This page is part of the electronic Long-Term Services and Supports Implementation Guide (v1.0.0: STU 1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions
The official URL for this profile is:
http://hl7.org/fhir/us/eltss/StructureDefinition/Goal-eltss
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from USCoreGoalProfile
This structure is derived from USCoreGoalProfile
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Goal | I | 0..* | Describes the intended objective(s) for a patient, group or organization | |
id | Σ | 0..1 | id | Logical id of this artifact |
meta | Σ | 0..1 | Meta | Metadata about the resource |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages | |
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
contained | 0..* | Resource | Contained, inline Resources | |
extension | 0..* | Extension | Additional content defined by implementations | |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | 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: GoalLifecycleStatus (required) |
achievementStatus | Σ | 0..1 | CodeableConcept | in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable Binding: GoalAchievementStatus (preferred) |
category | Σ | 0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Binding: GoalCategory (example) |
priority | Σ | 0..1 | CodeableConcept | high-priority | medium-priority | low-priority Binding: GoalPriority (preferred) |
description | SΣ | 1..1 | CodeableConcept | Goal Binding: SNOMEDCTClinicalFindings (example) |
subject | SΣ | 1..1 | Reference(Patient_eltss) | Who this goal is intended for |
start[x] | Σ | 0..1 | When goal pursuit begins Binding: GoalStartEvent (example) | |
startDate | date | |||
startCodeableConcept | CodeableConcept | |||
target | SI | 0..* | BackboneElement | Target outcome for the goal |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
measure | ΣI | 0..1 | CodeableConcept | The parameter whose value is being tracked Binding: LOINCCodes (example) |
detail[x] | ΣI | 0..1 | The target value to be achieved Binding: (unbound) (example) | |
detailQuantity | Quantity | |||
detailRange | Range | |||
detailCodeableConcept | CodeableConcept | |||
detailString | string | |||
detailBoolean | boolean | |||
detailInteger | integer | |||
detailRatio | Ratio | |||
due[x]:eltss | SΣ | 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 | |
expressedBy | Σ | 0..1 | Reference(Patient_eltss | Practitioner_eltss | US Core PractitionerRole Profile | RelatedPerson) | Who's responsible for creating Goal? |
addresses | 0..* | Reference(Condition_eltss | Observation_eltss | ServiceRequest_eltss | RiskAssessment_eltss | NutritionOrder | MedicationStatement) | Issues addressed by this goal | |
note | 0..* | Annotation | Comments about the goal | |
outcomeCode | 0..* | CodeableConcept | What result was achieved regarding the goal? Binding: SNOMEDCTClinicalFindings (example) | |
outcomeReference | 0..* | Reference(Observation_eltss) | Observation that resulted from goal | |
Documentation for this format |
This structure is derived from USCoreGoalProfile
Differential View
This structure is derived from USCoreGoalProfile
Snapshot View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Goal | I | 0..* | Describes the intended objective(s) for a patient, group or organization | |
id | Σ | 0..1 | id | Logical id of this artifact |
meta | Σ | 0..1 | Meta | Metadata about the resource |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages | |
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
contained | 0..* | Resource | Contained, inline Resources | |
extension | 0..* | Extension | Additional content defined by implementations | |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | 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: GoalLifecycleStatus (required) |
achievementStatus | Σ | 0..1 | CodeableConcept | in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable Binding: GoalAchievementStatus (preferred) |
category | Σ | 0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Binding: GoalCategory (example) |
priority | Σ | 0..1 | CodeableConcept | high-priority | medium-priority | low-priority Binding: GoalPriority (preferred) |
description | SΣ | 1..1 | CodeableConcept | Goal Binding: SNOMEDCTClinicalFindings (example) |
subject | SΣ | 1..1 | Reference(Patient_eltss) | Who this goal is intended for |
start[x] | Σ | 0..1 | When goal pursuit begins Binding: GoalStartEvent (example) | |
startDate | date | |||
startCodeableConcept | CodeableConcept | |||
target | SI | 0..* | BackboneElement | Target outcome for the goal |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | 0..* | Extension | Additional content defined by implementations | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
measure | ΣI | 0..1 | CodeableConcept | The parameter whose value is being tracked Binding: LOINCCodes (example) |
detail[x] | ΣI | 0..1 | The target value to be achieved Binding: (unbound) (example) | |
detailQuantity | Quantity | |||
detailRange | Range | |||
detailCodeableConcept | CodeableConcept | |||
detailString | string | |||
detailBoolean | boolean | |||
detailInteger | integer | |||
detailRatio | Ratio | |||
due[x]:eltss | SΣ | 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 | |
expressedBy | Σ | 0..1 | Reference(Patient_eltss | Practitioner_eltss | US Core PractitionerRole Profile | RelatedPerson) | Who's responsible for creating Goal? |
addresses | 0..* | Reference(Condition_eltss | Observation_eltss | ServiceRequest_eltss | RiskAssessment_eltss | NutritionOrder | MedicationStatement) | Issues addressed by this goal | |
note | 0..* | Annotation | Comments about the goal | |
outcomeCode | 0..* | CodeableConcept | What result was achieved regarding the goal? Binding: SNOMEDCTClinicalFindings (example) | |
outcomeReference | 0..* | Reference(Observation_eltss) | Observation that resulted from goal | |
Documentation for this format |
Other representations of profile: Schematron
Path | Conformance | ValueSet |
Goal.language | preferred | CommonLanguages Max Binding: AllLanguages |
Goal.lifecycleStatus | required | GoalLifecycleStatus |
Goal.achievementStatus | preferred | GoalAchievementStatus |
Goal.category | example | GoalCategory |
Goal.priority | preferred | GoalPriority |
Goal.description | example | SNOMEDCTClinicalFindings |
Goal.start[x] | example | GoalStartEvent |
Goal.target.measure | example | LOINCCodes |
Goal.target.detail[x] | example | |
Goal.outcomeCode | example | SNOMEDCTClinicalFindings |
Id | Path | Details | Requirements |
dom-2 | Goal | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-4 | Goal | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-3 | Goal | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : 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() | |
dom-6 | Goal | A resource should have narrative for robust management : text.div.exists() | |
dom-5 | Goal | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
ele-1 | Goal.target | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
gol-1 | Goal.target | Goal.target.measure is required if Goal.target.detail is populated : (detail.exists() and measure.exists()) or detail.exists().not() |