Resource Profile: Dental Target Chart State ( Experimental )
| Official URL: https://fhir.cognovis.de/dental-core/StructureDefinition/dental-target-chart-state | Version: 0.9.2 | |||
| Draft as of 2026-10-03 | Computable Name: DentalTargetChartState | |||
| Other Identifiers: OID:2.16.840.1.113883.3.7985.2.42.33 | ||||
Copyright/Legal: Copyright 2026+ cognovis GmbH. Cognovis-authored Dental Core material is licensed under Apache-2.0; third-party material retains its own terms as documented in the Third-Party Notices. |
||||
Desired or proposed tooth state linked to a plan request. Recorded extensions preserve target descriptions without asserting that the state is currently observed or that treatment occurred.
Usages:
- Examples for this Profile: Goal/dental-core-example-target-chart-state
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.
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| Goal.lifecycleStatus | Base | required | GoalLifecycleStatus | 📍4.0.1 | FHIR Std. |
| Goal.achievementStatus | Base | preferred | Goal achievement status | 📍4.0.1 | FHIR Std. |
| Goal.description | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| dental-target-chart-state-present | error | Goal | A target chart state preserves at least one requested source assertion. |
extension.where(url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-implant-position' or url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-crown-fracture-type' or url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-orthodontic-progression' or url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-cantilever-pontic-role' or url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-root-resection' or url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-papilla-loss' or url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-bracket-surface' or url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-root-endodontic-state' or url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-root-fracture' or url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-apical-finding').exists()
|
| dental-target-endodontic-fallback-shape | error | Goal | A target chart state contains at most one unlocated whole-tooth endodontic fallback. |
extension.where(url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-root-endodontic-state' and extension.where(url = 'root').empty()).count() <= 1
|
| dental-target-papilla-loss-shape | error | Goal | Target papilla-loss assertions use each mesial or distal surface at most once. |
extension.where(url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-papilla-loss').extension.where(url = 'surface').value.ofType(Coding).code.isDistinct()
|
| 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
Constraints
| Id | Grade | Path(s) | Description | Expression |
| dental-target-chart-state-present | error | Goal | A target chart state preserves at least one requested source assertion. |
extension.where(url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-implant-position' or url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-crown-fracture-type' or url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-orthodontic-progression' or url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-cantilever-pontic-role' or url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-root-resection' or url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-papilla-loss' or url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-bracket-surface' or url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-root-endodontic-state' or url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-root-fracture' or url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-apical-finding').exists()
|
| dental-target-endodontic-fallback-shape | error | Goal | A target chart state contains at most one unlocated whole-tooth endodontic fallback. |
extension.where(url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-root-endodontic-state' and extension.where(url = 'root').empty()).count() <= 1
|
| dental-target-papilla-loss-shape | error | Goal | Target papilla-loss assertions use each mesial or distal surface at most once. |
extension.where(url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-papilla-loss').extension.where(url = 'surface').value.ofType(Coding).code.isDistinct()
|
| Name | Flags | Card. | Type | Description & Constraints Filter:   | ||||
|---|---|---|---|---|---|---|---|---|
  Goal |
C | 0..* | Goal | Describes the intended objective(s) for a patient, group or organization Constraints: dental-target-chart-state-present, dental-target-papilla-loss-shape, dental-target-endodontic-fallback-shape | ||||
  id |
Σ | 0..1 | id | 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): A human language.
| |||||
| 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 | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
  Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
   extension:toothPosition |
S | 1..1 | Coding | Tooth Position URL: https://fhir.cognovis.de/dental-core/StructureDefinition/tooth-position Binding: FDI Tooth Positions (required) | ||||
| extension:recordedImplantPosition |
S | 0..1 | string | Recorded Implant Position Description URL: https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-implant-position | ||||
| extension:recordedCrownFractureType |
S | 0..1 | string | Recorded Crown Fracture Description URL: https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-crown-fracture-type | ||||
| extension:recordedProgression |
S | 0..1 | boolean | Recorded Orthodontic Progression Flag URL: https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-orthodontic-progression | ||||
| extension:recordedCantileverPonticRole |
S | 0..1 | boolean | Recorded Cantilever Pontic Role URL: https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-cantilever-pontic-role | ||||
| extension:recordedRootResection |
S | 0..1 | (Complex) | Recorded Root Resection State URL: https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-root-resection | ||||
| extension:recordedPapillaLoss |
S | 0..2 | (Complex) | Recorded Papilla Loss Grade URL: https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-papilla-loss | ||||
| extension:recordedBracketSurface |
S | 0..1 | Coding | Recorded Bracket Surface URL: https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-bracket-surface Binding: Bracket Tooth Surfaces (required) | ||||
| extension:recordedRootEndodonticState |
S | 0..* | (Complex) | Recorded Root Endodontic State URL: https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-root-endodontic-state | ||||
| extension:recordedRootFracture |
S | 0..1 | (Complex) | Recorded Root Fracture State URL: https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-root-fracture | ||||
 extension:recordedApicalFinding |
S | 0..1 | (Complex) | Recorded Apical Finding State URL: https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-apical-finding | ||||
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
0..* | Identifier | External Ids for this goal | |||||
| lifecycleStatus |
?!SΣ | 1..1 | code | proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required): Codes that reflect the current state of a goal and whether the goal is still being targeted. | ||||
| achievementStatus |
SΣ | 0..1 | CodeableConcept | 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 |
SΣ | 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. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
 text |
SΣ | 1..1 | string | Human-readable target chart-state description | ||||
 subject |
SΣ | 1..1 | Reference(Patient) | Who this goal is intended for | ||||
