# EPath Goal AssessmentExecution - ePath R4 Implementation Guide v1.0.1

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **EPath Goal AssessmentExecution**

## Resource Profile: EPath Goal AssessmentExecution 

| | |
| :--- | :--- |
| *Official URL*:http://e-path.jp/fhir/ePath/StructureDefinition/EPathGoalAssessmentExecution | *Version*:1.0.1 |
| Active as of 2025-12-05 | *Computable Name*:EPathGoalAssessmentExecution |
| **Copyright/Legal**: Joint Committee of JAMI and JSCP（日本医療情報学会と日本クリニカルパス学会との合同委員会）. CC(Creative Commons) BY-ND 4.0 | |

 
観察項目実施 目標・評価情報 

**Usages:**

* Use this Profile: [EPath Bundle Message EP12](StructureDefinition-EPathBundleMessageEP12.md)
* Refer to this Profile: [EPath CarePlan Assessment](StructureDefinition-EPathCarePlanAssessment.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/r4ig|current/StructureDefinition/EPathGoalAssessmentExecution)

### Formal Views of Profile Content

 [Description of Profiles, Differentials, Snapshots and how the different presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-EPathGoalAssessmentExecution.csv), [Excel](StructureDefinition-EPathGoalAssessmentExecution.xlsx), [Schematron](StructureDefinition-EPathGoalAssessmentExecution.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "EPathGoalAssessmentExecution",
  "url" : "http://e-path.jp/fhir/ePath/StructureDefinition/EPathGoalAssessmentExecution",
  "version" : "1.0.1",
  "name" : "EPathGoalAssessmentExecution",
  "title" : "EPath Goal AssessmentExecution",
  "status" : "active",
  "date" : "2025-12-05T13:49:09+09:00",
  "contact" : [
    {
      "name" : "ePath Project",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://e-path.jp"
        }
      ]
    }
  ],
  "description" : "観察項目実施 目標・評価情報",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166-2",
          "code" : "JP"
        }
      ]
    }
  ],
  "copyright" : "Joint Committee of JAMI and JSCP（日本医療情報学会と日本クリニカルパス学会との合同委員会）. CC(Creative Commons) BY-ND 4.0",
  "fhirVersion" : "4.0.1",
  "mapping" : [
    {
      "identity" : "v2",
      "uri" : "http://hl7.org/v2",
      "name" : "HL7 v2 Mapping"
    },
    {
      "identity" : "rim",
      "uri" : "http://hl7.org/v3",
      "name" : "RIM Mapping"
    },
    {
      "identity" : "w5",
      "uri" : "http://hl7.org/fhir/fivews",
      "name" : "FiveWs Pattern Mapping"
    }
  ],
  "kind" : "resource",
  "abstract" : false,
  "type" : "Goal",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Goal",
  "derivation" : "constraint",
  "differential" : {
    "element" : [
      {
        "id" : "Goal.meta",
        "path" : "Goal.meta",
        "min" : 1
      },
      {
        "id" : "Goal.meta.profile",
        "path" : "Goal.meta.profile",
        "short" : "本プロファイルを識別するURLとバージョンを指定する。http://e-path.jp/fhir/ePath/StructureDefinition/EPathGoalAssessmentExecution|x.y.z を設定する。",
        "definition" : "本プロファイルを識別するURLとバージョンを指定する。http://e-path.jp/fhir/ePath/StructureDefinition/EPathGoalAssessmentExecution|x.y.z を設定する。",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Goal.contained",
        "path" : "Goal.contained",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "profile",
              "path" : "$this"
            }
          ],
          "rules" : "open"
        }
      },
      {
        "id" : "Goal.contained:author",
        "path" : "Goal.contained",
        "sliceName" : "author",
        "short" : "評価者",
        "min" : 0,
        "max" : "*",
        "type" : [
          {
            "code" : "Practitioner",
            "profile" : [
              "http://e-path.jp/fhir/ePath/StructureDefinition/EPathPractitioner"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Goal.contained:authorJob",
