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HdBe-TreatmentObjective

ProfileDescriptionStatusURL
HdBe-TreatmentObjective

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.

drafthttps://fhir.healthdata.be/StructureDefinition/HdBe-TreatmentObjective
Instructions

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.


idΣ0..1string
metaΣ0..1Meta
implicitRulesΣ ?!0..1uri
language0..1codeBinding
text0..1Narrative
contained0..*Resource
extensionI0..*Extension
modifierExtension?! I0..*Extension
identifier0..*Identifier
lifecycleStatusΣ ?!1..1codeBinding
achievementStatusΣ0..1CodeableConceptBinding
categoryΣ0..*CodeableConcept
priorityΣ0..1CodeableConceptBinding
id0..1string
extensionI0..*Extension
codingΣ0..*Coding
textΣ0..1string
subjectΣ I1..1Reference(Patient | Group | Organization | HdBe-Patient)
startDatedate
startCodeableConceptCodeableConcept
id0..1string
id0..1string
extensionI0..*Extension
url1..1uriFixed Value
valueReferenceReference(HdBe-MedicalDevice)
modifierExtensionΣ ?! I0..*Extension
measureΣ I0..1CodeableConceptBinding
detailQuantityQuantity
detailRangeRange
detailStringstring
detailBooleanboolean
detailIntegerinteger
detailRatioRatio
detailCodeableConceptΣ I0..1CodeableConceptBinding
dueDurationDuration
dueDateΣ0..1date
statusDateΣ0..1date
statusReason0..1string
expressedByΣ I0..1Reference(Patient | Practitioner | PractitionerRole | RelatedPerson)
addressesI0..1Reference(Condition | Observation | MedicationStatement | NutritionOrder | ServiceRequest | RiskAssessment | HdBe-Problem)
id0..1string
extensionI0..*Extension
authorStringstring
authorReferenceReference(Practitioner | Patient | RelatedPerson | Organization)
timeΣ0..1dateTime
textΣ1..1markdown
outcomeCode0..*CodeableConcept
outcomeReferenceI0..*Reference(Observation)

idΣ0..1string
metaΣ0..1Meta
implicitRulesΣ ?!0..1uri
language0..1codeBinding
text0..1Narrative
contained0..*Resource
extensionI0..*Extension
modifierExtension?! I0..*Extension
identifier0..*Identifier
lifecycleStatusΣ ?!1..1codeBinding
achievementStatusΣ0..1CodeableConceptBinding
categoryΣ0..*CodeableConcept
priorityΣ0..1CodeableConceptBinding
id0..1string
extensionI0..*Extension
codingΣ0..*Coding
textΣ0..1string
subjectΣ I1..1Reference(Patient | Group | Organization | HdBe-Patient)
startDatedate
startCodeableConceptCodeableConcept
id0..1string
id0..1string
extensionI0..*Extension
url1..1uriFixed Value
valueReferenceReference(HdBe-MedicalDevice)
modifierExtensionΣ ?! I0..*Extension
measureΣ I0..1CodeableConceptBinding
detailQuantityQuantity
detailRangeRange
detailStringstring
detailBooleanboolean
detailIntegerinteger
detailRatioRatio
detailCodeableConceptΣ I0..1CodeableConceptBinding
dueDurationDuration
dueDateΣ0..1date
statusDateΣ0..1date
statusReason0..1string
expressedByΣ I0..1Reference(Patient | Practitioner | PractitionerRole | RelatedPerson)
addressesI0..1Reference(Condition | Observation | MedicationStatement | NutritionOrder | ServiceRequest | RiskAssessment | HdBe-Problem)
id0..1string
extensionI0..*Extension
authorStringstring
authorReferenceReference(Practitioner | Patient | RelatedPerson | Organization)
timeΣ0..1dateTime
textΣ1..1markdown
outcomeCode0..*CodeableConcept
outcomeReferenceI0..*Reference(Observation)

idΣ0..1string
metaΣ0..1Meta
implicitRulesΣ ?!0..1uri
language0..1codeBinding
text0..1Narrative
contained0..*Resource
extensionI0..*Extension
modifierExtension?! I0..*Extension
identifier0..*Identifier
lifecycleStatusΣ ?!1..1codeBinding
achievementStatusΣ0..1CodeableConceptBinding
categoryΣ0..*CodeableConcept
priorityΣ0..1CodeableConceptBinding
id0..1string
extensionI0..*Extension
codingΣ0..*Coding
textΣ0..1string
subjectΣ I1..1Reference(Patient | Group | Organization | HdBe-Patient)
startDatedate
startCodeableConceptCodeableConcept
id0..1string
id0..1string
extensionI0..*Extension
url1..1uriFixed Value
valueReferenceReference(HdBe-MedicalDevice)
modifierExtensionΣ ?! I0..*Extension
measureΣ I0..1CodeableConceptBinding
detailQuantityQuantity
detailRangeRange
detailStringstring
detailBooleanboolean
detailIntegerinteger
detailRatioRatio
detailCodeableConceptΣ I0..1CodeableConceptBinding
dueDurationDuration
dueDateΣ0..1date
statusDateΣ0..1date
statusReason0..1string
expressedByΣ I0..1Reference(Patient | Practitioner | PractitionerRole | RelatedPerson)
addressesI0..1Reference(Condition | Observation | MedicationStatement | NutritionOrder | ServiceRequest | RiskAssessment | HdBe-Problem)
id0..1string
extensionI0..*Extension
authorStringstring
authorReferenceReference(Practitioner | Patient | RelatedPerson | Organization)
timeΣ0..1dateTime
textΣ1..1markdown
outcomeCode0..*CodeableConcept
outcomeReferenceI0..*Reference(Observation)

Mapping FHIR profile to CBB

PathmapCBBcomment
Goal.description.textStatusNameHdBe-FunctionalOrMentalStatusimplicit, main mapping is on Goal.target.measure
Goal.description.textStatusValueHdBe-FunctionalOrMentalStatusimplicit, main mapping is on Goal.target.detailCodeableConcept
Goal.target.extension:medicalDevice.value[x]MedicalDeviceHdBe-FunctionalOrMentalStatus
Goal.target.measureStatusNameHdBe-FunctionalOrMentalStatus
Goal.target.due[x]:dueDateStatusDateHdBe-FunctionalOrMentalStatus
Goal.note.textCommentHdBe-FunctionalOrMentalStatus
GoalTreatmentObjectiveHdBe-TreatmentObjective
Goal.description.textDesiredHealthcareResultHdBe-TreatmentObjective
Goal.targetDesiredHealthConditionHdBe-TreatmentObjective
Goal.target.detail[x]:detailCodeableConceptStatusValueHdBe-TreatmentObjective
Goal.addressesProblemHdBe-TreatmentObjective

zib TreatmentObjective difference

Concept Category Description
Goal textual Replaced notion of zib with CBB and replaced wording of OutcomeOfCare with TreatmentObjective.
target.measure terminology Included only SNOMED CT as CodeSystem of valueSet StatusName and loosened binding to extensible in alignment with CBB FunctionalOrMentalStatus.
target.measure textual Aligned descriptions of several elements with the CBB FunctionalOrMentalStatus elements.
target.detailCodeableConcept terminology Included only SNOMED CT as CodeSystem of valueSet StatusValue and loosened binding to extensible in alignment with CBB FunctionalOrMentalStatus.



Terminology Bindings

PathNameStrengthURLConceptMap
Goal.target.measureStatusNameextensiblehttps://fhir.healthdata.be/ValueSet/StatusNameNo bound ConceptMap
Goal.target.detail[x]StatusValueextensiblehttps://fhir.healthdata.be/ValueSet/StatusValueNo bound ConceptMap