臺灣核心實作指引(TW Core IG)
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This page is part of the 臺灣核心實作指引(TW Core IG) (v1.0.0: Releases) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: TWCoreGoal - Detailed Descriptions

Active as of 2025-12-10

Definitions for the Goal-twcore resource profile.

Guidance on how to interpret the contents of this table can be foundhere

0. Goal
Definition

在健康照護過程中,描述某患者或團體預期達成的結果或目標,是照護計畫的一部分,此目標可由患者、醫師或其他相關人員所提出。


Describes the intended objective(s) for a patient, group or organization care, for example, weight loss, restoring an activity of daily living, obtaining herd immunity via immunization, meeting a process improvement objective, etc.

Short病人健康照護中預期達成的結果或目標Describes the intended objective(s) for a patient, group or organization
Comments

Goal can be achieving a particular change or merely maintaining a current state or even slowing a decline.

Control0..*
Is Modifierfalse
Summaryfalse
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. Goal.id
Definition

resource的邏輯ID,在resource的URL中使用。一旦指定,這個值永遠不會改變。


The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

Short不重複的ID用以識別儲存在特定FHIR Server中的Goal紀錄,通常又稱為邏輯性ID。Logical id of this artifact
Comments

一個resource使用新增操作(create operation)提交給伺服器時,此resource沒有id,它的id在resource被創建後由伺器分配/指定。


The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Control0..1
Typeidstring
Is Modifierfalse
Summarytrue
4. Goal.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

ShortA set of rules under which this content was created
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. Goal.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summaryfalse
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
8. Goal.lifecycleStatus
Definition

表示目標的當前狀態,例如正在進行中或已完成。


The state of the goal throughout its lifecycle.

Shortproposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected
Comments

This element is labeled as a modifier because the lifecycleStatus contains codes that mark the resource as not currently valid.

Control1..1
BindingThe codes SHALL be taken from GoalLifecycleStatushttp://hl7.org/fhir/ValueSet/goal-status|4.0.1
(required to http://hl7.org/fhir/ValueSet/goal-status|4.0.1)

表示目標當前狀態的代碼,必須使用所綁定的值集中的代碼。


Codes that reflect the current state of a goal and whether the goal is still being targeted.

Typecode
Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

Allows knowing whether goal needs to be further tracked.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. Goal.description
Definition

人可讀的目標敘述,描述要達成的目標。


Human-readable and/or coded description of a specific desired objective of care, such as "control blood pressure" or "negotiate an obstacle course" or "dance with child at wedding".

Short目標的文字敘述Code or text describing goal
Comments

If no code is available, use CodeableConcept.text.

Control1..1
BindingUnless not suitable, these codes SHALL be taken from For example codes, see SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findings|4.0.1
(extensible to http://hl7.org/fhir/ValueSet/clinical-findings)

應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。


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.

TypeCodeableConcept
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

Without a description of what's trying to be achieved, element has no purpose.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. Goal.subject
Definition

此目標針對的對象,可以是個人、群體或組織。


Identifies the patient, group or organization for whom the goal is being established.

Short此目標的對象是誰或什麼?Who this goal is intended for
Control1..1
TypeReference(TW Core Patient, Group, TW Core Organization, Patient, Group, Organization)
Is Modifierfalse
Must Supporttrue
Must Support TypesReference(TW Core Patient)
Summarytrue
Requirements

Subject is optional to support annonymized reporting.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
14. Goal.start[x]
Definition

目標被識別或創建的日期或事件,表示何時開始追蹤此目標。


The date or event after which the goal should begin being pursued.

Short設定此目標的日期或事件When goal pursuit begins
Control0..1
BindingFor example codes, see GoalStartEventhttp://hl7.org/fhir/ValueSet/goal-start-event|4.0.1
(example to http://hl7.org/fhir/ValueSet/goal-start-event|4.0.1)

Codes describing events that can trigger the initiation of a goal.

TypeChoice of: date, CodeableConcept
[x] NoteSeeChoice of Data Typesfor further information about how to use [x]
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Must Support Typesdate
Summarytrue
Requirements

Goals can be established prior to there being an intention to start pursuing them; e.g. Goals for post-surgical recovery established prior to surgery.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
16. Goal.target
Definition

目標的具體測量內容,包括目標值和預期完成日期。


Indicates what should be done by when.