        "path" : "Goal.contained",
        "sliceName" : "authorJob",
        "short" : "評価者職種",
        "min" : 0,
        "max" : "*",
        "type" : [
          {
            "code" : "PractitionerRole",
            "profile" : [
              "http://e-path.jp/fhir/ePath/StructureDefinition/EPathPractitionerRole"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Goal.contained:evaluation",
        "path" : "Goal.contained",
        "sliceName" : "evaluation",
        "short" : "観察項目単位の評価",
        "definition" : "観察項目単位の評価",
        "min" : 0,
        "max" : "*",
        "type" : [
          {
            "code" : "Observation",
            "profile" : [
              "http://e-path.jp/fhir/ePath/StructureDefinition/EPathObservationEvaluation"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Goal.contained:observationResult",
        "path" : "Goal.contained",
        "sliceName" : "observationResult",
        "short" : "観察結果",
        "definition" : "観察結果",
        "min" : 0,
        "max" : "*",
        "type" : [
          {
            "code" : "Observation",
            "profile" : [
              "http://e-path.jp/fhir/ePath/StructureDefinition/EPathObservationExecution"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Goal.identifier",
        "path" : "Goal.identifier",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "system"
            }
          ],
          "rules" : "open"
        },
        "min" : 1
      },
      {
        "id" : "Goal.identifier:assessmentGoalId",
        "path" : "Goal.identifier",
        "sliceName" : "assessmentGoalId",
        "min" : 1,
        "max" : "1",
        "mustSupport" : true
      },
      {
        "id" : "Goal.identifier:assessmentGoalId.system",
        "path" : "Goal.identifier.system",
        "short" : "固定値 http://e-path.jp/fhir/ePath/IdSystem/assessment-goal-id を設定する。",
        "definition" : "固定値 http://e-path.jp/fhir/ePath/IdSystem/assessment-goal-id を設定する。",
        "min" : 1,
        "fixedUri" : "http://e-path.jp/fhir/ePath/IdSystem/assessment-goal-id"
      },
      {
        "id" : "Goal.identifier:assessmentGoalId.value",
        "path" : "Goal.identifier.value",
        "short" : "医療機関コード、適用時パス識別子、病日[-パスステップ]、OATユニット識別子[-リピート番号]、観察項目識別子、観察項目実施識別子を半角ピリオド\".\"で連結したものを設定する。観察項目識別子は観察項目レベルで一意の識別子を設定すること。",
        "definition" : "医療機関コード、適用時パス識別子、病日[-パスステップ]、OATユニット識別子[-リピート番号]、観察項目識別子、観察項目実施識別子を半角ピリオド\".\"で連結したものを設定する。観察項目識別子は観察項目レベルで一意の識別子を設定すること。",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Goal.lifecycleStatus",
        "path" : "Goal.lifecycleStatus",
        "definition" : "設定できない場合は、completedを設定する。.",
        "mustSupport" : true
      },
      {
        "id" : "Goal.achievementStatus",
        "path" : "Goal.achievementStatus",
        "short" : "評価状況",
        "definition" : "観察項目に対する評価状況を表す区分。付録1 コード一覧「評価状況」に定めるコードを設定する。\r\n例）1：達成、2：未達成（バリアンス）、3：未評価\r\n１．観察項目実施がすべて1：達成の場合、1：達成\r\n２．観察項目実施に1件以上の2：未達成がある場合、2：未達成\r\n３．1,2以外の場合、3：未評価",
        "mustSupport" : true,
        "binding" : {
          "strength" : "preferred",
          "description" : "評価状況",
          "valueSet" : "http://e-path.jp/fhir/ePath/ValueSet/EPathStateOfAchievementVS"
        }
      },
      {
        "id" : "Goal.achievementStatus.coding",
        "path" : "Goal.achievementStatus.coding",
        "min" : 1,
        "max" : "1"
      },
      {
        "id" : "Goal.achievementStatus.coding.system",
        "path" : "Goal.achievementStatus.coding.system",
        "min" : 1
      },
      {
        "id" : "Goal.achievementStatus.coding.code",
        "path" : "Goal.achievementStatus.coding.code",
        "min" : 1
      },
      {
