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

Das Therapieziel-Dreieck

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The three core concepts of this guide form a triangle: the care episode (who treats, in which setting), the therapy goal (what is to be achieved) and the care plan (which measures are planned). The plan pursues the goal (CarePlan.goal — pursuit, not ownership) and belongs to its episode (standard extension workflow-episodeOfCare); goal and episode are linked only implicitly via the plan. At the centre stands the patient as the shared subject of all three.

Therapy goal triangle: care episode, therapy goal and care plan Triangle of the three core resources: at the top the therapy goal (Goal, what is to be achieved), bottom left the care episode (EpisodeOfCare, who treats and in which setting), bottom right the care plan (CarePlan, which measures are planned). The plan pursues the goal (CarePlan.goal) and belongs to the episode (extension workflow-episodeOfCare); goal and episode are linked only implicitly through the plan. At the centre the patient as the shared subject. goal pursues the goal workflow-episodeOfCare belongs to the episode no direct reference — implicit via the plan Patient subject Therapy goal Goal — what is to be achieved? Goal type: cure · symptom control · … Measure · value · due date (target) Achievement (achievementStatus) Outcome (outcomeReference) Care episode EpisodeOfCare — who treats? period (time span) Type: line of therapy · diagnostics · … Intent: curative · palliative · … (ext.) Team / organisation the setting in which care is given Care plan CarePlan — what is planned? ServiceRequest — surgery · radiation · … MedicationRequest — systemic therapy … (activity.reference) Recommendation (tumour board) → care basedOn: plan fulfils the recommendation Goal Plan Episode / actor Reference implicit relation / patient link The goal precedes the plan: goal first (shared decision / tumour board), then plan — CarePlan.goal is pursuit, not ownership.

Formalised as a logical model

The triangle is formalised as the resource-neutral logical model TherapiezielDreieck — the three concepts as a structure tree, with the "Mappings" tab showing how each element maps to FHIR R4 and the profiles of this guide.

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