Nictiz FHIR NL STU3 Zib2017
1.3.15 - CI Build

Nictiz FHIR NL STU3 Zib2017 - Local Development build (v1.3.15) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: HCIM TreatmentObjective

Official URL: http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentObjective Version: 1.3.15
Active as of 2024-04-09 Computable Name: Zib TreatmentObjective

Copyright/Legal: CC0

TreatmentObjective as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 3.1, release 2017. 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.

A treatment objective is recorded to indicate the intention of the treatment/intervention. It provides an indication of the procedures to be carried out as part of the care process. This also enables us to monitor developments in the patient’s health condition for the desired healthcare result.

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from Goal

NameFlagsCard.TypeDescription & Constraintsdoco
.. Goal 0..* Goal TreatmentObjective
... identifier 0..* Identifier External Ids for this goal
... description 1..1 CodeableConcept DesiredHealthcareResult
... subject 0..1 Reference(nl-core-patient | Group | nl-core-organization) Who this goal is intended for
.... measure 0..1 CodeableConcept The parameter whose value is being tracked
.... detail[x] 0..1 Quantity, Range, CodeableConcept TargetValue / DesiredHealthCondition
... expressedBy 0..1 Reference(nl-core-patient | nl-core-practitioner | nl-core-relatedperson) Who's responsible for creating Goal?
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... practitionerRole 0..1 Reference(nl-core-practitionerrole) Optional Extensions Element
URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
... addresses 0..1 Reference(HCIM Problem | Observation | MedicationStatement | NutritionOrder | ProcedureRequest | RiskAssessment) Problem

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Goal 0..* Goal TreatmentObjective
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier External Ids for this goal
... description Σ 1..1 CodeableConcept DesiredHealthcareResult
Binding: SNOMED CT Clinical Findings (example): 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.

... subject Σ 0..1 Reference(nl-core-patient | Group | nl-core-organization) Who this goal is intended for
... expressedBy Σ 0..1 Reference(nl-core-patient | nl-core-practitioner | nl-core-relatedperson) Who's responsible for creating Goal?
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... practitionerRole 0..1 Reference(nl-core-practitionerrole) Optional Extensions Element
URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
... addresses 0..1 Reference(HCIM Problem | Observation | MedicationStatement | NutritionOrder | ProcedureRequest | RiskAssessment) Problem

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Goal.statusrequiredGoalStatus
http://hl7.org/fhir/ValueSet/goal-status
from the FHIR Standard
Goal.descriptionexampleSNOMED CT Clinical Findings
http://hl7.org/fhir/ValueSet/clinical-findings
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-1errorGoalIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-2errorGoalIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorGoalIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
: contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4errorGoalIf 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()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Goal 0..* Goal TreatmentObjective
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional Content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier External Ids for this goal
... status ?!Σ 1..1 code proposed | accepted | planned | in-progress | on-target | ahead-of-target | behind-target | sustaining | achieved | on-hold | cancelled | entered-in-error | rejected
Binding: GoalStatus (required): Indicates whether the goal has been met and is still being targeted

... category Σ 0..* CodeableConcept E.g. Treatment, dietary, behavioral, etc.
Binding: GoalCategory (example): Codes for grouping and sorting goals


... priority Σ 0..1 CodeableConcept high-priority | medium-priority | low-priority
Binding: GoalPriority (preferred): The level of importance associated with a goal

... description Σ 1..1 CodeableConcept DesiredHealthcareResult
Binding: SNOMED CT Clinical Findings (example): 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.

... subject Σ 0..1 Reference(nl-core-patient | Group | nl-core-organization) Who this goal is intended for
... start[x] Σ 0..1 When goal pursuit begins
Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal

.... startDate date
.... startCodeableConcept CodeableConcept
... target C 0..1 BackboneElement Target outcome for the goal
gol-1: Goal.target.measure is required if Goal.target.detail is populated
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... measure ΣC 0..1 CodeableConcept The parameter whose value is being tracked
Binding: LOINC Codes (example): Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level.

.... detail[x] ΣC 0..1 TargetValue / DesiredHealthCondition
Binding: (unbound) (example): Codes to identify the target value of the focus to be achieved to signify the fulfillment of the goal.

