This page is part of the SDOH Clinical Care for Multiple Domains (v2.0.0: STU 2) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2.2.0. For a full list of available versions, see the Directory of published versions
Official URL: http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Goal | Version: 2.0.0 | |||
Draft as of 2020-12-14 | Computable Name: SDOHCCGoal |
Profile for goals that address Social Determinants of Health (SDOH).
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from USCoreGoalProfile
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() | 0..* | USCoreGoalProfile | Describes the intended SDOH-related objective(s) for a patient. | |
![]() ![]() ![]() | S | 0..1 | CodeableConcept | in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable |
![]() ![]() ![]() | 0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Slice: Unordered, Open by value:$this | |
![]() ![]() ![]() ![]() | S | 0..* | CodeableConcept | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories. |
![]() ![]() ![]() | 1..1 | CodeableConcept | Code or text describing goal Binding: SDOHCC ValueSet LOINC SNOMEDCT (preferred): Codes providing the details of a particular goal. In many systems, only the text element will be used. | |
![]() ![]() ![]() | 1..1 | Reference(US Core Patient Profile) | Who this goal is intended for | |
![]() ![]() ![]() | ||||
![]() ![]() ![]() ![]() | 0..1 | CodeableConcept | The parameter whose value is being tracked Binding: LOINCCodes (preferred) | |
![]() ![]() ![]() | 0..1 | date | When goal status took effect | |
![]() ![]() ![]() | 0..* | Reference(Condition | Observation | RiskAssessment) | Issues addressed by this goal Slice: Unordered, Open by profile:resolve() | |
![]() ![]() ![]() ![]() | S | 0..* | Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | Issues addressed by this goal |
![]() ![]() ![]() | 0..* | CodeableConcept | What result was achieved regarding the goal? Binding: SDOHCC ValueSet LOINC SNOMEDCT (preferred): The result of the goal; e.g., "Food security", "Has access to a car ". | |
![]() ![]() ![]() | 0..* | Reference(Observation) | Observation that resulted from goal Slice: Unordered, Open by profile:resolve() | |
![]() ![]() ![]() ![]() | S | 0..* | Reference(SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | Observation that resulted from goal |
![]() |
Path | Conformance | ValueSet |
Goal.category:SDOH | required | SDOHCCValueSetSDOHCategory |
Goal.description | preferred | SDOHCCValueSetLOINCSNOMEDCT |
Goal.target.measure | preferred | LOINCCodes (a valid code from LOINC) |
Goal.outcomeCode | preferred | SDOHCCValueSetLOINCSNOMEDCT |
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() | 0..* | USCoreGoalProfile | Describes the intended SDOH-related objective(s) for a patient. | |
![]() ![]() ![]() | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() ![]() | ?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() ![]() | ?!SΣ | 1..1 | code | proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required) |
![]() ![]() ![]() | SΣ | 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. |
![]() ![]() ![]() | Σ | 0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Slice: Unordered, Open by value:$this Binding: GoalCategory (example): Codes for grouping and sorting goals. |
![]() ![]() ![]() ![]() | SΣ | 0..* | CodeableConcept | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories. |
![]() ![]() ![]() | SΣ | 1..1 | CodeableConcept | Code or text describing goal Binding: SDOHCC ValueSet LOINC SNOMEDCT (preferred): Codes providing the details of a particular goal. In many systems, only the text element will be used. |
![]() ![]() ![]() | SΣ | 1..1 | Reference(US Core Patient Profile) | Who this goal is intended for |
![]() ![]() ![]() | SC | 0..* | BackboneElement | Target outcome for the goal |
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() | ΣC | 0..1 | CodeableConcept | The parameter whose value is being tracked Binding: LOINCCodes (preferred) |
![]() ![]() ![]() ![]() | Σ | 0..1 | date | Reach goal on or before Slice: Unordered, Closed by type:$this |
![]() ![]() ![]() ![]() ![]() | SΣ | 0..1 | date | Reach goal on or before |
![]() ![]() ![]() | Σ | 0..1 | date | When goal status took effect |
![]() ![]() ![]() | 0..* | Reference(Condition | Observation | RiskAssessment) | Issues addressed by this goal Slice: Unordered, Open by profile:resolve() | |
![]() ![]() ![]() ![]() | S | 0..* | Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | Issues addressed by this goal |
![]() ![]() ![]() | 0..* | CodeableConcept | What result was achieved regarding the goal? Binding: SDOHCC ValueSet LOINC SNOMEDCT (preferred): The result of the goal; e.g., "Food security", "Has access to a car ". | |
![]() ![]() ![]() | 0..* | Reference(Observation) | Observation that resulted from goal Slice: Unordered, Open by profile:resolve() | |
![]() ![]() ![]() ![]() | S | 0..* | Reference(SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | Observation that resulted from goal |
![]() |
Path | Conformance | ValueSet |
Goal.lifecycleStatus | required | GoalLifecycleStatus |
Goal.achievementStatus | preferred | GoalAchievementStatus |
Goal.category | example | GoalCategory |
Goal.category:SDOH | required | SDOHCCValueSetSDOHCategory |
Goal.description | preferred | SDOHCCValueSetLOINCSNOMEDCT |
Goal.target.measure | preferred | LOINCCodes (a valid code from LOINC) |
Goal.outcomeCode | preferred | SDOHCCValueSetLOINCSNOMEDCT |
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![]() | ||||
---|---|---|---|---|---|---|---|---|
![]() ![]() | 0..* | USCoreGoalProfile | Describes the intended SDOH-related objective(s) for a patient. | |||||
![]() ![]() ![]() | 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): A human language.
| |||||
![]() ![]() ![]() | 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) | ||||
![]() ![]() ![]() | SΣ | 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. | ||||
![]() ![]() ![]() | Σ | 0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Slice: Unordered, Open by value:$this Binding: GoalCategory (example): Codes for grouping and sorting goals. | ||||
![]() ![]() ![]() ![]() | SΣ | 0..* | CodeableConcept | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories. | ||||
![]() ![]() ![]() | Σ | 0..1 | CodeableConcept | high-priority | medium-priority | low-priority Binding: GoalPriority (preferred): The level of importance associated with a goal. | ||||
![]() ![]() ![]() | SΣ | 1..1 | CodeableConcept | Code or text describing goal Binding: SDOHCC ValueSet LOINC SNOMEDCT (preferred): Codes providing the details of a particular goal. In many systems, only the text element will be used. | ||||
![]() ![]() ![]() | SΣ | 1..1 | Reference(US Core Patient Profile) | Who this goal is intended for | ||||
![]() ![]() ![]() | Σ | 0..1 | When goal pursuit begins Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal. | |||||
![]() ![]() ![]() ![]() | date | |||||||
![]() ![]() ![]() ![]() | CodeableConcept | |||||||
![]() ![]() ![]() | SC | 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 | ||||
![]() ![]() ![]() ![]() | ΣC | 0..1 | CodeableConcept | The parameter whose value is being tracked Binding: LOINCCodes (preferred) | ||||
![]() ![]() ![]() ![]() | 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. | |||||
![]() ![]() ![]() ![]() ![]() | Quantity | |||||||
![]() ![]() ![]() ![]() ![]() | Range | |||||||
![]() ![]() ![]() ![]() ![]() | CodeableConcept | |||||||
![]() ![]() ![]() ![]() ![]() | string | |||||||
![]() ![]() ![]() ![]() ![]() | boolean | |||||||