        "id" : "Goal.description",
        "path" : "Goal.description",
        "short" : "観察項目目標の説明",
        "definition" : "観察項目目標の説明",
        "mustSupport" : true
      },
      {
        "id" : "Goal.description.text",
        "path" : "Goal.description.text",
        "short" : "観察項目名称を設定する。",
        "definition" : "観察項目名称を設定する。",
        "min" : 1
      },
      {
        "id" : "Goal.subject",
        "path" : "Goal.subject",
        "short" : "パスを適用する患者リソース（Patient）への参照",
        "definition" : "パスを適用する患者リソース（Patient）への参照",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : ["http://jpfhir.jp/fhir/core/StructureDefinition/JP_Patient"]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Goal.target",
        "path" : "Goal.target",
        "max" : "1",
        "mustSupport" : true
      },
      {
        "id" : "Goal.target.measure",
        "path" : "Goal.target.measure",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Goal.target.measure.coding",
        "path" : "Goal.target.measure.coding",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "system"
            }
          ],
          "rules" : "open"
        },
        "short" : "観察項目コード",
        "mustSupport" : false,
        "binding" : {
          "strength" : "example",
          "valueSet" : "http://e-path.jp/fhir/ePath/ValueSet/EPathAssessmentCategoryVS"
        }
      },
      {
        "id" : "Goal.target.measure.coding:BOMAssessmentCode",
        "path" : "Goal.target.measure.coding",
        "sliceName" : "BOMAssessmentCode",
        "short" : "BOM観察項目コード・名称",
        "definition" : "BOM観察項目コード・名称\r\n「BOM観察項目コード」より設定する。",
        "min" : 0,
        "max" : "*",
        "binding" : {
          "strength" : "preferred",
          "valueSet" : "http://e-path.jp/fhir/ePath/ValueSet/EPathAssessmentCodeVS"
        }
      },
      {
        "id" : "Goal.target.measure.coding:BOMAssessmentCode.system",
        "path" : "Goal.target.measure.coding.system",
        "min" : 1,
        "fixedUri" : "http://e-path.jp/fhir/ePath/CodeSystem/EPathBOMAssessmentCodeCS"
      },
      {
        "id" : "Goal.target.measure.coding:BOMAssessmentCode.code",
        "path" : "Goal.target.measure.coding.code",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Goal.target.measure.coding:BOMAssessmentCode.display",
        "path" : "Goal.target.measure.coding.display",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Goal.target.measure.coding:LocalAssessmentCode",
        "path" : "Goal.target.measure.coding",
        "sliceName" : "LocalAssessmentCode",
        "short" : "観察項目コード・名称",
        "min" : 0,
        "max" : "*"
      },
      {
        "id" : "Goal.target.measure.coding:LocalAssessmentCode.system",
        "path" : "Goal.target.measure.coding.system",
        "min" : 1,
        "fixedUri" : "http://e-path.jp/fhir/ePath/CodeSystem/EPathLocalAssessmentCodeCS"
      },
      {
        "id" : "Goal.target.measure.coding:LocalAssessmentCode.code",
        "path" : "Goal.target.measure.coding.code",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Goal.target.measure.coding:LocalAssessmentCode.display",
        "path" : "Goal.target.measure.coding.display",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Goal.target.detail[x]",
        "path" : "Goal.target.detail[x]",
        "short" : "適正値",
        "definition" : "観察項目の評価基準となる適正値。疾患別ひな型パスで定める適正値、または施設等のローカル内で定めた適正値を設定する。",
        "mustSupport" : true
      },
      {
        "id" : "Goal.outcomeReference",
        "path" : "Goal.outcomeReference",
        "short" : "観察項目単位の評価、または観察結果（Observation）への参照",
        "definition" : "観察項目単位の評価、または観察結果（Observation）への参照",
        "mustSupport" : true
      }
    ]
  }
}

```
