{ "resourceType": "StructureDefinition", "id": "POWER2DM-Goal", "meta": { "versionId": "1", "lastUpdated": "2017-03-14T11:39:26.545+00:00" }, "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm-no-warnings", "valueInteger": 1 } ], "url": "http://www.power2dm.eu/pds/StructureDefinition/POWER2DM-Goal", "version": "0.1", "name": "POWER2DM-Goal", "display": "POWER2DM-Goal", "status": "draft", "publisher": "SRDC Corp.", "date": "2016-11-29T21:00:00+00:00", "description": "Profiling to represent Treatment and Self-management goal for a patient in POWER2DM", "kind": "resource", "constrainedType": "Goal", "abstract": false, "base": "http://hl7.org/fhir/StructureDefinition/Goal", "snapshot": { "element": [ { "path": "Goal", "short": "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.", "min": 0, "max": "*", "base": { "path": "Resource", "min": 0, "max": "*" }, "type": [ { "code": "Goal" } ], "constraint": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-expression", "valueString": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" } ], "key": "dom-4", "severity": "error", "human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated", "xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-expression", "valueString": "contained.where(('#'+id in %resource.descendants().reference).not()).empty()" } ], "key": "dom-3", "severity": "error", "human": "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource", "xpath": "not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-expression", "valueString": "contained.contained.empty()" } ], "key": "dom-2", "severity": "error", "human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources", "xpath": "not(parent::f:contained and f:contained)" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-expression", "valueString": "contained.text.empty()" } ], "key": "dom-1", "severity": "error", "human": "If the resource is contained in another resource, it SHALL NOT contain any narrative", "xpath": "not(parent::f:contained and f:text)" } ], "mapping": [ { "identity": "rim", "map": "Entity. Role, or Act" }, { "identity": "v2", "map": "GOL.1" }, { "identity": "rim", "map": ".outboundRelationship[typeCode<=OBJ]." }, { "identity": "w5", "map": "clinical.careprovision" } ] }, { "path": "Goal.id", "short": "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. Bundles always have an id, though it is usually a generated UUID.", "min": 0, "max": "1", "base": { "path": "Resource.id", "min": 0, "max": "1" }, "type": [ { "code": "id" } ], "condition": [ "ele-1" ], "constraint": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-expression", "valueString": "*" } ], "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "path": "Goal.meta", "short": "Metadata about the resource", "definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.", "min": 0, "max": "1", "base": { "path": "Resource.meta", "min": 0, "max": "1" }, "type": [ { "code": "Meta" } ], "condition": [ "ele-1" ], "constraint": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-expression", "valueString": "*" } ], "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "path": "Goal.implicitRules", "short": "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.", "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 as much as possible.", "min": 0, "max": "1", "base": { "path": "Resource.implicitRules", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-expression", "valueString": "*" } ], "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div" } ], "isModifier": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "path": "Goal.language", "short": "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).", "min": 0, "max": "1", "base": { "path": "Resource.language", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-expression", "valueString": "*" } ], "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div" } ], "binding": { "strength": "required", "description": "A human language.", "valueSetUri": "http://tools.ietf.org/html/bcp47" }, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "path": "Goal.text", "short": "Text summary of the resource, for human interpretation", "definition": "A human-readable narrative that contains a summary of the resource, and may 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.", "alias": [ "narrative", "html", "xhtml", "display" ], "min": 0, "max": "1", "base": { "path": "DomainResource.text", "min": 0, "max": "1" }, "type": [ { "code": "Narrative" } ], "condition": [ "ele-1", "dom-1" ], "constraint": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-expression", "valueString": "*" } ], "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" }, { "identity": "rim", "map": "Act.text?" } ] }, { "path": "Goal.contained", "short": "Contained, inline 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.", "alias": [ "inline resources", "anonymous resources", "contained resources" ], "min": 0, "max": "*", "base": { "path": "DomainResource.contained", "min": 0, "max": "*" }, "type": [ { "code": "Resource" } ], "mapping": [ { "identity": "rim", "map": "Entity. Role, or Act" }, { "identity": "rim", "map": "N/A" } ] }, { "path": "Goal.extension", "slicing": { "discriminator": [ "url" ], "rules": "open" }, "short": "Additional Content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the resource. In order 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "DomainResource.