![]() ![]() ![]() ![]() ![]() | integer | |||||||
![]() ![]() ![]() ![]() ![]() | Ratio | |||||||
![]() ![]() ![]() ![]() | Σ | 0..1 | date | Reach goal on or before Slice: Unordered, Closed by type:$this | ||||
![]() ![]() ![]() ![]() ![]() | SΣ | 0..1 | date | Reach goal on or before | ||||
![]() ![]() ![]() | Σ | 0..1 | date | When goal status took effect | ||||
![]() ![]() ![]() | 0..1 | string | Reason for current status | |||||
![]() ![]() ![]() | Σ | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) | Who's responsible for creating Goal? | ||||
![]() ![]() ![]() | 0..* | Reference(Condition | Observation | RiskAssessment) | Issues addressed by this goal Slice: Unordered, Open by profile:resolve() | |||||
![]() ![]() ![]() ![]() | S | 0..* | Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | Issues addressed by this goal | ||||
![]() ![]() ![]() | 0..* | Annotation | Comments about the goal | |||||
![]() ![]() ![]() | 0..* | CodeableConcept | What result was achieved regarding the goal? Binding: SDOHCC ValueSet LOINC SNOMEDCT (preferred): The result of the goal; e.g., "Food security", "Has access to a car ". | |||||
![]() ![]() ![]() | 0..* | Reference(Observation) | Observation that resulted from goal Slice: Unordered, Open by profile:resolve() | |||||
![]() ![]() ![]() ![]() | S | 0..* | Reference(SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | Observation that resulted from goal | ||||
![]() |
Path | Conformance | ValueSet | ||||
Goal.language | preferred | CommonLanguages
| ||||
Goal.lifecycleStatus | required | GoalLifecycleStatus | ||||
Goal.achievementStatus | preferred | GoalAchievementStatus | ||||
Goal.category | example | GoalCategory | ||||
Goal.category:SDOH | required | SDOHCCValueSetSDOHCategory | ||||
Goal.priority | preferred | GoalPriority | ||||
Goal.description | preferred | SDOHCCValueSetLOINCSNOMEDCT | ||||
Goal.start[x] | example | GoalStartEvent | ||||
Goal.target.measure | preferred | LOINCCodes (a valid code from LOINC) | ||||
Goal.target.detail[x] | example | |||||
Goal.outcomeCode | preferred | SDOHCCValueSetLOINCSNOMEDCT |
Id | Grade | Path(s) | Details | Requirements |
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: 4 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from USCoreGoalProfile
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() | 0..* | USCoreGoalProfile | Describes the intended SDOH-related objective(s) for a patient. | |
![]() ![]() ![]() | S | 0..1 | CodeableConcept | in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable |
![]() ![]() ![]() | 0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Slice: Unordered, Open by value:$this | |
![]() ![]() ![]() ![]() | S | 0..* | CodeableConcept | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories. |
![]() ![]() ![]() | 1..1 | CodeableConcept | Code or text describing goal Binding: SDOHCC ValueSet LOINC SNOMEDCT (preferred): Codes providing the details of a particular goal. In many systems, only the text element will be used. | |
![]() ![]() ![]() | 1..1 | Reference(US Core Patient Profile) | Who this goal is intended for | |
![]() ![]() ![]() | ||||
![]() ![]() ![]() ![]() | 0..1 | CodeableConcept | The parameter whose value is being tracked Binding: LOINCCodes (preferred) | |
![]() ![]() ![]() | 0..1 | date | When goal status took effect | |
![]() ![]() ![]() | 0..* | Reference(Condition | Observation | RiskAssessment) | Issues addressed by this goal Slice: Unordered, Open by profile:resolve() | |
![]() ![]() ![]() ![]() | S | 0..* | Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | Issues addressed by this goal |
![]() ![]() ![]() | 0..* | CodeableConcept | What result was achieved regarding the goal? Binding: SDOHCC ValueSet LOINC SNOMEDCT (preferred): The result of the goal; e.g., "Food security", "Has access to a car ". | |
