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{
  "resourceType": "StructureDefinition",
  "id": "HdBe-TreatmentObjective",
  "url": "https://fhir.healthdata.be/StructureDefinition/HdBe-TreatmentObjective",
  "name": "HdBeTreatmentObjective",
  "title": "HdBe TreatmentObjective",
  "status": "draft",
  "date": "2022-10-17T09:09:13.9562003+00:00",
  "publisher": "Healthdata.be (Sciensano)",
  "contact": [
    {
      "name": "Service portal – healthdata.be",
      "telecom": [
        {
          "system": "url",
          "value": "https://sciensano.service-now.com/sp",
          "use": "work"
        }
      ]
    }
  ],
  "description": "The treatment objective describes the desired result of the treatment/interventions in terms of the patient’s diagnosed problem. The objective and target date are entered in addition to the target value. Comparing the healthcare results to the treatment objective provides insight into the effectivity of the treatment/interventions.",
  "copyright": "Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise.",
  "fhirVersion": "4.0.1",
  "mapping": [
    {
      "identity": "zib-treatmentobjective-v3.2-2020EN",
      "uri": "https://zibs.nl/wiki/TreatmentObjective-v3.2(2020EN)",
      "name": "zib TreatmentObjective-v3.2(2020EN)"
    },
    {
      "identity": "zib-functionalormentalstatus-v3.2-2020EN",
      "uri": "https://zibs.nl/wiki/FunctionalOrMentalStatus-v3.2(2020EN)",
      "name": "zib FunctionalOrMentalStatus-v3.2(2020EN)"
    },
    {
      "identity": "HdBe-TreatmentObjective",
      "uri": "https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-TreatmentObjective",
      "name": "HdBe logical model TreatmentObjective"
    },
    {
      "identity": "HdBe-FunctionalOrMentalStatus",
      "uri": "https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-FunctionalOrMentalStatus",
      "name": "HdBe logical model FunctionalOrMentalStatus"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "Goal",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Goal",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Goal",
        "path": "Goal",
        "short": "TreatmentObjective",
        "comment": "Although the CBB model assumes there's a reference from zib TreatmentObjective to a distinct instance of CBB FunctionalOrMentalStatus (in future context), in this profile the concepts of CBB FunctionalOrMentalStatus are mapped directly as this aligns with the way the Goal resource is used.",
        "alias": [
          "Behandeldoel"
        ],
        "mapping": [
          {
            "identity": "zib-treatmentobjective-v3.2-2020EN",
            "map": "NL-CM:13.5.1",
            "comment": "TreatmentObjective"
          },
          {
            "identity": "HdBe-TreatmentObjective",
            "map": "TreatmentObjective"
          }
        ]
      },
      {
        "id": "Goal.lifecycleStatus",
        "path": "Goal.lifecycleStatus",
        "comment": "No CBB concept can be mapped (implicitly). Unless `lifecycleStatus` is explicitly recorded, TreatmentObjectives may assumed to be _active_."
      },
      {
        "id": "Goal.description.text",
        "path": "Goal.description.text",
        "short": "DesiredHealthcareResult / StatusName / StatusValue",
        "definition": "The textual account of the treatment objective. This concept provides the option to define a treatment objective which cannot be described as a measurement value or functional/mental status.",
        "comment": "If the concept desired_healthcare_result is not present in this instance of CBB TreatmentObjective, but desired_health_condition is, `description.text` should be filled with a textual representation of FunctionalOrMentalStatus.status_name and FunctionalOrMentalStatus.status_value.",
        "alias": [
          "GewenstZorgresultaat"
        ],
        "mapping": [
          {
            "identity": "zib-treatmentobjective-v3.2-2020EN",
            "map": "NL-CM:13.5.5",
            "comment": "DesiredHealthcareResult"
          },
          {
            "identity": "zib-functionalormentalstatus-v3.2-2020EN",
            "map": "NL-CM:4.26.2",
            "comment": "StatusName (implicit, main mapping is on Goal.target.measure)"
          },
          {
            "identity": "zib-functionalormentalstatus-v3.2-2020EN",
            "map": "NL-CM:4.26.3",
            "comment": "StatusValue (implicit, main mapping is on Goal.target.detailCodeableConcept)"
          },
          {
            "identity": "HdBe-TreatmentObjective",
            "map": "DesiredHealthcareResult"
          },
          {
            "identity": "HdBe-FunctionalOrMentalStatus",
            "map": "StatusName",
            "comment": "implicit, main mapping is on Goal.target.measure"
          },
          {
            "identity": "HdBe-FunctionalOrMentalStatus",
            "map": "StatusValue",
            "comment": "implicit, main mapping is on Goal.target.detailCodeableConcept"
          }
        ]
      },
      {
        "id": "Goal.target",
        "path": "Goal.target",
        "short": "DesiredHealthCondition",
        "definition": "The desired health condition is a target value which can be expressed as the patient’s functional or mental status.",
        "alias": [
          "GewensteGezondheidstoestand"
        ],
        "max": "1",
        "mapping": [
          {
            "identity": "zib-treatmentobjective-v3.2-2020EN",
            "map": "NL-CM:13.5.3",
            "comment": "DesiredHealthCondition"
          },
          {
            "identity": "HdBe-TreatmentObjective",
            "map": "DesiredHealthCondition"
          }