..... detailQuantity Quantity
..... detailRange Range
..... detailCodeableConcept CodeableConcept
.... due[x] Σ 0..1 Reach goal on or before
..... dueDate date
..... dueDuration Duration
... statusDate Σ 0..1 date When goal status took effect
... statusReason 0..1 string Reason for current status
... expressedBy Σ 0..1 Reference(nl-core-patient | nl-core-practitioner | nl-core-relatedperson) Who's responsible for creating Goal?
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... practitionerRole 0..1 Reference(nl-core-practitionerrole) Optional Extensions Element
URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... addresses 0..1 Reference(HCIM Problem | Observation | MedicationStatement | NutritionOrder | ProcedureRequest | RiskAssessment) Problem
... note 0..* Annotation Comments about the goal
... outcomeCode 0..* CodeableConcept What result was achieved regarding the goal?
Binding: SNOMED CT Clinical Findings (example): 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"


... outcomeReference 0..* Reference(Observation) Observation that resulted from goal

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Goal.languageextensibleCommon Languages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Goal.statusrequiredGoalStatus
http://hl7.org/fhir/ValueSet/goal-status
from the FHIR Standard
Goal.categoryexampleGoalCategory
http://hl7.org/fhir/ValueSet/goal-category
from the FHIR Standard
Goal.prioritypreferredGoalPriority
http://hl7.org/fhir/ValueSet/goal-priority
from the FHIR Standard
Goal.descriptionexampleSNOMED CT Clinical Findings
http://hl7.org/fhir/ValueSet/clinical-findings
from the FHIR Standard
Goal.start[x]exampleGoalStartEvent
http://hl7.org/fhir/ValueSet/goal-start-event
from the FHIR Standard
Goal.target.measureexampleLOINC Codes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Goal.target.detail[x]example
Goal.outcomeCodeexampleSNOMED CT Clinical Findings
http://hl7.org/fhir/ValueSet/clinical-findings
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-1errorGoalIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-2errorGoalIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorGoalIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
: contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4errorGoalIf 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()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
gol-1errorGoal.targetGoal.target.measure is required if Goal.target.detail is populated
: (detail.exists() and measure.exists()) or detail.exists().not()

Differential View

This structure is derived from Goal

NameFlagsCard.TypeDescription & Constraintsdoco
.. Goal 0..* Goal TreatmentObjective
... identifier 0..* Identifier External Ids for this goal
... description 1..1 CodeableConcept DesiredHealthcareResult
... subject 0..1 Reference(nl-core-patient | Group | nl-core-organization) Who this goal is intended for
.... measure 0..1 CodeableConcept The parameter whose value is being tracked
.... detail[x] 0..1 Quantity, Range, CodeableConcept TargetValue / DesiredHealthCondition
... expressedBy 0..1 Reference(nl-core-patient | nl-core-practitioner | nl-core-relatedperson) Who's responsible for creating Goal?
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... practitionerRole 0..1 Reference(nl-core-practitionerrole) Optional Extensions Element
URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
... addresses 0..1 Reference(HCIM Problem | Observation | MedicationStatement | NutritionOrder | ProcedureRequest | RiskAssessment) Problem

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Goal 0..* Goal TreatmentObjective
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier External Ids for this goal
... description Σ 1..1 CodeableConcept DesiredHealthcareResult
Binding: SNOMED CT Clinical Findings (example): 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.

... subject Σ 0..1 Reference(nl-core-patient | Group | nl-core-organization) Who this goal is intended for
... expressedBy Σ 0..1 Reference(nl-core-patient | nl-core-practitioner | nl-core-relatedperson) Who's responsible for creating Goal?
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... practitionerRole 0..1 Reference(nl-core-practitionerrole) Optional Extensions Element
URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
... addresses 0..1 Reference(HCIM Problem | Observation | MedicationStatement | NutritionOrder | ProcedureRequest | RiskAssessment) Problem

