台北榮民總醫院-治療計畫書實作指引(VGH-IG) - Local Development build (v0.1.0). See the Directory of published versions
Resource Profile: Goal Profile(CISCTP)
| Official URL: https://example.org/fhir/StructureDefinition/MyGoal | Version: 0.1.0 | |||
| Draft as of 2022-10-08 | Computable Name: GoalProfile | |||
Example of a profile of Goal(CISCTP)治療計畫書
Usage:
- This Resource Profile is not used by any profiles in this Implementation Guide
Formal Views of Profile Content
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Goal
This structure is derived from Goal
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Goal | 0..* | Goal | Describes the intended objective(s) for a patient, group or organization | |
  lifecycleStatus | 1..1 | code | proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Fixed Value: active | |
| category | 0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. | |
 description | 1..1 | CodeableConcept | Code or text describing goal | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Goal | 0..* | Goal | Describes the intended objective(s) for a patient, group or organization | |||||
 id | Σ | 0..1 | string | 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.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
 extension | 0..* | Extension | Additional content defined by implementations | |||||
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | 0..* | Identifier | External Ids for this goal | |||||
| lifecycleStatus | ?!Σ | 1..1 | code | proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required): Codes that reflect the current state of a goal and whether the goal is still being targeted. Fixed Value: active | ||||
| achievementStatus | Σ | 0..1 | CodeableConcept | in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable Binding: GoalAchievementStatus (preferred): Indicates the progression, or lack thereof, towards the goal against the target. | ||||
| category | Σ | 0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Binding: GoalCategory (example): Codes for grouping and sorting goals. | ||||
| priority | Σ | 0..1 | CodeableConcept | high-priority | medium-priority | low-priority Binding: GoalPriority (preferred): The level of importance associated with a goal. | ||||
| description | Σ | 1..1 | CodeableConcept | Code or text describing goal Binding: SNOMEDCTClinicalFindings (example): Codes providing the details of a particular goal. This will generally be system or implementation guide-specific. In many systems, only the text element will be used. | ||||
 subject | Σ | 1..1 | Reference(Patient | Group | Organization) | Who this goal is intended for | ||||
  start[x] | Σ | 0..1 | When goal pursuit begins Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal. | |||||
 startDate | date | |||||||
| startCodeableConcept | CodeableConcept | |||||||
| target | I | 0..* | BackboneElement | Target outcome for the goal | ||||
| 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 | ||||
| measure | ΣI | 0..1 | CodeableConcept | The parameter whose value is being tracked Binding: LOINCCodes (example): Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level. | ||||
| detail[x] | ΣI | 0..1 | The target value to be achieved Binding: (unbound) (example): Codes to identify the target value of the focus to be achieved to signify the fulfillment of the goal. | |||||
| detailQuantity | Quantity | |||||||
| detailRange | Range | |||||||
| detailCodeableConcept | CodeableConcept | |||||||
| detailString | string | |||||||
| detailBoolean | boolean | |||||||
| detailInteger | integer | |||||||
| detailRatio | Ratio | |||||||
 due[x] | Σ | 0..1 | Reach goal on or before | |||||
 dueDate | date | |||||||
| dueDuration | Duration | |||||||
| statusDate | Σ | 0..1 | date | When goal status took effect | ||||
| statusReason | 0..1 | string | Reason for current status | |||||
| expressedBy | Σ | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) | Who's responsible for creating Goal? | ||||
| addresses | 0..* | Reference(Condition | Observation | MedicationStatement | NutritionOrder | ServiceRequest | RiskAssessment) | Issues addressed by this goal | |||||
| note | 0..* | Annotation | Comments about the goal | |||||
| outcomeCode | 0..* | CodeableConcept | What result was achieved regarding the goal? Binding: SNOMEDCTClinicalFindings (example): The result of the goal; e.g. "25% increase in shoulder mobility", "Anxiety reduced to moderate levels". "15 kg weight loss sustained over 6 months". | |||||
| outcomeReference | 0..* | Reference(Observation) | Observation that resulted from goal | |||||
| Documentation for this format | ||||||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Goal | 0..* | Goal | Describes the intended objective(s) for a patient, group or organization | |
| Documentation for this format | ||||
This structure is derived from Goal
Differential View
This structure is derived from Goal
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Goal | 0..* | Goal | Describes the intended objective(s) for a patient, group or organization | |
| lifecycleStatus | 1..1 | code | proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Fixed Value: active | |
| category | 0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. | |
| description | 1..1 | CodeableConcept | Code or text describing goal | |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Goal | 0..* | Goal | Describes the intended objective(s) for a patient, group or organization | |||||
| id | Σ | 0..1 | string | 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.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | 0..* | Identifier | External Ids for this goal | |||||
| lifecycleStatus | ?!Σ | 1..1 | code | proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required): Codes that reflect the current state of a goal and whether the goal is still being targeted. Fixed Value: active | ||||
| achievementStatus | Σ | 0..1 | CodeableConcept | in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable Binding: GoalAchievementStatus (preferred): Indicates the progression, or lack thereof, towards the goal against the target. | ||||