Short目標的測量內容和預期完成日期Target outcome for the goal
Comments

When multiple targets are present for a single goal instance, all targets must be met for the overall goal to be met.

Control0..*
This element is affected by the following invariants: gol-1
TypeBackboneElement
Is Modifierfalse
Must Supporttrue
Summaryfalse
Requirements

Allows the progress of the goal to be monitored against an observation or due date. Target is 0..* to support Observations with multiple components, such as blood pressure goals with both a systolic and diastolic target.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
gol-1: Goal.target.measure is required if Goal.target.detail is populated ((detail.exists() and measure.exists()) or detail.exists().not())
gol-1: Goal.target.measure is required if Goal.target.detail is populated ((detail.exists() and measure.exists()) or detail.exists().not())
18. Goal.target.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
20. Goal.target.due[x]
Definition

完成目標的預期日期或從目標創建起計算的持續時間。


Indicates either the date or the duration after start by which the goal should be met.

Short完成目標的期限日期或持續時間Reach goal on or before
Control0..1
TypeChoice of: date, Duration
[x] NoteSeeChoice of Data Typesfor further information about how to use [x]
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Must Support Typesdate
Summarytrue
Requirements

Identifies when the goal should be evaluated.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. Goal.expressedBy
Definition

表明誰負責創建、記錄或負責此目標,可能是病人本人、醫師、其他照護人員或相關人士。


Indicates whose goal this is - patient goal, practitioner goal, etc.

Short誰記錄或負責此目標Who's responsible for creating Goal?
Comments

This is the individual responsible for establishing the goal, not necessarily who recorded it. (For that, use the Provenance resource.).

Control0..1
TypeReference(TW Core Patient, TW Core Practitioner, TW Core PractitionerRole, TW Core RelatedPerson, Patient, Practitioner, PractitionerRole, RelatedPerson)
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. Goal.addresses
Definition

此目標所要解決或處理的健康狀況、藥物使用、檢查結果或其他臨床問題。


The identified conditions and other health record elements that are intended to be addressed by the goal.

Short此目標所針對的問題Issues addressed by this goal
Control0..*
TypeReference(TW Core Condition, TW Core Observation Clinical Result, TW Core MedicationStatement, NutritionOrder, TW Core ServiceRequest, RiskAssessment, Condition, Observation, MedicationStatement, NutritionOrder, ServiceRequest, RiskAssessment)
Is Modifierfalse
Summaryfalse
Requirements

Allows specific goals to explicitly linked to the concerns they're dealing with - makes the goal more understandable.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. Goal.outcomeReference
Definition

參照用於監測目標進展或最終結果的觀察紀錄。


Details of what's changed (or not changed).

Short追蹤目標結果的觀察紀錄Observation that resulted from goal
Comments

The goal outcome is independent of the outcome of the related activities. For example, if the Goal is to achieve a target body weight of 150 lb and a care plan activity is defined to diet, then the care plan’s activity outcome could be calories consumed whereas goal outcome is an observation for the actual body weight measured.

Control0..*
TypeReference(TW Core Observation Clinical Result, Observation)
Is Modifierfalse
Summaryfalse
Requirements

Outcome tracking is a key aspect of care planning.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

Guidance on how to interpret the contents of this table can be foundhere

0. Goal
Definition

在健康照護過程中,描述某患者或團體預期達成的結果或目標,是照護計畫的一部分,此目標可由患者、醫師或其他相關人員所提出。

Short病人健康照護中預期達成的結果或目標
2. Goal.id
Definition

resource的邏輯ID,在resource的URL中使用。一旦指定,這個值永遠不會改變。

Short不重複的ID用以識別儲存在特定FHIR Server中的Goal紀錄,通常又稱為邏輯性ID。
Comments

一個resource使用新增操作(create operation)提交給伺服器時,此resource沒有id,它的id在resource被創建後由伺器分配/指定。

4. Goal.lifecycleStatus
Definition

表示目標的當前狀態,例如正在進行中或已完成。

BindingThe codes SHALL be taken from GoalLifecycleStatus
(required to http://hl7.org/fhir/ValueSet/goal-status|4.0.1)

表示目標當前狀態的代碼,必須使用所綁定的值集中的代碼。

Must Supporttrue
6. Goal.description
Definition

人可讀的目標敘述,描述要達成的目標。

Short目標的文字敘述
BindingUnless not suitable, these codes SHALL be taken from SNOMEDCTClinicalFindings
(extensible to http://hl7.org/fhir/ValueSet/clinical-findings)

