ePath R4 Implementation Guide
1.0.1 - ci-build Japan

ePath R4 Implementation Guide - Local Development build (v1.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: EPath Goal AssessmentExecution

Official URL: http://e-path.jp/fhir/ePath/StructureDefinition/EPathGoalAssessmentExecution Version: 1.0.1
Active as of 2026-02-19 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:

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.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Goal 0..* Goal Describes the intended objective(s) for a patient, group or organization
... meta Σ 1..1 Meta Metadata about the resource
.... profile SΣ 1..* canonical(StructureDefinition) 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。
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for contained 0..* Resource Contained, inline Resources
Slice: Unordered, Open by profile:$this
.... contained:author S 0..* EPathPractitioner 評価者
.... contained:authorJob S 0..* EPathPractitionerRole 評価者職種
.... contained:evaluation S 0..* EPathObservationEvaluation 観察項目単位の評価
.... contained:observationResult S 0..* EPathObservationExecution 観察結果
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier 1..* Identifier External Ids for this goal
Slice: Unordered, Open by value:system
.... identifier:assessmentGoalId S 1..1 Identifier External Ids for this goal
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... system Σ 1..1 uri 固定値 http://e-path.jp/fhir/ePath/IdSystem/assessment-goal-id を設定する。
Fixed Value: http://e-path.jp/fhir/ePath/IdSystem/assessment-goal-id
..... value SΣ 1..1 string 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。
Example General: 123456
... lifecycleStatus ?!SΣ 1..1 code 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 SΣ 0..1 CodeableConcept 評価状況
Binding: EPath StateOfAchievement VS (preferred): 評価状況
.... coding Σ 1..1 Coding Code defined by a terminology system
..... system Σ 1..1 uri Identity of the terminology system
..... code Σ 1..1 code Symbol in syntax defined by the system
... description SΣ 1..1 CodeableConcept 観察項目目標の説明
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.
.... text Σ 1..1 string 観察項目名称を設定する。
... subject SΣ 1..1 Reference(JP Core Patient Profile) パスを適用する患者リソース（Patient）への参照
... target SC 0..1 BackboneElement Target outcome for the goal
Constraints: gol-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... measure SΣC 1..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.
..... Slices for coding Σ 0..* Coding 観察項目コード
Slice: Unordered, Open by value:system
Binding: EPath AssessmentCategory VS (example)
...... coding:BOMAssessmentCode Σ 0..* Coding BOM観察項目コード・名称
Binding: EPath AssessmentCode VS (preferred)
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://e-path.jp/fhir/ePath/CodeSystem/EPathBOMAssessmentCodeCS
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display SΣ 1..1 string Representation defined by the system
...... coding:LocalAssessmentCode Σ 0..* Coding 観察項目コード・名称
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://e-path.jp/fhir/ePath/CodeSystem/EPathLocalAssessmentCodeCS
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display SΣ 1..1 string Representation defined by the system
.... detail[x] SΣC 0..1 適正値
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
... outcomeReference S 0..* Reference(Observation) 観察項目単位の評価、または観察結果（Observation）への参照

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Goal.identifier:assessmentGoalId.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Goal.lifecycleStatus Base required GoalLifecycleStatus 📍4.0.1 FHIR Std.
Goal.achievementStatus Base preferred EPath StateOfAchievement VS 📦1.0.1 This IG
Goal.description Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.
Goal.target.measure Base example LOINC Codes 📍4.0.1 FHIR Std.
Goal.target.measure.​coding Base example EPath AssessmentCategory VS 📦1.0.1 This IG
Goal.target.measure.​coding:BOMAssessmentCode Base preferred EPath AssessmentCode VS 📦1.0.1 This IG
Goal.target.detail[x] Base example Not Stated 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 Goal

