Open Nursing Core FHIR Implementation Guide (ONC-IG)
1.0.0 - release
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
| Active as of 2026-01-27 |
XML representation of the onc-relational-care-logical logical model.
<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="onc-relational-care-logical"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: StructureDefinition onc-relational-care-logical</b></p><table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="The logical name of the element">Name</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Information about the use of the element">Flags</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Minimum and Maximum # of times the element can appear in the instance">Card.</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px; width: 100px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Reference to the type of the element">Type</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Additional information about the element">Description & Constraints</a><span style="float: right"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-onc-relational-care-logical-definitions.html#onc-relational-care-logical" title="A vendor-neutral clinical model of the relational nursing assessment. Defines WHAT data must be captured, regardless of HOW it is stored in FHIR.">onc-relational-care-logical</a><a name="onc-relational-care-logical"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://build.fhir.org/types.html#Base">Base</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Relational Care Logical Model</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-onc-relational-care-logical-definitions.html#onc-relational-care-logical.patientPreferences" title="The patient's personal goals and what matters most to them today.">patientPreferences</a><a name="onc-relational-care-logical.patientPreferences"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">The patient's personal goals and what matters most to them today.</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-onc-relational-care-logical-definitions.html#onc-relational-care-logical.relationalEngagement" title="A score from 1-5 representing the depth of the therapeutic relationship.">relationalEngagement</a><a name="onc-relational-care-logical.relationalEngagement"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#integer">integer</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A score from 1-5 representing the depth of the therapeutic relationship.</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-onc-relational-care-logical-definitions.html#onc-relational-care-logical.empathyIndex" title="The ONC Empathy Index (1-5) measuring relational quality.">empathyIndex</a><a name="onc-relational-care-logical.empathyIndex"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">The ONC Empathy Index (1-5) measuring relational quality.<br class="binding"/><span style="font-weight:bold" title="null" class="binding">Binding: </span><a href="ValueSet-onc-empathy-index-vs.html" title="https://opennursingcoreig.com/ValueSet/onc-empathy-index-vs" class="binding">ONC Empathy & Relational Engagement Index</a><span title="null" class="binding"> (</span><a href="http://hl7.org/fhir/R4/terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set." class="binding">required</a><span title="null" class="binding">)</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-onc-relational-care-logical-definitions.html#onc-relational-care-logical.skinToneEquity" title="The patient's skin tone classification (Fitzpatrick or Monk) used to guide clinical assessment.">skinToneEquity</a><a name="onc-relational-care-logical.skinToneEquity"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">The patient's skin tone classification (Fitzpatrick or Monk) used to guide clinical assessment.<br class="binding"/><span style="font-weight:bold" title="null" class="binding">Binding: </span><a href="ValueSet-onc-skin-tone-vs.html" title="https://opennursingcoreig.com/ValueSet/onc-skin-tone-vs" class="binding">Skin Tone Value Set</a><span title="null" class="binding"> (</span><a href="http://hl7.org/fhir/R4/terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated. If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead." class="binding">extensible</a><span title="null" class="binding">)</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-onc-relational-care-logical-definitions.html#onc-relational-care-logical.mandatoryEquityValidation" title="Technical flag ensuring the 'Fairness Gate' was passed.">mandatoryEquityValidation</a><a name="onc-relational-care-logical.mandatoryEquityValidation"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Technical flag ensuring the 'Fairness Gate' was passed.