<status value="draft" /> <publisher value="Nictiz" /> <contact> <name value="Nictiz" /> <telecom> <system value="url" /> <value value="https://www.nictiz.nl" /> <use value="work" /> </telecom> </contact> <description value="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." /> <purpose value="This Goal resource represents the Dutch [zib ('Zorginformatiebouwsteen', i.e. Health and Care Information Model) TreatmentObjective v3.2 (2020)](https://zibs.nl/wiki/TreatmentObjective-v3.2(2020EN))." /> <copyright value="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 value="4.0.1" /> <mapping> <identity value="zib-treatmentobjective-v3.2-2020EN" /> <uri value="https://zibs.nl/wiki/TreatmentObjective-v3.2(2020EN)" /> <name value="zib TreatmentObjective-v3.2(2020EN)" /> </mapping> <mapping> <identity value="zib-functionalormentalstatus-v3.2-2020EN" /> <uri value="https://zibs.nl/wiki/FunctionalOrMentalStatus-v3.2(2020EN)" /> <name value="zib FunctionalOrMentalStatus-v3.2(2020EN)" /> </mapping> <kind value="resource" /> <abstract value="true" /> <type value="Goal" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Goal" /> <derivation value="constraint" /> <differential> <element id="Goal"> <path value="Goal" /> <short value="TreatmentObjective / DesiredHealthCondition / FunctionalOrMentalStatus" /> <comment value="On the zib level, zib TreatmentObjective uses a reference to zib FunctionalOrMentalStatus (in future context). In FHIR the concepts from FunctionalOrMentalStatus are represented directly in the the Goal resource, with the exception of the reference to zib MedicalDevice; this reference is represented by the core extension resource-pertainsToGoal in the [zib-MedicalDevice](http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDevice) profile." /> <alias value="Behandeldoel" /> <alias value="GewensteGezondheidstoestand" /> <alias value="FunctioneleOfMentaleStatus" /> <mapping> <identity value="zib-treatmentobjective-v3.2-2020EN" /> <map value="NL-CM:13.5.1" /> <comment value="TreatmentObjective" /> </mapping> <mapping> <identity value="zib-treatmentobjective-v3.2-2020EN" /> <map value="NL-CM:13.5.3" /> <comment value="DesiredHealthCondition" /> </mapping> <mapping> <identity value="zib-functionalormentalstatus-v3.2-2020EN" /> <map value="NL-CM:4.26.1" /> <comment value="FunctionalOrMentalStatus" /> </mapping> </element> <element id="Goal.lifecycleStatus"> <path value="Goal.lifecycleStatus" /> <comment value="No zib concept can be mapped (implicitly) to this element. Unless `.lifecycleStatus` is explicitly recorded, TreatmentObjectives may assumed to be _active_." /> </element> <element id="Goal.description.text"> <path value="Goal.description.text" /> <short value="DesiredHealthcareResult" /> <definition value="The textual account of the treatment objective." /> <comment value="This element is used to represent the zib concept DesiredHealthcareResult (NL-CM:13.5.5) if present. If instead DesiredHealthCondition::FunctionalOrMentalStatus is used (NL-CM:13.5.3), this element should be populated with a textual representation containg at least FunctionalOrMentalStatus.StatusName (NL-CM:4.26.2) and FunctionalOrMentalStatus.StatusValue (NL-CM:4.26.3). Receiving systems that need to map back to the zib could look at `.target.measure` and `.target.detailCodeableConcept`; if these elements are absent, this element represents zib concept DesiredHealthcareResult. If present, the discrete data can be found in the aforementioned elements." /> <alias value="GewenstZorgresultaat" /> <mapping> <identity value="zib-treatmentobjective-v3.2-2020EN" /> <map value="NL-CM:13.5.5" /> <comment value="DesiredHealthcareResult" /> </mapping> <mapping> <identity value="zib-functionalormentalstatus-v3.2-2020EN" /> <map value="NL-CM:4.26.2" /> <comment value="StatusName (implicit, main mapping is on Goal.target.measure)" /> </mapping> <mapping> <identity value="zib-functionalormentalstatus-v3.2-2020EN" /> <map value="NL-CM:4.26.3" /> <comment value="StatusValue (implicit, main mapping is on Goal.target.detailCodeableConcept)" /> </mapping> </element> <element id="Goal.target.measure"> <path value="Goal.target.measure" /> <short value="StatusName" /> <definition value="Coded description of the functional or mental status or limitation. Code systems used include: * SNOMED CT * ICF (International Classification of Functioning, Disability and Health) * NOC (Nursing Outcomes Classification) * OMAHA" /> <alias value="StatusNaam" /> <binding> <strength value="required" /> <valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.4--20200901000000" /> </binding> <mapping> <identity value="zib-functionalormentalstatus-v3.2-2020EN" /> <map value="NL-CM:4.26.2" /> <comment value="StatusName" /> </mapping> </element> <element id="Goal.target.detail[x]"> <path value="Goal.target.detail[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Goal.target.detail[x]:detailCodeableConcept"> <path value="Goal.target.detail[x]" /> <sliceName value="detailCodeableConcept" /> <short value="StatusValue" /> <definition value="The extent to which the patient is limited by the functional or mental condition. If both the status name and the status value are recorded in code, then both values must come from the same code system. If the patient uses a medical device, the evaluation of the extent of the limitation will take place without this aid. The answer codes must be selected from the subselection of the code system corresponding with the request in accordance with the rules applicable to that system." /> <alias value="StatusWaarde" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="required" /> <valueSet value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.3--20200901000000" /> </binding> <mapping> <identity value="zib-functionalormentalstatus-v3.2-2020EN" /> <map value="NL-CM:4.26.3" /> <comment value="StatusValue" /> </mapping> </element> <element id="Goal.target.due[x]"> <path value="Goal.target.due[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Goal.target.due[x]:dueDate"> <path value="Goal.target.due[x]" /> <sliceName value="dueDate" /> <short value="StatusDate" /> <definition value="Indicates the date of the DesiredHealthCondition by which the goal should be met." /> <comment value="Please note that this definition differs from that of zib FunctionalOrMentalStatus. However, [ZIB-1657](https://nictiz.atlassian.net/browse/ZIB-1657) clarifies that in the current context, the StatusDate should be interpreted this way." /> <alias value="StatusDatum" /> <type> <code value="date" /> </type> <mapping> <identity value="zib-functionalormentalstatus-v3.2-2020EN" /> <map value="NL-CM:4.26.6" /> <comment value="StatusDate" /> </mapping> </element> <element id="Goal.addresses"> <path value="Goal.addresses" /> <short value="Problem" /> <definition value="Description of the problem to which the treatment objective applies." /> <alias value="Probleem" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationStatement" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/NutritionOrder" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RiskAssessment" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/zib-Problem" /> </type> <mapping> <identity value="zib-treatmentobjective-v3.2-2020EN" /> <map value="NL-CM:13.5.4" /> <comment value="Problem" /> </mapping> </element> <element id="Goal.note"> <path value="Goal.note" /> <max value="1" /> </element> <element id="Goal.note.text"> <path value="Goal.note.text" /> <short value="Comment" /> <definition value="Explanatory comments as a description of the functional or mental status." /> <alias value="Toelichting" /> <mapping> <identity value="zib-functionalormentalstatus-v3.2-2020EN" /> <map value="NL-CM:4.26.4" /> <comment value="Comment" /> </mapping> </element> </differential> </StructureDefinition>

No narrative is provided for definitional resources. A human-readable rendering can be found in the implementation guide(s) where this resource is used.