![]() ![]() ![]() | 0..* | Reference(Observation) | Observation that resulted from goal Slice: Unordered, Open by profile:resolve() | |
![]() ![]() ![]() ![]() | S | 0..* | Reference(SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | Observation that resulted from goal |
![]() |
Path | Conformance | ValueSet |
Goal.category:SDOH | required | SDOHCCValueSetSDOHCategory |
Goal.description | preferred | SDOHCCValueSetLOINCSNOMEDCT |
Goal.target.measure | preferred | LOINCCodes (a valid code from LOINC) |
Goal.outcomeCode | preferred | SDOHCCValueSetLOINCSNOMEDCT |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() | 0..* | USCoreGoalProfile | Describes the intended SDOH-related objective(s) for a patient. | |
![]() ![]() ![]() | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() ![]() | ?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() ![]() | ?!SΣ | 1..1 | code | proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required) |
![]() ![]() ![]() | SΣ | 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. |
![]() ![]() ![]() | Σ | 0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Slice: Unordered, Open by value:$this Binding: GoalCategory (example): Codes for grouping and sorting goals. |
![]() ![]() ![]() ![]() | SΣ | 0..* | CodeableConcept | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories. |
![]() ![]() ![]() | SΣ | 1..1 | CodeableConcept | Code or text describing goal Binding: SDOHCC ValueSet LOINC SNOMEDCT (preferred): Codes providing the details of a particular goal. In many systems, only the text element will be used. |
![]() ![]() ![]() | SΣ | 1..1 | Reference(US Core Patient Profile) | Who this goal is intended for |
![]() ![]() ![]() | SC | 0..* | BackboneElement | Target outcome for the goal |
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() | ΣC | 0..1 | CodeableConcept | The parameter whose value is being tracked Binding: LOINCCodes (preferred) |
![]() ![]() ![]() ![]() | Σ | 0..1 | date | Reach goal on or before Slice: Unordered, Closed by type:$this |
![]() ![]() ![]() ![]() ![]() | SΣ | 0..1 | date | Reach goal on or before |
![]() ![]() ![]() | Σ | 0..1 | date | When goal status took effect |
![]() ![]() ![]() | 0..* | Reference(Condition | Observation | RiskAssessment) | Issues addressed by this goal Slice: Unordered, Open by profile:resolve() | |
![]() ![]() ![]() ![]() | S | 0..* | Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | Issues addressed by this goal |
![]() ![]() ![]() | 0..* | CodeableConcept | What result was achieved regarding the goal? Binding: SDOHCC ValueSet LOINC SNOMEDCT (preferred): The result of the goal; e.g., "Food security", "Has access to a car ". | |
![]() ![]() ![]() | 0..* | Reference(Observation) | Observation that resulted from goal Slice: Unordered, Open by profile:resolve() | |
![]() ![]() ![]() ![]() | S | 0..* | Reference(SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | Observation that resulted from goal |
![]() |
Path | Conformance | ValueSet |
Goal.lifecycleStatus | required | GoalLifecycleStatus |
Goal.achievementStatus | preferred | GoalAchievementStatus |
Goal.category | example | GoalCategory |
Goal.category:SDOH | required | SDOHCCValueSetSDOHCategory |
Goal.description | preferred | SDOHCCValueSetLOINCSNOMEDCT |
Goal.target.measure | preferred | LOINCCodes (a valid code from LOINC) |
Goal.outcomeCode | preferred | SDOHCCValueSetLOINCSNOMEDCT |
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![]() | ||||
---|---|---|---|---|---|---|---|---|
![]() ![]() | 0..* | USCoreGoalProfile | Describes the intended SDOH-related objective(s) for a patient. | |||||
![]() ![]() ![]() | 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): A human language.
