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 Outcome

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

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

アウトカム 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/EPathGoalOutcome|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:judgement S 0..* EPathObservationEvaluation アウトカム単位の評価
.... contained:achievement S 0..* EPathObservationExecution 達成記録
... 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:outcomeGoalId 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/outcome-goal-id を設定する。
Fixed Value: http://e-path.jp/fhir/ePath/IdSystem/outcome-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]を半角ピリオド"."で連結したものを設定する。
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 1..1 CodeableConcept 評価状況
Binding: EPath StateOfAchievement VS (preferred): 評価状況
.... coding SΣ 1..1 Coding Code defined by a terminology system
..... system Σ 1..1 uri Identity of the terminology system
..... code SΣ 1..1 code Symbol in syntax defined by the system
... description SΣ 1..1 CodeableConcept アウトカム目標の説明
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 目標の説明テキスト、アウトカム名称を設定する。
... 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
... outcomeReference S 0..* Reference(Observation) アウトカム単位の評価、または達成記録（Observation）への参照

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Goal.identifier:outcomeGoalId.​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.

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()

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/EPathGoalOutcome|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:judgement S 0..* EPathObservationEvaluation アウトカム単位の評価
.... contained:achievement S 0..* EPathObservationExecution 達成記録
... Slices for identifier 1..* Identifier External Ids for this goal
Slice: Unordered, Open by value:system
.... identifier:outcomeGoalId S 1..1 Identifier External Ids for this goal
..... system 1..1 uri 固定値 http://e-path.jp/fhir/ePath/IdSystem/outcome-goal-id を設定する。
Fixed Value: http://e-path.jp/fhir/ePath/IdSystem/outcome-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]を半角ピリオド"."で連結したものを設定する。
... lifecycleStatus S 1..1 code proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected
... achievementStatus S 1..1 CodeableConcept 評価状況
Binding: EPath StateOfAchievement VS (preferred): 評価状況
.... coding S 1..1 Coding Code defined by a terminology system
..... system 1..1 uri Identity of the terminology system
..... code S 1..1 code Symbol in syntax defined by the system
... description S 1..1 CodeableConcept アウトカム目標の説明
.... text 1..1 string 目標の説明テキスト、アウトカム名称を設定する。
... 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
... outcomeReference S 0..* Reference(Observation) アウトカム単位の評価、または達成記録（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
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/EPathGoalOutcome|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:judgement S 0..* EPathObservationEvaluation アウトカム単位の評価
.... contained:achievement S 0..* EPathObservationExecution 達成記録
... 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:outcomeGoalId 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/outcome-goal-id を設定する。
Fixed Value: http://e-path.jp/fhir/ePath/IdSystem/outcome-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]を半角ピリオド"."で連結したものを設定する。
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 1..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 SΣ 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 SΣ 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 アウトカム目標の説明
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 目標の説明テキスト、アウトカム名称を設定する。
... 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 C 0..* 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 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] ΣC 0..1 The target value to be achieved
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) アウトカム単位の評価、または達成記録（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:outcomeGoalId.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Goal.identifier:outcomeGoalId.​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.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

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/EPathGoalOutcome|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:judgement S 0..* EPathObservationEvaluation アウトカム単位の評価
.... contained:achievement S 0..* EPathObservationExecution 達成記録
... 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:outcomeGoalId 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/outcome-goal-id を設定する。
Fixed Value: http://e-path.jp/fhir/ePath/IdSystem/outcome-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]を半角ピリオド"."で連結したものを設定する。
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 1..1 CodeableConcept 評価状況
Binding: EPath StateOfAchievement VS (preferred): 評価状況
.... coding SΣ 1..1 Coding Code defined by a terminology system
..... system Σ 1..1 uri Identity of the terminology system
..... code SΣ 1..1 code Symbol in syntax defined by the system
... description SΣ 1..1 CodeableConcept アウトカム目標の説明
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 目標の説明テキスト、アウトカム名称を設定する。
... 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
... outcomeReference S 0..* Reference(Observation) アウトカム単位の評価、または達成記録（Observation）への参照

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Goal.identifier:outcomeGoalId.​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.

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()

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/EPathGoalOutcome|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:judgement S 0..* EPathObservationEvaluation アウトカム単位の評価
.... contained:achievement S 0..* EPathObservationExecution 達成記録
... Slices for identifier 1..* Identifier External Ids for this goal
Slice: Unordered, Open by value:system
.... identifier:outcomeGoalId S 1..1 Identifier External Ids for this goal
..... system 1..1 uri 固定値 http://e-path.jp/fhir/ePath/IdSystem/outcome-goal-id を設定する。
Fixed Value: http://e-path.jp/fhir/ePath/IdSystem/outcome-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]を半角ピリオド"."で連結したものを設定する。
... lifecycleStatus S 1..1 code proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected
... achievementStatus S 1..1 CodeableConcept 評価状況
Binding: EPath StateOfAchievement VS (preferred): 評価状況
.... coding S 1..1 Coding Code defined by a terminology system
..... system 1..1 uri Identity of the terminology system
..... code S 1..1 code Symbol in syntax defined by the system
... description S 1..1 CodeableConcept アウトカム目標の説明
.... text 1..1 string 目標の説明テキスト、アウトカム名称を設定する。
... 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
... outcomeReference S 0..* Reference(Observation) アウトカム単位の評価、または達成記録（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

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/EPathGoalOutcome|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:judgement S 0..* EPathObservationEvaluation アウトカム単位の評価
.... contained:achievement S 0..* EPathObservationExecution 達成記録
... 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:outcomeGoalId 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/outcome-goal-id を設定する。
Fixed Value: http://e-path.jp/fhir/ePath/IdSystem/outcome-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]を半角ピリオド"."で連結したものを設定する。
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 1..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 SΣ 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 SΣ 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 アウトカム目標の説明
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 目標の説明テキスト、アウトカム名称を設定する。
... 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 C 0..* 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 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] ΣC 0..1 The target value to be achieved
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) アウトカム単位の評価、または達成記録（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:outcomeGoalId.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Goal.identifier:outcomeGoalId.​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.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

 

Other representations of profile: CSV, Excel, Schematron