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Goal Goal
... meta 1..1 Meta Metadata about the resource
.... profile S 1..* canonical(StructureDefinition) 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。
... Slices for contained 0..* Resource Contained, inline Resources
Slice: Unordered, Open by profile:$this
.... contained:author S 0..* EPathPractitioner 評価者
.... contained:authorJob S 0..* EPathPractitionerRole 評価者職種
.... contained:evaluation S 0..* EPathObservationEvaluation 観察項目単位の評価
.... contained:observationResult S 0..* EPathObservationExecution 観察結果
... Slices for identifier 1..* Identifier External Ids for this goal
Slice: Unordered, Open by value:system
.... identifier:assessmentGoalId S 1..1 Identifier External Ids for this goal
..... system 1..1 uri 固定値 http://e-path.jp/fhir/ePath/IdSystem/assessment-goal-id を設定する。
Fixed Value: http://e-path.jp/fhir/ePath/IdSystem/assessment-goal-id
..... value S 1..1 string 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。
... lifecycleStatus S 1..1 code proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected
... achievementStatus S 0..1 CodeableConcept 評価状況
Binding: EPath StateOfAchievement VS (preferred): 評価状況
.... coding 1..1 Coding Code defined by a terminology system
..... system 1..1 uri Identity of the terminology system
..... code 1..1 code Symbol in syntax defined by the system
... description S 1..1 CodeableConcept 観察項目目標の説明
.... text 1..1 string 観察項目名称を設定する。
... subject S 1..1 Reference(JP Core Patient Profile) パスを適用する患者リソース（Patient）への参照
... target S 0..1 BackboneElement Target outcome for the goal
.... measure S 1..1 CodeableConcept The parameter whose value is being tracked
..... Slices for coding 0..* Coding 観察項目コード
Slice: Unordered, Open by value:system
Binding: EPath AssessmentCategory VS (example)
...... coding:BOMAssessmentCode 0..* Coding BOM観察項目コード・名称
Binding: EPath AssessmentCode VS (preferred)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://e-path.jp/fhir/ePath/CodeSystem/EPathBOMAssessmentCodeCS
....... code S 1..1 code Symbol in syntax defined by the system
....... display S 1..1 string Representation defined by the system
...... coding:LocalAssessmentCode 0..* Coding 観察項目コード・名称
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://e-path.jp/fhir/ePath/CodeSystem/EPathLocalAssessmentCodeCS
....... code S 1..1 code Symbol in syntax defined by the system
....... display S 1..1 string Representation defined by the system
.... detail[x] S 0..1 Quantity, Range, CodeableConcept, string, boolean, integer, Ratio 適正値
... outcomeReference S 0..* Reference(Observation) 観察項目単位の評価、または観察結果（Observation）への参照

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Goal.achievementStatus Base preferred EPath StateOfAchievement VS 📦1.0.1 This IG
Goal.target.measure.​coding Base example EPath AssessmentCategory VS 📦1.0.1 This IG
Goal.target.measure.​coding:BOMAssessmentCode Base preferred EPath AssessmentCode VS 📦1.0.1 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 1..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile SΣ 1..* canonical(StructureDefinition) 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。
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... 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 BindingsPurpose
AllLanguages Max Binding
... 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
... Slices for contained 0..* Resource Contained, inline Resources
Slice: Unordered, Open by profile:$this
.... contained:author S 0..* EPathPractitioner 評価者
.... contained:authorJob S 0..* EPathPractitionerRole 評価者職種
.... contained:evaluation S 0..* EPathObservationEvaluation 観察項目単位の評価
.... contained:observationResult S 0..* EPathObservationExecution 観察結果
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier 1..* Identifier External Ids for this goal
Slice: Unordered, Open by value:system
.... identifier:assessmentGoalId S 1..1 Identifier External Ids for this goal
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
..... system Σ 1..1 uri 固定値 http://e-path.jp/fhir/ePath/IdSystem/assessment-goal-id を設定する。
Fixed Value: http://e-path.jp/fhir/ePath/IdSystem/assessment-goal-id
..... value SΣ 1..1 string 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。
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... lifecycleStatus ?!SΣ 1..1 code 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 SΣ 0..1 CodeableConcept 評価状況
Binding: EPath StateOfAchievement VS (preferred): 評価状況
.... 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 Σ 1..1 Coding Code defined by a terminology system
..... 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 Σ 1..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code Σ 1..1 code Symbol in syntax defined by the system
..... 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
... 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 観察項目目標の説明
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.
.... 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 Σ 0..* Coding Code defined by a terminology system
.... text Σ 1..1 string 観察項目名称を設定する。
... subject SΣ 1..1 Reference(JP Core Patient Profile) パスを適用する患者リソース（Patient）への参照
... start[x] Σ 0..1 When goal pursuit begins
Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal.
.... startDate date
.... startCodeableConcept CodeableConcept
... target SC 0..1 BackboneElement Target outcome for the goal
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 1..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.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding Σ 0..* Coding 観察項目コード
Slice: Unordered, Open by value:system
Binding: EPath AssessmentCategory VS (example)
...... coding:BOMAssessmentCode Σ 0..* Coding BOM観察項目コード・名称
Binding: EPath AssessmentCode VS (preferred)
....... 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 Σ 1..1 uri Identity of the terminology system
Fixed Value: http://e-path.jp/fhir/ePath/CodeSystem/EPathBOMAssessmentCodeCS
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display SΣ 1..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... coding:LocalAssessmentCode Σ 0..* Coding 観察項目コード・名称
....... 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 Σ 1..1 uri Identity of the terminology system
Fixed Value: http://e-path.jp/fhir/ePath/CodeSystem/EPathLocalAssessmentCodeCS
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display SΣ 1..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
.... detail[x] SΣC 0..1 適正値
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] Σ 0..1 Reach goal on or before
..... dueDate date
..... dueDuration Duration
... statusDate Σ 0..1 date When goal status took effect
... statusReason 0..1 string Reason for current status
... expressedBy Σ 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) Who's responsible for creating Goal?
... addresses 0..* Reference(Condition | Observation | MedicationStatement | NutritionOrder | ServiceRequest | RiskAssessment) Issues addressed by this goal
... note 0..* Annotation Comments about the goal
... 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 S 0..* Reference(Observation) 観察項目単位の評価、または観察結果（Observation）への参照