| |||||
![]() ![]() ![]() | 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) | ||||
![]() ![]() ![]() | SΣ | 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. | ||||
![]() ![]() ![]() | Σ | 0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Slice: Unordered, Open by value:$this Binding: GoalCategory (example): Codes for grouping and sorting goals. | ||||
![]() ![]() ![]() ![]() | SΣ | 0..* | CodeableConcept | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories. | ||||
![]() ![]() ![]() | Σ | 0..1 | CodeableConcept | high-priority | medium-priority | low-priority Binding: GoalPriority (preferred): The level of importance associated with a goal. | ||||
![]() ![]() ![]() | SΣ | 1..1 | CodeableConcept | Code or text describing goal Binding: SDOHCC ValueSet LOINC SNOMEDCT (preferred): Codes providing the details of a particular goal. In many systems, only the text element will be used. | ||||
![]() ![]() ![]() | SΣ | 1..1 | Reference(US Core Patient Profile) | Who this goal is intended for | ||||
![]() ![]() ![]() | Σ | 0..1 | When goal pursuit begins Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal. | |||||
![]() ![]() ![]() ![]() | date | |||||||
![]() ![]() ![]() ![]() | CodeableConcept | |||||||
![]() ![]() ![]() | SC | 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 | ||||
![]() ![]() ![]() ![]() | ΣC | 0..1 | CodeableConcept | The parameter whose value is being tracked Binding: LOINCCodes (preferred) | ||||
![]() ![]() ![]() ![]() | 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. | |||||
![]() ![]() ![]() ![]() ![]() | Quantity | |||||||
![]() ![]() ![]() ![]() ![]() | Range | |||||||
![]() ![]() ![]() ![]() ![]() | CodeableConcept | |||||||
![]() ![]() ![]() ![]() ![]() | string | |||||||
![]() ![]() ![]() ![]() ![]() | boolean | |||||||
![]() ![]() ![]() ![]() ![]() | integer | |||||||
![]() ![]() ![]() ![]() ![]() | Ratio | |||||||
![]() ![]() ![]() ![]() | Σ | 0..1 | date | Reach goal on or before Slice: Unordered, Closed by type:$this | ||||
![]() ![]() ![]() ![]() ![]() | SΣ | 0..1 | date | Reach goal on or before | ||||
![]() ![]() ![]() | Σ | 0..1 | date | When goal status took effect | ||||
![]() ![]() ![]() | 0..1 | string | Reason for current status | |||||
![]() ![]() ![]() | Σ | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) | Who's responsible for creating Goal? | ||||
![]() ![]() ![]() | 0..* | Reference(Condition | Observation | RiskAssessment) | Issues addressed by this goal Slice: Unordered, Open by profile:resolve() | |||||
![]() ![]() ![]() ![]() | S | 0..* | Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | Issues addressed by this goal | ||||
![]() ![]() ![]() | 0..* | Annotation | Comments about the goal | |||||
![]() ![]() ![]() | 0..* | CodeableConcept | What result was achieved regarding the goal? Binding: SDOHCC ValueSet LOINC SNOMEDCT (preferred): The result of the goal; e.g., "Food security", "Has access to a car ". | |||||
![]() ![]() ![]() | 0..* | Reference(Observation) | Observation that resulted from goal Slice: Unordered, Open by profile:resolve() | |||||
![]() ![]() ![]() ![]() | S | 0..* | Reference(SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | Observation that resulted from goal | ||||
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Path | Conformance | ValueSet | ||||
Goal.language | preferred | CommonLanguages
| ||||
Goal.lifecycleStatus | required | GoalLifecycleStatus | ||||
Goal.achievementStatus | preferred | GoalAchievementStatus | ||||
Goal.category | example | GoalCategory | ||||
Goal.category:SDOH | required | SDOHCCValueSetSDOHCategory | ||||
Goal.priority | preferred | GoalPriority | ||||
Goal.description | preferred | SDOHCCValueSetLOINCSNOMEDCT | ||||
Goal.start[x] | example | GoalStartEvent | ||||
Goal.target.measure | preferred | LOINCCodes (a valid code from LOINC) | ||||
Goal.target.detail[x] | example | |||||
Goal.outcomeCode | preferred | SDOHCCValueSetLOINCSNOMEDCT |
Id | Grade | Path(s) | Details | Requirements |
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: 4 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron