Electronic Long-Term Services and Supports (eLTSS) Release 1 - US Realm
2.0.0 - STU2
Electronic Long-Term Services and Supports (eLTSS) Release 1 - US Realm
2.0.0 - STU2
This page is part of the electronic Long-Term Services and Supports Implementation Guide (v2.0.0: STU2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
| Official URL: http://hl7.org/fhir/us/eltss/StructureDefinition/Goal-eltss | Version: 2.0.0 | |||
| Standards status: Trial-use | Maturity Level: 2 | Computable Name: Goal_eltss | ||
Goal resource mapping for eLTSS
The following aids in finding the location of eLTSS data elements. See R4 FHIR Mapping page for complete guidance, here we are providing a subset of fields for convenience.
| eLTSS Grouping | eLTSS Data Element Name | Data Element Definition (includes examples, expected list of values and usage note where applicable) | FHIR R4 Resource Element(s) | FHIR R4 Resource Element Cardinality (with US Core Constraints) | Additional Mapping Details |
|---|---|---|---|---|---|
| Goals & Strengths | Goal | A statement of a desired result that the person wants to achieve. | CarePlan → goal(Goal) Goal → description → text |
CarePlan ...goal(Goal) 0..* ......description 1 .........text 1 ......subject(Patient) 1 |
1) Will use CarePlan → goal to reference the Goal for the care plan being developed. 2) description is required by both FHIR and US Core, and is a CodableConcept whose text element, per US Core, must include a text description of the goal. 3) Each goal should go into a separate Goal element so each can potentially reference a step or action(s), or a service(s) that addresses the goal. 4) A Goal can be referenced from a Step or Action or from a service. For a goal related to a step or action, use extension(pertainsToGoal). For a service request specific goal, also use extension(pertainsToGoal). Logically, these goals are exclusive to each other and the same goal isn't duplicated at both levels. 5) US Core requires the use of Goal → Subject to reference back to the Patient. |
| Goals & Strengths | Step or Action | A planned measurable step or action that needs to be taken to accomplish a goal identified by the person. |
CarePlan → activity → reference(Resource) → note → text → extension(pertainsToGoal) |
CarePlan ...activity 0..* ......reference(Resource) 0..1 .........note 0..* ............text 1 .........extension(pertainsToGoal) |
1) CarePlan includes activity → reference, which can be a reference to ServiceRequest, Task or other Resource. 2) ServiceRequest would be used when the Step or Action is a task under a service. If the Step or Action is an informal support or an activity being undertaken by the patient/care recipient, the Task Resource, similar to a Patient Task used in the Gravity SDOH IG, can be used. 3) activity → reference(Resource) is linked to the Goal the step or action addresses through the pertainsToGoal Extension in the referenced activity. 4) activity → reference(Resource) includes a performer, author, participant with type or other data element that can be used to reference who is responsible for performing the step or action, such as to indicate that the person or a related person is responsible. 5) text is where the Step or Action text would be provided. 6) text is required by FHIR if note is provided. 7) Note that a stated goal may lead directly to a service, and not necessarily to an explicit Step or Action. For example, a person's goal could be to attend church regularly, and this would be achieved through a transportation service. |
| Data Requirements Not Specific to eLTSS Dataset Data Elements This section documents data elements that are mandatory per FHIR XML schemas or US Core requirements, but that do not align with individual eLTSS Dataset data elements. |
||||
|---|---|---|---|---|
| FHIR Data Element Name Requirement Source |
Data Element Definition | FHIR R4 Resource Element(s) | FHIR R4 Resource Element Cardinality (with US Core Constraints) | Additional Mapping Details |
| Goal LifecycleStatus FHIR US Core |
The state of the goal throughout its lifecycle. | Goal → lifecycleStatus | Goal 0..* ...lifecycleStatus 1 |
1) lifecycleStatus is required by both FHIR and US Core, and must use the GoalStatus value set which has values: proposed, accepted, in-progress, etc. |
| Goal Subject FHIR US Core |
Identifies the patient, group or organization for whom the goal is being established. | Goal → subject(Patient) | Goal ...subject 1 |
1) subject is required by both FHIR and US Core, and is a reference to a Patient. |
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from USCoreGoalProfile
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Goal |
0..* | USCoreGoalProfile | Describes the intended objective(s) for a patient, group or organization | |
  description |
1..1 | CodeableConcept | Goal | |
 subject |
1..1 | Reference(Patient_eltss) | (USCDI) Who this goal is intended for | |
  Slices for start[x] |
0..1 | date, CodeableConcept | (USCDI) When goal pursuit begins Slice: Unordered, Open by type:$this | |
   start[x]:startDate |
S | 0..1 | date S | Start-date of the duration of time when the goal is due. End-date is found in dueDate |
| expressedBy |
