Release 5 Ballot

This page is part of the FHIR Specification (v5.0.0-ballot: FHIR R5 Ballot Preview). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

9.6 Resource Goal - Content

Patient Care

Work Group

Maturity Level: 2

Trial Use

Security Category: Patient

Compartments: Patient

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.

9.6.1 Scope and Usage

A Goal in health care services delivery is generally an expressed desired health state to be achieved by a subject of care (or family/group) over a period or at a specific point of time. This desired target health state may be achieved as a result of health care intervention(s) or resulting from natural recovery over time. For example:

A goal of a plan for a condition such as a diabetes might specify desired outcome(s) (e.g. HgbA1c level =<5.6% in 3 months) as a result of interventions such as medication therapy, nutritional management and/or increase physical activity.
A goal of a procedure might be to meet the intended objective of the procedure (e.g. wet-dry-dressing changes twice a day; goal: wound healed completely in 2 weeks) or to prevent an unintended complication (e.g. repositioning a patient every two hours: goal to maintain skin integrity)

Goals may address the prevention of illness, cure or mitigation of a condition, prolongation of life, or mitigation of pain and discomfort.

When dealing with groups, goals may also reflect health state, such as a reduction of addiction behaviors. However, they may also reflect population health objectives such as education, screening, etc.

Organizational goals are typically not health state specific but may instead identify measurement targets such as infection control, cost management, patient satisfaction, etc.

9.6.2 Boundaries and Relationships

Goals are typically established in the context of a CarePlan. However, goals may also be directly referenced by request-type resources (e.g. MedicationRequest or ServiceRequest) by using an extension.

A goal represents a specific goal instance for a particular patient, group, etc. It is not intended to be used to define types of potential goals as part of an order set or protocol definition. Protocol definitions and order sets are supported through PlanDefinition. The Goal resource is intended to be used once an order set is instantiated or assigned to a patient, which is when the potential goals become the actual goals, if not changed or deleted.

Goals are often evaluated using Observations.

Goal does not include the legal Advance Directives, which should be represented with the Consent resource with Consent.category = Advance Directive or a request resource with the intent = directive. Legal Advance Directives may specify clinical goals that can be represented as a Goal resource as well. Informally, advance directives could be represented as a Goal resource regardless of whether it was included in the legal Consent, such as "I want to die at home."

9.6.3 References to this Resource

Resource References: : CarePlan and RequestOrchestration
Extension References: : conditions, pertains to goal and related goal

Structure

Name	Flags	Card.	Type	Description & Constraints
Goal	TU		DomainResource	Describes the intended objective(s) for a patient, group or organization Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
identifier		0..*	Identifier	External Ids for this goal
lifecycleStatus	?!Σ	1..1	code	proposed \| planned \| accepted \| active \| on-hold \| completed \| cancelled \| entered-in-error \| rejected GoalLifecycleStatus (Required)
achievementStatus	Σ	0..1	CodeableConcept	in-progress \| improving \| worsening \| no-change \| achieved \| sustaining \| not-achieved \| no-progress \| not-attainable GoalAchievementStatus (Preferred)
category	Σ	0..*	CodeableConcept	E.g. Treatment, dietary, behavioral, etc. GoalCategory (Example)
continuous		0..1	boolean	After meeting the goal, ongoing activity is needed to sustain the goal objective
priority	Σ	0..1	CodeableConcept	high-priority \| medium-priority \| low-priority GoalPriority (Preferred)
description	Σ	1..1	CodeableConcept	Code or text describing goal SNOMED CT Clinical Findings (Example)
subject	Σ	1..1	Reference(Patient \| Group \| Organization)	Who this goal is intended for
start[x]	Σ	0..1		When goal pursuit begins GoalStartEvent (Example)
startDate			date
startCodeableConcept			CodeableConcept
target	C	0..*	BackboneElement	Target outcome for the goal + Rule: Goal.target.measure is required if Goal.target.detail is populated
measure	Σ C	0..1	CodeableConcept	The parameter whose value is being tracked LOINC Codes (Example)
detail[x]	Σ C	0..1		The target value to be achieved GoalTargetDetail (Example)
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
source	Σ	0..1	Reference(Patient \| Practitioner \| PractitionerRole \| RelatedPerson \| CareTeam)	Who's responsible for creating Goal?
addresses		0..*	Reference(Condition \| Observation \| MedicationUsage \| MedicationRequest \| NutritionOrder \| ServiceRequest \| RiskAssessment)	Issues addressed by this goal
note		0..*	Annotation	Comments about the goal
outcome		0..*	CodeableReference(Observation)	What result was achieved regarding the goal? SNOMED CT Clinical Findings (Example)
Documentation for this format