</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-onc-relational-care-logical-definitions.html#onc-relational-care-logical.adpieStatus" title="The current stage of the professional nursing process (Assessment, Diagnosis, Planning, Implementation, Evaluation).">adpieStatus</a><a name="onc-relational-care-logical.adpieStatus"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">The current stage of the professional nursing process (Assessment, Diagnosis, Planning, Implementation, Evaluation).<br class="binding"/><span style="font-weight:bold" title="null" class="binding">Binding: </span><a href="ValueSet-onc-adpie-vs.html" title="https://opennursingcoreig.com/ValueSet/onc-adpie-vs" class="binding">ADPIE Nursing Process Phases</a><span title="null" class="binding"> (</span><a href="http://hl7.org/fhir/R4/terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set." class="binding">required</a><span title="null" class="binding">)</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-onc-relational-care-logical-definitions.html#onc-relational-care-logical.clinicalNarrative" title="The person-centred narrative describing the patient's experience.">clinicalNarrative</a><a name="onc-relational-care-logical.clinicalNarrative"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">The person-centred narrative describing the patient's experience.</td></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
</text>
<url
value="https://opennursingcoreig.com/StructureDefinition/onc-relational-care-logical"/>
<version value="1.0.0"/>
<name value="ONCRelationalCareModel"/>
<title value="Relational Care Logical Model"/>
<status value="active"/>
<date value="2026-01-27T09:30:37+00:00"/>
<publisher value="The Open Nursing Community"/>
<description
value="A vendor-neutral clinical model of the relational nursing assessment. Defines WHAT data must be captured, regardless of HOW it is stored in FHIR."/>
<fhirVersion value="4.0.1"/>
<kind value="logical"/>
<abstract value="false"/>
<type
value="https://opennursingcoreig.com/StructureDefinition/onc-relational-care-logical"/>
<baseDefinition value="http://hl7.org/fhir/StructureDefinition/Base"/>
<derivation value="specialization"/>
<snapshot>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version">
<valueString value="4.0.1"/>
</extension>
<element id="onc-relational-care-logical">
<path value="onc-relational-care-logical"/>
<short value="Relational Care Logical Model"/>
<definition
value="A vendor-neutral clinical model of the relational nursing assessment. Defines WHAT data must be captured, regardless of HOW it is stored in FHIR."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Base"/>
<min value="0"/>
<max value="*"/>
</base>
<isModifier value="false"/>
</element>
<element id="onc-relational-care-logical.patientPreferences">
<path value="onc-relational-care-logical.patientPreferences"/>
<short
value="The patient's personal goals and what matters most to them today."/>
<definition
value="The patient's personal goals and what matters most to them today."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="onc-relational-care-logical.patientPreferences"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
</element>
<element id="onc-relational-care-logical.relationalEngagement">
<path value="onc-relational-care-logical.relationalEngagement"/>
<short
value="A score from 1-5 representing the depth of the therapeutic relationship."/>
<definition
value="A score from 1-5 representing the depth of the therapeutic relationship."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="onc-relational-care-logical.relationalEngagement"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="integer"/>
</type>
</element>
<element id="onc-relational-care-logical.empathyIndex">
<path value="onc-relational-care-logical.empathyIndex"/>
<short
value="The ONC Empathy Index (1-5) measuring relational quality."/>
<definition
value="The ONC Empathy Index (1-5) measuring relational quality."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="onc-relational-care-logical.empathyIndex"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<binding>
<strength value="required"/>
<valueSet
value="https://opennursingcoreig.com/ValueSet/onc-empathy-index-vs"/>
</binding>
</element>
<element id="onc-relational-care-logical.skinToneEquity">
<path value="onc-relational-care-logical.skinToneEquity"/>
<short
value="The patient's skin tone classification (Fitzpatrick or Monk) used to guide clinical assessment."/>
<definition
value="The patient's skin tone classification (Fitzpatrick or Monk) used to guide clinical assessment."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="onc-relational-care-logical.skinToneEquity"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<binding>
<strength value="extensible"/>
<valueSet
value="https://opennursingcoreig.com/ValueSet/onc-skin-tone-vs"/>
</binding>
</element>
<element id="onc-relational-care-logical.mandatoryEquityValidation">
<path value="onc-relational-care-logical.mandatoryEquityValidation"/>
<short value="Technical flag ensuring the 'Fairness Gate' was passed."/>
<definition
value="Technical flag ensuring the 'Fairness Gate' was passed."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="onc-relational-care-logical.mandatoryEquityValidation"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
</element>
<element id="onc-relational-care-logical.adpieStatus">
<path value="onc-relational-care-logical.adpieStatus"/>
<short
value="The current stage of the professional nursing process (Assessment, Diagnosis, Planning, Implementation, Evaluation)."/>
<definition
value="The current stage of the professional nursing process (Assessment, Diagnosis, Planning, Implementation, Evaluation)."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="onc-relational-care-logical.adpieStatus"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<binding>
<strength value="required"/>
<valueSet
value="https://opennursingcoreig.com/ValueSet/onc-adpie-vs"/>
</binding>
</element>
<element id="onc-relational-care-logical.clinicalNarrative">
<path value="onc-relational-care-logical.clinicalNarrative"/>
<short
value="The person-centred narrative describing the patient's experience."/>
<definition
value="The person-centred narrative describing the patient's experience."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="onc-relational-care-logical.clinicalNarrative"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
</element>
</snapshot>
<differential>
<element id="onc-relational-care-logical">
<path value="onc-relational-care-logical"/>
<short value="Relational Care Logical Model"/>
<definition
value="A vendor-neutral clinical model of the relational nursing assessment. Defines WHAT data must be captured, regardless of HOW it is stored in FHIR."/>
</element>
<element id="onc-relational-care-logical.patientPreferences">
<path value="onc-relational-care-logical.patientPreferences"/>
<short
value="The patient's personal goals and what matters most to them today."/>
<definition
value="The patient's personal goals and what matters most to them today."/>
<min value="1"/>
<max value="1"/>
<type>
<code value="string"/>
</type>
</element>
<element id="onc-relational-care-logical.relationalEngagement">
<path value="onc-relational-care-logical.relationalEngagement"/>
<short
value="A score from 1-5 representing the depth of the therapeutic relationship."/>
<definition
value="A score from 1-5 representing the depth of the therapeutic relationship."/>
<min value="1"/>
<max value="1"/>
<type>
<code value="integer"/>
</type>
</element>
<element id="onc-relational-care-logical.empathyIndex">
<path value="onc-relational-care-logical.empathyIndex"/>
<short
value="The ONC Empathy Index (1-5) measuring relational quality."/>
<definition
value="The ONC Empathy Index (1-5) measuring relational quality."/>
<min value="1"/>
<max value="1"/>
<type>
<code value="code"/>
</type>
<binding>
<strength value="required"/>
<valueSet
value="https://opennursingcoreig.com/ValueSet/onc-empathy-index-vs"/>
</binding>
</element>
<element id="onc-relational-care-logical.skinToneEquity">
<path value="onc-relational-care-logical.skinToneEquity"/>
<short
value="The patient's skin tone classification (Fitzpatrick or Monk) used to guide clinical assessment."/>
<definition
value="The patient's skin tone classification (Fitzpatrick or Monk) used to guide clinical assessment."/>
<min value="1"/>
<max value="1"/>
<type>
<code value="code"/>
</type>
<binding>
<strength value="extensible"/>
<valueSet
value="https://opennursingcoreig.com/ValueSet/onc-skin-tone-vs"/>
</binding>
</element>
<element id="onc-relational-care-logical.mandatoryEquityValidation">
<path value="onc-relational-care-logical.mandatoryEquityValidation"/>
<short value="Technical flag ensuring the 'Fairness Gate' was passed."/>
<definition
value="Technical flag ensuring the 'Fairness Gate' was passed."/>
<min value="1"/>
<max value="1"/>
<type>
<code value="boolean"/>
</type>
</element>
<element id="onc-relational-care-logical.adpieStatus">
<path value="onc-relational-care-logical.adpieStatus"/>
<short
value="The current stage of the professional nursing process (Assessment, Diagnosis, Planning, Implementation, Evaluation)."/>
<definition
value="The current stage of the professional nursing process (Assessment, Diagnosis, Planning, Implementation, Evaluation)."/>
<min value="1"/>
<max value="1"/>
<type>
<code value="code"/>
</type>
<binding>
<strength value="required"/>
<valueSet
value="https://opennursingcoreig.com/ValueSet/onc-adpie-vs"/>
</binding>
</element>
<element id="onc-relational-care-logical.clinicalNarrative">
<path value="onc-relational-care-logical.clinicalNarrative"/>
<short
value="The person-centred narrative describing the patient's experience."/>
<definition
value="The person-centred narrative describing the patient's experience."/>
<min value="1"/>
<max value="1"/>
<type>
<code value="string"/>
</type>
</element>
</differential>
</StructureDefinition>