臺灣長期照顧實作指引(TW LTC IG), published by 經濟部產業發展署. This guide is not an authorized publication; it is the continuous build for version 1.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Lorex/TWLongTermCare_IG_Build/ and changes regularly. See the Directory of published versions
Resource Profile: 居家護理－照護目標
| Official URL: http://ltc-ig.fhir.tw/StructureDefinition/HNGoal | Version: 1.1.0 | |||
| Active as of 2026-10-30 | Computable Name: HNGoal | |||
沿用長照照顧目標，記錄目標敘述、預期達到日期及是否為主要目標。
Usages:
- Use this Profile: 居家護理－照護計畫交易
- Refer to this Profile: 居家護理－照護計畫
- Examples for this Profile: Goal/hn-goal-example
You can also check for usages in the FHIR IG Statistics
Formal Views of Profile Content
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:  |
|---|---|---|---|---|
  Goal |
0..* | LTCGoal | Describes the intended objective(s) for a patient, group or organization | |
  implicitRules |
0..1 | uri | A set of rules under which this content was created | |
  Slices for extension |
3..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
   extension:episode |
1..1 | Reference(居家護理－收案歷程) | 居家護理－收案關聯 URL: http://ltc-ig.fhir.tw/StructureDefinition/ExtHNEpisode | |
| extension:sourceForm |
1..* | Reference(QuestionnaireResponse) | 居家護理－來源表單 URL: http://ltc-ig.fhir.tw/StructureDefinition/ExtHNSourceForm | |
 extension:mainTarget |
1..1 | boolean | 居家護理－主要目標 URL: http://ltc-ig.fhir.tw/StructureDefinition/ExtHNMainTarget | |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| lifecycleStatus |
1..1 | code | 照顧目標的生命週期狀態。[應填入 proposed / planned / accepted / active / on-hold / completed / cancelled / entered-in-error / rejected] Binding: GoalLifecycleStatus (required): Codes that reflect the current state of a goal and whether the goal is still being targeted. | |
 description |
1..1 | CodeableConcept | 照顧目標的描述 Binding: 照顧目標描述值集 (extensible) | |
| coding |
1..1 | Coding | 照顧目標的描述代碼 | |
| system |
1..1 | uri | 照顧目標的描述代碼系統。[應填入 SNOMED CT 或 LOINC 等術語系統的 URL] | |
 code |
1..1 | code | 照顧目標的描述代碼。[應填入 SNOMED CT 或 LOINC 等術語系統的代碼] | |
| text |
1..1 | string | Plain text representation of the concept | |
 subject |
1..1 | Reference(居家護理－個案) | 照顧目標的適用主體 | |
| reference |
C | 1..1 | string | 照顧目標的適用主體。[應輸入 Patient Resource ID] |
| start[x] |
1..1 | date | 照顧的開始日期。[應填入日期或日期時間] | |
| target |
C | 1..1 | BackboneElement | 照顧的目標 Constraints: gol-1 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
 detail[x] |
C | 0..1 | 照顧目標的詳細描述。 Binding Description: (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 | |||
| detailString |
string | |||
| detailBoolean |
boolean | |||
| detailInteger |
integer | |||
| detailRatio |
Ratio | |||
| due[x] |
1..1 | date | 照顧目標的預計完成日期。[應填入日期或日期時間] | |
| expressedBy |
0..1 | Reference(長期照顧－照顧服務提供者 | 長期照顧－關係人 | 長期照顧－服務人員角色) | 照顧目標的提出者 | |
| reference |
C | 1..1 | string | 誰提出了這個照顧目標？[應輸入 Practitioner / RelatedPerson / PractitionerRole Resource ID] |
| note |
0..* | Annotation | 照顧目標的附註 | |
| Documentation for this format | ||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| Goal.lifecycleStatus | Base | required | GoalLifecycleStatus | 📍4.0.1 | FHIR Std. |
| Goal.description | Base | extensible | 照顧目標描述值集 | 📦1.1.0 | This IG |
| Goal.target.detail[x] | Base | example | Not State | Unknown |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Goal | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Goal | 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-4 | error | Goal | 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-5 | error | Goal | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Goal | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| gol-1 | error | Goal.target | Goal.target.measure is required if Goal.target.detail is populated |
(detail.exists() and measure.exists()) or detail.exists().not()
|
