基于FHIR标准的健康档案共享文档实施指南
0.8.0.2022705 - 持续集成版
基于FHIR标准的健康档案共享文档实施指南
0.8.0.2022705 - 持续集成版
基于FHIR的健康档案共享文档实施时必须严格遵循本实施指南的规定。
| Defining URL: | http://hl7.org.cn/fhir/sd/ehr/StructureDefinition/profile-life-style-goal |
| Version: | 0.8.0.2022705 |
| Name: | LivingGoal |
| Title: | 生活方式目标结构定义 |
| Status: | Active as of 2022-07-05T13:46:42+08:00 |
| Definition: | 生活方式目标资源本地化定义。 |
| Publisher: | CHIMA&HL7中国委员会 |
| Source Resource: | XML / JSON / Turtle |
生活方式目标结构定义的正式唯一标识为:
http://hl7.org.cn/fhir/sd/ehr/StructureDefinition/profile-life-style-goal
生活方式目标使用Goal资源进行表示。该资源的本地化结构定义声明了对适用于健康医疗信息平台中生活方式目标的最低要求。它确定在使用此资源时应包含哪些核心元素、扩展和术语。
生活方式目标的取值根据生活方式编码的不同而有所不同。
生活方式目标结构定义是在FHIR标准的Goal基础上进行更加详细的规则约束，下表展示了生活方式目标结构定义的结构表示。
这种结构源自 Goal
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Goal | 0..* | Goal | Describes the intended objective(s) for a patient, group or organization | |
  lifecycleStatus | 1..1 | code | 目标状态，默认值为planed | |
| subject | 1..1 | Reference(Patient | Group | Organization) | 患者 | |
 start[x] | 0..1 | (Slice Definition) | When goal pursuit begins Slice: Unordered, Open by type:$this | |
| startDate | 0..1 | date | 目标开始日期 | |
 target | 1..2 | BackboneElement | 设定的要达到的目标 | |
 measure | 0..1 | CodeableConcept | 目标编码 Binding: 卫生标准数据元代码表 (required) | |
| detail[x] | 1..1 | Quantity, Range, CodeableConcept, string, boolean, integer, Ratio | 目标值 | |
  dueDate | 0..1 | date | 期望的目标达成时间 | |
| addresses | 1..1 | Reference(Condition | Observation | MedicationStatement | NutritionOrder | ServiceRequest | RiskAssessment) | 针对哪个观察资源设定的目标，指向生活方式资源或者生命体征资源 | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Goal | 0..* | Goal | Describes the intended objective(s) for a patient, group or organization | |
| id | Σ | 0..1 | string | 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) Max Binding: AllLanguages: A human language. | |
| 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 | ?!Σ | 1..1 | code | 目标状态，默认值为planed 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 | Σ | 1..1 | CodeableConcept | Code or text describing goal 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. |
 subject | Σ | 1..1 | Reference(Patient | Group | Organization) | 患者 |
| start[x] | Σ | 0..1 | (Slice Definition) | When goal pursuit begins Slice: Unordered, Closed by type:$this |
  start[x]:startDate | Σ | 0..1 | date | 目标开始日期 |
| target | I | 1..2 | BackboneElement | 设定的要达到的目标 |
| 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 | ΣI | 0..1 | CodeableConcept | 目标编码 Binding: 卫生标准数据元代码表 (required) |
 detail[x] | ΣI | 1..1 | 目标值 Binding: (unbound) (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 | (Slice Definition) | Reach goal on or before Slice: Unordered, Closed by type:$this |
 due[x]:dueDate | Σ | 0..1 | date | 期望的目标达成时间 |
| statusDate | Σ | 0..1 | date | When goal status took effect |
| statusReason | 0..1 | string | Reason for current status | |
| expressedBy | Σ | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) | Who's responsible for creating Goal? |
| addresses | 1..1 | Reference(Condition | Observation | MedicationStatement | NutritionOrder | ServiceRequest | RiskAssessment) | 针对哪个观察资源设定的目标，指向生活方式资源或者生命体征资源 | |
| note | 0..* | Annotation | Comments about the goal | |
| outcomeCode | 0..* | CodeableConcept | What result was achieved regarding the goal? Binding: SNOMEDCTClinicalFindings (example): The result of the goal; e.g. "25% increase in shoulder mobility", "Anxiety reduced to moderate levels". "15 kg weight loss sustained over 6 months". | |
| outcomeReference | 0..* | Reference(Observation) | Observation that resulted from goal | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Goal | 0..* | Goal | Describes the intended objective(s) for a patient, group or organization | |
| Documentation for this format | ||||
这种结构源自 Goal
Summary
Mandatory: 3 elements
Slices
This structure defines the following Slices:
差异视图
这种结构源自 Goal
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Goal | 0..* | Goal | Describes the intended objective(s) for a patient, group or organization | |
| lifecycleStatus | 1..1 | code | 目标状态，默认值为planed | |
| subject | 1..1 | Reference(Patient | Group | Organization) | 患者 | |
| start[x] | 0..1 | (Slice Definition) | When goal pursuit begins Slice: Unordered, Open by type:$this | |
| startDate | 0..1 | date | 目标开始日期 | |
| target | 1..2 | BackboneElement | 设定的要达到的目标 | |
| measure | 0..1 | CodeableConcept | 目标编码 Binding: 卫生标准数据元代码表 (required) | |
| detail[x] | 1..1 | Quantity, Range, CodeableConcept, string, boolean, integer, Ratio | 目标值 | |
| dueDate | 0..1 | date | 期望的目标达成时间 | |
| addresses | 1..1 | Reference(Condition | Observation | MedicationStatement | NutritionOrder | ServiceRequest | RiskAssessment) | 针对哪个观察资源设定的目标，指向生活方式资源或者生命体征资源 | |
| Documentation for this format | ||||
快照视图
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Goal | 0..* | Goal | Describes the intended objective(s) for a patient, group or organization | |