See the Extensions for this resource

UML Diagram (Legend)

XML Template

<Goal xmlns="http://hl7.org/fhir"> 
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <identifier><!-- 0..* Identifier External Ids for this goal --></identifier>
 <lifecycleStatus value="[code]"/><!-- 1..1 proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected -->
 <achievementStatus><!-- 0..1 CodeableConcept in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable --></achievementStatus>
 <category><!-- 0..* CodeableConcept E.g. Treatment, dietary, behavioral, etc. --></category>
 <continuous value="[boolean]"/><!-- 0..1 After meeting the goal, ongoing activity is needed to sustain the goal objective -->
 <priority><!-- 0..1 CodeableConcept high-priority | medium-priority | low-priority --></priority>
 <description><!-- 1..1 CodeableConcept Code or text describing goal --></description>
 <subject><!-- 1..1 Reference(Group|Organization|Patient) Who this goal is intended for --></subject>
 <start[x]><!-- 0..1 date|CodeableConcept When goal pursuit begins --></start[x]>
 <target>  <!-- I 0..* Target outcome for the goal -->
  <measure><!-- I 0..1 CodeableConcept The parameter whose value is being tracked --></measure>
  <detail[x]><!-- I 0..1 Quantity|Range|CodeableConcept|string|boolean|integer|
    Ratio The target value to be achieved --></detail[x]>
  <due[x]><!-- 0..1 date|Duration Reach goal on or before --></due[x]>
 </target>
 <statusDate value="[date]"/><!-- 0..1 When goal status took effect -->
 <statusReason value="[string]"/><!-- 0..1 Reason for current status -->
 <source><!-- 0..1 Reference(CareTeam|Patient|Practitioner|PractitionerRole|
   RelatedPerson) Who's responsible for creating Goal? --></source>
 <addresses><!-- 0..* Reference(Condition|MedicationRequest|MedicationUsage|
   NutritionOrder|Observation|RiskAssessment|ServiceRequest) Issues addressed by this goal --></addresses>
 <note><!-- 0..* Annotation Comments about the goal --></note>
 <outcome><!-- 0..* CodeableReference(Observation) What result was achieved regarding the goal? --></outcome>
</Goal>

JSON Template

{
  "resourceType" : "Goal",
  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "identifier" : [{ Identifier }], // External Ids for this goal
  "lifecycleStatus" : "<code>", // R!  proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected
  "achievementStatus" : { CodeableConcept }, // in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable
  "category" : [{ CodeableConcept }], // E.g. Treatment, dietary, behavioral, etc.
  "continuous" : <boolean>, // After meeting the goal, ongoing activity is needed to sustain the goal objective
  "priority" : { CodeableConcept }, // high-priority | medium-priority | low-priority
  "description" : { CodeableConcept }, // R!  Code or text describing goal
  "subject" : { Reference(Group|Organization|Patient) }, // R!  Who this goal is intended for
  // start[x]: When goal pursuit begins. One of these 2:
  "startDate" : "<date>",
  "startCodeableConcept" : { CodeableConcept },
  "target" : [{ // I Target outcome for the goal
    "measure" : { CodeableConcept }, // I The parameter whose value is being tracked
    // detail[x]: The target value to be achieved. One of these 7:
    "detailQuantity" : { Quantity },
    "detailRange" : { Range },
    "detailCodeableConcept" : { CodeableConcept },
    "detailString" : "<string>",
    "detailBoolean" : <boolean>,
    "detailInteger" : <integer>,
    "detailRatio" : { Ratio },
    // due[x]: Reach goal on or before. One of these 2:
    "dueDate" : "<date>",
    "dueDuration" : { Duration }
  }],
  "statusDate" : "<date>", // When goal status took effect
  "statusReason" : "<string>", // Reason for current status
  "source" : { Reference(CareTeam|Patient|Practitioner|PractitionerRole|
   RelatedPerson) }, // Who's responsible for creating Goal?
  "addresses" : [{ Reference(Condition|MedicationRequest|MedicationUsage|
   NutritionOrder|Observation|RiskAssessment|ServiceRequest) }], // Issues addressed by this goal
  "note" : [{ Annotation }], // Comments about the goal
  "outcome" : [{ CodeableReference(Observation) }] // What result was achieved regarding the goal?
}

Turtle Template

@prefix fhir: <http://hl7.org/fhir/> .


[ a fhir:Goal;
  fhir:nodeRole fhir:treeRoot; # if this is the parser root

  # from Resource: .id, .meta, .implicitRules, and .language
  # from DomainResource: .text, .contained, .extension, and .modifierExtension
  fhir:Goal.identifier [ Identifier ], ... ; # 0..* External Ids for this goal
  fhir:Goal.lifecycleStatus [ code ]; # 1..1 proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected
  fhir:Goal.achievementStatus [ CodeableConcept ]; # 0..1 in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable
  fhir:Goal.category [ CodeableConcept ], ... ; # 0..* E.g. Treatment, dietary, behavioral, etc.
  fhir:Goal.continuous [ boolean ]; # 0..1 After meeting the goal, ongoing activity is needed to sustain the goal objective
  fhir:Goal.priority [ CodeableConcept ]; # 0..1 high-priority | medium-priority | low-priority
  fhir:Goal.description [ CodeableConcept ]; # 1..1 Code or text describing goal
  fhir:Goal.subject [ Reference(Group|Organization|Patient) ]; # 1..1 Who this goal is intended for
  # Goal.start[x] : 0..1 When goal pursuit begins. One of these 2
    fhir:Goal.startDate [ date ]
    fhir:Goal.startCodeableConcept [ CodeableConcept ]
  fhir:Goal.target [ # 0..* I Target outcome for the goal
    fhir:Goal.target.measure [ CodeableConcept ]; # 0..1 I The parameter whose value is being tracked
    # Goal.target.detail[x] : 0..1 I The target value to be achieved. One of these 7
      fhir:Goal.target.detailQuantity [ Quantity ]
      fhir:Goal.target.detailRange [ Range ]
      fhir:Goal.target.detailCodeableConcept [ CodeableConcept ]
      fhir:Goal.target.detailString [ string ]
      fhir:Goal.target.detailBoolean [ boolean ]
      fhir:Goal.target.detailInteger [ integer ]
      fhir:Goal.target.detailRatio [ Ratio ]
    # Goal.target.due[x] : 0..1 Reach goal on or before. One of these 2
      fhir:Goal.target.dueDate [ date ]
      fhir:Goal.target.dueDuration [ Duration ]
  ], ...;
  fhir:Goal.statusDate [ date ]; # 0..1 When goal status took effect
  fhir:Goal.statusReason [ string ]; # 0..1 Reason for current status
  fhir:Goal.source [ Reference(CareTeam|Patient|Practitioner|PractitionerRole|RelatedPerson) ]; # 0..1 Who's responsible for creating Goal?
  fhir:Goal.addresses [ Reference(Condition|MedicationRequest|MedicationUsage|NutritionOrder|Observation|
  RiskAssessment|ServiceRequest) ], ... ; # 0..* Issues addressed by this goal
  fhir:Goal.note [ Annotation ], ... ; # 0..* Comments about the goal
  fhir:Goal.outcome [ CodeableReference(Observation) ], ... ; # 0..* What result was achieved regarding the goal?
]

Changes since R4

Goal

Goal.continuous

Added Element

Goal.source

Added Element

Goal.addresses

Type Reference: Added Target Types MedicationUsage, MedicationRequest
Type Reference: Removed Target Type MedicationStatement
Type Reference: Removed Target Type MedicationStatement

Goal.outcome

Added Element

Goal.expressedBy

deleted

Goal.outcomeCode

deleted

Goal.outcomeReference

deleted

See the Full Difference for further information

This analysis is available as XML or JSON.

See R3 <--> R4 Conversion Maps (status = 2 tests that all execute ok. All tests pass round-trip testing and all r3 resources are valid.)

