Open Nursing Core FHIR Implementation Guide (ONC-IG) - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Logical Model: Relational Care Logical Model
| Official URL: https://opennursingcoreig.com/StructureDefinition/onc-relational-care-logical | Version: 1.0.0 | |||
| Active as of 2026-01-27 | Computable Name: ONCRelationalCareModel | |||
A vendor-neutral clinical model of the relational nursing assessment. Defines WHAT data must be captured, regardless of HOW it is stored in FHIR.
Usages:
- This Logical Model is not used by any profiles in this Implementation Guide
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.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  onc-relational-care-logical |
0..* | Base | Relational Care Logical Model | |
  patientPreferences |
1..1 | string | The patient's personal goals and what matters most to them today. | |
| relationalEngagement |
1..1 | integer | A score from 1-5 representing the depth of the therapeutic relationship. | |
| empathyIndex |
1..1 | code | The ONC Empathy Index (1-5) measuring relational quality. Binding: ONC Empathy & Relational Engagement Index (required) | |
| skinToneEquity |
1..1 | code | The patient's skin tone classification (Fitzpatrick or Monk) used to guide clinical assessment. Binding: Skin Tone Value Set (extensible) | |
| mandatoryEquityValidation |
1..1 | boolean | Technical flag ensuring the 'Fairness Gate' was passed. | |
| adpieStatus |
1..1 | code | The current stage of the professional nursing process (Assessment, Diagnosis, Planning, Implementation, Evaluation). Binding: ADPIE Nursing Process Phases (required) | |
 clinicalNarrative |
1..1 | string | The person-centred narrative describing the patient's experience. | |
| Documentation for this format | ||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| onc-relational-care-logical.empathyIndex | Base | required | ONC Empathy & Relational Engagement Index | 📦1.0.0 | This IG |
| onc-relational-care-logical.skinToneEquity | Base | extensible | Skin Tone Value Set | 📦1.0.0 | This IG |
| onc-relational-care-logical.adpieStatus | Base | required | ADPIE Nursing Process Phases | 📦1.0.0 | This IG |
This structure is derived from Base
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| onc-relational-care-logical |
0..* | Base | Relational Care Logical Model | |
| patientPreferences |
1..1 | string | The patient's personal goals and what matters most to them today. | |
| relationalEngagement |
1..1 | integer | A score from 1-5 representing the depth of the therapeutic relationship. | |
| empathyIndex |
1..1 | code | The ONC Empathy Index (1-5) measuring relational quality. Binding: ONC Empathy & Relational Engagement Index (required) | |
| skinToneEquity |
1..1 | code | The patient's skin tone classification (Fitzpatrick or Monk) used to guide clinical assessment. Binding: Skin Tone Value Set (extensible) | |
| mandatoryEquityValidation |
1..1 | boolean | Technical flag ensuring the 'Fairness Gate' was passed. | |
| adpieStatus |
1..1 | code | The current stage of the professional nursing process (Assessment, Diagnosis, Planning, Implementation, Evaluation). Binding: ADPIE Nursing Process Phases (required) | |
| clinicalNarrative |
1..1 | string | The person-centred narrative describing the patient's experience. | |
| Documentation for this format | ||||
Terminology Bindings (Differential)
| Path | Status | Usage | ValueSet | Version | Source |
| onc-relational-care-logical.empathyIndex | Base | required | ONC Empathy & Relational Engagement Index | 📦1.0.0 | This IG |
| onc-relational-care-logical.skinToneEquity | Base | extensible | Skin Tone Value Set | 📦1.0.0 | This IG |
| onc-relational-care-logical.adpieStatus | Base | required | ADPIE Nursing Process Phases | 📦1.0.0 | This IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| onc-relational-care-logical |
0..* | Base | Relational Care Logical Model | |
| patientPreferences |
1..1 | string | The patient's personal goals and what matters most to them today. | |
| relationalEngagement |
1..1 | integer | A score from 1-5 representing the depth of the therapeutic relationship. | |
| empathyIndex |
1..1 | code | The ONC Empathy Index (1-5) measuring relational quality. Binding: ONC Empathy & Relational Engagement Index (required) | |
| skinToneEquity |
1..1 | code | The patient's skin tone classification (Fitzpatrick or Monk) used to guide clinical assessment. Binding: Skin Tone Value Set (extensible) | |
| mandatoryEquityValidation |
1..1 | boolean | Technical flag ensuring the 'Fairness Gate' was passed. | |
| adpieStatus |
1..1 | code | The current stage of the professional nursing process (Assessment, Diagnosis, Planning, Implementation, Evaluation). Binding: ADPIE Nursing Process Phases (required) | |
| clinicalNarrative |
1..1 | string | The person-centred narrative describing the patient's experience. | |
| Documentation for this format | ||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| onc-relational-care-logical.empathyIndex | Base | required | ONC Empathy & Relational Engagement Index | 📦1.0.0 | This IG |
| onc-relational-care-logical.skinToneEquity | Base | extensible | Skin Tone Value Set | 📦1.0.0 | This IG |
| onc-relational-care-logical.adpieStatus | Base | required | ADPIE Nursing Process Phases | 📦1.0.0 | This IG |
This structure is derived from Base
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| onc-relational-care-logical |
0..* | Base | Relational Care Logical Model | |
| patientPreferences |
1..1 | string | The patient's personal goals and what matters most to them today. | |
| relationalEngagement |
1..1 | integer | A score from 1-5 representing the depth of the therapeutic relationship. | |
| empathyIndex |
1..1 | code | The ONC Empathy Index (1-5) measuring relational quality. Binding: ONC Empathy & Relational Engagement Index (required) | |
| skinToneEquity |
1..1 | code | The patient's skin tone classification (Fitzpatrick or Monk) used to guide clinical assessment. Binding: Skin Tone Value Set (extensible) | |
| mandatoryEquityValidation |
1..1 | boolean | Technical flag ensuring the 'Fairness Gate' was passed. | |
| adpieStatus |
1..1 | code | The current stage of the professional nursing process (Assessment, Diagnosis, Planning, Implementation, Evaluation). Binding: ADPIE Nursing Process Phases (required) | |
| clinicalNarrative |
1..1 | string | The person-centred narrative describing the patient's experience. | |
| Documentation for this format | ||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| onc-relational-care-logical.empathyIndex | Base | required | ONC Empathy & Relational Engagement Index | 📦1.0.0 | This IG |
| onc-relational-care-logical.skinToneEquity | Base | extensible | Skin Tone Value Set | 📦1.0.0 | This IG |
| onc-relational-care-logical.adpieStatus | Base | required | ADPIE Nursing Process Phases | 📦1.0.0 | This IG |
Differential View
This structure is derived from Base
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| onc-relational-care-logical |
0..* | Base | Relational Care Logical Model | |
| patientPreferences |
1..1 | string | The patient's personal goals and what matters most to them today. | |
| relationalEngagement |
1..1 | integer | A score from 1-5 representing the depth of the therapeutic relationship. | |
| empathyIndex |
1..1 | code | The ONC Empathy Index (1-5) measuring relational quality. Binding: ONC Empathy & Relational Engagement Index (required) | |
| skinToneEquity |
1..1 | code | The patient's skin tone classification (Fitzpatrick or Monk) used to guide clinical assessment. Binding: Skin Tone Value Set (extensible) | |
| mandatoryEquityValidation |
1..1 | boolean | Technical flag ensuring the 'Fairness Gate' was passed. | |
| adpieStatus |
1..1 | code | The current stage of the professional nursing process (Assessment, Diagnosis, Planning, Implementation, Evaluation). Binding: ADPIE Nursing Process Phases (required) | |
| clinicalNarrative |
1..1 | string | The person-centred narrative describing the patient's experience. | |
| Documentation for this format | ||||
Terminology Bindings (Differential)
| Path | Status | Usage | ValueSet | Version | Source |
| onc-relational-care-logical.empathyIndex | Base | required | ONC Empathy & Relational Engagement Index | 📦1.0.0 | This IG |
| onc-relational-care-logical.skinToneEquity | Base | extensible | Skin Tone Value Set | 📦1.0.0 | This IG |
| onc-relational-care-logical.adpieStatus | Base | required | ADPIE Nursing Process Phases | 📦1.0.0 | This IG |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| onc-relational-care-logical |
0..* | Base | Relational Care Logical Model | |
| patientPreferences |
1..1 | string | The patient's personal goals and what matters most to them today. | |
| relationalEngagement |
1..1 | integer | A score from 1-5 representing the depth of the therapeutic relationship. | |
| empathyIndex |
1..1 | code | The ONC Empathy Index (1-5) measuring relational quality. Binding: ONC Empathy & Relational Engagement Index (required) | |
| skinToneEquity |
1..1 | code | The patient's skin tone classification (Fitzpatrick or Monk) used to guide clinical assessment. Binding: Skin Tone Value Set (extensible) | |
| mandatoryEquityValidation |
1..1 | boolean | Technical flag ensuring the 'Fairness Gate' was passed. | |
| adpieStatus |
1..1 | code | The current stage of the professional nursing process (Assessment, Diagnosis, Planning, Implementation, Evaluation). Binding: ADPIE Nursing Process Phases (required) | |
| clinicalNarrative |
1..1 | string | The person-centred narrative describing the patient's experience. | |
| Documentation for this format | ||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| onc-relational-care-logical.empathyIndex | Base | required | ONC Empathy & Relational Engagement Index | 📦1.0.0 | This IG |
| onc-relational-care-logical.skinToneEquity | Base | extensible | Skin Tone Value Set | 📦1.0.0 | This IG |
| onc-relational-care-logical.adpieStatus | Base | required | ADPIE Nursing Process Phases | 📦1.0.0 | This IG |
This structure is derived from Base