| id | Σ | 0..1 | string | 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) Max Binding: AllLanguages: A human language. | |
| 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 | ?!Σ | 1..1 | code | 目标状态，默认值为planed 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 | Σ | 1..1 | CodeableConcept | Code or text describing goal 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. |
| subject | Σ | 1..1 | Reference(Patient | Group | Organization) | 患者 |
| start[x] | Σ | 0..1 | (Slice Definition) | When goal pursuit begins Slice: Unordered, Closed by type:$this |
| start[x]:startDate | Σ | 0..1 | date | 目标开始日期 |
| target | I | 1..2 | BackboneElement | 设定的要达到的目标 |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| measure | ΣI | 0..1 | CodeableConcept | 目标编码 Binding: 卫生标准数据元代码表 (required) |
| detail[x] | ΣI | 1..1 | 目标值 Binding: (unbound) (example): Codes to identify the target value of the focus to be achieved to signify the fulfillment of the goal. | |
| detailQuantity | Quantity | |||
| detailRange | Range | |||
| detailCodeableConcept | CodeableConcept | |||
| detailString | string | |||
| detailBoolean | boolean | |||
| detailInteger | integer | |||
| detailRatio | Ratio | |||
| due[x] | Σ | 0..1 | (Slice Definition) | Reach goal on or before Slice: Unordered, Closed by type:$this |
| due[x]:dueDate | Σ | 0..1 | date | 期望的目标达成时间 |
| 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 | 1..1 | Reference(Condition | Observation | MedicationStatement | NutritionOrder | ServiceRequest | RiskAssessment) | 针对哪个观察资源设定的目标，指向生活方式资源或者生命体征资源 | |
| 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 | 0..* | Reference(Observation) | Observation that resulted from goal | |
| Documentation for this format | ||||
本定义的其它表示法: Schematron
| Path | Conformance | ValueSet |
| Goal.language | preferred | CommonLanguages Max Binding: AllLanguages |
| Goal.lifecycleStatus | required | GoalLifecycleStatus |
| Goal.achievementStatus | preferred | GoalAchievementStatus |
| Goal.category | example | GoalCategory |
| Goal.priority | preferred | GoalPriority |
| Goal.description | example | SNOMEDCTClinicalFindings |
| Goal.target.measure | required | WSDE |
| Goal.target.detail[x] | example | |
| Goal.outcomeCode | example | SNOMEDCTClinicalFindings |
| Id | Path | Details | Requirements |
| dom-2 | Goal | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | 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 | 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 | Goal | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | Goal | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | Goal.meta | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Goal.implicitRules | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Goal.language | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Goal.text | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Goal.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Goal.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Goal.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Goal.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Goal.identifier | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Goal.lifecycleStatus | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Goal.achievementStatus | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Goal.category | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Goal.priority | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Goal.description | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Goal.subject | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Goal.start[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Goal.start[x]:startDate | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Goal.target | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| gol-1 | Goal.target | Goal.target.measure is required if Goal.target.detail is populated : (detail.exists() and measure.exists()) or detail.exists().not() | |
| ele-1 | Goal.target.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Goal.target.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Goal.target.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Goal.target.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Goal.target.measure | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Goal.target.detail[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Goal.target.due[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Goal.target.due[x]:dueDate | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Goal.statusDate | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Goal.statusReason | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Goal.expressedBy | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Goal.addresses | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Goal.note | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Goal.outcomeCode | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Goal.outcomeReference | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |