SDOH Clinical Care
2.3.0 - STU 2.3
SDOH Clinical Care
2.3.0 - STU 2.3
This page is part of the SDOH Clinical Care for Multiple Domains (v2.3.0: STU 2.3) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. 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: 2.3.0 | |||
| Standards status: Trial-use | Maturity Level: 2 | Computable Name: SDOHCCGoal | ||
Profile for goals that address Social Determinants of Health (SDOH).
SDOHCC Goal is generally intended to represent a goal established to address an identified social risk or need (e.g., SDOHCC Condition, SDOHCC Observation Screening Response, SDOHCC Observation Assessment). An SDOHCC ServiceRequest and SDOHCC Procedure can pertain to an SDOHCC Goal. See the Data Modeling Framework for more detail on the relationships between SDOHCC Goal and the other profiles in this IG.
Goal.description has a binding to US Core Goal Codes (extensible). Goal.description also has additional bindings to SDOH domain-specific value sets (e.g., for Food Insecurity) which are determined by the value selected for Goal.category. When Goal.category is a value from SDOHCC ValueSet SDOH Category (e.g., food-insecurity), Goal.description SHALL be selected from the corresponding domain-specific value set found in Additional Bindings (i.e. Food Insecurity Goals). If more than one value is selected from SDOHCC ValueSet SDOH Category (e.g., food-insecurity and financial-insecurity) for Goal.category, then Goal.description SHALL be selected from at least one of the corresponding domain-specific value sets found in Additional Bindings (e.g. Food Insecurity Goals).
Of note, Gravity Project is continuously developing terminology for new SDOH domains. Sometimes, a new SDOH domain may already be represented by a category code in SDOHCC ValueSet SDOH Category, but a domain-specific value set may not yet be available in VSAC. In this case, the Additional Binding for the new SDOH domain/category is the default binding for the profile element. Additionally, sometimes a domain-specific value set for a new domain is available in VSAC but does not yet include all standardized codes identified during the domain’s terminology development cycle. In this case, the value set’s “Description” tab in VSAC will state, “In progress”. Additional information related to Gravity value sets is provided on the Social Risk Terminology Value Sets page on the Gravity Project Confluence site.
Additionally, some SDOH domains may not yet be represented in SDOHCC ValueSet SDOH Category. In this case, Goal.category: sdoh-category-unspecified can be used so that the Goal instance can still be categorized as SDOH-related. If desired, Goal.category.text can also be used to further specify the domain. For example, at the time of publication of this IG, “disability-status” is not yet included in SDOHCC ValueSet SDOH Category. In this case, Goal.category: sdoh-category-unspecified can be used along with Goal.category.text: Disability Status. For Goal.category: sdoh-category-unspecified, there will not be domain-specific value sets and Additional Bindings for Goal.description will designate the default binding to US Core Goal Codes (extensible).
