHIR Standard |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| dom-1 | error | EpisodeOfCare | If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty() | |
| dom-2 | error | EpisodeOfCare | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | EpisodeOfCare | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty() | |
| dom-4 | error | EpisodeOfCare | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from EpisodeOfCare
Summary
Structures
This structure refers to these other structures:
- HCIM Problem (http://nictiz.nl/fhir/StructureDefinition/zib-Problem)
- nl-core-patient (http://fhir.nl/fhir/StructureDefinition/nl-core-patient)
- nl-core-organization (http://fhir.nl/fhir/StructureDefinition/nl-core-organization)
- nl-core-practitioner (http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner)
Extensions
This structure refers to these extensions:
Differential View
This structure is derived from EpisodeOfCare
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| EpisodeOfCare |
0..* | EpisodeOfCare | An association of a Patient with an Organization and Healthcare Provider(s) for a period of time that the Organization assumes some level of responsibility | |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:dateFirstEncounter |
0..1 | dateTime | Extension URL: http://nictiz.nl/fhir/StructureDefinition/EpisodeOfCare-DateFirstEncounter | |
| extension:dateLastEncounter |
0..1 | dateTime | Extension URL: http://nictiz.nl/fhir/StructureDefinition/EpisodeOfCare-DateLastEncounter | |
| extension:title |
0..1 | string | Extension URL: http://nictiz.nl/fhir/StructureDefinition/EpisodeOfCare-Title | |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier |
0..* | Identifier | Business Identifier(s) relevant for this EpisodeOfCare | |
| status |
?!Σ | 1..1 | code | planned | waitlist | active | onhold | finished | cancelled | entered-in-error Binding: EpisodeOfCareStatus (required): The status of the episode of care. |
| patient |
Σ | 1..1 | Reference(nl-core-patient) | The patient who is the focus of this episode of care |
| managingOrganization |
Σ | 0..1 | Reference(nl-core-organization) | Organization that assumes care |
| period |
Σ | 0..1 | Period | Interval during responsibility is assumed |
| careManager |
0..1 | Reference(nl-core-practitioner) | Care manager/care co-ordinator for the patient | |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:practitionerRole |
0..1 | Reference(nl-core-practitionerrole) | Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference | |
| Documentation for this format | ||||
Terminology Bindings
| Path | Conformance | ValueSet | URI |
| EpisodeOfCare.status | required | EpisodeOfCareStatushttp://hl7.org/fhir/ValueSet/episode-of-care-status|3.0.2From the FHIR Standard |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| dom-1 | error | EpisodeOfCare | If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty() | |
| dom-2 | error | EpisodeOfCare | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | EpisodeOfCare | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty() | |
| dom-4 | error | EpisodeOfCare | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| EpisodeOfCare |
0..* | EpisodeOfCare | An association of a Patient with an Organization and Healthcare Provider(s) for a period of time that the Organization assumes some level of responsibility | |||||
| 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: Common Languages (extensible): A human language.
| |||||
| 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 | Extension Slice: Unordered, Open by value:url | |||||
| extension:dateFirstEncounter |
0..1 | dateTime | Extension URL: http://nictiz.nl/fhir/StructureDefinition/EpisodeOfCare-DateFirstEncounter | |||||
| extension:dateLastEncounter |
0..1 | dateTime | Extension URL: http://nictiz.nl/fhir/StructureDefinition/EpisodeOfCare-DateLastEncounter | |||||
| extension:title |
0..1 | string | Extension URL: http://nictiz.nl/fhir/StructureDefinition/EpisodeOfCare-Title | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
0..* | Identifier | Business Identifier(s) relevant for this EpisodeOfCare | |||||
| 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 | xml:id (or equivalent in JSON) | |||||
| extension |
0..* | Extension | Additional Content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||
| 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 | ||||
| id |
0..1 | string | xml:id (or equivalent in JSON) | |||||
| extension |
0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system | ||||
| text |
Σ | 0..1 | string | ConcernLabel | ||||
| diagnosis |
Σ | 0..* | BackboneElement | The list of diagnosis relevant to this episode of care | ||||
| id |
0..1 | string | xml:id (or equivalent in JSON) | |||||
| extension |
0..* | Extension | Additional Content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||
| condition |
Σ | 1..1 | Reference(HCIM Problem) | Conditions/problems/diagnoses this episode of care is for | ||||
| 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(nl-core-patient) | The patient who is the focus of this episode of care | ||||
| managingOrganization |
Σ | 0..1 | Reference(nl-core-organization) | Organization that assumes care | ||||
| period |
Σ | 0..1 | Period | Interval during responsibility is assumed | ||||
| referralRequest |
0..* | Reference(ReferralRequest) | Originating Referral Request(s) | |||||
| careManager |
0..1 | Reference(nl-core-practitioner) | Care manager/care co-ordinator for the patient | |||||
| id |
0..1 | string | xml:id (or equivalent in JSON) | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:practitionerRole |
0..1 | Reference(nl-core-practitionerrole) | Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference | |||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| 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 | Conformance | ValueSet | URI | |||
| EpisodeOfCare.language | extensible | Common Languageshttp://hl7.org/fhir/ValueSet/languages|3.0.2From the FHIR Standard
| ||||
| EpisodeOfCare.status | required | EpisodeOfCareStatushttp://hl7.org/fhir/ValueSet/episode-of-care-status|3.0.2From the FHIR Standard | ||||
| EpisodeOfCare.statusHistory.status | required | EpisodeOfCareStatushttp://hl7.org/fhir/ValueSet/episode-of-care-status|3.0.2From the FHIR Standard | ||||
| EpisodeOfCare.type | example | EpisodeOfCareTypehttp://hl7.org/fhir/ValueSet/episodeofcare-type|3.0.2From the FHIR Standard | ||||
| EpisodeOfCare.diagnosis.role | preferred | DiagnosisRolehttp://hl7.org/fhir/ValueSet/diagnosis-role|3.0.2From the FHIR Standard |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| dom-1 | error | EpisodeOfCare | If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty() | |
| dom-2 | error | EpisodeOfCare | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | EpisodeOfCare | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty() | |
| dom-4 | error | EpisodeOfCare | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from EpisodeOfCare
Summary
Structures
This structure refers to these other structures:
- HCIM Problem (http://nictiz.nl/fhir/StructureDefinition/zib-Problem)
- nl-core-patient (http://fhir.nl/fhir/StructureDefinition/nl-core-patient)
- nl-core-organization (http://fhir.nl/fhir/StructureDefinition/nl-core-organization)
- nl-core-practitioner (http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner)
Extensions
This structure refers to these extensions:
Other representations of profile: CSV, Excel, Schematron