This structure is derived from LTCGoal
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Goal |
LTCGoal | |||
| Slices for extension |
3..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| extension:episode |
1..1 | Reference(居家護理－收案歷程) | 居家護理－收案關聯 URL: http://ltc-ig.fhir.tw/StructureDefinition/ExtHNEpisode | |
| extension:sourceForm |
1..* | Reference(QuestionnaireResponse) | 居家護理－來源表單 URL: http://ltc-ig.fhir.tw/StructureDefinition/ExtHNSourceForm | |
| extension:mainTarget |
1..1 | boolean | 居家護理－主要目標 URL: http://ltc-ig.fhir.tw/StructureDefinition/ExtHNMainTarget | |
 description |
||||
| text |
1..1 | string | Plain text representation of the concept | |
| subject |
1..1 | Reference(居家護理－個案) | 照顧目標的適用主體 | |
| start[x] |
1..1 | date | 照顧的開始日期。[應填入日期或日期時間] | |
 target |
1..1 | BackboneElement | 照顧的目標 | |
 due[x] |
1..1 | date | 照顧目標的預計完成日期。[應填入日期或日期時間] | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Goal |
0..* | LTCGoal | Describes the intended objective(s) for a patient, group or organization | |||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
3..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| extension:episode |
1..1 | Reference(居家護理－收案歷程) | 居家護理－收案關聯 URL: http://ltc-ig.fhir.tw/StructureDefinition/ExtHNEpisode | |||||
| extension:sourceForm |
1..* | Reference(QuestionnaireResponse) | 居家護理－來源表單 URL: http://ltc-ig.fhir.tw/StructureDefinition/ExtHNSourceForm | |||||
| extension:mainTarget |
1..1 | boolean | 居家護理－主要目標 URL: http://ltc-ig.fhir.tw/StructureDefinition/ExtHNMainTarget | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
0..* | Identifier | External Ids for this goal | |||||
| lifecycleStatus |
1..1 | code | 照顧目標的生命週期狀態。[應填入 proposed / planned / accepted / active / on-hold / completed / cancelled / entered-in-error / rejected] Binding: GoalLifecycleStatus (required): Codes that reflect the current state of a goal and whether the goal is still being targeted. | |||||
| achievementStatus |
0..1 | CodeableConcept | in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable Binding: GoalAchievementStatus (preferred): Indicates the progression, or lack thereof, towards the goal against the target. | |||||
| category |
0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Binding: GoalCategory (example): Codes for grouping and sorting goals. | |||||
| priority |
0..1 | CodeableConcept | high-priority | medium-priority | low-priority Binding: GoalPriority (preferred): The level of importance associated with a goal. | |||||
| description |
1..1 | CodeableConcept | 照顧目標的描述 Binding: 照顧目標描述值集 (extensible) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
1..1 | Coding | 照顧目標的描述代碼 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
1..1 | uri | 照顧目標的描述代碼系統。[應填入 SNOMED CT 或 LOINC 等術語系統的 URL] | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | 照顧目標的描述代碼。[應填入 SNOMED CT 或 LOINC 等術語系統的代碼] | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
1..1 | string | Plain text representation of the concept | |||||
| subject |
1..1 | Reference(居家護理－個案) | 照顧目標的適用主體 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | 照顧目標的適用主體。[應輸入 Patient Resource ID] | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| start[x] |
1..1 | date | 照顧的開始日期。[應填入日期或日期時間] | |||||
| target |
C | 1..1 | BackboneElement | 照顧的目標 Constraints: gol-1 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| measure |
C | 0..1 | CodeableConcept | The parameter whose value is being tracked Binding: LOINCCodes (example): Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level. | ||||
| detail[x] |
C | 0..1 | 照顧目標的詳細描述。 Binding Description: (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 | |||||||
| detailString |
string | |||||||
| detailBoolean |
boolean | |||||||
| detailInteger |
integer | |||||||
| detailRatio |
Ratio | |||||||
| due[x] |
