| Left: | US Core Goal Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-goal) |
| Right: | US Core Goal Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-goal) |
| Error | StructureDefinition.version | Values for version differ: '3.1.1' vs '6.0.0' |
| Information | StructureDefinition.date | Values for date differ: '2020-07-21' vs '2022-04-20' |
| Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 US Realm Steering Committee' vs 'HL7 International - Cross-Group Projects' |
| Warning | Goal | Elements differ in definition: 'The US Core Goal Profile is based upon the core FHIR Goal Resource and created to meet the 2015 Edition Common Clinical Data Set 'Goals' requirements.' vs '\-' |
| Warning | Goal | Elements differ in comments: 'Goal can be achieving a particular change or merely maintaining a current state or even slowing a decline.' vs '\-' |
| Warning | Goal.lifecycleStatus | Elements differ in short: 'proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected' vs '(USCDI) proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected' |
| Warning | Goal.description | Elements differ in short: 'Code or text describing goal' vs '(USCDI) Code or text describing goal' |
| Warning | Goal.description | Elements differ in binding.description: '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.' vs 'Value set to describe the Goal' |
| Warning | Goal.subject | Elements differ in short: 'Who this goal is intended for' vs '(USCDI) Who this goal is intended for' |
| Warning | Goal.start[x] | Elements differ in short: 'When goal pursuit begins' vs '(USCDI) When goal pursuit begins' |
| Warning | Goal.start[x] | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Warning | Goal.target | Elements differ in short: 'Target outcome for the goal' vs '(USCDI) Target outcome for the goal' |
| Warning | Goal.target.due[x] | Elements differ in short: 'Reach goal on or before' vs '(USCDI) Reach goal on or before' |
| Warning | Goal.target.due[x] | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Name | Value | Comments | |
|---|---|---|---|
 abstract | false | ||
| baseDefinition | http://hl7.org/fhir/StructureDefinition/Goal | ||
| copyright | Used by permission of HL7 International, all rights reserved Creative Commons License |
| |
| date | 2020-07-21 | 2022-04-20 |
|
| description | Defines constraints and extensions on the Goal resource for the minimal set of data to query and retrieve a patient's goal(s). | This profile sets minimum expectations for the Goal resource to record, search, and fetch Goal information associated with a patient to promote interoperability and adoption through common implementation. It identifies which core elements, extensions, vocabularies, and value sets **SHALL** be present in the resource and constrains the way the elements are used when using this profile. It provides the floor for standards development for specific use cases |
|
| experimental | false | ||
| fhirVersion | 4.0.1 | ||
| jurisdiction | |||
 jurisdiction[0] | urn:iso:std:iso:3166#US | ||
| kind | resource | ||
| name | USCoreGoalProfile | ||
| publisher | HL7 US Realm Steering Committee | HL7 International - Cross-Group Projects |
|
| purpose | |||
| status | active | ||
| title | US Core Goal Profile | ||
| type | Goal | ||
| url | http://hl7.org/fhir/us/core/StructureDefinition/us-core-goal | ||
| version | 3.1.1 | 6.0.0 |
|
| Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | L Type | L Description & Constraints | Comments | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
 Goal | 0..* | Goal | Describes the intended objective(s) for a patient, group or organization | 0..* | Goal | Describes the intended objective(s) for a patient, group or organization |
| ||||||||||
 id | Σ | 0..1 | string | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact | |||||||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource | |||||||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created | |||||||||
| language | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| |||||||||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||||||||
| contained | 0..* | Resource | Contained, inline Resources | 0..* | Resource | Contained, inline Resources | |||||||||||
 extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored | |||||||||
| identifier | 0..* | Identifier | External Ids for this goal | 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: ?? (required) | ?!SΣ | 1..1 | code | (USCDI) proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: ?? (required) |
| ||||||||
| achievementStatus | Σ | 0..1 | CodeableConcept | in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable Binding: ?? (preferred): Indicates the progression, or lack thereof, towards the goal against the target. | Σ | 0..1 | CodeableConcept | in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable Binding: ?? (preferred): Indicates the progression, or lack thereof, towards the goal against the target. | |||||||||
| category | Σ | 0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Binding: ?? (example): Codes for grouping and sorting goals. | Σ | 0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Binding: ?? (example): Codes for grouping and sorting goals. | |||||||||
| priority | Σ | 0..1 | CodeableConcept | high-priority | medium-priority | low-priority Binding: ?? (preferred): The level of importance associated with a goal. | Σ | 0..1 | CodeableConcept | high-priority | medium-priority | low-priority Binding: ?? (preferred): The level of importance associated with a goal. | |||||||||
| description | SΣ | 1..1 | CodeableConcept | Code or text describing goal Binding: ?? (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. | SΣ | 1..1 | CodeableConcept | (USCDI) Code or text describing goal Binding: ?? (extensible): Value set to describe the Goal |
| ||||||||
| subject | SΣ | 1..1 | Reference(US Core Patient Profile) | Who this goal is intended for | SΣ | 1..1 | Reference(US Core Patient Profile) | (USCDI) Who this goal is intended for |
| ||||||||
| start[x] | Σ | 0..1 | date, CodeableConcept | When goal pursuit begins Binding: ?? (example): Codes describing events that can trigger the initiation of a goal. | SΣ | 0..1 | date S, CodeableConcept | (USCDI) When goal pursuit begins Binding: ?? (example): Codes describing events that can trigger the initiation of a goal. |
| ||||||||
| target | SC | 0..* | BackboneElement | Target outcome for the goal | SC | 0..* | BackboneElement | (USCDI) Target outcome for the goal |
| ||||||||
 id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| measure | ΣC | 0..1 | CodeableConcept | The parameter whose value is being tracked Binding: ?? (example): Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level. | ΣC | 0..1 | CodeableConcept | The parameter whose value is being tracked Binding: ?? (example): Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level. | |||||||||
| detail[x] | ΣC | 0..1 | Quantity, Range, CodeableConcept, string, boolean, integer, Ratio | The target value to be achieved Binding: ?? (example): Codes to identify the target value of the focus to be achieved to signify the fulfillment of the goal. | ΣC | 0..1 | Quantity, Range, CodeableConcept, string, boolean, integer, Ratio | The target value to be achieved Binding: ?? (example): Codes to identify the target value of the focus to be achieved to signify the fulfillment of the goal. | |||||||||
| Slices for due[x] | Σ | 0..1 | date | Reach goal on or before Slice: Unordered, Closed by type:$this | SΣ | 0..1 | date S, Duration | (USCDI) Reach goal on or before |
| ||||||||
| statusDate | Σ | 0..1 | date | When goal status took effect | Σ | 0..1 | date | When goal status took effect | |||||||||
| statusReason | 0..1 | string | Reason for current status | 0..1 | string | Reason for current status | |||||||||||
| expressedBy | Σ | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) | Who's responsible for creating Goal? | Σ | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) | Who's responsible for creating Goal? | |||||||||
| addresses | 0..* | Reference(Condition | Observation | MedicationStatement | NutritionOrder | ServiceRequest | RiskAssessment) | Issues addressed by this goal | 0..* | Reference(Condition | Observation | MedicationStatement | NutritionOrder | ServiceRequest | RiskAssessment) | Issues addressed by this goal | |||||||||||
| note | 0..* | Annotation | Comments about the goal | 0..* | Annotation | Comments about the goal | |||||||||||
| outcomeCode | 0..* | CodeableConcept | What result was achieved regarding the goal? Binding: ?? (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". | 0..* | CodeableConcept | What result was achieved regarding the goal? Binding: ?? (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 | 0..* | Reference(Observation) | Observation that resulted from goal | |||||||||||
| Documentation for this format | |||||||||||||||||