臺灣長期照顧實作指引 (Taiwan Long-Term Care Implementation Guide) - Local Development build (v0.2.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: 長期照顧－照顧目標

此 Profile 說明本 IG 如何進一步定義 FHIR 的 Goal Resource，以呈現長期照顧情境中涉及之照顧目標內容。

Usage:

• Refer to this Resource Profile: 長期照顧－照顧計畫

Formal Views of Profile Content

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

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from Goal

Name	Flags	Card.	Type	Description & Constraints
Goal			Goal
lifecycleStatus	S	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]
description	S	1..1	CodeableConcept	照顧目標的描述 Binding: 照顧目標描述值集 (extensible)
coding	S	1..1	Coding	照顧目標的描述代碼
system	S	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	S	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]
subject	S	1..1	Reference(長期照顧－住民基本資料)	照顧目標的適用主體
reference	S	1..1	string	照顧目標的適用主體。[應輸入 Patient Resource ID]
start[x]	S	0..1	date, CodeableConcept	照顧的開始日期。[應填入日期或日期時間]
target	S	0..*	BackboneElement	照顧的目標
detail[x]	S	0..1	Quantity, Range, CodeableConcept, string, boolean, integer, Ratio	照顧目標的詳細描述。
due[x]	S	0..1	date, Duration	照顧目標的預計完成日期。[應填入日期或日期時間]
expressedBy	S	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	S	1..1	string	誰提出了這個照顧目標？[應輸入 Practitioner / RelatedPerson / PractitionerRole Resource ID]
note	S	0..*	Annotation	照顧目標的附註
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Goal.description	extensible	GoalDescriptionVSTWLTC http://ltc-ig.fhir.tw/ValueSet/GoalDescriptionVS-TWLTC from this IG

Name	Flags	Card.	Type	Description & Constraints
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
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
lifecycleStatus	?!SΣ	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	SΣ	1..1	CodeableConcept	照顧目標的描述 Binding: 照顧目標描述值集 (extensible)
coding	SΣ	1..1	Coding	照顧目標的描述代碼
system	SΣ	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	SΣ	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]
subject	SΣ	1..1	Reference(長期照顧－住民基本資料)	照顧目標的適用主體
reference	SΣC	1..1	string	照顧目標的適用主體。[應輸入 Patient Resource ID]
start[x]	SΣ	0..1		照顧的開始日期。[應填入日期或日期時間] Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal.
startDate			date
startCodeableConcept			CodeableConcept
target	SC	0..*	BackboneElement	照顧的目標 gol-1: Goal.target.measure is required if Goal.target.detail is populated
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
detail[x]	SΣC	0..1		照顧目標的詳細描述。 Binding Description (No ValueSet): (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		照顧目標的預計完成日期。[應填入日期或日期時間]
dueDate			date
dueDuration			Duration
expressedBy	SΣ	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	SΣC	1..1	string	誰提出了這個照顧目標？[應輸入 Practitioner / RelatedPerson / PractitionerRole Resource ID]
note	S	0..*	Annotation	照顧目標的附註
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Goal.lifecycleStatus	required	GoalLifecycleStatus http://hl7.org/fhir/ValueSet/goal-status|4.0.1 from the FHIR Standard
Goal.description	extensible	GoalDescriptionVSTWLTC http://ltc-ig.fhir.tw/ValueSet/GoalDescriptionVS-TWLTC from this IG
Goal.start[x]	example	GoalStartEvent http://hl7.org/fhir/ValueSet/goal-start-event from the FHIR Standard
Goal.target.detail[x]	example

Constraints

Id	Grade	Path(s)	Details	Requirements
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()