1..1 | date | 照顧目標的預計完成日期。[應填入日期或日期時間] | |||||
| statusDate |
0..1 | date | When goal status took effect | |||||
| statusReason |
0..1 | string | Reason for current status | |||||
| expressedBy |
0..1 | Reference(長期照顧－照顧服務提供者 | 長期照顧－關係人 | 長期照顧－服務人員角色) | 照顧目標的提出者 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | 誰提出了這個照顧目標？[應輸入 Practitioner / RelatedPerson / PractitionerRole Resource ID] | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| addresses |
0..* | Reference(Condition | Observation | MedicationStatement | NutritionOrder | ServiceRequest | RiskAssessment) | Issues addressed by this goal | |||||
| note |
0..* | Annotation | 照顧目標的附註 | |||||
| outcomeCode |
0..* | CodeableConcept | What result was achieved regarding the goal? Binding: SNOMEDCTClinicalFindings (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 | |||||
| Documentation for this format | ||||||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| Goal.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Goal.lifecycleStatus | Base | required | GoalLifecycleStatus | 📍4.0.1 | FHIR Std. |
| Goal.achievementStatus | Base | preferred | Goal achievement status | 📍4.0.1 | FHIR Std. |
| Goal.category | Base | example | Goal category | 📍4.0.1 | FHIR Std. |
| Goal.priority | Base | preferred | Goal priority | 📍4.0.1 | FHIR Std. |
| Goal.description | Base | extensible | 照顧目標描述值集 | 📦1.1.0 | This IG |
| Goal.subject.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Goal.target.measure | Base | example | LOINC Codes | 📍4.0.1 | FHIR Std. |
| Goal.target.detail[x] | Base | example | Not State | Unknown | |
| Goal.expressedBy.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Goal.outcomeCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Goal | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Goal | 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-4 | error | Goal | 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-5 | error | Goal | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Goal | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| gol-1 | error | Goal.target | Goal.target.measure is required if Goal.target.detail is populated |
(detail.exists() and measure.exists()) or detail.exists().not()
|
This structure is derived from LTCGoal
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Goal |
0..* | LTCGoal | Describes the intended objective(s) for a patient, group or organization | |
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |
| Slices for extension |
3..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| extension:episode |
1..1 | Reference(居家護理－收案歷程) | 居家護理－收案關聯 URL: http://ltc-ig.fhir.tw/StructureDefinition/ExtHNEpisode | |
| extension:sourceForm |
1..* | Reference(QuestionnaireResponse) | 居家護理－來源表單 URL: http://ltc-ig.fhir.tw/StructureDefinition/ExtHNSourceForm | |
| extension:mainTarget |
1..1 | boolean | 居家護理－主要目標 URL: http://ltc-ig.fhir.tw/StructureDefinition/ExtHNMainTarget | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| lifecycleStatus |
1..1 | code | 照顧目標的生命週期狀態。[應填入 proposed / planned / accepted / active / on-hold / completed / cancelled / entered-in-error / rejected] Binding: GoalLifecycleStatus (required): Codes that reflect the current state of a goal and whether the goal is still being targeted. | |
| description |
1..1 | CodeableConcept | 照顧目標的描述 Binding: 照顧目標描述值集 (extensible) | |
| coding |
1..1 | Coding | 照顧目標的描述代碼 | |
| system |
1..1 | uri | 照顧目標的描述代碼系統。[應填入 SNOMED CT 或 LOINC 等術語系統的 URL] | |
| code |
1..1 | code | 照顧目標的描述代碼。[應填入 SNOMED CT 或 LOINC 等術語系統的代碼] | |
| text |
1..1 | string | Plain text representation of the concept | |
| subject |
1..1 | Reference(居家護理－個案) | 照顧目標的適用主體 | |
| reference |
C | 1..1 | string | 照顧目標的適用主體。[應輸入 Patient Resource ID] |
| start[x] |
1..1 | date | 照顧的開始日期。[應填入日期或日期時間] | |
| target |
C | 1..1 | BackboneElement | 照顧的目標 Constraints: gol-1 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| detail[x] |
C | 0..1 | 照顧目標的詳細描述。 Binding Description: (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 | |||
| detailString |
string | |||
| detailBoolean |
boolean | |||
| detailInteger |
integer | |||
| detailRatio |
Ratio | |||
| due[x] |
1..1 | date | 照顧目標的預計完成日期。[應填入日期或日期時間] | |
| expressedBy |
0..1 | Reference(長期照顧－照顧服務提供者 | 長期照顧－關係人 | 長期照顧－服務人員角色) | 照顧目標的提出者 | |
| reference |
C | 1..1 | string | 誰提出了這個照顧目標？[應輸入 Practitioner / RelatedPerson / PractitionerRole Resource ID] |
| note |
0..* | Annotation | 照顧目標的附註 | |
| Documentation for this format | ||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| Goal.lifecycleStatus | Base | required | GoalLifecycleStatus | 📍4.0.1 | FHIR Std. |
| Goal.description | Base | extensible | 照顧目標描述值集 | 📦1.1.0 | This IG |
| Goal.target.detail[x] | Base | example | Not State | Unknown |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Goal | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Goal | 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-4 | error | Goal | 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-5 | error | Goal | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Goal | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| gol-1 | error | Goal.target | Goal.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 LTCGoal
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Goal |
LTCGoal | |||
| Slices for extension |
3..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| extension:episode |
1..1 | Reference(居家護理－收案歷程) | 居家護理－收案關聯 URL: http://ltc-ig.fhir.tw/StructureDefinition/ExtHNEpisode | |
| extension:sourceForm |
1..* | Reference(QuestionnaireResponse) | 居家護理－來源表單 URL: http://ltc-ig.fhir.tw/StructureDefinition/ExtHNSourceForm | |
| extension:mainTarget |
1..1 | boolean | 居家護理－主要目標 URL: http://ltc-ig.fhir.tw/StructureDefinition/ExtHNMainTarget | |
| description |
||||
| text |
1..1 | string | Plain text representation of the concept | |
| subject |
1..1 | Reference(居家護理－個案) | 照顧目標的適用主體 | |
| start[x] |
1..1 | date | 照顧的開始日期。[應填入日期或日期時間] | |
| target |
1..1 | BackboneElement | 照顧的目標 | |
| due[x] |
1..1 | date | 照顧目標的預計完成日期。[應填入日期或日期時間] | |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Goal |
0..* | LTCGoal | Describes the intended objective(s) for a patient, group or organization | |||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
3..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| extension:episode |
1..1 | Reference(居家護理－收案歷程) | 居家護理－收案關聯 URL: http://ltc-ig.fhir.tw/StructureDefinition/ExtHNEpisode | |||||
| extension:sourceForm |
1..* | Reference(QuestionnaireResponse) | 居家護理－來源表單 URL: http://ltc-ig.fhir.tw/StructureDefinition/ExtHNSourceForm | |||||
| extension:mainTarget |
1..1 | boolean | 居家護理－主要目標 URL: http://ltc-ig.fhir.tw/StructureDefinition/ExtHNMainTarget | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
0..* | Identifier | External Ids for this goal | |||||
| lifecycleStatus |
1..1 | code | 照顧目標的生命週期狀態。[應填入 proposed / planned / accepted / active / on-hold / completed / cancelled / entered-in-error / rejected] Binding: GoalLifecycleStatus (required): Codes that reflect the current state of a goal and whether the goal is still being targeted. | |||||
| achievementStatus |
0..1 | CodeableConcept | in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable Binding: GoalAchievementStatus (preferred): Indicates the progression, or lack thereof, towards the goal against the target. | |||||
| category |
0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Binding: GoalCategory (example): Codes for grouping and sorting goals. | |||||
| priority |
0..1 | CodeableConcept | high-priority | medium-priority | low-priority Binding: GoalPriority (preferred): The level of importance associated with a goal. | |||||
