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9.6 Resource Goal - Content

Patient Care Work GroupMaturity Level: 2 Trial UseCompartments: Patient

Describes the intended objective(s) for a patient, group or organization care, for example, weight loss, restoring an activity of daily living, obtaining herd immunity via immunization, meeting a process improvement objective, etc.

A Goal in health care services delivery is generally an expressed desired health state to be achieved by a subject of care (or family/group) over a period or at a specific point of time. This desired target health state may be achieved as a result of health care intervention(s) or resulting from natural recovery over time. For example:

  • A goal of a plan for a condition such as a diabetes might specify desired outcome(s) (e.g. HgbA1c level =<5.6% in 3 months) as a result of interventions such as medication therapy, nutritional management and/or increase physical activity.
  • A goal of a procedure might be to meet the intended objective of the procedure (e.g. wet-dry-dressing changes twice a day; goal: wound healed completely in 2 weeks) or to prevent an unintended complication (e.g. repositioning a patient every two hours: goal to maintain skin integrity)

Goals may address the prevention of illness, cure or mitigation of a condition, prolongation of life, or mitigation of pain and discomfort.

When dealing with groups, goals may also reflect health state, such as a reduction of addiction behaviors. However, they may also reflect population health objectives such as education, screening, etc.

Organizational goals are typically not health state specific but may instead identify measurement targets such as infection control, cost management, patient satisfaction, etc.

Goals are typically established in the context of a CarePlan. However, goals may also be directly referenced by request-type resources (e.g. MedicationRequest or ServiceRequest) by using an extension.

A goal represents a specific goal instance for a particular patient, group, etc. It is not intended to be used to define types of potential goals as part of an order set or protocol definition. Protocol definitions and order sets are supported through PlanDefinition. The Goal resource is intended to be used once an order set is instantiated or assigned to a patient, which is when the potential goals become the actual goals, if not changed or deleted.

Goals are often evaluated using Observations.

This resource is referenced by careplan

Structure

NameFlagsCard.TypeDescription & Constraintsdoco
.. Goal DomainResourceDescribes the intended objective(s) for a patient, group or organization
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
... identifier 0..*IdentifierExternal Ids for this goal
... status ?!Σ1..1codeproposed | accepted | planned | in-progress | on-target | ahead-of-target | behind-target | sustaining | achieved | on-hold | cancelled | entered-in-error | rejected
GoalStatus (Required)
... category Σ0..*CodeableConceptE.g. Treatment, dietary, behavioral, etc.
GoalCategory (Example)
... priority Σ0..1CodeableConcepthigh-priority | medium-priority | low-priority
GoalPriority (Preferred)
... description Σ1..1CodeableConceptCode or text describing goal
SNOMED CT Clinical Findings (Example)
... subject Σ1..1Reference(Patient | Group | Organization)Who this goal is intended for
... start[x] Σ0..1When goal pursuit begins
GoalStartEvent (Example)
.... startDatedate
.... startCodeableConceptCodeableConcept
... target I0..1BackboneElementTarget outcome for the goal
+ Goal.target.measure is required if Goal.target.detail is populated
.... measure ΣI0..1CodeableConceptThe parameter whose value is being tracked
LOINC Codes (Example)
.... detail[x] ΣI0..1The target value to be achieved
..... detailQuantityQuantity
..... detailRangeRange
..... detailCodeableConceptCodeableConcept
.... due[x] Σ0..1Reach goal on or before
..... dueDatedate
..... dueDurationDuration
... statusDate Σ0..1dateWhen goal status took effect
... statusReason 0..1stringReason for current status
... expressedBy Σ0..1Reference(Patient | Practitioner | RelatedPerson)Who's responsible for creating Goal?
... addresses 0..*Reference(Condition | Observation | MedicationStatement | NutritionOrder | ServiceRequest | RiskAssessment)Issues addressed by this goal
... note 0..*AnnotationComments about the goal
... outcomeCode 0..*CodeableConceptWhat result was achieved regarding the goal?
SNOMED CT Clinical Findings (Example)
... outcomeReference 0..*Reference(Observation)Observation that resulted from goal

doco Documentation for this format

UML Diagram (Legend)

Goal (DomainResource)This records identifiers associated with this care plan that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation)identifier : Identifier [0..*]Indicates whether the goal has been reached and is still considered relevant (this element modifies the meaning of other elements)status : code [1..1] « Indicates whether the goal has been met and is still being targeted (Strength=Required)GoalStatus! »Indicates a category the goal falls withincategory : CodeableConcept [0..*] « Codes for grouping and sorting goals (Strength=Example)GoalCategory?? »Identifies the mutually agreed level of importance associated with reaching/sustaining the goalpriority : CodeableConcept [0..1] « The level of importance associated with a goal (Strength=Preferred)GoalPriority? »Human-readable and/or coded description of a specific desired objective of care, such as "control blood pressure" or "negotiate an obstacle course" or "dance with child at wedding"description : CodeableConcept [1..1] « Codes providing the details of a particular goal. This will generally be system or implementation guide-specific. In many systems, only the text element will be used. (Strength=Example)SNOMED CT Clinical Findings?? »Identifies the patient, group or organization for whom the goal is being establishedsubject : Reference [1..1] « Patient|Group|Organization »The date or event after which the goal should begin being pursuedstart[x] : Type [0..1] « date|CodeableConcept; Codes describing events that can trigger the initiation of a goal (Strength=Example)GoalStartEvent?? »Identifies when the current status. I.e. When initially created, when achieved, when cancelled, etcstatusDate : date [0..1]Captures the reason for the current statusstatusReason : string [0..1]Indicates whose goal this is - patient goal, practitioner goal, etcexpressedBy : Reference [0..1] « Patient|Practitioner|RelatedPerson »The identified conditions and other health record elements that are intended to be addressed by the goaladdresses : Reference [0..*] « Condition|Observation| MedicationStatement|NutritionOrder|ServiceRequest| RiskAssessment »Any comments related to the goalnote : Annotation [0..*]Identifies the change (or lack of change) at the point when the status of the goal is assessedoutcomeCode : CodeableConcept [0..*] « 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" (Strength=Example)SNOMED CT Clinical Findings?? »Details of what's changed (or not changed)outcomeReference : Reference [0..*] « Observation »TargetThe parameter whose value is being tracked, e.g. body weight, blood pressure, or hemoglobin A1c levelmeasure : CodeableConcept [0..1] « Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level. (Strength=Example)LOINC ?? »The target value of the focus to be achieved to signify the fulfillment of the goal, e.g. 150 pounds, 7.0%. Either the high or low or both values of the range can be specified. When a low value is missing, it indicates that the goal is achieved at any focus value at or below the high value. Similarly, if the high value is missing, it indicates that the goal is achieved at any focus value at or above the low valuedetail[x] : Type [0..1] « Quantity|Range|CodeableConcept »Indicates either the date or the duration after start by which the goal should be metdue[x] : Type [0..1] « date|Duration »Indicates what should be done by whentarget[0..1]

XML Template

<Goal xmlns="http://hl7.org/fhir"> doco
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <identifier><!-- 0..* Identifier External Ids for this goal --></identifier>
 <status value="[code]"/><!-- 1..1 proposed | accepted | planned | in-progress | on-target | ahead-of-target | behind-target | sustaining | achieved | on-hold | cancelled | entered-in-error | rejected -->
 <category><!-- 0..* CodeableConcept E.g. Treatment, dietary, behavioral, etc. --></category>
 <priority><!-- 0..1 CodeableConcept high-priority | medium-priority | low-priority --></priority>
 <description><!-- 1..1 CodeableConcept Code or text describing goal --></description>
 <subject><!-- 1..1 Reference(Patient|Group|Organization) Who this goal is intended for --></subject>
 <start[x]><!-- 0..1 date|CodeableConcept When goal pursuit begins --></start[x]>
 <target>  <!-- ?? 0..1 Target outcome for the goal -->
  <measure><!-- ?? 0..1 CodeableConcept The parameter whose value is being tracked --></measure>
  <detail[x]><!-- ?? 0..1 Quantity|Range|CodeableConcept The target value to be achieved --></detail[x]>
  <due[x]><!-- 0..1 date|Duration Reach goal on or before --></due[x]>
 </target>
 <statusDate value="[date]"/><!-- 0..1 When goal status took effect -->
 <statusReason value="[string]"/><!-- 0..1 Reason for current status -->
 <expressedBy><!-- 0..1 Reference(Patient|Practitioner|RelatedPerson) Who's responsible for creating Goal? --></expressedBy>
 <addresses><!-- 0..* Reference(Condition|Observation|MedicationStatement|
   NutritionOrder|ServiceRequest|RiskAssessment) Issues addressed by this goal --></addresses>
 <note><!-- 0..* Annotation Comments about the goal --></note>
 <outcomeCode><!-- 0..* CodeableConcept What result was achieved regarding the goal? --></outcomeCode>
 <outcomeReference><!-- 0..* Reference(Observation) Observation that resulted from goal --></outcomeReference>
</Goal>

