Left: | Argonaut Goal Profile (http://fhir.org/guides/argonaut/StructureDefinition/argo-goal) |
Right: | US Core Goal Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-goal) |
Error | StructureDefinition.url | Values for url differ: 'http://fhir.org/guides/argonaut/StructureDefinition/argo-goal' vs 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-goal' |
Information | StructureDefinition.name | Values for name differ: 'Argonaut Goal Profile' vs 'USCoreGoalProfile' |
Information | StructureDefinition.status | Values for status differ: 'draft' vs 'active' |
Information | StructureDefinition.date | Values for date differ: '2016-10-18T00:00:00+11:00' vs '2023-10-17' |
Information | StructureDefinition.publisher | Values for publisher differ: 'Argonaut Project' vs 'HL7 International / Cross-Group Projects' |
Information | StructureDefinition.jurisdiction | Added the item 'urn:iso:std:iso:3166#US' |
Warning | StructureDefinition.fhirVersion | Values for fhirVersion differ: '1.0.2' vs '4.0.1' |
Information | StructureDefinition.short | Values for short differ: 'Argonaut Goal Profile' vs 'Describes the intended objective(s) for a patient, group or organization' |
Information | StructureDefinition.definition | Values for definition differ: 'Healthcare plan for patient or group.' vs '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.' |
Information | Goal | StructureDefinition USCoreGoalProfile has added constraint that is not found in Argonaut Goal Profile and it is uncertain whether they are compatible (contained.contained.empty()) |
Information | Goal | StructureDefinition USCoreGoalProfile has added constraint that is not found in Argonaut Goal Profile and it is uncertain whether they are compatible (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()) |
Information | Goal | StructureDefinition USCoreGoalProfile has added constraint that is not found in Argonaut Goal Profile and it is uncertain whether they are compatible (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()) |
Information | Goal | StructureDefinition USCoreGoalProfile has added constraint that is not found in Argonaut Goal Profile and it is uncertain whether they are compatible (contained.meta.security.empty()) |
Information | Goal | StructureDefinition USCoreGoalProfile has added constraint that is not found in Argonaut Goal Profile and it is uncertain whether they are compatible (text.`div`.exists()) |
Information | StructureDefinition.comment | Values for comment differ: 'The only time that a resource does not have an id is when it is being submitted to the server using a create operation. Bundles always have an id, though it is usually a generated UUID.' vs 'The only time that a resource does not have an id is when it is being submitted to the server using a create operation.' |
Information | StructureDefinition.definition | Values for definition differ: 'The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.' vs 'The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.' |
Information | StructureDefinition.definition | Values for definition differ: 'A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.' vs 'A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.' |
Information | StructureDefinition.comment | Values for comment differ: 'Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element as much as possible.' vs 'Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.' |
Information | StructureDefinition.comment | Values for comment differ: 'Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).' vs 'Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).' |
Information | StructureDefinition.definition | Values for definition differ: 'A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it 'clinically safe' for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.' vs 'A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it 'clinically safe' for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.' |
Information | StructureDefinition.comment | Values for comment differ: 'Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative.' vs 'Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a 'text blob' or where text is additionally entered raw or narrated and encoded information is added later.' |
Information | StructureDefinition.comment | Values for comment differ: 'This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.' vs 'This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.' |
Information | StructureDefinition.short | Values for short differ: 'Additional Content defined by implementations' vs 'Additional content defined by implementations' |
Information | StructureDefinition.definition | Values for definition differ: 'May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' |
Information | StructureDefinition.definition | Values for definition differ: 'May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.' vs 'May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).' |
Information | StructureDefinition.definition | Values for definition differ: 'This records identifiers associated with this care plan that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation).' vs 'Business identifiers assigned to this goal by the performer or other systems which remain constant as the resource is updated and propagates from server to server.' |
Information | StructureDefinition.requirements | Values for requirements differ: 'Need to allow connection to a wider workflow.' vs 'Allows identification of the goal as it is known by various participating systems and in a way that remains consistent across servers.' |
Information | StructureDefinition.definition | Values for definition differ: 'Who care plan is for.' vs 'Identifies the patient, group or organization for whom the goal is being established.' |
Information | StructureDefinition.requirements | Values for requirements differ: 'Identifies the patient or group whose intended care is described by the plan.' vs 'Subject is optional to support annonymized reporting.' |
Warning | Goal.start[x] | Elements differ in definition for mustSupport: 'false' vs 'true' |
Information | StructureDefinition.short | Values for short differ: 'What's the desired outcome?' vs 'Code or text describing goal' |
Information | StructureDefinition.definition | Values for definition differ: 'proposed | draft | active | completed | cancelled.' vs 'Human-readable and/or coded description of a specific desired objective of care, such as 'control blood pressure' or 'negotiate an obstacle course' or 'dance with child at wedding'.' |
Information | StructureDefinition.requirements | Values for requirements differ: 'Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.' vs 'Without a description of what's trying to be achieved, element has no purpose.' |
Information | StructureDefinition.short | Values for short differ: 'high | medium |low' vs 'high-priority | medium-priority | low-priority' |
Information | StructureDefinition.comment | Values for comment differ: 'Extensions are available to track priorities as established by each participant (i.e. Priority from the patient's perspective, different practitioners' perspectives, family member's perspectives) The ordinal extension on Coding can be used to convey a numerically comparable ranking to priority. (Keep in mind that different coding systems may use a 'low value=important'.' vs 'Extensions are available to track priorities as established by each participant (i.e. Priority from the patient's perspective, different practitioners' perspectives, family member's perspectives) The ordinal extension on Coding can be used to convey a numerically comparable ranking to priority. (Keep in mind that different coding systems may use a 'low value=important'.' |
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 | 2016-10-18T00:00:00+11:00 | 2023-10-17 |
|
description | The US Core Goal Profile inherits from the FHIR [Goal](https://hl7.org/fhir/R4/goal.html) resource; refer to it for scope and usage definitions. This profile sets minimum expectations for the Goal resource to record, search, and fetch Goal information associated with a patient. It specifies which core elements, extensions, vocabularies, and value sets **SHALL** be present and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption. |
| |
experimental | false |
| |
fhirVersion | 1.0.2 | 4.0.1 |
|
jurisdiction | |||
jurisdiction[0] | urn:iso:std:iso:3166#US |
| |
kind | resource | ||
name | Argonaut Goal Profile | USCoreGoalProfile |
|
publisher | Argonaut Project | HL7 International / Cross-Group Projects |
|
purpose | |||
status | draft | active |
|
title | US Core Goal Profile |
| |
type | Goal | ||
url | http://fhir.org/guides/argonaut/StructureDefinition/argo-goal | http://hl7.org/fhir/us/core/StructureDefinition/us-core-goal |
|
version | 7.0.0 |
|
Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments | ||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Goal | 0..* | Goal | Argonaut Goal Profile | 0..* | Goal | Describes the intended objective(s) for a patient, group or organization |
| ||||||
id | Σ | 0..1 | id | 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: ?? (required): 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 | |||||||
subject | S | 1..1 | Reference(Argonaut Patient Profile) | Who this goal is intended for | SΣ | 1..1 | Reference(US Core Patient Profile S | Group | Organization) | 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 | When goal pursuit begins Binding: ?? (example): Codes describing events that can trigger the initiation of a goal. |
| ||||
target[x] | Σ | 0..1 | date,?? | Reach goal on or before |
| ||||||||
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. | |||||
description | S | 1..1 | string | What's the desired outcome? | SΣ | 1..1 | CodeableConcept | Code or text describing goal Binding: ?? (extensible): Value set to describe the Goal | |||||
status | ?!S | 1..1 | code | proposed | planned | accepted | rejected | in-progress | achieved | sustaining | on-hold | cancelled Binding: ?? (required) |
| ||||||||
statusDate | Σ | 0..1 | date | When goal status took effect | Σ | 0..1 | date | When goal status took effect | |||||
statusReason | 0..1 | CodeableConcept | Reason for current status Binding: ?? (example): Codes to identify the reason for a goal's current status | 0..1 | string | Reason for current status | |||||||
author | Σ | 0..1 | Reference(Patient | Practitioner | RelatedPerson) | Who's responsible for creating Goal? |
| ||||||||
priority | Σ | 0..1 | CodeableConcept | high | medium |low 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. | |||||
addresses | 0..* | Reference(Condition | Observation | MedicationStatement | NutritionOrder | ProcedureRequest | 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 | |||||||
outcome | 0..* | BackboneElement | What was end result of goal? |
| |||||||||
lifecycleStatus | ?!SΣ | 1..1 | code | 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. |
| ||||||||
target | SC | 0..* | BackboneElement | Target outcome for the goal gol-1: Goal.target.measure is required if Goal.target.detail is populated |
| ||||||||
expressedBy | Σ | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) | Who's responsible for creating 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". |
| |||||||||
outcomeReference | 0..* | Reference(Observation) | Observation that resulted from goal |
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Documentation for this format |