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Goal.statusrequiredGoalStatus
http://hl7.org/fhir/ValueSet/goal-status
from the FHIR Standard
Goal.descriptionexampleSNOMED CT Clinical Findings
http://hl7.org/fhir/ValueSet/clinical-findings
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-1errorGoalIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-2errorGoalIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorGoalIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
: contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4errorGoalIf 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()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Goal 0..* Goal TreatmentObjective
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional Content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier External Ids for this goal
... status ?!Σ 1..1 code proposed | accepted | planned | in-progress | on-target | ahead-of-target | behind-target | sustaining | achieved | on-hold | cancelled | entered-in-error | rejected
Binding: GoalStatus (required): Indicates whether the goal has been met and is still being targeted

... category Σ 0..* CodeableConcept E.g. Treatment, dietary, behavioral, etc.
Binding: GoalCategory (example): Codes for grouping and sorting goals


... priority Σ 0..1 CodeableConcept high-priority | medium-priority | low-priority
Binding: GoalPriority (preferred): The level of importance associated with a goal

... description Σ 1..1 CodeableConcept DesiredHealthcareResult
Binding: SNOMED CT Clinical Findings (example): 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.

... subject Σ 0..1 Reference(nl-core-patient | Group | nl-core-organization) Who this goal is intended for
... start[x] Σ 0..1 When goal pursuit begins
Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal

.... startDate date
.... startCodeableConcept CodeableConcept
... target C 0..1 BackboneElement Target outcome for the goal
gol-1: Goal.target.measure is required if Goal.target.detail is populated
.... id 0..1 string xml:id (or equivalent in JSON)
.... extension 0..* Extension Additional Content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... measure ΣC 0..1 CodeableConcept The parameter whose value is being tracked
Binding: LOINC Codes (example): Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level.

.... detail[x] ΣC 0..1 TargetValue / DesiredHealthCondition
Binding: (unbound) (example): Codes to identify the target value of the focus to be achieved to signify the fulfillment of the goal.

..... detailQuantity Quantity
..... detailRange Range
..... detailCodeableConcept CodeableConcept
.... due[x] Σ 0..1 Reach goal on or before
..... dueDate date
..... dueDuration Duration
... statusDate Σ 0..1 date When goal status took effect
... statusReason 0..1 string Reason for current status
... expressedBy Σ 0..1 Reference(nl-core-patient | nl-core-practitioner | nl-core-relatedperson) Who's responsible for creating Goal?
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... practitionerRole 0..1 Reference(nl-core-practitionerrole) Optional Extensions Element
URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... addresses 0..1 Reference(HCIM Problem | Observation | MedicationStatement | NutritionOrder | ProcedureRequest | RiskAssessment) Problem
... note 0..* Annotation Comments about the goal
... outcomeCode 0..* CodeableConcept What result was achieved regarding the goal?
Binding: SNOMED CT Clinical Findings (example): 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"


... outcomeReference 0..* Reference(Observation) Observation that resulted from goal

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Goal.languageextensibleCommon Languages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Goal.statusrequiredGoalStatus
http://hl7.org/fhir/ValueSet/goal-status
from the FHIR Standard
Goal.categoryexampleGoalCategory
http://hl7.org/fhir/ValueSet/goal-category
from the FHIR Standard
Goal.prioritypreferredGoalPriority
http://hl7.org/fhir/ValueSet/goal-priority
from the FHIR Standard
Goal.descriptionexampleSNOMED CT Clinical Findings
http://hl7.org/fhir/ValueSet/clinical-findings
from the FHIR Standard
Goal.start[x]exampleGoalStartEvent
http://hl7.org/fhir/ValueSet/goal-start-event
from the FHIR Standard
Goal.target.measureexampleLOINC Codes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Goal.target.detail[x]example
Goal.outcomeCodeexampleSNOMED CT Clinical Findings
http://hl7.org/fhir/ValueSet/clinical-findings
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-1errorGoalIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-2errorGoalIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorGoalIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
: contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4errorGoalIf 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()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
gol-1errorGoal.targetGoal.target.measure is required if Goal.target.detail is populated
: (detail.exists() and measure.exists()) or detail.exists().not()

 

Other representations of profile: CSV, Excel, Schematron