 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 |
S | 1..1 | Reference(Dental Service Request) | 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 |
0..* | Reference(Observation) | Observation that resulted from goal | |||||
| Documentation for this format | ||||||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| Goal.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Goal.lifecycleStatus | Base | required | GoalLifecycleStatus | 📍4.0.1 | FHIR Std. |
| Goal.achievementStatus | Base | preferred | Goal achievement status | 📍4.0.1 | FHIR Std. |
| 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 State | Unknown | |
| Goal.outcomeCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| dental-target-chart-state-present | error | Goal | A target chart state preserves at least one requested source assertion. |
extension.where(url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-implant-position' or url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-crown-fracture-type' or url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-orthodontic-progression' or url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-cantilever-pontic-role' or url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-root-resection' or url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-papilla-loss' or url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-bracket-surface' or url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-root-endodontic-state' or url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-root-fracture' or url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-apical-finding').exists()
|
| dental-target-endodontic-fallback-shape | error | Goal | A target chart state contains at most one unlocated whole-tooth endodontic fallback. |
extension.where(url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-root-endodontic-state' and extension.where(url = 'root').empty()).count() <= 1
|
| dental-target-papilla-loss-shape | error | Goal | Target papilla-loss assertions use each mesial or distal surface at most once. |
extension.where(url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-papilla-loss').extension.where(url = 'surface').value.ofType(Coding).code.isDistinct()
|
| dom-2 | error | Goal | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Goal | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Goal | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Goal | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Goal | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| gol-1 | error | Goal.target | Goal.target.measure is required if Goal.target.detail is populated |
(detail.exists() and measure.exists()) or detail.exists().not()
|
This structure is derived from Goal
Summary
Mandatory: 4 elements
Must-Support: 17 elements
Prohibited: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
- https://fhir.cognovis.de/dental-core/StructureDefinition/tooth-position
- https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-implant-position
- https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-crown-fracture-type
- https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-orthodontic-progression
- https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-cantilever-pontic-role
- https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-root-resection
- https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-papilla-loss
- https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-bracket-surface
- https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-root-endodontic-state
- https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-root-fracture
- https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-apical-finding
Key Elements View
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| Goal.lifecycleStatus | Base | required | GoalLifecycleStatus | 📍4.0.1 | FHIR Std. |
| Goal.achievementStatus | Base | preferred | Goal achievement status | 📍4.0.1 | FHIR Std. |
| Goal.description | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| dental-target-chart-state-present | error | Goal | A target chart state preserves at least one requested source assertion. |
extension.where(url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-implant-position' or url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-crown-fracture-type' or url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-orthodontic-progression' or url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-cantilever-pontic-role' or url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-root-resection' or url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-papilla-loss' or url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-bracket-surface' or url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-root-endodontic-state' or url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-root-fracture' or url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-apical-finding').exists()
|
| dental-target-endodontic-fallback-shape | error | Goal | A target chart state contains at most one unlocated whole-tooth endodontic fallback. |
extension.where(url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-root-endodontic-state' and extension.where(url = 'root').empty()).count() <= 1
|
| dental-target-papilla-loss-shape | error | Goal | Target papilla-loss assertions use each mesial or distal surface at most once. |
extension.where(url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-papilla-loss').extension.where(url = 'surface').value.ofType(Coding).code.isDistinct()
|
| 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
Constraints
| Id | Grade | Path(s) | Description | Expression |
| dental-target-chart-state-present | error | Goal | A target chart state preserves at least one requested source assertion. |
extension.where(url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-implant-position' or url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-crown-fracture-type' or url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-orthodontic-progression' or url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-cantilever-pontic-role' or url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-root-resection' or url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-papilla-loss' or url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-bracket-surface' or url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-root-endodontic-state' or url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-root-fracture' or url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-apical-finding').exists()
|
| dental-target-endodontic-fallback-shape | error | Goal | A target chart state contains at most one unlocated whole-tooth endodontic fallback. |
extension.where(url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-root-endodontic-state' and extension.where(url = 'root').empty()).count() <= 1
|
| dental-target-papilla-loss-shape | error | Goal | Target papilla-loss assertions use each mesial or distal surface at most once. |
extension.where(url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-papilla-loss').extension.where(url = 'surface').value.ofType(Coding).code.isDistinct()
|
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Goal |
C | 0..* | Goal | Describes the intended objective(s) for a patient, group or organization Constraints: dental-target-chart-state-present, dental-target-papilla-loss-shape, dental-target-endodontic-fallback-shape | ||||
| id |
Σ | 0..1 | id | 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): A human language.