應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

Must Supporttrue
8. Goal.subject
Definition

此目標針對的對象,可以是個人、群體或組織。

Short此目標的對象是誰或什麼?
TypeReference(TW Core Patient, Group, TW Core Organization)
Must Supporttrue
Must Support TypesReference(TW Core Patient)
10. Goal.start[x]
Definition

目標被識別或創建的日期或事件,表示何時開始追蹤此目標。

Short設定此目標的日期或事件
TypeChoice of: date, CodeableConcept
[x] NoteSeeChoice of Data Typesfor further information about how to use [x]
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Must Support Typesdate
12. Goal.target
Definition

目標的具體測量內容,包括目標值和預期完成日期。

Short目標的測量內容和預期完成日期
Must Supporttrue
14. Goal.target.due[x]
Definition

完成目標的預期日期或從目標創建起計算的持續時間。

Short完成目標的期限日期或持續時間
TypeChoice of: date, Duration
[x] NoteSeeChoice of Data Typesfor further information about how to use [x]
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Must Support Typesdate
16. Goal.expressedBy
Definition

表明誰負責創建、記錄或負責此目標,可能是病人本人、醫師、其他照護人員或相關人士。

Short誰記錄或負責此目標
TypeReference(TW Core Patient, TW Core Practitioner, TW Core PractitionerRole, TW Core RelatedPerson)
18. Goal.addresses
Definition

此目標所要解決或處理的健康狀況、藥物使用、檢查結果或其他臨床問題。

Short此目標所針對的問題
TypeReference(TW Core Condition, TW Core Observation Clinical Result, TW Core MedicationStatement, NutritionOrder, TW Core ServiceRequest, RiskAssessment)
20. Goal.outcomeReference
Definition

參照用於監測目標進展或最終結果的觀察紀錄。

Short追蹤目標結果的觀察紀錄
TypeReference(TW Core Observation Clinical Result)

Guidance on how to interpret the contents of this table can be foundhere

0. Goal
Definition

在健康照護過程中,描述某患者或團體預期達成的結果或目標,是照護計畫的一部分,此目標可由患者、醫師或其他相關人員所提出。

Short病人健康照護中預期達成的結果或目標
Comments

Goal can be achieving a particular change or merely maintaining a current state or even slowing a decline.

Control0..*
Is Modifierfalse
Summaryfalse
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. Goal.id
Definition

resource的邏輯ID,在resource的URL中使用。一旦指定,這個值永遠不會改變。

Short不重複的ID用以識別儲存在特定FHIR Server中的Goal紀錄,通常又稱為邏輯性ID。
Comments

一個resource使用新增操作(create operation)提交給伺服器時,此resource沒有id,它的id在resource被創建後由伺器分配/指定。

Control0..1
Typeid
Is Modifierfalse
Summarytrue
4. Goal.meta
Definition

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

ShortMetadata about the resource
Control0..1
TypeMeta
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. Goal.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

ShortA set of rules under which this content was created
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. Goal.language
Definition

The base language in which the resource is written.

ShortLanguage of the resource content
Comments

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

Control0..1
BindingThe codes SHOULD be taken from CommonLanguages
(preferred to http://hl7.org/fhir/ValueSet/languages|4.0.1)

A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
Typecode
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. Goal.text
Definition

A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

ShortText summary of the resource, for human interpretation
Comments

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

Control0..1
TypeNarrative
Is Modifierfalse
Summaryfalse
Alternate Namesnarrative, html, xhtml, display
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. Goal.contained
Definition

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

ShortContained, inline Resources
Comments

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

Control0..*
TypeResource
Is Modifierfalse
Summaryfalse
Alternate Namesinline resources, anonymous resources, contained resources
14. Goal.extension
Definition

May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
16. Goal.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summaryfalse
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
18. Goal.identifier
Definition

Business identifiers assigned to this goal by the performer or other systems which remain constant as the resource is updated and propagates from server to server.

ShortExternal Ids for this goal
Comments

This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.

NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
Is Modifierfalse
Summaryfalse
Requirements

Allows identification of the goal as it is known by various participating systems and in a way that remains consistent across servers.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. Goal.lifecycleStatus
Definition

表示目標的當前狀態,例如正在進行中或已完成。

Shortproposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected
Comments

This element is labeled as a modifier because the lifecycleStatus contains codes that mark the resource as not currently valid.