| description |
1..1 | CodeableConcept | 照顧目標的描述 Binding: 照顧目標描述值集 (extensible) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
1..1 | Coding | 照顧目標的描述代碼 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
1..1 | uri | 照顧目標的描述代碼系統。[應填入 SNOMED CT 或 LOINC 等術語系統的 URL] | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | 照顧目標的描述代碼。[應填入 SNOMED CT 或 LOINC 等術語系統的代碼] | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
1..1 | string | Plain text representation of the concept | |||||
| subject |
1..1 | Reference(居家護理－個案) | 照顧目標的適用主體 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | 照顧目標的適用主體。[應輸入 Patient Resource ID] | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| start[x] |
1..1 | date | 照顧的開始日期。[應填入日期或日期時間] | |||||
| target |
C | 1..1 | BackboneElement | 照顧的目標 Constraints: gol-1 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| measure |
C | 0..1 | CodeableConcept | The parameter whose value is being tracked Binding: LOINCCodes (example): Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level. | ||||
| detail[x] |
C | 0..1 | 照顧目標的詳細描述。 Binding Description: (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 | |||||||
| detailString |
string | |||||||
| detailBoolean |
boolean | |||||||
| detailInteger |
integer | |||||||
| detailRatio |
Ratio | |||||||
| due[x] |
1..1 | date | 照顧目標的預計完成日期。[應填入日期或日期時間] | |||||
| statusDate |
0..1 | date | When goal status took effect | |||||
| statusReason |
0..1 | string | Reason for current status | |||||
| expressedBy |
0..1 | Reference(長期照顧－照顧服務提供者 | 長期照顧－關係人 | 長期照顧－服務人員角色) | 照顧目標的提出者 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
C | 1..1 | string | 誰提出了這個照顧目標？[應輸入 Practitioner / RelatedPerson / PractitionerRole Resource ID] | ||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||
| display |
0..1 | string | Text alternative for the resource | |||||
| addresses |
0..* | Reference(Condition | Observation | MedicationStatement | NutritionOrder | ServiceRequest | RiskAssessment) | Issues addressed by this goal | |||||
| note |
0..* | Annotation | 照顧目標的附註 | |||||
| outcomeCode |
0..* | CodeableConcept | What result was achieved regarding the goal? Binding: SNOMEDCTClinicalFindings (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 | |||||
| Documentation for this format | ||||||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| Goal.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Goal.lifecycleStatus | Base | required | GoalLifecycleStatus | 📍4.0.1 | FHIR Std. |
| Goal.achievementStatus | Base | preferred | Goal achievement status | 📍4.0.1 | FHIR Std. |
| Goal.category | Base | example | Goal category | 📍4.0.1 | FHIR Std. |
| Goal.priority | Base | preferred | Goal priority | 📍4.0.1 | FHIR Std. |
| Goal.description | Base | extensible | 照顧目標描述值集 | 📦1.1.0 | This IG |
| Goal.subject.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Goal.target.measure | Base | example | LOINC Codes | 📍4.0.1 | FHIR Std. |
| Goal.target.detail[x] | Base | example | Not State | Unknown | |
| Goal.expressedBy.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Goal.outcomeCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Goal | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Goal | 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-4 | error | Goal | 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-5 | error | Goal | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Goal | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| gol-1 | error | Goal.target | Goal.target.measure is required if Goal.target.detail is populated |
(detail.exists() and measure.exists()) or detail.exists().not()
|
This structure is derived from LTCGoal
Other representations of profile: CSV, Excel, Schematron