        ]
      },
      {
        "id": "Goal.target.extension",
        "path": "Goal.target.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        },
        "min": 0
      },
      {
        "id": "Goal.target.extension:medicalDevice",
        "path": "Goal.target.extension",
        "sliceName": "medicalDevice",
        "min": 0,
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://fhir.healthdata.be/StructureDefinition/ext-TreatmentObjective.MedicalDevice"
            ]
          }
        ]
      },
      {
        "id": "Goal.target.extension:medicalDevice.value[x]",
        "path": "Goal.target.extension.value[x]",
        "mapping": [
          {
            "identity": "HdBe-FunctionalOrMentalStatus",
            "map": "MedicalDevice"
          }
        ]
      },
      {
        "id": "Goal.target.measure",
        "path": "Goal.target.measure",
        "short": "StatusName",
        "definition": "Coded description of the functional or mental status or limitation. \r\nCodeSystem used is SNOMED CT",
        "alias": [
          "StatusNaam"
        ],
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "GoalTargetMeasure"
            }
          ],
          "strength": "extensible",
          "description": "Description of the Status",
          "valueSet": "https://fhir.healthdata.be/ValueSet/StatusName"
        },
        "mapping": [
          {
            "identity": "zib-functionalormentalstatus-v3.2-2020EN",
            "map": "NL-CM:4.26.2",
            "comment": "StatusName"
          },
          {
            "identity": "HdBe-FunctionalOrMentalStatus",
            "map": "StatusName"
          }
        ]
      },
      {
        "id": "Goal.target.detail[x]",
        "path": "Goal.target.detail[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Goal.target.detail[x]:detailCodeableConcept",
        "path": "Goal.target.detail[x]",
        "sliceName": "detailCodeableConcept",
        "short": "StatusValue",
        "definition": "The extent to which the patient is limited by the functional or mental condition.\r\nIf both the status name and the status value are recorded in code, then both values must come from the same code system. If the patient uses a medical device, the evaluation of the extent of the limitation will take place without this aid. The answer codes must be selected from the subselection of the code system corresponding with the request in accordance with the rules applicable to that system.",
        "alias": [
          "StatusWaarde"
        ],
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "GoalTargetDetail"
            }
          ],
          "strength": "extensible",
          "valueSet": "https://fhir.healthdata.be/ValueSet/StatusValue"
        },
        "mapping": [
          {
            "identity": "zib-functionalormentalstatus-v3.2-2020EN",
            "map": "NL-CM:4.26.3",
            "comment": "StatusValue"
          },
          {
            "identity": "HdBe-TreatmentObjective",
            "map": "StatusValue"
          }
        ]
      },
      {
        "id": "Goal.target.due[x]",
        "path": "Goal.target.due[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Goal.target.due[x]:dueDate",
        "path": "Goal.target.due[x]",
        "sliceName": "dueDate",
        "short": "StatusDate",
        "definition": "Indicates the date of the DesiredHealthCondition by which the goal should be met.",
        "alias": [
          "StatusDatum"
        ],
        "type": [
          {
            "code": "date"
          }
        ],
        "mapping": [
          {
            "identity": "zib-functionalormentalstatus-v3.2-2020EN",
            "map": "NL-CM:4.26.6",
            "comment": "StatusDate"
          },
          {
            "identity": "HdBe-FunctionalOrMentalStatus",
            "map": "StatusDate"
          }
        ]
      },
      {
        "id": "Goal.addresses",
        "path": "Goal.addresses",
        "short": "Problem",
        "definition": "Description of the problem to which the treatment objective applies.",
        "alias": [
          "Probleem"
        ],
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Condition",
              "http://hl7.org/fhir/StructureDefinition/Observation",
              "http://hl7.org/fhir/StructureDefinition/MedicationStatement",
              "http://hl7.org/fhir/StructureDefinition/NutritionOrder",
              "http://hl7.org/fhir/StructureDefinition/ServiceRequest",
              "http://hl7.org/fhir/StructureDefinition/RiskAssessment",
              "https://fhir.healthdata.be/StructureDefinition/HdBe-Problem"
            ]
          }
        ],
        "mapping": [
          {
            "identity": "zib-treatmentobjective-v3.2-2020EN",
            "map": "NL-CM:13.5.4",
            "comment": "Problem"
          },
          {
            "identity": "HdBe-TreatmentObjective",
            "map": "Problem"
          }
        ]
      },
      {
        "id": "Goal.note",
        "path": "Goal.note",
        "max": "1"
      },
      {
        "id": "Goal.note.text",
        "path": "Goal.note.text",
        "short": "Comment",
        "definition": "Explanatory comments as a description of the functional or mental status.",
        "alias": [
          "Toelichting"
        ],
        "mapping": [
          {
            "identity": "zib-functionalormentalstatus-v3.2-2020EN",
            "map": "NL-CM:4.26.4",
            "comment": "Comment"
          },
          {
            "identity": "HdBe-FunctionalOrMentalStatus",
            "map": "Comment"
          }
        ]
      }
    ]
  }
}

name : HdBeTreatmentObjective

{

}