This page is part of the electronic Long-Term Services and Supports Implementation Guide (v1.0.0: STU 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2.0.0. 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![]() |
|---|---|---|---|---|
![]() | I | 0..* | Describes the intended objective(s) for a patient, group or organization | |
![]() ![]() | Σ | 0..1 | id | Logical id of this artifact |
![]() ![]() | Σ | 0..1 | Meta | Metadata about the resource |
![]() ![]() | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages | |
![]() ![]() | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
![]() ![]() | 0..* | Resource | Contained, inline Resources | |
![]() ![]() | 0..* | Extension | Additional content defined by implementations | |
![]() ![]() | ?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() | 0..* | Identifier | External Ids for this goal | |
![]() ![]() | ?!SΣ | 1..1 | code | proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required) |
![]() ![]() | Σ | 0..1 | CodeableConcept | in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable Binding: GoalAchievementStatus (preferred) |
![]() ![]() | Σ | 0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Binding: GoalCategory (example) |
![]() ![]() | Σ | 0..1 | CodeableConcept | high-priority | medium-priority | low-priority Binding: GoalPriority (preferred) |
![]() ![]() | SΣ | 1..1 | CodeableConcept | Goal Binding: SNOMEDCTClinicalFindings (example) |
![]() ![]() | SΣ | 1..1 | Reference(Patient_eltss) | Who this goal is intended for |
![]() ![]() | Σ | 0..1 | When goal pursuit begins Binding: GoalStartEvent (example) | |
![]() ![]() ![]() | date | |||
![]() ![]() ![]() | CodeableConcept | |||
![]() ![]() | SI | 0..* | BackboneElement | Target outcome for the goal |
![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |
![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() | ΣI | 0..1 | CodeableConcept | The parameter whose value is being tracked Binding: LOINCCodes (example) |
![]() ![]() ![]() | ΣI | 0..1 | The target value to be achieved Binding: (unbound) (example) | |
![]() ![]() ![]() ![]() | Quantity | |||
![]() ![]() ![]() ![]() | Range | |||
![]() ![]() ![]() ![]() | CodeableConcept | |||
![]() ![]() ![]() ![]() | string | |||
![]() ![]() ![]() ![]() | boolean | |||
![]() ![]() ![]() ![]() | integer | |||
![]() ![]() ![]() ![]() | Ratio | |||
![]() ![]() ![]() | SΣ | 0..1 | Reach goal on or before | |
![]() ![]() ![]() ![]() | date | |||
![]() ![]() ![]() ![]() | Duration | |||
![]() ![]() | Σ | 0..1 | date | When goal status took effect |
![]() ![]() | 0..1 | string | Reason for current status | |
![]() ![]() | Σ | 0..1 | Reference(Patient_eltss | Practitioner_eltss | US Core PractitionerRole Profile | RelatedPerson) | Who's responsible for creating Goal? |
![]() ![]() | 0..* | Reference(Condition_eltss | Observation_eltss | ServiceRequest_eltss | RiskAssessment_eltss | NutritionOrder | MedicationStatement) | Issues addressed by this goal | |
![]() ![]() | 0..* | Annotation | Comments about the goal | |
![]() ![]() | 0..* | CodeableConcept | What result was achieved regarding the goal? Binding: SNOMEDCTClinicalFindings (example) | |
![]() ![]() | 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![]() |
|---|---|---|---|---|
![]() | I | 0..* | Describes the intended objective(s) for a patient, group or organization | |
![]() ![]() | Σ | 0..1 | id | Logical id of this artifact |
![]() ![]() | Σ | 0..1 | Meta | Metadata about the resource |
![]() ![]() | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages | |
![]() ![]() | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
![]() ![]() | 0..* | Resource | Contained, inline Resources | |
![]() ![]() | 0..* | Extension | Additional content defined by implementations | |
![]() ![]() | ?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() | 0..* | Identifier | External Ids for this goal | |
![]() ![]() | ?!SΣ | 1..1 | code | proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required) |
![]() ![]() | Σ | 0..1 | CodeableConcept | in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable Binding: GoalAchievementStatus (preferred) |
![]() ![]() | Σ | 0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Binding: GoalCategory (example) |
![]() ![]() | Σ | 0..1 | CodeableConcept | high-priority | medium-priority | low-priority Binding: GoalPriority (preferred) |
![]() ![]() | SΣ | 1..1 | CodeableConcept | Goal Binding: SNOMEDCTClinicalFindings (example) |
![]() ![]() | SΣ | 1..1 | Reference(Patient_eltss) | Who this goal is intended for |
![]() ![]() | Σ | 0..1 | When goal pursuit begins Binding: GoalStartEvent (example) | |
![]() ![]() ![]() | date | |||
![]() ![]() ![]() | CodeableConcept | |||
![]() ![]() | SI | 0..* | BackboneElement | Target outcome for the goal |
![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |
![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() | ΣI | 0..1 | CodeableConcept | The parameter whose value is being tracked Binding: LOINCCodes (example) |
![]() ![]() ![]() | ΣI | 0..1 | The target value to be achieved Binding: (unbound) (example) | |
![]() ![]() ![]() ![]() | Quantity | |||
![]() ![]() ![]() ![]() | Range | |||
![]() ![]() ![]() ![]() | CodeableConcept | |||
![]() ![]() ![]() ![]() | string | |||
![]() ![]() ![]() ![]() | boolean | |||
![]() ![]() ![]() ![]() | integer | |||
![]() ![]() ![]() ![]() | Ratio | |||
![]() ![]() ![]() | SΣ | 0..1 | Reach goal on or before | |
![]() ![]() ![]() ![]() | date | |||
![]() ![]() ![]() ![]() | Duration | |||
![]() ![]() | Σ | 0..1 | date | When goal status took effect |
![]() ![]() | 0..1 | string | Reason for current status | |
![]() ![]() | Σ | 0..1 | Reference(Patient_eltss | Practitioner_eltss | US Core PractitionerRole Profile | RelatedPerson) | Who's responsible for creating Goal? |
![]() ![]() | 0..* | Reference(Condition_eltss | Observation_eltss | ServiceRequest_eltss | RiskAssessment_eltss | NutritionOrder | MedicationStatement) | Issues addressed by this goal | |
![]() ![]() | 0..* | Annotation | Comments about the goal | |
![]() ![]() | 0..* | CodeableConcept | What result was achieved regarding the goal? Binding: SNOMEDCTClinicalFindings (example) | |
![]() ![]() | 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() |