0..1 | Reference(Patient_eltss | Practitioner | eLTSS PractitionerRole Profile | eLTSS RelatedPerson Profile) | Who's responsible for creating Goal? | |
 addresses |
0..* | Reference(Condition_eltss | Observation_eltss | ServiceRequest_eltss | RiskAssessment_eltss | NutritionOrder | MedicationStatement) | Issues addressed by this goal | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Goal |
0..* | USCoreGoalProfile | Describes the intended objective(s) for a patient, group or organization | |
 implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| lifecycleStatus |
?!SΣ | 1..1 | code | (USCDI) proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required) |
 description |
SΣ | 1..1 | CodeableConcept | Goal Binding: US Core Goal Codes (extensible): Value set to describe the Goal |
| subject |
SΣ | 1..1 | Reference(Patient_eltss) | (USCDI) Who this goal is intended for |
| Slices for start[x] |
SΣ | 0..1 | (USCDI) When goal pursuit begins Slice: Unordered, Open by type:$this Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal. | |
 startDate |
date | |||
| start[x]:startDate |
SΣ | 0..1 | date | Start-date of the duration of time when the goal is due. End-date is found in dueDate |
| target |
SC | 0..* | BackboneElement | (USCDI) Target outcome for the goal gol-1: Goal.target.measure is required if Goal.target.detail is populated |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
  due[x] |
SΣ | 0..1 | (USCDI) Reach goal on or before | |
 dueDate |
date | |||
| expressedBy |
Σ | 0..1 | Reference(Patient_eltss | Practitioner | eLTSS PractitionerRole Profile | eLTSS RelatedPerson Profile) | Who's responsible for creating Goal? |
| addresses |
0..* | Reference(Condition_eltss | Observation_eltss | ServiceRequest_eltss | RiskAssessment_eltss | NutritionOrder | MedicationStatement) | Issues addressed by this goal | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Goal.lifecycleStatus | required | GoalLifecycleStatushttp://hl7.org/fhir/ValueSet/goal-statusfrom the FHIR Standard | |
| Goal.description | extensible | USCoreGoalCodeshttp://hl7.org/fhir/us/core/ValueSet/us-core-goal-description | |
| Goal.start[x] | example | GoalStartEventhttp://hl7.org/fhir/ValueSet/goal-start-eventfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Goal | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | 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-4 | error | 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-5 | error | Goal | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Goal | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| gol-1 | error | Goal.target | Goal.target.measure is required if Goal.target.detail is populated : (detail.exists() and measure.exists()) or detail.exists().not() |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Goal |
0..* | USCoreGoalProfile | 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): A human language.
| |||||
| 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 | (USCDI) 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): Indicates the progression, or lack thereof, towards the goal against the target. | ||||
| category |
Σ | 0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Binding: GoalCategory (example): Codes for grouping and sorting goals. | ||||
| priority |
Σ | 0..1 | CodeableConcept | high-priority | medium-priority | low-priority Binding: GoalPriority (preferred): The level of importance associated with a goal. | ||||
| description |
SΣ | 1..1 | CodeableConcept | Goal Binding: US Core Goal Codes (extensible): Value set to describe the Goal | ||||
| subject |
SΣ | 1..1 | Reference(Patient_eltss) | (USCDI) Who this goal is intended for | ||||
| Slices for start[x] |
SΣ | 0..1 | (USCDI) When goal pursuit begins Slice: Unordered, Open by type:$this Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal. | |||||
| startDate |
date S | |||||||
| startCodeableConcept |
CodeableConcept | |||||||
| start[x]:startDate |
SΣ | 0..1 | date S | Start-date of the duration of time when the goal is due. End-date is found in dueDate | ||||
| target |
SC | 0..* | BackboneElement | (USCDI) Target outcome for the goal gol-1: Goal.target.measure is required if Goal.target.detail is populated | ||||
| 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 |
ΣC | 0..1 | CodeableConcept | The parameter whose value is being tracked Binding: LOINCCodes (example): Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level. | ||||
| detail[x] |
ΣC | 0..1 | The target value to be achieved Binding: (unbound) (example): Codes to identify the target value of the focus to be achieved to signify the fulfillment of the goal. | |||||
| detailQuantity |
Quantity | |||||||
| detailRange |
Range | |||||||
| detailCodeableConcept |
CodeableConcept | |||||||
| detailString |
string | |||||||
| detailBoolean |
boolean | |||||||
| detailInteger |
integer | |||||||
| detailRatio |
Ratio | |||||||
| due[x] |
SΣ | 0..1 | (USCDI) Reach goal on or before | |||||
| dueDate |
date S | |||||||
| 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 PractitionerRole Profile | eLTSS RelatedPerson Profile) | 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): 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 | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| Goal.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Goal.lifecycleStatus | required | GoalLifecycleStatushttp://hl7.org/fhir/ValueSet/goal-statusfrom the FHIR Standard | ||||