| category | Σ | 0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Binding: GoalCategory (example): Codes for grouping and sorting goals. | ||||
| priority | Σ | 0..1 | CodeableConcept | high-priority | medium-priority | low-priority Binding: GoalPriority (preferred): The level of importance associated with a goal. | ||||
| description | Σ | 1..1 | CodeableConcept | Code or text describing goal Binding: SNOMEDCTClinicalFindings (example): Codes providing the details of a particular goal. This will generally be system or implementation guide-specific. In many systems, only the text element will be used. | ||||
| subject | Σ | 1..1 | Reference(Patient | Group | Organization) | Who this goal is intended for | ||||
| start[x] | Σ | 0..1 | When goal pursuit begins Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal. | |||||
| startDate | date | |||||||
| startCodeableConcept | CodeableConcept | |||||||
| target | I | 0..* | BackboneElement | Target outcome for the goal | ||||
| 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 | ||||
| measure | ΣI | 0..1 | CodeableConcept | The parameter whose value is being tracked Binding: LOINCCodes (example): Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level. | ||||
| detail[x] | ΣI | 0..1 | The target value to be achieved Binding: (unbound) (example): Codes to identify the target value of the focus to be achieved to signify the fulfillment of the goal. | |||||
| detailQuantity | Quantity | |||||||
| detailRange | Range | |||||||
| detailCodeableConcept | CodeableConcept | |||||||
| detailString | string | |||||||
| detailBoolean | boolean | |||||||
| detailInteger | integer | |||||||
| detailRatio | Ratio | |||||||
| due[x] | Σ | 0..1 | Reach goal on or before | |||||
| dueDate | date | |||||||
| dueDuration | Duration | |||||||
| statusDate | Σ | 0..1 | date | When goal status took effect | ||||
| statusReason | 0..1 | string | Reason for current status | |||||
| expressedBy | Σ | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) | Who's responsible for creating Goal? | ||||
| addresses | 0..* | Reference(Condition | Observation | MedicationStatement | NutritionOrder | ServiceRequest | RiskAssessment) | Issues addressed by this goal | |||||
| note | 0..* | Annotation | Comments about the goal | |||||
| outcomeCode | 0..* | CodeableConcept | What result was achieved regarding the goal? Binding: SNOMEDCTClinicalFindings (example): The result of the goal; e.g. "25% increase in shoulder mobility", "Anxiety reduced to moderate levels". "15 kg weight loss sustained over 6 months". | |||||
| outcomeReference | 0..* | Reference(Observation) | Observation that resulted from goal | |||||
| Documentation for this format | ||||||||
Other representations of profile: CSV, Excel, Schematron
Terminology Bindings
| Path | Conformance | ValueSet / Code |
| Goal.language | preferred | CommonLanguages Max Binding: AllLanguages |
| Goal.lifecycleStatus | required | Fixed Value: active |
| Goal.achievementStatus | preferred | GoalAchievementStatus |
| Goal.category | example | GoalCategory |
| Goal.priority | preferred | GoalPriority |
| Goal.description | example | SNOMEDCTClinicalFindings |
| Goal.start[x] | example | GoalStartEvent |
| Goal.target.measure | example | LOINCCodes |
| Goal.target.detail[x] | example | |
| Goal.outcomeCode | example | SNOMEDCTClinicalFindings |
Constraints
| Id | Grade | Path | Details | Requirements |
| dom-2 | error | Goal | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Goal | 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 | Goal | 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 | Goal | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | Best Practice | Goal | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | Goal.meta | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Goal.implicitRules | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Goal.language | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Goal.text | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Goal.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | Goal.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | error | Goal.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | Goal.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | error | Goal.identifier | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Goal.lifecycleStatus | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Goal.achievementStatus | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Goal.category | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Goal.priority | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Goal.description | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Goal.subject | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Goal.start[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Goal.target | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| gol-1 | error | Goal.target | Goal.target.measure is required if Goal.target.detail is populated : (detail.exists() and measure.exists()) or detail.exists().not() | |
| ele-1 | error | Goal.target.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | Goal.target.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | error | Goal.target.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | Goal.target.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | error | Goal.target.measure | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Goal.target.detail[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Goal.target.due[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Goal.statusDate | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Goal.statusReason | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Goal.expressedBy | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Goal.addresses | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Goal.note | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Goal.outcomeCode | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | Goal.outcomeReference | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |