eWundbericht

Behandlungsziel

Das Behandlungsziel wird primär als Freitext im Feld description.text übermittelt, kann aber auch strukturiert in description.coding hinterlegt werden. Über target können weitere Informationen (semi-)strukturiert hinterlegt werden.

GoalOfTreatment

Goal	I		Goal	There are no (further) constraints on this element Element id Goal Short description Describes the intended objective(s) for a patient, group or organization Definition Describes the intended objective(s) for a patient, group or organization care, for example, weight loss, restoring an activity of daily living, obtaining herd immunity via immunization, meeting a process improvement objective, etc. Comments Goal can be achieving a particular change or merely maintaining a current state or even slowing a decline. Data type Goal Constraints dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.empty()` dom-4: 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-3: 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-6: A resource should have narrative for robust management text.`div`.exists() dom-5: If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` Mappings rim: Entity. Role, or Act v2: GOL.1 rim: .outboundRelationship[typeCode<=OBJ].
id	Σ	0..1	string	There are no (further) constraints on this element Element id Goal.id Short description Logical id of this artifact Definition The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. Comments The only time that a resource does not have an id is when it is being submitted to the server using a create operation. Data type string
meta	Σ	0..1	Meta	There are no (further) constraints on this element Element id Goal.meta Short description Metadata about the resource Definition The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. Data type Meta Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A
implicitRules	Σ ?!	0..1	uri	There are no (further) constraints on this element Element id Goal.implicitRules Short description A set of rules under which this content was created Definition A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. Comments Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
language		0..1	codeBinding	There are no (further) constraints on this element Element id Goal.language Short description Language of the resource content Definition The base language in which the resource is written. Comments Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). Data type code Binding A human language. CommonLanguages (preferred) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
text		0..1	Narrative	There are no (further) constraints on this element Element id Goal.text Short description Text summary of the resource, for human interpretation Alternate names narrative, html, xhtml, display Definition A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. Comments Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. Data type Narrative Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A rim: Act.text?
contained		0..*	Resource	There are no (further) constraints on this element Element id Goal.contained Short description Contained, inline Resources Alternate names inline resources, anonymous resources, contained resources Definition These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. Comments This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels. Data type Resource Mappings rim: Entity. Role, or Act rim: N/A
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Goal.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
modifierExtension	?! I	0..*	Extension	There are no (further) constraints on this element Element id Goal.modifierExtension Short description Extensions that cannot be ignored Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
identifier		0..*	Identifier	There are no (further) constraints on this element Element id Goal.identifier Short description External Ids for this goal Definition Business identifiers assigned to this goal by the performer or other systems which remain constant as the resource is updated and propagates from server to server. Requirements Allows identification of the goal as it is known by various participating systems and in a way that remains consistent across servers. Comments This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number. Data type Identifier Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CX / EI (occasionally, more often EI maps to a resource id or a URL) rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd: Identifier w5: FiveWs.identifier rim: .id
lifecycleStatus	Σ ?!	1..1	codeBinding	There are no (further) constraints on this element Element id Goal.lifecycleStatus Short description proposed \| planned \| accepted \| active \| on-hold \| completed \| cancelled \| entered-in-error \| rejected Definition The state of the goal throughout its lifecycle. Requirements Allows knowing whether goal needs to be further tracked. Comments This element is labeled as a modifier because the lifecycleStatus contains codes that mark the resource as not currently valid. Data type code Binding Codes that reflect the current state of a goal and whether the goal is still being targeted. GoalLifecycleStatus (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a w5: FiveWs.status v2: GOL-18-goal life cycle status rim: .statusCode in-progress = active (classCode = OBJ) cancelled = aborted
achievementStatus	Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element id Goal.achievementStatus Short description in-progress \| improving \| worsening \| no-change \| achieved \| sustaining \| not-achieved \| no-progress \| not-attainable Definition Describes the progression, or lack thereof, towards the goal against the target. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data type CodeableConcept Binding Indicates the progression, or lack thereof, towards the goal against the target. GoalAchievementStatus (preferred) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD rim: .statusCode achieved = complete sustaining = active
category	Σ	0..*	CodeableConcept	There are no (further) constraints on this element Element id Goal.category Short description E.g. Treatment, dietary, behavioral, etc. Definition Indicates a category the goal falls within. Requirements Allows goals to be filtered and sorted. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data type CodeableConcept Binding Codes for grouping and sorting goals. GoalCategory (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD w5: FiveWs.class
priority	Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element id Goal.priority Short description high-priority \| medium-priority \| low-priority Definition Identifies the mutually agreed level of importance associated with reaching/sustaining the goal. Requirements Used for sorting and presenting goals. Comments Extensions are available to track priorities as established by each participant (i.e. Priority from the patient's perspective, different practitioners' perspectives, family member's perspectives) The ordinal extension on Coding can be used to convey a numerically comparable ranking to priority. (Keep in mind that different coding systems may use a "low value=important". Data type CodeableConcept Binding The level of importance associated with a goal. GoalPriority (preferred) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD w5: FiveWs.grade rim: .priorityCode
description	S Σ	1..1	CodeableConcept	There are no (further) constraints on this element Element id Goal.description Short description Code or text describing goal Definition Human-readable and/or coded description of a specific desired objective of care, such as "control blood pressure" or "negotiate an obstacle course" or "dance with child at wedding". Requirements Without a description of what's trying to be achieved, element has no purpose. Comments If no code is available, use CodeableConcept.text. Data type CodeableConcept Binding 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. SNOMEDCTClinicalFindings (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD w5: FiveWs.what[x] v2: GOL-3.2-goal ID.text rim: .text
subject	Σ I	1..1	Reference(Patient)	Element id Goal.subject Short description Who this goal is intended for Definition Identifies the patient, group or organization for whom the goal is being established. Requirements Subject is optional to support annonymized reporting. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data type Reference(Patient) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5: FiveWs.subject[x] v2: PID-3-patient ID list rim: .participation[typeCode=PAT].role[classCode=PAT] w5: FiveWs.subject
start[x]	Σ	0..1		There are no (further) constraints on this element Element id Goal.start[x] Short description When goal pursuit begins Definition The date or event after which the goal should begin being pursued. Requirements Goals can be established prior to there being an intention to start pursuing them; e.g. Goals for post-surgical recovery established prior to surgery. Binding Codes describing events that can trigger the initiation of a goal. GoalStartEvent (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a w5: FiveWs.planned
startDate			date	There are no (further) constraints on this element Data type date
startCodeableConcept			CodeableConcept	There are no (further) constraints on this element Data type CodeableConcept
target	S I	0..*	BackboneElement	There are no (further) constraints on this element Element id Goal.target Short description Target outcome for the goal Definition Indicates what should be done by when. Requirements Allows the progress of the goal to be monitored against an observation or due date. Target is 0..* to support Observations with multiple components, such as blood pressure goals with both a systolic and diastolic target. Comments When multiple targets are present for a single goal instance, all targets must be met for the overall goal to be met. Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` gol-1: Goal.target.measure is required if Goal.target.detail is populated `(detail.exists() and measure.exists()) or detail.exists().not()` Mappings rim: n/a
id		0..1	string	There are no (further) constraints on this element Element id Goal.target.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Goal.target.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
modifierExtension	Σ ?! I	0..*	Extension	There are no (further) constraints on this element Element id Goal.target.modifierExtension Short description Extensions that cannot be ignored even if unrecognized Alternate names extensions, user content, modifiers Definition May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
measure	Σ I	0..1	CodeableConcept	There are no (further) constraints on this element Element id Goal.target.measure Short description The parameter whose value is being tracked Definition The parameter whose value is being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data type CodeableConcept Binding Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level. LOINCCodes (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
detail[x]	Σ I	0..1		There are no (further) constraints on this element Element id Goal.target.detail[x] Short description The target value to be achieved Definition The target value of the focus to be achieved to signify the fulfillment of the goal, e.g. 150 pounds, 7.0%. Either the high or low or both values of the range can be specified. When a low value is missing, it indicates that the goal is achieved at any focus value at or below the high value. Similarly, if the high value is missing, it indicates that the goal is achieved at any focus value at or above the low value. Comments A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Goal.target.measure defines a coded value. Binding Codes to identify the target value of the focus to be achieved to signify the fulfillment of the goal. (unbound) (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
detailQuantity			Quantity	There are no (further) constraints on this element Data type Quantity
detailRange			Range	There are no (further) constraints on this element Data type Range
detailCodeableConcept			CodeableConcept	There are no (further) constraints on this element Data type CodeableConcept
detailString			string	There are no (further) constraints on this element Data type string
detailBoolean			boolean	There are no (further) constraints on this element Data type boolean
detailInteger			integer	There are no (further) constraints on this element Data type integer
detailRatio			Ratio	There are no (further) constraints on this element Data type Ratio
due[x]	Σ	0..1		There are no (further) constraints on this element Element id Goal.target.due[x] Short description Reach goal on or before Definition Indicates either the date or the duration after start by which the goal should be met. Requirements Identifies when the goal should be evaluated. Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a w5: FiveWs.done[x]
dueDate			date	There are no (further) constraints on this element Data type date
dueDuration			Duration	There are no (further) constraints on this element Data type Duration
statusDate	Σ	0..1	date	There are no (further) constraints on this element Element id Goal.statusDate Short description When goal status took effect Definition Identifies when the current status. I.e. When initially created, when achieved, when cancelled, etc. Comments To see the date for past statuses, query history. Data type date Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a w5: FiveWs.recorded
statusReason		0..1	string	There are no (further) constraints on this element Element id Goal.statusReason Short description Reason for current status Definition Captures the reason for the current status. Comments This will typically be captured for statuses such as rejected, on-hold or cancelled, but could be present for others. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
expressedBy	Σ I	0..1	Reference(Patient \| Practitioner \| PractitionerRole \| RelatedPerson)	There are no (further) constraints on this element Element id Goal.expressedBy Short description Who's responsible for creating Goal? Definition Indicates whose goal this is - patient goal, practitioner goal, etc. Comments This is the individual responsible for establishing the goal, not necessarily who recorded it. (For that, use the Provenance resource.). Data type Reference(Patient \| Practitioner \| PractitionerRole \| RelatedPerson) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5: FiveWs.source
addresses	I	0..*	Reference(Condition \| Wound)	Element id Goal.addresses Short description Issues addressed by this goal Definition The identified conditions and other health record elements that are intended to be addressed by the goal. Requirements Allows specific goals to explicitly linked to the concerns they're dealing with - makes the goal more understandable. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data type Reference(Condition \| Wound) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5: FiveWs.why[x] rim: .outboundRelationship[typeCode=SUBJ].target[classCode=CONC]
note		0..*	Annotation	There are no (further) constraints on this element Element id Goal.note Short description Comments about the goal Definition Any comments related to the goal. Requirements There's a need to capture information about the goal that doesn't actually describe the goal. Comments May be used for progress notes, concerns or other related information that doesn't actually describe the goal itself. Data type Annotation Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: N/A rim: Act v2: GOL-16-goal evaluation + NTE? rim: .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation"].value
outcomeCode		0..*	CodeableConcept	There are no (further) constraints on this element Element id Goal.outcomeCode Short description What result was achieved regarding the goal? Definition Identifies the change (or lack of change) at the point when the status of the goal is assessed. Requirements Outcome tracking is a key aspect of care planning. Comments Note that this should not duplicate the goal status. Data type CodeableConcept Binding 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". SNOMEDCTClinicalFindings (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
outcomeReference	I	0..*	Reference(Observation)	There are no (further) constraints on this element Element id Goal.outcomeReference Short description Observation that resulted from goal Definition Details of what's changed (or not changed). Requirements Outcome tracking is a key aspect of care planning. Comments The goal outcome is independent of the outcome of the related activities. For example, if the Goal is to achieve a target body weight of 150 lb and a care plan activity is defined to diet, then the care plan’s activity outcome could be calories consumed whereas goal outcome is an observation for the actual body weight measured. Data type Reference(Observation) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)

Anmerkungen zu Must-Support-Feldern

`Goal.description`

Bedeutung: Beschreibung des Behandlungsziels, z.B. als Freitext.

`Goal.target`

Bedeutung: Genauere Beschreibung des Behandlungs mit Zielgröße(n) und Details, bis wann sich die Zielgröße(n) in welche Richtung entwickeln soll.

Beispiel

{
    "resourceType": "Goal",
    "meta": {
        "profile":  [
            "http://hs-osnabrueck.de/fhir/eWundbericht/StructureDefinition/GoalOfTreatment"
        ]
    },
    "id": "ExampleGoal",
    "lifecycleStatus": "active",
    "description": {
        "text": "Reduktion der Wundgröße"
    },
    "subject": {
        "reference": "Patient/example"
    },
    "target":  [
        {
            "measure": {
                "coding":  [
                    {
                        "code": "72287-6",
                        "system": "http://loinc.org"
                    }
                ]
            },
            "detailString": "Reduziert bis zur Wundheilung"
        }
    ],
    "addresses":  [
        {
            "reference": "Condition/example"
        }
    ]
}