Structure

Name	Flags	Card.	Type	Description & Constraints
Goal	TU		DomainResource	Describes the intended objective(s) for a patient, group or organization Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
identifier		0..*	Identifier	External Ids for this goal
lifecycleStatus	?!Σ	1..1	code	proposed \| planned \| accepted \| active \| on-hold \| completed \| cancelled \| entered-in-error \| rejected GoalLifecycleStatus (Required)
achievementStatus	Σ	0..1	CodeableConcept	in-progress \| improving \| worsening \| no-change \| achieved \| sustaining \| not-achieved \| no-progress \| not-attainable GoalAchievementStatus (Preferred)
category	Σ	0..*	CodeableConcept	E.g. Treatment, dietary, behavioral, etc. GoalCategory (Example)
continuous		0..1	boolean	After meeting the goal, ongoing activity is needed to sustain the goal objective
priority	Σ	0..1	CodeableConcept	high-priority \| medium-priority \| low-priority GoalPriority (Preferred)
description	Σ	1..1	CodeableConcept	Code or text describing goal SNOMED CT Clinical Findings (Example)
subject	Σ	1..1	Reference(Patient \| Group \| Organization)	Who this goal is intended for
start[x]	Σ	0..1		When goal pursuit begins GoalStartEvent (Example)
startDate			date
startCodeableConcept			CodeableConcept
target	C	0..*	BackboneElement	Target outcome for the goal + Rule: Goal.target.measure is required if Goal.target.detail is populated
measure	Σ C	0..1	CodeableConcept	The parameter whose value is being tracked LOINC Codes (Example)
detail[x]	Σ C	0..1		The target value to be achieved GoalTargetDetail (Example)
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
source	Σ	0..1	Reference(Patient \| Practitioner \| PractitionerRole \| RelatedPerson \| CareTeam)	Who's responsible for creating Goal?
addresses		0..*	Reference(Condition \| Observation \| MedicationUsage \| MedicationRequest \| NutritionOrder \| ServiceRequest \| RiskAssessment)	Issues addressed by this goal
note		0..*	Annotation	Comments about the goal
outcome		0..*	CodeableReference(Observation)	What result was achieved regarding the goal? SNOMED CT Clinical Findings (Example)
Documentation for this format

See the Extensions for this resource

UML Diagram (Legend)

XML Template

<Goal xmlns="http://hl7.org/fhir"> 
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <identifier><!-- 0..* Identifier External Ids for this goal --></identifier>
 <lifecycleStatus value="[code]"/><!-- 1..1 proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected -->
 <achievementStatus><!-- 0..1 CodeableConcept in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable --></achievementStatus>
 <category><!-- 0..* CodeableConcept E.g. Treatment, dietary, behavioral, etc. --></category>
 <continuous value="[boolean]"/><!-- 0..1 After meeting the goal, ongoing activity is needed to sustain the goal objective -->
 <priority><!-- 0..1 CodeableConcept high-priority | medium-priority | low-priority --></priority>
 <description><!-- 1..1 CodeableConcept Code or text describing goal --></description>
 <subject><!-- 1..1 Reference(Group|Organization|Patient) Who this goal is intended for --></subject>
 <start[x]><!-- 0..1 date|CodeableConcept When goal pursuit begins --></start[x]>
 <target>  <!-- I 0..* Target outcome for the goal -->
  <measure><!-- I 0..1 CodeableConcept The parameter whose value is being tracked --></measure>
  <detail[x]><!-- I 0..1 Quantity|Range|CodeableConcept|string|boolean|integer|
    Ratio The target value to be achieved --></detail[x]>
  <due[x]><!-- 0..1 date|Duration Reach goal on or before --></due[x]>
 </target>
 <statusDate value="[date]"/><!-- 0..1 When goal status took effect -->
 <statusReason value="[string]"/><!-- 0..1 Reason for current status -->
 <source><!-- 0..1 Reference(CareTeam|Patient|Practitioner|PractitionerRole|
   RelatedPerson) Who's responsible for creating Goal? --></source>
 <addresses><!-- 0..* Reference(Condition|MedicationRequest|MedicationUsage|
   NutritionOrder|Observation|RiskAssessment|ServiceRequest) Issues addressed by this goal --></addresses>
 <note><!-- 0..* Annotation Comments about the goal --></note>
 <outcome><!-- 0..* CodeableReference(Observation) What result was achieved regarding the goal? --></outcome>
</Goal>

JSON Template

{
  "resourceType" : "Goal",
  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "identifier" : [{ Identifier }], // External Ids for this goal
  "lifecycleStatus" : "<code>", // R!  proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected
  "achievementStatus" : { CodeableConcept }, // in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable
  "category" : [{ CodeableConcept }], // E.g. Treatment, dietary, behavioral, etc.
  "continuous" : <boolean>, // After meeting the goal, ongoing activity is needed to sustain the goal objective
  "priority" : { CodeableConcept }, // high-priority | medium-priority | low-priority
  "description" : { CodeableConcept }, // R!  Code or text describing goal
  "subject" : { Reference(Group|Organization|Patient) }, // R!  Who this goal is intended for
  // start[x]: When goal pursuit begins. One of these 2:
  "startDate" : "<date>",
  "startCodeableConcept" : { CodeableConcept },
  "target" : [{ // I Target outcome for the goal
    "measure" : { CodeableConcept }, // I The parameter whose value is being tracked
    // detail[x]: The target value to be achieved. One of these 7:
    "detailQuantity" : { Quantity },
    "detailRange" : { Range },
    "detailCodeableConcept" : { CodeableConcept },
    "detailString" : "<string>",
    "detailBoolean" : <boolean>,
    "detailInteger" : <integer>,
    "detailRatio" : { Ratio },
    // due[x]: Reach goal on or before. One of these 2:
    "dueDate" : "<date>",
    "dueDuration" : { Duration }
  }],
  "statusDate" : "<date>", // When goal status took effect
  "statusReason" : "<string>", // Reason for current status
  "source" : { Reference(CareTeam|Patient|Practitioner|PractitionerRole|
   RelatedPerson) }, // Who's responsible for creating Goal?
  "addresses" : [{ Reference(Condition|MedicationRequest|MedicationUsage|
   NutritionOrder|Observation|RiskAssessment|ServiceRequest) }], // Issues addressed by this goal
  "note" : [{ Annotation }], // Comments about the goal
  "outcome" : [{ CodeableReference(Observation) }] // What result was achieved regarding the goal?
}

Turtle Template

@prefix fhir: <http://hl7.org/fhir/> .


[ a fhir:Goal;
  fhir:nodeRole fhir:treeRoot; # if this is the parser root

  # from Resource: .id, .meta, .implicitRules, and .language
  # from DomainResource: .text, .contained, .extension, and .modifierExtension
  fhir:Goal.identifier [ Identifier ], ... ; # 0..* External Ids for this goal
  fhir:Goal.lifecycleStatus [ code ]; # 1..1 proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected
  fhir:Goal.achievementStatus [ CodeableConcept ]; # 0..1 in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable
  fhir:Goal.category [ CodeableConcept ], ... ; # 0..* E.g. Treatment, dietary, behavioral, etc.
  fhir:Goal.continuous [ boolean ]; # 0..1 After meeting the goal, ongoing activity is needed to sustain the goal objective
  fhir:Goal.priority [ CodeableConcept ]; # 0..1 high-priority | medium-priority | low-priority
  fhir:Goal.description [ CodeableConcept ]; # 1..1 Code or text describing goal
  fhir:Goal.subject [ Reference(Group|Organization|Patient) ]; # 1..1 Who this goal is intended for
  # Goal.start[x] : 0..1 When goal pursuit begins. One of these 2
    fhir:Goal.startDate [ date ]
    fhir:Goal.startCodeableConcept [ CodeableConcept ]
  fhir:Goal.target [ # 0..* I Target outcome for the goal
    fhir:Goal.target.measure [ CodeableConcept ]; # 0..1 I The parameter whose value is being tracked
    # Goal.target.detail[x] : 0..1 I The target value to be achieved. One of these 7
      fhir:Goal.target.detailQuantity [ Quantity ]
      fhir:Goal.target.detailRange [ Range ]
      fhir:Goal.target.detailCodeableConcept [ CodeableConcept ]
      fhir:Goal.target.detailString [ string ]
      fhir:Goal.target.detailBoolean [ boolean ]
      fhir:Goal.target.detailInteger [ integer ]
      fhir:Goal.target.detailRatio [ Ratio ]
    # Goal.target.due[x] : 0..1 Reach goal on or before. One of these 2
      fhir:Goal.target.dueDate [ date ]
      fhir:Goal.target.dueDuration [ Duration ]
  ], ...;
  fhir:Goal.statusDate [ date ]; # 0..1 When goal status took effect
  fhir:Goal.statusReason [ string ]; # 0..1 Reason for current status
  fhir:Goal.source [ Reference(CareTeam|Patient|Practitioner|PractitionerRole|RelatedPerson) ]; # 0..1 Who's responsible for creating Goal?
  fhir:Goal.addresses [ Reference(Condition|MedicationRequest|MedicationUsage|NutritionOrder|Observation|
  RiskAssessment|ServiceRequest) ], ... ; # 0..* Issues addressed by this goal
  fhir:Goal.note [ Annotation ], ... ; # 0..* Comments about the goal
  fhir:Goal.outcome [ CodeableReference(Observation) ], ... ; # 0..* What result was achieved regarding the goal?
]

Changes since Release 4

Goal

Goal.continuous

Added Element

Goal.source

Added Element

Goal.addresses

Type Reference: Added Target Types MedicationUsage, MedicationRequest
Type Reference: Removed Target Type MedicationStatement
Type Reference: Removed Target Type MedicationStatement

Goal.outcome

Added Element

Goal.expressedBy

deleted

Goal.outcomeCode

deleted

Goal.outcomeReference

deleted

See the Full Difference for further information

This analysis is available as XML or JSON.