| |||||
| 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 | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:toothPosition |
S | 1..1 | Coding | Tooth Position URL: https://fhir.cognovis.de/dental-core/StructureDefinition/tooth-position Binding: FDI Tooth Positions (required) | ||||
| extension:recordedImplantPosition |
S | 0..1 | string | Recorded Implant Position Description URL: https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-implant-position | ||||
| extension:recordedCrownFractureType |
S | 0..1 | string | Recorded Crown Fracture Description URL: https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-crown-fracture-type | ||||
| extension:recordedProgression |
S | 0..1 | boolean | Recorded Orthodontic Progression Flag URL: https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-orthodontic-progression | ||||
| extension:recordedCantileverPonticRole |
S | 0..1 | boolean | Recorded Cantilever Pontic Role URL: https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-cantilever-pontic-role | ||||
| extension:recordedRootResection |
S | 0..1 | (Complex) | Recorded Root Resection State URL: https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-root-resection | ||||
| extension:recordedPapillaLoss |
S | 0..2 | (Complex) | Recorded Papilla Loss Grade URL: https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-papilla-loss | ||||
| extension:recordedBracketSurface |
S | 0..1 | Coding | Recorded Bracket Surface URL: https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-bracket-surface Binding: Bracket Tooth Surfaces (required) | ||||
| extension:recordedRootEndodonticState |
S | 0..* | (Complex) | Recorded Root Endodontic State URL: https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-root-endodontic-state | ||||
| extension:recordedRootFracture |
S | 0..1 | (Complex) | Recorded Root Fracture State URL: https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-root-fracture | ||||
| extension:recordedApicalFinding |
S | 0..1 | (Complex) | Recorded Apical Finding State URL: https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-apical-finding | ||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
0..* | Identifier | External Ids for this goal | |||||
| lifecycleStatus |
?!SΣ | 1..1 | code | proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required): Codes that reflect the current state of a goal and whether the goal is still being targeted. | ||||
| achievementStatus |
SΣ | 0..1 | CodeableConcept | 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 |
SΣ | 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. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| text |
SΣ | 1..1 | string | Human-readable target chart-state description | ||||
| subject |
SΣ | 1..1 | Reference(Patient) | Who this goal is intended for | ||||
| 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 |
S | 1..1 | Reference(Dental Service Request) | 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 |
0..* | Reference(Observation) | Observation that resulted from goal | |||||
| Documentation for this format | ||||||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| Goal.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Goal.lifecycleStatus | Base | required | GoalLifecycleStatus | 📍4.0.1 | FHIR Std. |
| Goal.achievementStatus | Base | preferred | Goal achievement status | 📍4.0.1 | FHIR Std. |
| 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 State | Unknown | |
| Goal.outcomeCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| dental-target-chart-state-present | error | Goal | A target chart state preserves at least one requested source assertion. |
extension.where(url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-implant-position' or url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-crown-fracture-type' or url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-orthodontic-progression' or url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-cantilever-pontic-role' or url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-root-resection' or url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-papilla-loss' or url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-bracket-surface' or url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-root-endodontic-state' or url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-root-fracture' or url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-apical-finding').exists()
|
| dental-target-endodontic-fallback-shape | error | Goal | A target chart state contains at most one unlocated whole-tooth endodontic fallback. |
extension.where(url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-root-endodontic-state' and extension.where(url = 'root').empty()).count() <= 1
|
| dental-target-papilla-loss-shape | error | Goal | Target papilla-loss assertions use each mesial or distal surface at most once. |
extension.where(url = 'https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-papilla-loss').extension.where(url = 'surface').value.ofType(Coding).code.isDistinct()
|
| dom-2 | error | Goal | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Goal | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Goal | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Goal | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Goal | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| gol-1 | error | Goal.target | Goal.target.measure is required if Goal.target.detail is populated |
(detail.exists() and measure.exists()) or detail.exists().not()
|
This structure is derived from Goal
Summary
Mandatory: 4 elements
Must-Support: 17 elements
Prohibited: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
- https://fhir.cognovis.de/dental-core/StructureDefinition/tooth-position
- https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-implant-position
- https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-crown-fracture-type
- https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-orthodontic-progression
- https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-cantilever-pontic-role
- https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-root-resection
- https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-papilla-loss
- https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-bracket-surface
- https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-root-endodontic-state
- https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-root-fracture
- https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-apical-finding
Other representations of profile: CSV, Excel, Schematron