For more information on the correlation between Goal.category and the domain-specific value sets in Additional Bindings for Goal.description, see Gravity Project Value Sets.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Goal |
0..* | USCoreGoalProfile(7.0.0) | Describes the intended SDOH-related objective(s) for a patient. dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management | |
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| lifecycleStatus |
?!SΣ | 1..1 | code | proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required) ele-1: All FHIR elements must have a @value or children |
 achievementStatus |
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. ele-1: All FHIR elements must have a @value or children |
  Slices for category |
Σ | 0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Slice: Unordered, Open by value:$this Binding: GoalCategory (example): Codes for grouping and sorting goals. ele-1: All FHIR elements must have a @value or children |
   category:SDOHCC |
SΣ | 0..* | CodeableConcept | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories. ele-1: All FHIR elements must have a @value or children |
| description |
SΣ | 1..1 | CodeableConcept | Code or text describing goal Binding: USCoreGoalCodes (7.0.0) (extensible): Codes providing the details of a particular goal. In many systems, only the text element will be used. ele-1: All FHIR elements must have a @value or children |
 subject |
SΣ | 1..1 | Reference(US Core Patient Profile(7.0.0)) | Who this goal is intended for ele-1: All FHIR elements must have a @value or children |
 start[x] |
SΣ | 0..1 | When goal pursuit begins Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal. ele-1: All FHIR elements must have a @value or children | |
 startDate |
date | |||
| target |
SC | 0..* | BackboneElement | Target outcome for the goal ele-1: All FHIR elements must have a @value or children 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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| measure |
ΣC | 0..1 | CodeableConcept | The parameter whose value is being tracked Binding: LOINCCodes (preferred): Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level. ele-1: All FHIR elements must have a @value or children |
 due[x] |
SΣ | 0..1 | Reach goal on or before ele-1: All FHIR elements must have a @value or children | |
 dueDate |
date | |||
| statusDate |
Σ | 0..1 | date | When goal status took effect ele-1: All FHIR elements must have a @value or children |
| Slices for addresses |
0..* | Reference(Condition | Observation | RiskAssessment) | Issues addressed by this goal Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children | |
| addresses:SupportedAddresses |
S | 0..* | Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | Issues addressed by this goal ele-1: All FHIR elements must have a @value or children |
| outcomeCode |
0..* | CodeableConcept | What result was achieved regarding the goal? Binding: USCoreGoalCodes (7.0.0) (preferred): The result of the goal; e.g., "Food security", "Has access to a car ". ele-1: All FHIR elements must have a @value or children | |
| Slices for outcomeReference |
0..* | Reference(Observation) | Observation that resulted from goal Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children | |
| outcomeReference:SupportedOutcomeReference |
S | 0..* | Reference(SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | Observation that resulted from goal ele-1: All FHIR elements must have a @value or children |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| 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.category:SDOHCC | required | SDOHCCValueSetSDOHCategoryhttp://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetSDOHCategoryfrom this IG | |
| Goal.description | extensible | USCoreGoalCodeshttp://hl7.org/fhir/us/core/ValueSet/us-core-goal-description|7.0.0 | |
| Goal.start[x] | example | GoalStartEventhttp://hl7.org/fhir/ValueSet/goal-start-eventfrom the FHIR Standard | |
| Goal.target.measure | preferred | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | |
| Goal.outcomeCode | preferred | USCoreGoalCodeshttp://hl7.org/fhir/us/core/ValueSet/us-core-goal-description|7.0.0 |
| 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
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Goal |
0..* | USCoreGoalProfile(7.0.0) | Describes the intended SDOH-related objective(s) for a patient. | |
 achievementStatus |
S | 0..1 | CodeableConcept | in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable |
| Slices for category |
0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Slice: Unordered, Open by value:$this | |
| category:SDOHCC |
S | 0..* | CodeableConcept | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories. |
| description |
1..1 | CodeableConcept | Code or text describing goal Binding: USCoreGoalCodes (7.0.0) (extensible): Codes providing the details of a particular goal. In many systems, only the text element will be used. | |
| subject |
1..1 | Reference(US Core Patient Profile(7.0.0)) | Who this goal is intended for | |