Control1..1
BindingThe codes SHALL be taken from GoalLifecycleStatus
(required to http://hl7.org/fhir/ValueSet/goal-status|4.0.1)

表示目標當前狀態的代碼,必須使用所綁定的值集中的代碼。

Typecode
Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

Allows knowing whether goal needs to be further tracked.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. Goal.achievementStatus
Definition

Describes the progression, or lack thereof, towards the goal against the target.

Shortin-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable
Control0..1
BindingThe codes SHOULD be taken from GoalAchievementStatus
(preferred to http://hl7.org/fhir/ValueSet/goal-achievement|4.0.1)

Indicates the progression, or lack thereof, towards the goal against the target.

TypeCodeableConcept
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. Goal.category
Definition

Indicates a category the goal falls within.

ShortE.g. Treatment, dietary, behavioral, etc.
Control0..*
BindingFor example codes, see GoalCategory
(example to http://hl7.org/fhir/ValueSet/goal-category|4.0.1)

Codes for grouping and sorting goals.

TypeCodeableConcept
Is Modifierfalse
Summarytrue
Requirements

Allows goals to be filtered and sorted.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. Goal.priority
Definition

Identifies the mutually agreed level of importance associated with reaching/sustaining the goal.

Shorthigh-priority | medium-priority | low-priority
Comments

Extensions are available to track priorities as established by each participant (i.e. Priority from the patient's perspective, different practitioners' perspectives, family member's perspectives)

The ordinal extension on Coding can be used to convey a numerically comparable ranking to priority. (Keep in mind that different coding systems may use a "low value=important".

Control0..1
BindingThe codes SHOULD be taken from GoalPriority
(preferred to http://hl7.org/fhir/ValueSet/goal-priority|4.0.1)

The level of importance associated with a goal.

TypeCodeableConcept
Is Modifierfalse
Summarytrue
Requirements

Used for sorting and presenting goals.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. Goal.description
Definition

人可讀的目標敘述,描述要達成的目標。

Short目標的文字敘述
Comments

If no code is available, use CodeableConcept.text.

Control1..1
BindingUnless not suitable, these codes SHALL be taken from SNOMEDCTClinicalFindings
(extensible to http://hl7.org/fhir/ValueSet/clinical-findings)

應填入所綁定值集中適合的代碼,確定無適合的代碼才可以使用其他值集的代碼來表示。

TypeCodeableConcept
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

Without a description of what's trying to be achieved, element has no purpose.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. Goal.subject
Definition

此目標針對的對象,可以是個人、群體或組織。

Short此目標的對象是誰或什麼?
Control1..1
TypeReference(TW Core Patient, Group, TW Core Organization)
Is Modifierfalse
Must Supporttrue
Must Support TypesReference(TW Core Patient)
Summarytrue
Requirements

Subject is optional to support annonymized reporting.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. Goal.start[x]
Definition

目標被識別或創建的日期或事件,表示何時開始追蹤此目標。

Short設定此目標的日期或事件
Control0..1
BindingFor example codes, see GoalStartEvent
(example to http://hl7.org/fhir/ValueSet/goal-start-event|4.0.1)

Codes describing events that can trigger the initiation of a goal.

TypeChoice of: date, CodeableConcept
[x] NoteSeeChoice of Data Typesfor further information about how to use [x]
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Must Support Typesdate
Summarytrue
Requirements

Goals can be established prior to there being an intention to start pursuing them; e.g. Goals for post-surgical recovery established prior to surgery.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. Goal.target
Definition

目標的具體測量內容,包括目標值和預期完成日期。

Short目標的測量內容和預期完成日期
Comments

When multiple targets are present for a single goal instance, all targets must be met for the overall goal to be met.

Control0..*
This element is affected by the following invariants: gol-1
TypeBackboneElement
Is Modifierfalse
Must Supporttrue
Summaryfalse
Requirements

Allows the progress of the goal to be monitored against an observation or due date. Target is 0..* to support Observations with multiple components, such as blood pressure goals with both a systolic and diastolic target.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
gol-1: Goal.target.measure is required if Goal.target.detail is populated ((detail.exists() and measure.exists()) or detail.exists().not())
36. Goal.target.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
38. Goal.target.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
40. Goal.target.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
42. Goal.target.measure
Definition

The parameter whose value is being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level.

