Implementierungsleitfaden Therapieziele Onkologie
1.0.0-ballot - Ballot Germany

Implementierungsleitfaden Therapieziele Onkologie - Local Development build (v1.0.0-ballot) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Onkologisches Therapieziel

Official URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-goal Version: 1.0.0-ballot
Draft as of 2026-08-03 Computable Name: OnkoTherapyGoal

Structured oncological therapy goal based on Goal, aligned with the HL7 FHIR US MCC eCare Plan MCCGoal. The goal is a standalone reference-based resource linked to the addressed condition via addresses and to progress observations via outcomeReference.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Goal 0..* Goal Describes the intended objective(s) for a patient, group or organization
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:therapyIntent 0..1 (Complex) Therapy intent
URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-intent
.... extension:acceptance S 0..* (Complex) Goal acceptance
URL: http://hl7.org/fhir/StructureDefinition/goal-acceptance
.... extension:reasonRejected S 0..1 CodeableConcept Reason rejected
URL: http://hl7.org/fhir/StructureDefinition/goal-reasonRejected
.... extension:relatedGoal S 0..* (Complex) Goal relationship
URL: http://hl7.org/fhir/StructureDefinition/goal-relationship
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... achievementStatus SΣ 0..1 CodeableConcept Achievement status
Binding: GoalAchievementStatus (preferred): Indicates the progression, or lack thereof, towards the goal against the target.
... category SΣ 1..* CodeableConcept Goal category
Binding: Onkologische Therapieziel-Art (VS) (extensible)
... priority SΣ 0..1 CodeableConcept Priority
Binding: GoalPriority (preferred): The level of importance associated with a goal.
... description SΣ 1..1 CodeableConcept Goal description
Binding: SNOMEDCTClinicalFindings (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 SΣ 1..1 Reference(Patient) Patient
... Slices for start[x] SΣ 0..1 Goal start
Slice: Unordered, Closed by type:$this
Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal.
.... startDate date
.... startCodeableConcept CodeableConcept
.... start[x]:startDate SΣ 0..1 date Goal start as date
.... start[x]:startCodeableConcept SΣ 0..1 CodeableConcept Goal start as code
Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal.
... target SC 0..* BackboneElement Target
Constraints: gol-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... measure SΣC 0..1 CodeableConcept Target measure
Binding: LOINCCodes (example): Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level.
.... detail[x] SΣC 0..1 Target detail
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] SΣ 0..1 Target due
..... dueDate date
..... dueDuration Duration
... expressedBy SΣ 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) Expressed by
... addresses S 0..* Reference(Onkologische Diagnose (Condition)) Addressed condition
... note 0..* Annotation Note
... outcomeCode 0..* CodeableConcept Outcome code
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 S 0..* Reference(Observation) Outcome reference

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
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 extensible Onkologische Therapieziel-Art (VS) 📦1.0.0-ballot This IG
Goal.priority Base preferred Goal priority 📍4.0.1 FHIR Std.
Goal.description Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.
Goal.start[x] Base example Goal start event 📍4.0.1 FHIR Std.
Goal.start[x]:startCodeableConcept Base example Goal start event 📍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.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()

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Goal 0..* Goal Describes the intended objective(s) for a patient, group or organization
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:therapyIntent 0..1 (Complex) Therapy intent
URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-intent
.... extension:acceptance S 0..* (Complex) Goal acceptance
URL: http://hl7.org/fhir/StructureDefinition/goal-acceptance
.... extension:reasonRejected S 0..1 CodeableConcept Reason rejected
URL: http://hl7.org/fhir/StructureDefinition/goal-reasonRejected
.... extension:relatedGoal S 0..* (Complex) Goal relationship
URL: http://hl7.org/fhir/StructureDefinition/goal-relationship
... lifecycleStatus S 1..1 code Lifecycle status
... achievementStatus S 0..1 CodeableConcept Achievement status
... priority S 0..1 CodeableConcept Priority
... description S 1..1 CodeableConcept Goal description
... subject S 1..1 Reference(Patient) Patient
... Slices for start[x] S 0..1 date, CodeableConcept Goal start
Slice: Unordered, Open by type:$this
.... start[x]:startDate S 0..1 date Goal start as date
.... start[x]:startCodeableConcept S 0..1 CodeableConcept Goal start as code
... target S 0..* BackboneElement Target
.... measure S 0..1 CodeableConcept Target measure
.... detail[x] S 0..1 Quantity, Range, CodeableConcept, string, boolean, integer, Ratio Target detail
.... due[x] S 0..1 date, Duration Target due
... expressedBy S 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) Expressed by
... addresses S 0..* Reference(Onkologische Diagnose (Condition)) Addressed condition
... note 0..* Annotation Note
... outcomeCode 0..* CodeableConcept Outcome code
... outcomeReference S 0..* Reference(Observation) Outcome reference

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Goal.category Base extensible Onkologische Therapieziel-Art (VS) 📦1.0.0-ballot This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Goal 0..* Goal Describes the intended objective(s) for a patient, group or organization
... 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
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 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:therapyIntent 0..1 (Complex) Therapy intent
URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-intent
.... extension:acceptance S 0..* (Complex) Goal acceptance
URL: http://hl7.org/fhir/StructureDefinition/goal-acceptance
.... extension:reasonRejected S 0..1 CodeableConcept Reason rejected
URL: http://hl7.org/fhir/StructureDefinition/goal-reasonRejected
.... extension:relatedGoal S 0..* (Complex) Goal relationship
URL: http://hl7.org/fhir/StructureDefinition/goal-relationship
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier External Ids for this goal
... lifecycleStatus ?!SΣ 1..1 code Lifecycle status
Binding: GoalLifecycleStatus (required): Codes that reflect the current state of a goal and whether the goal is still being targeted.
... achievementStatus SΣ 0..1 CodeableConcept Achievement status
Binding: GoalAchievementStatus (preferred): Indicates the progression, or lack thereof, towards the goal against the target.
... category SΣ 1..* CodeableConcept Goal category
Binding: Onkologische Therapieziel-Art (VS) (extensible)
... priority SΣ 0..1 CodeableConcept Priority
Binding: GoalPriority (preferred): The level of importance associated with a goal.
... description SΣ 1..1 CodeableConcept Goal description
Binding: SNOMEDCTClinicalFindings (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 SΣ 1..1 Reference(Patient) Patient
... Slices for start[x] SΣ 0..1 Goal start
Slice: Unordered, Closed by type:$this
Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal.
.... startDate date
.... startCodeableConcept CodeableConcept
.... start[x]:startDate SΣ 0..1 date Goal start as date
.... start[x]:startCodeableConcept SΣ 0..1 CodeableConcept Goal start as code
Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal.
... target SC 0..* BackboneElement Target
Constraints: gol-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... measure SΣC 0..1 CodeableConcept Target measure
Binding: LOINCCodes (example): Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level.
.... detail[x] SΣC 0..1 Target detail
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] SΣ 0..1 Target due
..... dueDate date
..... dueDuration Duration
... statusDate Σ 0..1 date When goal status took effect
... statusReason 0..1 string Reason for current status
... expressedBy SΣ 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) Expressed by
... addresses S 0..* Reference(Onkologische Diagnose (Condition)) Addressed condition
... note 0..* Annotation Note
... outcomeCode 0..* CodeableConcept Outcome code
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 S 0..* Reference(Observation) Outcome reference

doco 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 extensible Onkologische Therapieziel-Art (VS) 📦1.0.0-ballot This IG
Goal.priority Base preferred Goal priority 📍4.0.1 FHIR Std.
Goal.description Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.
Goal.start[x] Base example Goal start event 📍4.0.1 FHIR Std.
Goal.start[x]:startCodeableConcept Base example Goal start event 📍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.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()

Summary

Mandatory: 1 element
Must-Support: 19 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Goal.start[x]

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Goal 0..* Goal Describes the intended objective(s) for a patient, group or organization
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:therapyIntent 0..1 (Complex) Therapy intent
URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-intent
.... extension:acceptance S 0..* (Complex) Goal acceptance
URL: http://hl7.org/fhir/StructureDefinition/goal-acceptance
.... extension:reasonRejected S 0..1 CodeableConcept Reason rejected
URL: http://hl7.org/fhir/StructureDefinition/goal-reasonRejected
.... extension:relatedGoal S 0..* (Complex) Goal relationship
URL: http://hl7.org/fhir/StructureDefinition/goal-relationship
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... achievementStatus SΣ 0..1 CodeableConcept Achievement status
Binding: GoalAchievementStatus (preferred): Indicates the progression, or lack thereof, towards the goal against the target.
... category SΣ 1..* CodeableConcept Goal category
Binding: Onkologische Therapieziel-Art (VS) (extensible)
... priority SΣ 0..1 CodeableConcept Priority
Binding: GoalPriority (preferred): The level of importance associated with a goal.
... description SΣ 1..1 CodeableConcept Goal description
Binding: SNOMEDCTClinicalFindings (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 SΣ 1..1 Reference(Patient) Patient
... Slices for start[x] SΣ 0..1 Goal start
Slice: Unordered, Closed by type:$this
Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal.
.... startDate date
.... startCodeableConcept CodeableConcept
.... start[x]:startDate SΣ 0..1 date Goal start as date
.... start[x]:startCodeableConcept SΣ 0..1 CodeableConcept Goal start as code
Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal.
... target SC 0..* BackboneElement Target
Constraints: gol-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... measure SΣC 0..1 CodeableConcept Target measure
Binding: LOINCCodes (example): Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level.
.... detail[x] SΣC 0..1 Target detail
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] SΣ 0..1 Target due
..... dueDate date
..... dueDuration Duration
... expressedBy SΣ 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) Expressed by
... addresses S 0..* Reference(Onkologische Diagnose (Condition)) Addressed condition
... note 0..* Annotation Note
... outcomeCode 0..* CodeableConcept Outcome code
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 S 0..* Reference(Observation) Outcome reference

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
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 extensible Onkologische Therapieziel-Art (VS) 📦1.0.0-ballot This IG
Goal.priority Base preferred Goal priority 📍4.0.1 FHIR Std.
Goal.description Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.
Goal.start[x] Base example Goal start event 📍4.0.1 FHIR Std.
Goal.start[x]:startCodeableConcept Base example Goal start event 📍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.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()

Differential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Goal 0..* Goal Describes the intended objective(s) for a patient, group or organization
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:therapyIntent 0..1 (Complex) Therapy intent
URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-intent
.... extension:acceptance S 0..* (Complex) Goal acceptance
URL: http://hl7.org/fhir/StructureDefinition/goal-acceptance
.... extension:reasonRejected S 0..1 CodeableConcept Reason rejected
URL: http://hl7.org/fhir/StructureDefinition/goal-reasonRejected
.... extension:relatedGoal S 0..* (Complex) Goal relationship
URL: http://hl7.org/fhir/StructureDefinition/goal-relationship
... lifecycleStatus S 1..1 code Lifecycle status
... achievementStatus S 0..1 CodeableConcept Achievement status
... priority S 0..1 CodeableConcept Priority
... description S 1..1 CodeableConcept Goal description
... subject S 1..1 Reference(Patient) Patient
... Slices for start[x] S 0..1 date, CodeableConcept Goal start
Slice: Unordered, Open by type:$this
.... start[x]:startDate S 0..1 date Goal start as date
.... start[x]:startCodeableConcept S 0..1 CodeableConcept Goal start as code
... target S 0..* BackboneElement Target
.... measure S 0..1 CodeableConcept Target measure
.... detail[x] S 0..1 Quantity, Range, CodeableConcept, string, boolean, integer, Ratio Target detail
.... due[x] S 0..1 date, Duration Target due
... expressedBy S 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) Expressed by
... addresses S 0..* Reference(Onkologische Diagnose (Condition)) Addressed condition
... note 0..* Annotation Note
... outcomeCode 0..* CodeableConcept Outcome code
... outcomeReference S 0..* Reference(Observation) Outcome reference

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Goal.category Base extensible Onkologische Therapieziel-Art (VS) 📦1.0.0-ballot This IG

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Goal 0..* Goal Describes the intended objective(s) for a patient, group or organization
... 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
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 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:therapyIntent 0..1 (Complex) Therapy intent
URL: https://bih-cei.de/fhir/therapieziele-onkologie/StructureDefinition/onko-therapy-intent
.... extension:acceptance S 0..* (Complex) Goal acceptance
URL: http://hl7.org/fhir/StructureDefinition/goal-acceptance
.... extension:reasonRejected S 0..1 CodeableConcept Reason rejected
URL: http://hl7.org/fhir/StructureDefinition/goal-reasonRejected
.... extension:relatedGoal S 0..* (Complex) Goal relationship
URL: http://hl7.org/fhir/StructureDefinition/goal-relationship
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier External Ids for this goal
... lifecycleStatus ?!SΣ 1..1 code Lifecycle status
Binding: GoalLifecycleStatus (required): Codes that reflect the current state of a goal and whether the goal is still being targeted.
... achievementStatus SΣ 0..1 CodeableConcept Achievement status
Binding: GoalAchievementStatus (preferred): Indicates the progression, or lack thereof, towards the goal against the target.
... category SΣ 1..* CodeableConcept Goal category
Binding: Onkologische Therapieziel-Art (VS) (extensible)
... priority SΣ 0..1 CodeableConcept Priority
Binding: GoalPriority (preferred): The level of importance associated with a goal.
... description SΣ 1..1 CodeableConcept Goal description
Binding: SNOMEDCTClinicalFindings (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 SΣ 1..1 Reference(Patient) Patient
... Slices for start[x] SΣ 0..1 Goal start
Slice: Unordered, Closed by type:$this
Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal.
.... startDate date
.... startCodeableConcept CodeableConcept
.... start[x]:startDate SΣ 0..1 date Goal start as date
.... start[x]:startCodeableConcept SΣ 0..1 CodeableConcept Goal start as code
Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal.
... target SC 0..* BackboneElement Target
Constraints: gol-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... measure SΣC 0..1 CodeableConcept Target measure
Binding: LOINCCodes (example): Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level.
.... detail[x] SΣC 0..1 Target detail
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] SΣ 0..1 Target due
..... dueDate date
..... dueDuration Duration
... statusDate Σ 0..1 date When goal status took effect
... statusReason 0..1 string Reason for current status
... expressedBy SΣ 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) Expressed by
... addresses S 0..* Reference(Onkologische Diagnose (Condition)) Addressed condition
... note 0..* Annotation Note
... outcomeCode 0..* CodeableConcept Outcome code
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 S 0..* Reference(Observation) Outcome reference

doco 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 extensible Onkologische Therapieziel-Art (VS) 📦1.0.0-ballot This IG
Goal.priority Base preferred Goal priority 📍4.0.1 FHIR Std.
Goal.description Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.
Goal.start[x] Base example Goal start event 📍4.0.1 FHIR Std.
Goal.start[x]:startCodeableConcept Base example Goal start event 📍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.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()

Summary

Mandatory: 1 element
Must-Support: 19 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Goal.start[x]

 

Other representations of profile: CSV, Excel, Schematron