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Goal.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Goal.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
Goal.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Goal.identifier:assessmentGoalId.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Goal.identifier:assessmentGoalId.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
Goal.lifecycleStatus Base required GoalLifecycleStatus 📍4.0.1 FHIR Std.
Goal.achievementStatus Base preferred EPath StateOfAchievement VS 📦1.0.1 This IG
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 example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.
Goal.start[x] Base example Goal start event 📍4.0.1 FHIR Std.
Goal.target.measure Base example LOINC Codes 📍4.0.1 FHIR Std.
Goal.target.measure.​coding Base example EPath AssessmentCategory VS 📦1.0.1 This IG
Goal.target.measure.​coding:BOMAssessmentCode Base preferred EPath AssessmentCode VS 📦1.0.1 This IG
Goal.target.detail[x] Base example Not Stated 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()

This structure is derived from Goal

Summary

Mandatory: 7 elements(10 nested mandatory elements)
Must-Support: 19 elements
Fixed: 3 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the values of Goal.contained
  • The element 1 is sliced based on the values of Goal.identifier
  • The element 1 is sliced based on the values of Goal.target.measure.coding

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Goal 0..* Goal Describes the intended objective(s) for a patient, group or organization
... meta Σ 1..1 Meta Metadata about the resource
.... profile SΣ 1..* canonical(StructureDefinition) 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。
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for contained 0..* Resource Contained, inline Resources
Slice: Unordered, Open by profile:$this
.... contained:author S 0..* EPathPractitioner 評価者
.... contained:authorJob S 0..* EPathPractitionerRole 評価者職種
.... contained:evaluation S 0..* EPathObservationEvaluation 観察項目単位の評価
.... contained:observationResult S 0..* EPathObservationExecution 観察結果
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier 1..* Identifier External Ids for this goal
Slice: Unordered, Open by value:system
.... identifier:assessmentGoalId S 1..1 Identifier External Ids for this goal
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... system Σ 1..1 uri 固定値 http://e-path.jp/fhir/ePath/IdSystem/assessment-goal-id を設定する。
Fixed Value: http://e-path.jp/fhir/ePath/IdSystem/assessment-goal-id
..... value SΣ 1..1 string 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。
Example General: 123456
... lifecycleStatus ?!SΣ 1..1 code 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 SΣ 0..1 CodeableConcept 評価状況
Binding: EPath StateOfAchievement VS (preferred): 評価状況
.... coding Σ 1..1 Coding Code defined by a terminology system
..... system Σ 1..1 uri Identity of the terminology system
..... code Σ 1..1 code Symbol in syntax defined by the system
... description SΣ 1..1 CodeableConcept 観察項目目標の説明
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.
.... text Σ 1..1 string 観察項目名称を設定する。
... subject SΣ 1..1 Reference(JP Core Patient Profile) パスを適用する患者リソース（Patient）への参照
... target SC 0..1 BackboneElement Target outcome for the goal
Constraints: gol-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... measure SΣC 1..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.
..... Slices for coding Σ 0..* Coding 観察項目コード
Slice: Unordered, Open by value:system
Binding: EPath AssessmentCategory VS (example)
...... coding:BOMAssessmentCode Σ 0..* Coding BOM観察項目コード・名称
Binding: EPath AssessmentCode VS (preferred)
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://e-path.jp/fhir/ePath/CodeSystem/EPathBOMAssessmentCodeCS
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display SΣ 1..1 string Representation defined by the system
...... coding:LocalAssessmentCode Σ 0..* Coding 観察項目コード・名称
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://e-path.jp/fhir/ePath/CodeSystem/EPathLocalAssessmentCodeCS
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display SΣ 1..1 string Representation defined by the system
.... detail[x] SΣC 0..1 適正値
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
... outcomeReference S 0..* Reference(Observation) 観察項目単位の評価、または観察結果（Observation）への参照