JSON Template

{doco
  "resourceType" : "Goal",
  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "identifier" : [{ Identifier }], // External Ids for this goal
  "status" : "<code>", // R!  proposed | accepted | planned | in-progress | on-target | ahead-of-target | behind-target | sustaining | achieved | on-hold | cancelled | entered-in-error | rejected
  "category" : [{ CodeableConcept }], // E.g. Treatment, dietary, behavioral, etc.
  "priority" : { CodeableConcept }, // high-priority | medium-priority | low-priority
  "description" : { CodeableConcept }, // R!  Code or text describing goal
  "subject" : { Reference(Patient|Group|Organization) }, // R!  Who this goal is intended for
  // start[x]: When goal pursuit begins. One of these 2:
  "startDate" : "<date>",
  "startCodeableConcept" : { CodeableConcept },
  "target" : { // C? Target outcome for the goal
    "measure" : { CodeableConcept }, // C? The parameter whose value is being tracked
    // detail[x]: The target value to be achieved. One of these 3:
    "detailQuantity" : { Quantity },
    "detailRange" : { Range },
    "detailCodeableConcept" : { CodeableConcept },
    // due[x]: Reach goal on or before. One of these 2:
    "dueDate" : "<date>"
    "dueDuration" : { Duration }
  },
  "statusDate" : "<date>", // When goal status took effect
  "statusReason" : "<string>", // Reason for current status
  "expressedBy" : { Reference(Patient|Practitioner|RelatedPerson) }, // Who's responsible for creating Goal?
  "addresses" : [{ Reference(Condition|Observation|MedicationStatement|
   NutritionOrder|ServiceRequest|RiskAssessment) }], // Issues addressed by this goal
  "note" : [{ Annotation }], // Comments about the goal
  "outcomeCode" : [{ CodeableConcept }], // What result was achieved regarding the goal?
  "outcomeReference" : [{ Reference(Observation) }] // Observation that resulted from goal
}

Turtle Template

@prefix fhir: <http://hl7.org/fhir/> .doco


[ a fhir:Goal;
  fhir:nodeRole fhir:treeRoot; # if this is the parser root

  # from Resource: .id, .meta, .implicitRules, and .language
  # from DomainResource: .text, .contained, .extension, and .modifierExtension
  fhir:Goal.identifier [ Identifier ], ... ; # 0..* External Ids for this goal
  fhir:Goal.status [ code ]; # 1..1 proposed | accepted | planned | in-progress | on-target | ahead-of-target | behind-target | sustaining | achieved | on-hold | cancelled | entered-in-error | rejected
  fhir:Goal.category [ CodeableConcept ], ... ; # 0..* E.g. Treatment, dietary, behavioral, etc.
  fhir:Goal.priority [ CodeableConcept ]; # 0..1 high-priority | medium-priority | low-priority
  fhir:Goal.description [ CodeableConcept ]; # 1..1 Code or text describing goal
  fhir:Goal.subject [ Reference(Patient|Group|Organization) ]; # 1..1 Who this goal is intended for
  # Goal.start[x] : 0..1 When goal pursuit begins. One of these 2
    fhir:Goal.startDate [ date ]
    fhir:Goal.startCodeableConcept [ CodeableConcept ]
  fhir:Goal.target [ # 0..1 Target outcome for the goal
    fhir:Goal.target.measure [ CodeableConcept ]; # 0..1 The parameter whose value is being tracked
    # Goal.target.detail[x] : 0..1 The target value to be achieved. One of these 3
      fhir:Goal.target.detailQuantity [ Quantity ]
      fhir:Goal.target.detailRange [ Range ]
      fhir:Goal.target.detailCodeableConcept [ CodeableConcept ]
    # Goal.target.due[x] : 0..1 Reach goal on or before. One of these 2
      fhir:Goal.target.dueDate [ date ]
      fhir:Goal.target.dueDuration [ Duration ]
  ];
  fhir:Goal.statusDate [ date ]; # 0..1 When goal status took effect
  fhir:Goal.statusReason [ string ]; # 0..1 Reason for current status
  fhir:Goal.expressedBy [ Reference(Patient|Practitioner|RelatedPerson) ]; # 0..1 Who's responsible for creating Goal?
  fhir:Goal.addresses [ Reference(Condition|Observation|MedicationStatement|NutritionOrder|ServiceRequest|
  RiskAssessment) ], ... ; # 0..* Issues addressed by this goal
  fhir:Goal.note [ Annotation ], ... ; # 0..* Comments about the goal
  fhir:Goal.outcomeCode [ CodeableConcept ], ... ; # 0..* What result was achieved regarding the goal?
  fhir:Goal.outcomeReference [ Reference(Observation) ], ... ; # 0..* Observation that resulted from goal
]