Name	Flags	Card.	Type	Description & Constraints
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
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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
lifecycleStatus	?!SΣ	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	Σ	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	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	SΣ	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	SΣ	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	SΣ	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	Σ	0..1	string	Version of the system - if relevant
code	SΣ	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	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(長期照顧－住民基本資料)	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	SΣC	1..1	string	照顧目標的適用主體。[應輸入 Patient Resource ID]
type	Σ	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	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
start[x]	SΣ	0..1		照顧的開始日期。[應填入日期或日期時間] Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal.
startDate			date
startCodeableConcept			CodeableConcept
target	SC	0..*	BackboneElement	照顧的目標 gol-1: Goal.target.measure is required if Goal.target.detail is populated
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	ΣC	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]	SΣC	0..1		照顧目標的詳細描述。 Binding Description (No ValueSet): (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		照顧目標的預計完成日期。[應填入日期或日期時間]
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(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	SΣC	1..1	string	誰提出了這個照顧目標？[應輸入 Practitioner / RelatedPerson / PractitionerRole Resource ID]
type	Σ	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	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
addresses		0..*	Reference(Condition | Observation | MedicationStatement | NutritionOrder | ServiceRequest | RiskAssessment)	Issues addressed by this goal
note	S	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	Conformance	ValueSet	URI
Goal.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Goal.lifecycleStatus	required	GoalLifecycleStatus http://hl7.org/fhir/ValueSet/goal-status|4.0.1 from the FHIR Standard
Goal.achievementStatus	preferred	GoalAchievementStatus http://hl7.org/fhir/ValueSet/goal-achievement from the FHIR Standard
Goal.category	example	GoalCategory http://hl7.org/fhir/ValueSet/goal-category from the FHIR Standard
Goal.priority	preferred	GoalPriority http://hl7.org/fhir/ValueSet/goal-priority from the FHIR Standard
Goal.description	extensible	GoalDescriptionVSTWLTC http://ltc-ig.fhir.tw/ValueSet/GoalDescriptionVS-TWLTC from this IG
Goal.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Goal.start[x]	example	GoalStartEvent http://hl7.org/fhir/ValueSet/goal-start-event from the FHIR Standard
Goal.target.measure	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Goal.target.detail[x]	example
Goal.expressedBy.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Goal.outcomeCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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 Goal

Summary

Mandatory: 4 elements(1 nested mandatory element)
Must-Support: 14 elements

Structures

This structure refers to these other structures:

• 長期照顧－住民基本資料 (http://ltc-ig.fhir.tw/StructureDefinition/LTCPatient)
• 長期照顧－照顧服務提供者 (http://ltc-ig.fhir.tw/StructureDefinition/LTCPractitioner)
• 長期照顧－關係人 (http://ltc-ig.fhir.tw/StructureDefinition/LTCRelatedPerson)
• 長期照顧－服務人員角色 (http://ltc-ig.fhir.tw/StructureDefinition/LTCPractitionerRole)

Differential View

This structure is derived from Goal

Name	Flags	Card.	Type	Description & Constraints
Goal			Goal
lifecycleStatus	S	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]
description	S	1..1	CodeableConcept	照顧目標的描述 Binding: 照顧目標描述值集 (extensible)
coding	S	1..1	Coding	照顧目標的描述代碼
system	S	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	S	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]
subject	S	1..1	Reference(長期照顧－住民基本資料)	照顧目標的適用主體
reference	S	1..1	string	照顧目標的適用主體。[應輸入 Patient Resource ID]
start[x]	S	0..1	date, CodeableConcept	照顧的開始日期。[應填入日期或日期時間]
target	S	0..*	BackboneElement	照顧的目標
detail[x]	S	0..1	Quantity, Range, CodeableConcept, string, boolean, integer, Ratio	照顧目標的詳細描述。
due[x]	S	0..1	date, Duration	照顧目標的預計完成日期。[應填入日期或日期時間]
expressedBy	S	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	S	1..1	string	誰提出了這個照顧目標？[應輸入 Practitioner / RelatedPerson / PractitionerRole Resource ID]
note	S	0..*	Annotation	照顧目標的附註
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Goal.description	extensible	GoalDescriptionVSTWLTC http://ltc-ig.fhir.tw/ValueSet/GoalDescriptionVS-TWLTC from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
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
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
lifecycleStatus	?!SΣ	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	SΣ	1..1	CodeableConcept	照顧目標的描述 Binding: 照顧目標描述值集 (extensible)
coding	SΣ	1..1	Coding	照顧目標的描述代碼
system	SΣ	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	SΣ	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]
subject	SΣ	1..1	Reference(長期照顧－住民基本資料)	照顧目標的適用主體
reference	SΣC	1..1	string	照顧目標的適用主體。[應輸入 Patient Resource ID]
start[x]	SΣ	0..1		照顧的開始日期。[應填入日期或日期時間] Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal.
startDate			date
startCodeableConcept			CodeableConcept
target	SC	0..*	BackboneElement	照顧的目標 gol-1: Goal.target.measure is required if Goal.target.detail is populated
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
detail[x]	SΣC	0..1		照顧目標的詳細描述。 Binding Description (No ValueSet): (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		照顧目標的預計完成日期。[應填入日期或日期時間]
dueDate			date
dueDuration			Duration
expressedBy	SΣ	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	SΣC	1..1	string	誰提出了這個照顧目標？[應輸入 Practitioner / RelatedPerson / PractitionerRole Resource ID]
note	S	0..*	Annotation	照顧目標的附註
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Goal.lifecycleStatus	required	GoalLifecycleStatus http://hl7.org/fhir/ValueSet/goal-status|4.0.1 from the FHIR Standard
Goal.description	extensible	GoalDescriptionVSTWLTC http://ltc-ig.fhir.tw/ValueSet/GoalDescriptionVS-TWLTC from this IG
Goal.start[x]	example	GoalStartEvent http://hl7.org/fhir/ValueSet/goal-start-event from the FHIR Standard
Goal.target.detail[x]	example

Constraints

Id	Grade	Path(s)	Details	Requirements
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()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
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
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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
lifecycleStatus	?!SΣ	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	Σ	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	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	SΣ	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	SΣ	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	SΣ	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	Σ	0..1	string	Version of the system - if relevant
code	SΣ	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	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(長期照顧－住民基本資料)	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	SΣC	1..1	string	照顧目標的適用主體。[應輸入 Patient Resource ID]
type	Σ	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	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
start[x]	SΣ	0..1		照顧的開始日期。[應填入日期或日期時間] Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal.
startDate			date
startCodeableConcept			CodeableConcept
target	SC	0..*	BackboneElement	照顧的目標 gol-1: Goal.target.measure is required if Goal.target.detail is populated
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	ΣC	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]	SΣC	0..1		照顧目標的詳細描述。 Binding Description (No ValueSet): (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		照顧目標的預計完成日期。[應填入日期或日期時間]
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(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	SΣC	1..1	string	誰提出了這個照顧目標？[應輸入 Practitioner / RelatedPerson / PractitionerRole Resource ID]
type	Σ	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	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
addresses		0..*	Reference(Condition | Observation | MedicationStatement | NutritionOrder | ServiceRequest | RiskAssessment)	Issues addressed by this goal
note	S	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	Conformance	ValueSet	URI
Goal.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Goal.lifecycleStatus	required	GoalLifecycleStatus http://hl7.org/fhir/ValueSet/goal-status|4.0.1 from the FHIR Standard
Goal.achievementStatus	preferred	GoalAchievementStatus http://hl7.org/fhir/ValueSet/goal-achievement from the FHIR Standard
Goal.category	example	GoalCategory http://hl7.org/fhir/ValueSet/goal-category from the FHIR Standard
Goal.priority	preferred	GoalPriority http://hl7.org/fhir/ValueSet/goal-priority from the FHIR Standard
Goal.description	extensible	GoalDescriptionVSTWLTC http://ltc-ig.fhir.tw/ValueSet/GoalDescriptionVS-TWLTC from this IG
Goal.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Goal.start[x]	example	GoalStartEvent http://hl7.org/fhir/ValueSet/goal-start-event from the FHIR Standard
Goal.target.measure	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Goal.target.detail[x]	example
Goal.expressedBy.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Goal.outcomeCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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 Goal

Summary

Mandatory: 4 elements(1 nested mandatory element)
Must-Support: 14 elements

Structures

This structure refers to these other structures:

• 長期照顧－住民基本資料 (http://ltc-ig.fhir.tw/StructureDefinition/LTCPatient)
• 長期照顧－照顧服務提供者 (http://ltc-ig.fhir.tw/StructureDefinition/LTCPractitioner)
• 長期照顧－關係人 (http://ltc-ig.fhir.tw/StructureDefinition/LTCRelatedPerson)
• 長期照顧－服務人員角色 (http://ltc-ig.fhir.tw/StructureDefinition/LTCPractitionerRole)

Other representations of profile: CSV, Excel, Schematron