See R3 <--> R4 Conversion Maps (status = 2 tests that all execute ok. All tests pass round-trip testing and all r3 resources are valid.)

Additional definitions: Master Definition XML + JSON, XML Schema/Schematron + JSON Schema, ShEx (for Turtle) + see the extensions, the spreadsheet version & the dependency analysis

9.6.4.1 Terminology Bindings

Path	Definition	Type	Reference
Goal.lifecycleStatus	Codes that reflect the current state of a goal and whether the goal is still being targeted.	Required	GoalLifecycleStatus
Goal.achievementStatus	Describes the progression, or lack thereof, towards the goal against the target.	Preferred	GoalAchievementStatus
Goal.category	Example codes for grouping goals to use for filtering or presentation.	Example	GoalCategory
Goal.priority	Indicates the level of importance associated with reaching or sustaining a goal.	Preferred	GoalPriority
Goal.description	This value set includes all the "Clinical finding" SNOMED CT codes - concepts where concept is-a 404684003 (Clinical finding (finding)).	Example	SNOMEDCTClinicalFindings
Goal.start[x]	Identifies types of events that might trigger the start of a goal.	Example	GoalStartEvent
Goal.target.measure	This value set includes all LOINC codes	Example	LOINCCodes
Goal.target.detail[x]		Example	??
Goal.outcome	This value set includes all the "Clinical finding" SNOMED CT codes - concepts where concept is-a 404684003 (Clinical finding (finding)).	Example	SNOMEDCTClinicalFindings

Path

Definition

Type

Reference

Goal.lifecycleStatus

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

Required

GoalLifecycleStatus

Goal.achievementStatus

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

Preferred

GoalAchievementStatus

Goal.category

Example codes for grouping goals to use for filtering or presentation.

Example

GoalCategory

Goal.priority

Indicates the level of importance associated with reaching or sustaining a goal.

Preferred

GoalPriority

Goal.description

This value set includes all the "Clinical finding" SNOMED CT codes - concepts where concept is-a 404684003 (Clinical finding (finding)).

Example

SNOMEDCTClinicalFindings

Goal.start[x]

Identifies types of events that might trigger the start of a goal.

Example

GoalStartEvent

Goal.target.measure

This value set includes all LOINC codes

Example

LOINCCodes

Goal.target.detail[x]

Example

??

Goal.outcome

This value set includes all the "Clinical finding" SNOMED CT codes - concepts where concept is-a 404684003 (Clinical finding (finding)).

Example

SNOMEDCTClinicalFindings

9.6.4.2 Constraints

UniqueKey

Level

Location

Description

Expression

gol-1

Rule

Goal.target

Goal.target.measure is required if Goal.target.detail is populated

(detail.exists() and measure.exists()) or detail.exists().not()

9.6.5 Search Parameters

Search parameters for this resource. The common parameters also apply. See Searching for more information about searching in REST, messaging, and services.

Name	Type	Description	Expression	In Common
achievement-status	token	in-progress \| improving \| worsening \| no-change \| achieved \| sustaining \| not-achieved \| no-progress \| not-attainable	Goal.achievementStatus
addresses	reference	Issues addressed by this goal	Goal.addresses (Condition, RiskAssessment, MedicationRequest, NutritionOrder, Observation, MedicationUsage, ServiceRequest)
category	token	E.g. Treatment, dietary, behavioral, etc.	Goal.category
identifier	token	External Ids for this goal	Goal.identifier
lifecycle-status N	token	proposed \| planned \| accepted \| active \| on-hold \| completed \| cancelled \| entered-in-error \| rejected	Goal.lifecycleStatus
patient	reference	Who this goal is intended for	Goal.subject.where(resolve() is Patient) (Patient)
start-date	date	When goal pursuit begins	(Goal.start as date)
subject	reference	Who this goal is intended for	Goal.subject (Group, Organization, Patient)
target-date	date	Reach goal on or before	(Goal.target.due as date)