| target |
||||
| measure |
0..1 | CodeableConcept | The parameter whose value is being tracked Binding: LOINCCodes (preferred): Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level. | |
| statusDate |
0..1 | date | When goal status took effect | |
| Slices for addresses |
0..* | Reference(Condition | Observation | RiskAssessment) | Issues addressed by this goal Slice: Unordered, Open by profile:resolve() | |
| addresses:SupportedAddresses |
S | 0..* | Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | Issues addressed by this goal |
| outcomeCode |
0..* | CodeableConcept | What result was achieved regarding the goal? Binding: USCoreGoalCodes (7.0.0) (preferred): The result of the goal; e.g., "Food security", "Has access to a car ". | |
| Slices for outcomeReference |
0..* | Reference(Observation) | Observation that resulted from goal Slice: Unordered, Open by profile:resolve() | |
| outcomeReference:SupportedOutcomeReference |
S | 0..* | Reference(SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | Observation that resulted from goal |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Goal.category:SDOHCC | required | SDOHCCValueSetSDOHCategoryhttp://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetSDOHCategoryfrom this IG | |
| Goal.description | extensible | USCoreGoalCodeshttp://hl7.org/fhir/us/core/ValueSet/us-core-goal-description|7.0.0 | |
| Goal.target.measure | preferred | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | |
| Goal.outcomeCode | preferred | USCoreGoalCodeshttp://hl7.org/fhir/us/core/ValueSet/us-core-goal-description|7.0.0 |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Goal |
0..* | USCoreGoalProfile(7.0.0) | Describes the intended SDOH-related objective(s) for a patient. | |||||
| 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 | proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required) | ||||
| achievementStatus |
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. | ||||
| Slices for category |
Σ | 0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Slice: Unordered, Open by value:$this Binding: GoalCategory (example): Codes for grouping and sorting goals. | ||||
| category:SDOHCC |
SΣ | 0..* | CodeableConcept | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories. | ||||
| 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 | Code or text describing goal Binding: USCoreGoalCodes (7.0.0) (extensible): Codes providing the details of a particular goal. In many systems, only the text element will be used. | ||||
| subject |
SΣ | 1..1 | Reference(US Core Patient Profile(7.0.0)) | Who this goal is intended for | ||||
| start[x] |
SΣ | 0..1 | When goal pursuit begins Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal. | |||||
| startDate |
date S | |||||||
| startCodeableConcept |
CodeableConcept | |||||||
| target |
SC | 0..* | BackboneElement | 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 (preferred): 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 Description (No ValueSet): (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 | 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 | Practitioner | PractitionerRole | RelatedPerson) | Who's responsible for creating Goal? | ||||
| Slices for addresses |
0..* | Reference(Condition | Observation | RiskAssessment) | Issues addressed by this goal Slice: Unordered, Open by profile:resolve() | |||||
| addresses:SupportedAddresses |
S | 0..* | Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | Issues addressed by this goal | ||||
| note |
0..* | Annotation | Comments about the goal | |||||
| outcomeCode |
0..* | CodeableConcept | What result was achieved regarding the goal? Binding: USCoreGoalCodes (7.0.0) (preferred): The result of the goal; e.g., "Food security", "Has access to a car ". | |||||
| Slices for outcomeReference |
0..* | Reference(Observation) | Observation that resulted from goal Slice: Unordered, Open by profile:resolve() | |||||
| outcomeReference:SupportedOutcomeReference |
S | 0..* | Reference(SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | Observation that resulted from goal | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| Goal.language | preferred | CommonLanguageshttp://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.category:SDOHCC | required | SDOHCCValueSetSDOHCategoryhttp://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetSDOHCategoryfrom this IG | ||||
| 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|7.0.0 | ||||
| Goal.start[x] | example | GoalStartEventhttp://hl7.org/fhir/ValueSet/goal-start-eventfrom the FHIR Standard | ||||
| Goal.target.measure | preferred | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | ||||
| Goal.target.detail[x] | example | |||||
| Goal.outcomeCode | preferred | USCoreGoalCodeshttp://hl7.org/fhir/us/core/ValueSet/us-core-goal-description|7.0.0 |
| 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: 4 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Maturity: 2
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Goal |