ShortThe parameter whose value is being tracked
Control0..1
This element is affected by the following invariants: gol-1
BindingFor example codes, see LOINCCodes
(example to http://hl7.org/fhir/ValueSet/observation-codes|4.0.1)

Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level.

TypeCodeableConcept
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
44. Goal.target.detail[x]
Definition

The target value of the focus to be achieved to signify the fulfillment of the goal, e.g. 150 pounds, 7.0%. Either the high or low or both values of the range can be specified. When a low value is missing, it indicates that the goal is achieved at any focus value at or below the high value. Similarly, if the high value is missing, it indicates that the goal is achieved at any focus value at or above the low value.

ShortThe target value to be achieved
Comments

A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Goal.target.measure defines a coded value.

Control0..1
This element is affected by the following invariants: gol-1
Binding

Codes to identify the target value of the focus to be achieved to signify the fulfillment of the goal.

TypeChoice of: Quantity, Range, CodeableConcept, string, boolean, integer, Ratio
[x] NoteSeeChoice of Data Typesfor further information about how to use [x]
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
46. Goal.target.due[x]
Definition

完成目標的預期日期或從目標創建起計算的持續時間。

Short完成目標的期限日期或持續時間
Control0..1
TypeChoice of: date, Duration
[x] NoteSeeChoice of Data Typesfor further information about how to use [x]
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Must Support Typesdate
Summarytrue
Requirements

Identifies when the goal should be evaluated.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
48. Goal.statusDate
Definition

Identifies when the current status. I.e. When initially created, when achieved, when cancelled, etc.

ShortWhen goal status took effect
Comments

To see the date for past statuses, query history.

Control0..1
Typedate
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
50. Goal.statusReason
Definition

Captures the reason for the current status.

ShortReason for current status
Comments

This will typically be captured for statuses such as rejected, on-hold or cancelled, but could be present for others.

Control0..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
52. Goal.expressedBy
Definition

表明誰負責創建、記錄或負責此目標,可能是病人本人、醫師、其他照護人員或相關人士。

Short誰記錄或負責此目標
Comments

This is the individual responsible for establishing the goal, not necessarily who recorded it. (For that, use the Provenance resource.).

Control0..1
TypeReference(TW Core Patient, TW Core Practitioner, TW Core PractitionerRole, TW Core RelatedPerson)
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
54. Goal.addresses
Definition

此目標所要解決或處理的健康狀況、藥物使用、檢查結果或其他臨床問題。

Short此目標所針對的問題
Control0..*
TypeReference(TW Core Condition, TW Core Observation Clinical Result, TW Core MedicationStatement, NutritionOrder, TW Core ServiceRequest, RiskAssessment)
Is Modifierfalse
Summaryfalse
Requirements

Allows specific goals to explicitly linked to the concerns they're dealing with - makes the goal more understandable.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
56. Goal.note
Definition

Any comments related to the goal.

ShortComments about the goal
Comments

May be used for progress notes, concerns or other related information that doesn't actually describe the goal itself.

Control0..*
TypeAnnotation
Is Modifierfalse
Summaryfalse
Requirements

There's a need to capture information about the goal that doesn't actually describe the goal.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
58. Goal.outcomeCode
Definition

Identifies the change (or lack of change) at the point when the status of the goal is assessed.

ShortWhat result was achieved regarding the goal?
Comments

Note that this should not duplicate the goal status.

Control0..*
BindingFor example codes, see SNOMEDCTClinicalFindings
(example to http://hl7.org/fhir/ValueSet/clinical-findings|4.0.1)

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".

TypeCodeableConcept
Is Modifierfalse
Summaryfalse
Requirements

Outcome tracking is a key aspect of care planning.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
60. Goal.outcomeReference
Definition

參照用於監測目標進展或最終結果的觀察紀錄。

Short追蹤目標結果的觀察紀錄
Comments

The goal outcome is independent of the outcome of the related activities. For example, if the Goal is to achieve a target body weight of 150 lb and a care plan activity is defined to diet, then the care plan’s activity outcome could be calories consumed whereas goal outcome is an observation for the actual body weight measured.

Control0..*
TypeReference(TW Core Observation Clinical Result)
Is Modifierfalse
Summaryfalse
Requirements

Outcome tracking is a key aspect of care planning.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))