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Goal.identifier:assessmentGoalId.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Goal.lifecycleStatus Base required GoalLifecycleStatus 📍4.0.1 FHIR Std.
Goal.achievementStatus Base preferred EPath StateOfAchievement VS 📦1.0.1 This IG
Goal.description Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.
Goal.target.measure Base example LOINC Codes 📍4.0.1 FHIR Std.
Goal.target.measure.​coding Base example EPath AssessmentCategory VS 📦1.0.1 This IG
Goal.target.measure.​coding:BOMAssessmentCode Base preferred EPath AssessmentCode VS 📦1.0.1 This IG
Goal.target.detail[x] Base example Not Stated 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 Goal

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Goal Goal
... meta 1..1 Meta Metadata about the resource
.... profile S 1..* canonical(StructureDefinition) 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。
... Slices for contained 0..* Resource Contained, inline Resources
Slice: Unordered, Open by profile:$this
.... contained:author S 0..* EPathPractitioner 評価者
.... contained:authorJob S 0..* EPathPractitionerRole 評価者職種
.... contained:evaluation S 0..* EPathObservationEvaluation 観察項目単位の評価
.... contained:observationResult S 0..* EPathObservationExecution 観察結果
... Slices for identifier 1..* Identifier External Ids for this goal
Slice: Unordered, Open by value:system
.... identifier:assessmentGoalId S 1..1 Identifier External Ids for this goal
..... system 1..1 uri 固定値 http://e-path.jp/fhir/ePath/IdSystem/assessment-goal-id を設定する。
Fixed Value: http://e-path.jp/fhir/ePath/IdSystem/assessment-goal-id
..... value S 1..1 string 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。
... lifecycleStatus S 1..1 code proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected
... achievementStatus S 0..1 CodeableConcept 評価状況
Binding: EPath StateOfAchievement VS (preferred): 評価状況
.... coding 1..1 Coding Code defined by a terminology system
..... system 1..1 uri Identity of the terminology system
..... code 1..1 code Symbol in syntax defined by the system
... description S 1..1 CodeableConcept 観察項目目標の説明
.... text 1..1 string 観察項目名称を設定する。
... subject S 1..1 Reference(JP Core Patient Profile) パスを適用する患者リソース（Patient）への参照
... target S 0..1 BackboneElement Target outcome for the goal
.... measure S 1..1 CodeableConcept The parameter whose value is being tracked
..... Slices for coding 0..* Coding 観察項目コード
Slice: Unordered, Open by value:system
Binding: EPath AssessmentCategory VS (example)
...... coding:BOMAssessmentCode 0..* Coding BOM観察項目コード・名称
Binding: EPath AssessmentCode VS (preferred)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://e-path.jp/fhir/ePath/CodeSystem/EPathBOMAssessmentCodeCS
....... code S 1..1 code Symbol in syntax defined by the system
....... display S 1..1 string Representation defined by the system
...... coding:LocalAssessmentCode 0..* Coding 観察項目コード・名称
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://e-path.jp/fhir/ePath/CodeSystem/EPathLocalAssessmentCodeCS
....... code S 1..1 code Symbol in syntax defined by the system
....... display S 1..1 string Representation defined by the system
.... detail[x] S 0..1 Quantity, Range, CodeableConcept, string, boolean, integer, Ratio 適正値
... outcomeReference S 0..* Reference(Observation) 観察項目単位の評価、または観察結果（Observation）への参照

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Goal.achievementStatus Base preferred EPath StateOfAchievement VS 📦1.0.1 This IG
Goal.target.measure.​coding Base example EPath AssessmentCategory VS 📦1.0.1 This IG
Goal.target.measure.​coding:BOMAssessmentCode Base preferred EPath AssessmentCode VS 📦1.0.1 This IG