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-expression", "valueString": "*" } ], "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "path": "Goal.extension", "name": "goal-target", "short": "Target for goal (e.g. Body Weight)", "definition": "Optional Extensions Element - found in all resources.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "1", "base": { "path": "DomainResource.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/goal-target" ] } ], "condition": [ "ele-1" ], "constraint": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-expression", "valueString": "*" } ], "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div" } ], "binding": { "strength": "required", "description": "Target measures for goals in POWER2DM", "valueSetReference": { "reference": "http://power2dm.eu/pds/ValueSet/pdm-goal-target-measures" } }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" }, { "identity": "qdm", "map": "target outcome" } ] }, { "path": "Goal.extension", "name": "goal-pertainsToGoal", "short": "Pertains to goal", "definition": "Indicates that the resource is related to either the measurement, achievement or progress towards the referenced goal.", "comments": "This extension is limited to subject-specific activity-related resources (events & intents). I.e. This can't be put on Goal or Patient. This association isn't for the purpose of goal management, but for things such as noting that a particular observation result, prescription or other activity is pertinent to the achievement (or possibly non-achievement) of the referenced goal.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "DomainResource.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/goal-pertainsToGoal" ] } ], "condition": [ "ele-1" ], "constraint": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-expression", "valueString": "*" } ], "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "path": "Goal.modifierExtension", "short": "Extensions that cannot be ignored", "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. Usually modifier elements provide negation or qualification. In order 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "DomainResource.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-expression", "valueString": "*" } ], "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div" } ], "isModifier": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "path": "Goal.identifier", "short": "External Ids for this goal", "definition": "This records identifiers associated with this care plan that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation).", "requirements": "Need to allow connection to a wider workflow.", "min": 0, "max": "1", "base": { "path": "Goal.identifier", "min": 0, "max": "*" }, "type": [ { "code": "Identifier" } ], "condition": [ "ele-1" ], "constraint": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-expression", "valueString": "*" } ], "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity": "rim", "map": "II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. 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]" }, { "identity": "servd", "map": "Identifier" }, { "identity": "rim", "map": ".id" }, { "identity": "w5", "map": "id" } ] }, { "path": "Goal.subject", "short": "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.", "min": 1, "max": "1", "base": { "path": "Goal.subject", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "profile": [ "http://www.power2dm.eu/pds/StructureDefinition/POWER2DM-Patient" ] } ], "condition": [ "ele-1" ], "constraint": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-expression", "valueString": "*" } ], "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-expression", "valueString": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))" } ], "key": "ref-1", "severity": "error", "human": "SHALL have a local reference if the resource is provided inline", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "v2", "map": "PID-3-patient ID list" }, { "identity": "rim", "map": ".participation[typeCode=PAT].role[classCode=PAT]" }, { "identity": "w5", "map": "who.focus" } ] }, { "path": "Goal.startDate", "short": "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.", "min": 1, "max": "1", "base": { "path": "Goal.start[x]", "min": 0, "max": "1" }, "type": [ { "code": "date" } ], "condition": [ "ele-1" ], "constraint": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-expression", "valueString": "*" } ], "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div" } ], "isSummary": true, "binding": { "strength": "example", "description": "Codes describing events that can trigger the initiation of a goal", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/goal-start-event" } }, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "path": "Goal.targetQuantity", "name": "Duration", "short": "A length of time", "definition": "There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM.", "comments": "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.", "requirements": "Identifies when the goal should be evaluated.", "min": 0, "max": "*", "base": { "path": "Goal.target[x]", "min": 0, "max": "1" }, "type": [ { "code": "Quantity", "profile": [ "http://hl7.org/fhir/StructureDefinition/Duration" ] } ], "condition": [ "ele-1" ], "constraint": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-expression", "valueString": "*" } ], "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-expression", "valueString": "code.empty() or system" } ], "key": "qty-3", "severity": "error", "human": "If a code for the unit is present, the system SHALL also be present", "xpath": "not(exists(f:code)) or exists(f:system)" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-expression", "valueString": "(code or value.empty()) and (system.empty() or system = %ucum)" } ], "key": "drt-1", "severity": "error", "human": "There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM.", "xpath": "(f:code or not(f:value)) and (not(exists(f:system)) or f:system/@value='http://unitsofmeasure.org')" } ], "isModifier": false, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "SN (see also Range) or CQ" }, { "identity": "rim", "map": "PQ, IVL, MO, CO, depending on the values" } ] }, { "path": "Goal.category", "short": "E.g. Treatment, dietary, behavioral, etc.", "definition": "Indicates a category the goal falls within.", "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.", "requirements": "Allows goals to be filtered and sorted.", "min": 1, "max": "1", "base": { "path": "Goal.category", "min": 0, "max": "*" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-expression", "valueString": "*" } ], "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div" } ], "isSummary": true, "binding": { "strength": "required", "description": "Codes for grouping goals in POWER2DM", "valueSetReference": { "reference": "http://power2dm.eu/pds/ValueSet/pdm-goal-categories" } }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" } ] }, { "path": "Goal.description", "short": "What's the desired outcome?", "definition": "Human-readable description of a specific desired objective of care.", "comments": "Note that FHIR strings may not exceed 1MB in size", "requirements": "Without a description of what's trying to be achieved, element has no purpose.", "min": 1, "max": "1", "base": { "path": "Goal.description", "min": 1, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-expression", "valueString": "*" } ], "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "GOL-3.2-goal ID.text" }, { "identity": "rim", "map": ".text" } ] }, { "path": "Goal.status", "short": "in-progress | achieved | sustaining | not-achieved | cancelled", "definition": "Indicates whether the goal has been reached and is still considered relevant.", "comments": "Note that FHIR strings may not exceed 1MB in size", "requirements": "Allows measuring outcome and whether goal needs to be further tracked.", "min": 1, "max": "1", "base": { "path": "Goal.status", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-expression", "valueString": "*" } ], "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div" } ], "isModifier": true, "isSummary": true, "binding": { "strength": "required", "valueSetReference": { "reference": "http://power2dm.eu/pds/ValueSet/pdm-goal-status" } }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "GOL-18-goal life cycle status" }, { "identity": "rim", "map": ".statusCode in-progress = active (classCode = OBJ) achieved = complete sustaining = active (classCode=OBJC) cancelled = aborted" }, { "identity": "w5", "map": "status" } ] }, { "path": "Goal.statusDate", "short": "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.", "min": 0, "max": "1", "base": { "path": "Goal.statusDate", "min": 0, "max": "1" }, "type": [ { "code": "date" } ], "condition": [ "ele-1" ], "constraint": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-expression", "valueString": "*" } ], "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "w5", "map": "when.recorded" } ] }, { "path": "Goal.statusReason", "short": "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.", "min": 0, "max": "1", "base": { "path": "Goal.statusReason", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-expression", "valueString": "*" } ], "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div" } ], "isSummary": true, "binding": { "strength": "example", "description": "Codes to identify the reason for a goal's current status", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/goal-status-reason" } }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" } ] }, { "path": "Goal.author", "short": "Who's responsible for creating Goal?", "definition": "Indicates whose goal this is - patient goal, practitioner goal, etc.", "comments": "This is the individual reponsible for establishing the goal, not necessarily who recorded it. (For that, use the Provenance resource.).", "min": 1, "max": "1", "base": { "path": "Goal.author", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "profile": [ "http://www.power2dm.eu/pds/StructureDefinition/POWER2DM-Patient" ] }, { "code": "Reference", "profile": [ "http://www.power2dm.eu/pds/StructureDefinition/POWER2DM-Practitioner" ] } ], "condition": [ "ele-1" ], "constraint": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-expression", "valueString": "*" } ], "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-expression", "valueString": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))" } ], "key": "ref-1", "severity": "error", "human": "SHALL have a local reference if the resource is provided inline", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "w5", "map": "who.actor" } ] }, { "path": "Goal.priority", "short": "high | medium |low", "definition": "Identifies the mutually agreed level of importance associated with reaching/sustaining the goal.", "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\".", "requirements": "Used for sorting and presenting goals.", "min": 0, "max": "1", "base": { "path": "Goal.priority", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-expression", "valueString": "*" } ], "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div" } ], "isSummary": true, "binding": { "strength": "required" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "rim", "map": ".priorityCode" } ] }, { "path": "Goal.addresses", "short": "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.", "min": 0, "max": "*", "base": { "path": "Goal.addresses", "min": 0, "max": "*" }, "type": [ { "code": "Reference", "profile": [ "http://www.power2dm.eu/pds/StructureDefinition/POWER2DM-Problem" ], "aggregation": [ "referenced" ] }, { "code": "Reference", "profile": [ "http://www.power2dm.eu/pds/StructureDefinition/POWER2DM-PersonalValue" ] }, { "code": "Reference", "profile": [ "http://www.power2dm.eu/pds/StructureDefinition/POWER2DM-Observation" ] } ], "condition": [ "ele-1" ], "constraint": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-expression", "valueString": "*" } ], "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-expression", "valueString": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))" } ], "key": "ref-1", "severity": "error", "human": "SHALL have a local reference if the resource is provided inline", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=SUBJ].target[classCode=CONC]" } ] }, { "path": "Goal.note", "short": "Comments about the goal", "definition": "Any comments related to the goal.", "comments": "May be used for progress notes, concerns or other related information that doesn't actually describe the goal itself.", "requirements": "There's a need to capture information about the goal that doesn't actually describe the goal.", "min": 0, "max": "*", "base": { "path": "Goal.note", "min": 0, "max": "*" }, "type": [ { "code": "Annotation" } ], "condition": [ "ele-1" ], "constraint": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-expression", "valueString": "*" } ], "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": "Act" }, { "identity": "v2", "map": "GOL-16-goal evaluation + NTE?" }, { "identity": "rim", "map": ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value" } ] }, { "path": "Goal.note.id", "short": "xml:id (or equivalent in JSON)", "definition": "unique id for the element within a resource (for internal references).", "comments": "RFC 4122", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "code": "id" } ], "condition": [ "ele-1" ], "constraint": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-expression", "valueString": "*" } ], "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "path": "Goal.note.extension", "slicing": { "discriminator": [ "url" ], "rules": "open" }, "short": "Additional Content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-expression", "valueString": "*" } ], "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "path": "Goal.note.extension", "name": "noteType", "short": "Type of a Note", "definition": "Type of a Note for POWER2DM usage", "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.", "alias": [ "extensions", "user content" ], "min": 1, "max": "1", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "http://www.power2dm.eu/pds/StructureDefinition/POWER2DM-noteType" ] } ], "condition": [ "ele-1" ], "constraint": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-expression", "valueString": "*" } ], "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div" } ], "binding": { "strength": "required", "description": "Note types in POWER2DM", "valueSetReference": { "reference": "http://power2dm.eu/pds/ValueSet/pdm-note-types" } }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "path": "Goal.note.author[x]", "short": "Individual responsible for the annotation", "definition": "The individual responsible for making the annotation.", "min": 0, "max": "1", "base": { "path": "Annotation.author[x]", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "profile": [ "http://hl7.org/fhir/StructureDefinition/Practitioner" ] }, { "code": "Reference", "profile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ] }, { "code": "Reference", "profile": [ "http://hl7.org/fhir/StructureDefinition/RelatedPerson" ] }, { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-expression", "valueString": "*" } ], "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-expression", "valueString": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))" } ], "key": "ref-1", "severity": "error", "human": "SHALL have a local reference if the resource is provided inline", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": "Act.participant[typeCode=AUT].role" } ] }, { "path": "Goal.note.time", "short": "When the annotation was made", "definition": "Indicates when this particular annotation was made.", "min": 0, "max": "1", "base": { "path": "Annotation.time", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" } ], "condition": [ "ele-1" ], "constraint": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-expression", "valueString": "*" } ], "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": "Act.effectiveTime" } ] }, { "path": "Goal.note.text", "short": "The annotation - text content", "definition": "The text of the annotation.", "comments": "Note that FHIR strings may not exceed 1MB in size", "min": 1, "max": "1", "base": { "path": "Annotation.text", "min": 1, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-expression", "valueString": "*" } ], "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": "Act.text" } ] }, { "path": "Goal.outcome", "short": "What was end result of goal?", "definition": "Identifies the change (or lack of change) at the point where the goal was deepmed to be cancelled or achieved.", "comments": "Note that this should not duplicate the goal status.", "requirements": "Outcome tracking is a key aspect of care planning.", "min": 0, "max": "*", "base": { "path": "Goal.outcome", "min": 0, "max": "*" }, "type": [ { "code": "BackboneElement" } ], "condition": [ "ele-1" ], "constraint": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-expression", "valueString": "*" } ], "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "path": "Goal.outcome.id", "short": "xml:id (or equivalent in JSON)", "definition": "unique id for the element within a resource (for internal references).", "comments": "RFC 4122", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "code": "id" } ], "condition": [ "ele-1" ], "constraint": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-expression", "valueString": "*" } ], "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "path": "Goal.outcome.extension", "short": "Additional Content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.", "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-expression", "valueString": "*" } ], "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "path": "Goal.outcome.modifierExtension", "short": "Extensions that cannot be ignored", "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 that contains it. Usually modifier elements provide negation or qualification. In order 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.", "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.", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-expression", "valueString": "*" } ], "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div" } ], "isModifier": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "path": "Goal.outcome.result[x]", "short": "Code or observation that resulted from goal", "definition": "Details of what's changed (or not changed).", "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.", "min": 0, "max": "1", "base": { "path": "Goal.outcome.result[x]", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "profile": [ "http://www.power2dm.eu/pds/StructureDefinition/POWER2DM-Observation" ] }, { "code": "Reference", "profile": [ "http://www.power2dm.eu/pds/StructureDefinition/POWER2DM-PersonalValue" ] } ], "condition": [ "ele-1" ], "constraint": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-expression", "valueString": "*" } ], "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div" } ], "isSummary": true, "binding": { "strength": "example", "description": "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\"" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" } ] } ] }, "differential": { "element": [ { "path": "Goal", "type": [ { "code": "Goal" } ] }, { "path": "Goal.extension", "slicing": { "discriminator": [ "url" ], "rules": "open" } }, { "path": "Goal.extension", "name": "goal-target", "short": "Target for goal (e.g. Body Weight)", "definition": "Optional Extensions Element - found in all resources.", "max": "1", "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/goal-target" ] } ], "binding": { "strength": "required", "description": "Target measures for goals in POWER2DM", "valueSetReference": { "reference": "http://power2dm.eu/pds/ValueSet/pdm-goal-target-measures" } }, "mapping": [ { "identity": "qdm", "map": "target outcome" } ] }, { "path": "Goal.extension", "name": "goal-pertainsToGoal", "short": "Pertains to goal", "definition": "Indicates that the resource is related to either the measurement, achievement or progress towards the referenced goal.", "comments": "This extension is limited to subject-specific activity-related resources (events & intents). I.e. This can't be put on Goal or Patient. This association isn't for the purpose of goal management, but for things such as noting that a particular observation result, prescription or other activity is pertinent to the achievement (or possibly non-achievement) of the referenced goal.", "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/StructureDefinition/goal-pertainsToGoal" ] } ] }, { "path": "Goal.identifier", "max": "1" }, { "path": "Goal.subject", "min": 1, "type": [ { "code": "Reference", "profile": [ "http://www.power2dm.eu/pds/StructureDefinition/POWER2DM-Patient" ] } ] }, { "path": "Goal.startDate", "min": 1, "type": [ { "code": "date" } ] }, { "path": "Goal.targetQuantity", "name": "Duration", "short": "A length of time", "definition": "There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM.", "comments": "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.", "type": [ { "code": "Quantity", "profile": [ "http://hl7.org/fhir/StructureDefinition/Duration" ] } ], "constraint": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-expression", "valueString": "code.empty() or system" } ], "key": "qty-3", "severity": "error", "human": "If a code for the unit is present, the system SHALL also be present", "xpath": "not(exists(f:code)) or exists(f:system)" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-expression", "valueString": "(code or value.empty()) and (system.empty() or system = %ucum)" } ], "key": "drt-1", "severity": "error", "human": "There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM.", "xpath": "(f:code or not(f:value)) and (not(exists(f:system)) or f:system/@value='http://unitsofmeasure.org')" } ], "isModifier": false, "mapping": [ { "identity": "v2", "map": "SN (see also Range) or CQ" }, { "identity": "rim", "map": "PQ, IVL, MO, CO, depending on the values" } ] }, { "path": "Goal.category", "min": 1, "max": "1", "binding": { "strength": "required", "description": "Codes for grouping goals in POWER2DM", "valueSetReference": { "reference": "http://power2dm.eu/pds/ValueSet/pdm-goal-categories" } } }, { "path": "Goal.status", "short": "in-progress | achieved | sustaining | not-achieved | cancelled", "binding": { "strength": "required", "valueSetReference": { "reference": "http://power2dm.eu/pds/ValueSet/pdm-goal-status" } } }, { "path": "Goal.author", "min": 1, "type": [ { "code": "Reference", "profile": [ "http://www.power2dm.eu/pds/StructureDefinition/POWER2DM-Patient" ] }, { "code": "Reference", "profile": [ "http://www.power2dm.eu/pds/StructureDefinition/POWER2DM-Practitioner" ] } ] }, { "path": "Goal.priority", "binding": { "strength": "required" } }, { "path": "Goal.addresses", "type": [ { "code": "Reference", "profile": [ "http://www.power2dm.eu/pds/StructureDefinition/POWER2DM-Problem" ], "aggregation": [ "referenced" ] }, { "code": "Reference", "profile": [ "http://www.power2dm.eu/pds/StructureDefinition/POWER2DM-PersonalValue" ] }, { "code": "Reference", "profile": [ "http://www.power2dm.eu/pds/StructureDefinition/POWER2DM-Observation" ] } ] }, { "path": "Goal.note.extension", "slicing": { "discriminator": [ "url" ], "rules": "open" } }, { "path": "Goal.note.extension", "name": "noteType", "short": "Type of a Note", "definition": "Type of a Note for POWER2DM usage", "min": 1, "max": "1", "type": [ { "code": "Extension", "profile": [ "http://www.power2dm.eu/pds/StructureDefinition/POWER2DM-noteType" ] } ], "binding": { "strength": "required", "description": "Note types in POWER2DM", "valueSetReference": { "reference": "http://power2dm.eu/pds/ValueSet/pdm-note-types" } } }, { "path": "Goal.outcome.result[x]", "type": [ { "code": "Reference", "profile": [ "http://www.power2dm.eu/pds/StructureDefinition/POWER2DM-Observation" ] }, { "code": "Reference", "profile": [ "http://www.power2dm.eu/pds/StructureDefinition/POWER2DM-PersonalValue" ] } ] } ] } }