0..* | USCoreGoalProfile(7.0.0) | Describes the intended SDOH-related objective(s) for a patient. dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management | |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| lifecycleStatus |
?!SΣ | 1..1 | code | proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required) ele-1: All FHIR elements must have a @value or children |
| achievementStatus |
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. ele-1: All FHIR elements must have a @value or children |
| Slices for category |
Σ | 0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Slice: Unordered, Open by value:$this Binding: GoalCategory (example): Codes for grouping and sorting goals. ele-1: All FHIR elements must have a @value or children |
| category:SDOHCC |
SΣ | 0..* | CodeableConcept | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories. ele-1: All FHIR elements must have a @value or children |
| description |
SΣ | 1..1 | CodeableConcept | Code or text describing goal Binding: USCoreGoalCodes (7.0.0) (extensible): Codes providing the details of a particular goal. In many systems, only the text element will be used. ele-1: All FHIR elements must have a @value or children |
| subject |
SΣ | 1..1 | Reference(US Core Patient Profile(7.0.0)) | Who this goal is intended for ele-1: All FHIR elements must have a @value or children |
| start[x] |
SΣ | 0..1 | When goal pursuit begins Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal. ele-1: All FHIR elements must have a @value or children | |
| startDate |
date | |||
| target |
SC | 0..* | BackboneElement | Target outcome for the goal ele-1: All FHIR elements must have a @value or children 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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| measure |
ΣC | 0..1 | CodeableConcept | The parameter whose value is being tracked Binding: LOINCCodes (preferred): Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level. ele-1: All FHIR elements must have a @value or children |
| due[x] |
SΣ | 0..1 | Reach goal on or before ele-1: All FHIR elements must have a @value or children | |
| dueDate |
date | |||
| statusDate |
Σ | 0..1 | date | When goal status took effect ele-1: All FHIR elements must have a @value or children |
| Slices for addresses |
0..* | Reference(Condition | Observation | RiskAssessment) | Issues addressed by this goal Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children | |
| addresses:SupportedAddresses |
S | 0..* | Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | Issues addressed by this goal ele-1: All FHIR elements must have a @value or children |
| outcomeCode |
0..* | CodeableConcept | What result was achieved regarding the goal? Binding: USCoreGoalCodes (7.0.0) (preferred): The result of the goal; e.g., "Food security", "Has access to a car ". ele-1: All FHIR elements must have a @value or children | |
| Slices for outcomeReference |
0..* | Reference(Observation) | Observation that resulted from goal Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children | |
| outcomeReference:SupportedOutcomeReference |
S | 0..* | Reference(SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | Observation that resulted from goal ele-1: All FHIR elements must have a @value or children |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| 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.category:SDOHCC | required | SDOHCCValueSetSDOHCategoryhttp://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetSDOHCategoryfrom this IG | |
| Goal.description | extensible | USCoreGoalCodeshttp://hl7.org/fhir/us/core/ValueSet/us-core-goal-description|7.0.0 | |
| Goal.start[x] | example | GoalStartEventhttp://hl7.org/fhir/ValueSet/goal-start-eventfrom the FHIR Standard | |
| Goal.target.measure | preferred | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | |
| Goal.outcomeCode | preferred | USCoreGoalCodeshttp://hl7.org/fhir/us/core/ValueSet/us-core-goal-description|7.0.0 |
| 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() |
Differential View
This structure is derived from USCoreGoalProfile
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Goal |
0..* | USCoreGoalProfile(7.0.0) | Describes the intended SDOH-related objective(s) for a patient. | |
| achievementStatus |
S | 0..1 | CodeableConcept | in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable |
| Slices for category |
0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Slice: Unordered, Open by value:$this | |
| category:SDOHCC |
S | 0..* | CodeableConcept | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories. |
| description |
1..1 | CodeableConcept | Code or text describing goal Binding: USCoreGoalCodes (7.0.0) (extensible): Codes providing the details of a particular goal. In many systems, only the text element will be used. | |
| subject |
1..1 | Reference(US Core Patient Profile(7.0.0)) | Who this goal is intended for | |
| target |
||||
| measure |
0..1 | CodeableConcept | The parameter whose value is being tracked Binding: LOINCCodes (preferred): Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level. | |
| statusDate |
0..1 | date | When goal status took effect | |
| Slices for addresses |
0..* | Reference(Condition | Observation | RiskAssessment) | Issues addressed by this goal Slice: Unordered, Open by profile:resolve() | |
| addresses:SupportedAddresses |
S | 0..* | Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | Issues addressed by this goal |
| outcomeCode |
0..* | CodeableConcept | What result was achieved regarding the goal? Binding: USCoreGoalCodes (7.0.0) (preferred): The result of the goal; e.g., "Food security", "Has access to a car ". | |
| Slices for outcomeReference |
0..* | Reference(Observation) | Observation that resulted from goal Slice: Unordered, Open by profile:resolve() | |
| outcomeReference:SupportedOutcomeReference |
S | 0..* | Reference(SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | Observation that resulted from goal |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Goal.category:SDOHCC | required | SDOHCCValueSetSDOHCategoryhttp://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetSDOHCategoryfrom this IG | |
| Goal.description | extensible | USCoreGoalCodeshttp://hl7.org/fhir/us/core/ValueSet/us-core-goal-description|7.0.0 | |
| Goal.target.measure | preferred | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | |
| Goal.outcomeCode | preferred | USCoreGoalCodeshttp://hl7.org/fhir/us/core/ValueSet/us-core-goal-description|7.0.0 |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Goal |
0..* | USCoreGoalProfile(7.0.0) | Describes the intended SDOH-related objective(s) for a patient. | |||||
| 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 | proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required) | ||||
| achievementStatus |
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. | ||||
| Slices for category |
Σ | 0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Slice: Unordered, Open by value:$this Binding: GoalCategory (example): Codes for grouping and sorting goals. | ||||
| category:SDOHCC |
SΣ | 0..* | CodeableConcept | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories. | ||||
| 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 | Code or text describing goal Binding: USCoreGoalCodes (7.0.0) (extensible): Codes providing the details of a particular goal. In many systems, only the text element will be used. | ||||
| subject |
SΣ | 1..1 | Reference(US Core Patient Profile(7.0.0)) | Who this goal is intended for | ||||
| start[x] |
SΣ | 0..1 | When goal pursuit begins Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal. | |||||
| startDate |
date S | |||||||
| startCodeableConcept |
CodeableConcept | |||||||
| target |
SC | 0..* | BackboneElement | 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 (preferred): 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 Description (No ValueSet): (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 | 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 | Practitioner | PractitionerRole | RelatedPerson) | Who's responsible for creating Goal? | ||||
| Slices for addresses |
0..* | Reference(Condition | Observation | RiskAssessment) | Issues addressed by this goal Slice: Unordered, Open by profile:resolve() | |||||
| addresses:SupportedAddresses |
S | 0..* | Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | Issues addressed by this goal | ||||
| note |
0..* | Annotation | Comments about the goal | |||||
| outcomeCode |
0..* | CodeableConcept | What result was achieved regarding the goal? Binding: USCoreGoalCodes (7.0.0) (preferred): The result of the goal; e.g., "Food security", "Has access to a car ". | |||||
| Slices for outcomeReference |
0..* | Reference(Observation) | Observation that resulted from goal Slice: Unordered, Open by profile:resolve() | |||||
| outcomeReference:SupportedOutcomeReference |
S | 0..* | Reference(SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | Observation that resulted from goal | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| Goal.language | preferred | CommonLanguageshttp://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.category:SDOHCC | required | SDOHCCValueSetSDOHCategoryhttp://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetSDOHCategoryfrom this IG | ||||
| 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|7.0.0 | ||||
| Goal.start[x] | example | GoalStartEventhttp://hl7.org/fhir/ValueSet/goal-start-eventfrom the FHIR Standard | ||||
| Goal.target.measure | preferred | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | ||||
| Goal.target.detail[x] | example | |||||
| Goal.outcomeCode | preferred | USCoreGoalCodeshttp://hl7.org/fhir/us/core/ValueSet/us-core-goal-description|7.0.0 |
| 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: 4 elements
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 © 2021+ HL7 International / Patient Care. Package hl7.fhir.us.sdoh-clinicalcare#2.3.0 based on FHIR 4.0.1. Generated 2025-05-15
Links: Table of Contents |
QA Report
| Version History |
|
Propose a change