Snapshot View

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 1..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile SΣ 1..* canonical(StructureDefinition) 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。
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... 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 BindingsPurpose
AllLanguages Max Binding
... 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
... Slices for contained 0..* Resource Contained, inline Resources
Slice: Unordered, Open by profile:$this
.... contained:author S 0..* EPathPractitioner 評価者
.... contained:authorJob S 0..* EPathPractitionerRole 評価者職種
.... contained:evaluation S 0..* EPathObservationEvaluation 観察項目単位の評価
.... contained:observationResult S 0..* EPathObservationExecution 観察結果
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier 1..* Identifier External Ids for this goal
Slice: Unordered, Open by value:system
.... identifier:assessmentGoalId S 1..1 Identifier External Ids for this goal
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
..... system Σ 1..1 uri 固定値 http://e-path.jp/fhir/ePath/IdSystem/assessment-goal-id を設定する。
Fixed Value: http://e-path.jp/fhir/ePath/IdSystem/assessment-goal-id
..... value SΣ 1..1 string 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。
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... lifecycleStatus ?!SΣ 1..1 code 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 SΣ 0..1 CodeableConcept 評価状況
Binding: EPath StateOfAchievement VS (preferred): 評価状況
.... 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 Σ 1..1 Coding Code defined by a terminology system
..... 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 Σ 1..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code Σ 1..1 code Symbol in syntax defined by the system
..... 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
... 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 観察項目目標の説明
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.
.... 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 Σ 0..* Coding Code defined by a terminology system
.... text Σ 1..1 string 観察項目名称を設定する。
... subject SΣ 1..1 Reference(JP Core Patient Profile) パスを適用する患者リソース（Patient）への参照
... start[x] Σ 0..1 When goal pursuit begins
Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal.
.... startDate date
.... startCodeableConcept CodeableConcept
... target SC 0..1 BackboneElement Target outcome for the goal
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 1..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.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding Σ 0..* Coding 観察項目コード
Slice: Unordered, Open by value:system
Binding: EPath AssessmentCategory VS (example)
...... coding:BOMAssessmentCode Σ 0..* Coding BOM観察項目コード・名称
Binding: EPath AssessmentCode VS (preferred)
....... 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 Σ 1..1 uri Identity of the terminology system
Fixed Value: http://e-path.jp/fhir/ePath/CodeSystem/EPathBOMAssessmentCodeCS
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display SΣ 1..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... coding:LocalAssessmentCode Σ 0..* Coding 観察項目コード・名称
....... 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 Σ 1..1 uri Identity of the terminology system
Fixed Value: http://e-path.jp/fhir/ePath/CodeSystem/EPathLocalAssessmentCodeCS
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display SΣ 1..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
.... detail[x] SΣC 0..1 適正値
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] Σ 0..1 Reach goal on or before
..... dueDate date
..... dueDuration Duration
... statusDate Σ 0..1 date When goal status took effect
... statusReason 0..1 string Reason for current status
... expressedBy Σ 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) Who's responsible for creating Goal?
... addresses 0..* Reference(Condition | Observation | MedicationStatement | NutritionOrder | ServiceRequest | RiskAssessment) Issues addressed by this goal
... note 0..* Annotation Comments about the goal
... 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 S 0..* Reference(Observation) 観察項目単位の評価、または観察結果（Observation）への参照

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Goal.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Goal.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
Goal.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Goal.identifier:assessmentGoalId.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Goal.identifier:assessmentGoalId.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
Goal.lifecycleStatus Base required GoalLifecycleStatus 📍4.0.1 FHIR Std.
Goal.achievementStatus Base preferred EPath StateOfAchievement VS 📦1.0.1 This IG
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 example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.
Goal.start[x] Base example Goal start event 📍4.0.1 FHIR Std.
Goal.target.measure Base example LOINC Codes 📍4.0.1 FHIR Std.
Goal.target.measure.​coding Base example EPath AssessmentCategory VS 📦1.0.1 This IG
Goal.target.measure.​coding:BOMAssessmentCode Base preferred EPath AssessmentCode VS 📦1.0.1 This IG
Goal.target.detail[x] Base example Not Stated 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()

This structure is derived from Goal

Summary

Mandatory: 7 elements(10 nested mandatory elements)
Must-Support: 19 elements
Fixed: 3 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the values of Goal.contained
  • The element 1 is sliced based on the values of Goal.identifier
  • The element 1 is sliced based on the values of Goal.target.measure.coding

 

Other representations of profile: CSV, Excel, Schematron