| Goal.achievementStatus | preferred | GoalAchievementStatushttp://hl7.org/fhir/ValueSet/goal-achievementfrom the FHIR Standard | ||||
| Goal.category | example | GoalCategoryhttp://hl7.org/fhir/ValueSet/goal-categoryfrom the FHIR Standard | ||||
| Goal.priority | preferred | GoalPriorityhttp://hl7.org/fhir/ValueSet/goal-priorityfrom the FHIR Standard | ||||
| Goal.description | extensible | USCoreGoalCodeshttp://hl7.org/fhir/us/core/ValueSet/us-core-goal-description | ||||
| Goal.start[x] | example | GoalStartEventhttp://hl7.org/fhir/ValueSet/goal-start-eventfrom the FHIR Standard | ||||
| Goal.target.measure | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | ||||
| Goal.target.detail[x] | example | |||||
| Goal.outcomeCode | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findingsfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Goal | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | 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-4 | error | 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-5 | error | Goal | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Goal | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| gol-1 | error | Goal.target | Goal.target.measure is required if Goal.target.detail is populated : (detail.exists() and measure.exists()) or detail.exists().not() |
This structure is derived from USCoreGoalProfile
Summary
Must-Support: 1 element
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Maturity: 2
Differential View
This structure is derived from USCoreGoalProfile
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Goal |
0..* | USCoreGoalProfile | Describes the intended objective(s) for a patient, group or organization | |
| description |
1..1 | CodeableConcept | Goal | |
| subject |
1..1 | Reference(Patient_eltss) | (USCDI) Who this goal is intended for | |
| Slices for start[x] |
0..1 | date, CodeableConcept | (USCDI) When goal pursuit begins Slice: Unordered, Open by type:$this | |
| start[x]:startDate |
S | 0..1 | date S | Start-date of the duration of time when the goal is due. End-date is found in dueDate |
| expressedBy |
0..1 | Reference(Patient_eltss | Practitioner | eLTSS PractitionerRole Profile | eLTSS RelatedPerson Profile) | Who's responsible for creating Goal? | |
| addresses |
0..* | Reference(Condition_eltss | Observation_eltss | ServiceRequest_eltss | RiskAssessment_eltss | NutritionOrder | MedicationStatement) | Issues addressed by this goal | |
| Documentation for this format | ||||
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Goal |
0..* | USCoreGoalProfile | Describes the intended objective(s) for a patient, group or organization | |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| lifecycleStatus |
?!SΣ | 1..1 | code | (USCDI) proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required) |
| description |
SΣ | 1..1 | CodeableConcept | Goal Binding: US Core Goal Codes (extensible): Value set to describe the Goal |
| subject |
SΣ | 1..1 | Reference(Patient_eltss) | (USCDI) Who this goal is intended for |
| Slices for start[x] |
SΣ | 0..1 | (USCDI) When goal pursuit begins Slice: Unordered, Open by type:$this Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal. | |
| startDate |
date | |||
| start[x]:startDate |
SΣ | 0..1 | date | Start-date of the duration of time when the goal is due. End-date is found in dueDate |
| target |
SC | 0..* | BackboneElement | (USCDI) Target outcome for the goal gol-1: Goal.target.measure is required if Goal.target.detail is populated |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| due[x] |
SΣ | 0..1 | (USCDI) Reach goal on or before | |
| dueDate |
date | |||
| expressedBy |
Σ | 0..1 | Reference(Patient_eltss | Practitioner | eLTSS PractitionerRole Profile | eLTSS RelatedPerson Profile) | Who's responsible for creating Goal? |
| addresses |
0..* | Reference(Condition_eltss | Observation_eltss | ServiceRequest_eltss | RiskAssessment_eltss | NutritionOrder | MedicationStatement) | Issues addressed by this goal | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Goal.lifecycleStatus | required | GoalLifecycleStatushttp://hl7.org/fhir/ValueSet/goal-statusfrom the FHIR Standard | |
| Goal.description | extensible | USCoreGoalCodeshttp://hl7.org/fhir/us/core/ValueSet/us-core-goal-description | |
| Goal.start[x] | example | GoalStartEventhttp://hl7.org/fhir/ValueSet/goal-start-eventfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Goal | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | 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-4 | error | 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-5 | error | Goal | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Goal | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| gol-1 | error | Goal.target | Goal.target.measure is required if Goal.target.detail is populated : (detail.exists() and measure.exists()) or detail.exists().not() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Goal |
0..* | USCoreGoalProfile | 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): A human language.
| |||||
| 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 | (USCDI) 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): Indicates the progression, or lack thereof, towards the goal against the target. | ||||
| category |
Σ | 0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Binding: GoalCategory (example): Codes for grouping and sorting goals. | ||||
| priority |
Σ | 0..1 | CodeableConcept | high-priority | medium-priority | low-priority Binding: GoalPriority (preferred): The level of importance associated with a goal. | ||||
| description |
SΣ | 1..1 | CodeableConcept | Goal Binding: US Core Goal Codes (extensible): Value set to describe the Goal | ||||
| subject |
SΣ | 1..1 | Reference(Patient_eltss) | (USCDI) Who this goal is intended for | ||||
| Slices for start[x] |
SΣ | 0..1 | (USCDI) When goal pursuit begins Slice: Unordered, Open by type:$this Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal. | |||||
| startDate |
date S | |||||||
| startCodeableConcept |
CodeableConcept | |||||||
| start[x]:startDate |
SΣ | 0..1 | date S | Start-date of the duration of time when the goal is due. End-date is found in dueDate | ||||
| target |
SC | 0..* | BackboneElement | (USCDI) Target outcome for the goal gol-1: Goal.target.measure is required if Goal.target.detail is populated | ||||
| 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 |
ΣC | 0..1 | CodeableConcept | The parameter whose value is being tracked Binding: LOINCCodes (example): Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level. | ||||
| detail[x] |
ΣC | 0..1 | The target value to be achieved Binding: (unbound) (example): Codes to identify the target value of the focus to be achieved to signify the fulfillment of the goal. | |||||
| detailQuantity |
Quantity | |||||||
| detailRange |
Range | |||||||
| detailCodeableConcept |
CodeableConcept | |||||||
| detailString |
string | |||||||
| detailBoolean |
boolean | |||||||
| detailInteger |
integer | |||||||
| detailRatio |
Ratio | |||||||
| due[x] |
SΣ | 0..1 | (USCDI) Reach goal on or before | |||||
| dueDate |
date S | |||||||
| 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 PractitionerRole Profile | eLTSS RelatedPerson Profile) | 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): 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 | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| Goal.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Goal.lifecycleStatus | required | GoalLifecycleStatushttp://hl7.org/fhir/ValueSet/goal-statusfrom the FHIR Standard | ||||
| Goal.achievementStatus | preferred | GoalAchievementStatushttp://hl7.org/fhir/ValueSet/goal-achievementfrom the FHIR Standard | ||||
| Goal.category | example | GoalCategoryhttp://hl7.org/fhir/ValueSet/goal-categoryfrom the FHIR Standard | ||||
| Goal.priority | preferred | GoalPriorityhttp://hl7.org/fhir/ValueSet/goal-priorityfrom the FHIR Standard | ||||
| Goal.description | extensible | USCoreGoalCodeshttp://hl7.org/fhir/us/core/ValueSet/us-core-goal-description | ||||
| Goal.start[x] | example | GoalStartEventhttp://hl7.org/fhir/ValueSet/goal-start-eventfrom the FHIR Standard | ||||
| Goal.target.measure | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | ||||
| Goal.target.detail[x] | example | |||||
| Goal.outcomeCode | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findingsfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Goal | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | 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-4 | error | 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-5 | error | Goal | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Goal | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| gol-1 | error | Goal.target | Goal.target.measure is required if Goal.target.detail is populated : (detail.exists() and measure.exists()) or detail.exists().not() |
This structure is derived from USCoreGoalProfile
Summary
Must-Support: 1 element
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Maturity: 2
Other representations of profile: CSV, Excel, Schematron
IG © 2020+ HL7 International / Human and Social Services. Package hl7.fhir.us.eltss#2.0.0 based on FHIR 4.0.1. Generated 2024-05-27
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