Changes since DSTU2

Goal
Goal.description
  • Type changed from string to CodeableConcept
Goal.subject
  • Min Cardinality changed from 0 to 1
Goal.target
  • Renamed from target[x] to target
  • Remove date, Remove Quantity{http://hl7.org/fhir/StructureDefinition/Duration}
Goal.target.measure
  • Added Element
Goal.target.detail[x]
  • Added Element
Goal.target.due[x]
  • Added Element
Goal.statusReason
  • Type changed from CodeableConcept to string
Goal.expressedBy
  • Renamed from author to expressedBy
Goal.addresses
  • Remove Reference(ProcedureRequest), Add Reference(ServiceRequest)
Goal.outcomeCode
  • Added Element
Goal.outcomeReference
  • Added Element
Goal.outcome
  • deleted

See the Full Difference for further information

This analysis is available as XML or JSON.

See R2 <--> R3 Conversion Maps (status = 2 tests that all execute ok. All tests pass round-trip testing and 2 r3 resources are invalid (2 errors).).

Structure

NameFlagsCard.TypeDescription & Constraintsdoco
.. Goal DomainResourceDescribes the intended objective(s) for a patient, group or organization
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
... identifier 0..*IdentifierExternal Ids for this goal
... status ?!Σ1..1codeproposed | accepted | planned | in-progress | on-target | ahead-of-target | behind-target | sustaining | achieved | on-hold | cancelled | entered-in-error | rejected
GoalStatus (Required)
... category Σ0..*CodeableConceptE.g. Treatment, dietary, behavioral, etc.
GoalCategory (Example)
... priority Σ0..1CodeableConcepthigh-priority | medium-priority | low-priority
GoalPriority (Preferred)
... description Σ1..1CodeableConceptCode or text describing goal
SNOMED CT Clinical Findings (Example)
... subject Σ1..1Reference(Patient | Group | Organization)Who this goal is intended for
... start[x] Σ0..1When goal pursuit begins
GoalStartEvent (Example)
.... startDatedate
.... startCodeableConceptCodeableConcept
... target I0..1BackboneElementTarget outcome for the goal
+ Goal.target.measure is required if Goal.target.detail is populated
.... measure ΣI0..1CodeableConceptThe parameter whose value is being tracked
LOINC Codes (Example)
.... detail[x] ΣI0..1The target value to be achieved
..... detailQuantityQuantity
..... detailRangeRange
..... detailCodeableConceptCodeableConcept
.... due[x] Σ0..1Reach goal on or before
..... dueDatedate
..... dueDurationDuration
... statusDate Σ0..1dateWhen goal status took effect
... statusReason 0..1stringReason for current status
... expressedBy Σ0..1Reference(Patient | Practitioner | RelatedPerson)Who's responsible for creating Goal?
... addresses 0..*Reference(Condition | Observation | MedicationStatement | NutritionOrder | ServiceRequest | RiskAssessment)Issues addressed by this goal
... note 0..*AnnotationComments about the goal
... outcomeCode 0..*CodeableConceptWhat result was achieved regarding the goal?
SNOMED CT Clinical Findings (Example)
... outcomeReference 0..*Reference(Observation)Observation that resulted from goal

doco Documentation for this format

UML Diagram (Legend)

Goal (DomainResource)This records identifiers associated with this care plan that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation)identifier : Identifier [0..*]Indicates whether the goal has been reached and is still considered relevant (this element modifies the meaning of other elements)status : code [1..1] « Indicates whether the goal has been met and is still being targeted (Strength=Required)GoalStatus! »Indicates a category the goal falls withincategory : CodeableConcept [0..*] « Codes for grouping and sorting goals (Strength=Example)GoalCategory?? »Identifies the mutually agreed level of importance associated with reaching/sustaining the goalpriority : CodeableConcept [0..1] « The level of importance associated with a goal (Strength=Preferred)GoalPriority? »Human-readable and/or coded description of a specific desired objective of care, such as "control blood pressure" or "negotiate an obstacle course" or "dance with child at wedding"description : CodeableConcept [1..1] « Codes providing the details of a particular goal. This will generally be system or implementation guide-specific. In many systems, only the text element will be used. (Strength=Example)SNOMED CT Clinical Findings?? »Identifies the patient, group or organization for whom the goal is being establishedsubject : Reference [1..1] « Patient|Group|Organization »The date or event after which the goal should begin being pursuedstart[x] : Type [0..1] « date|CodeableConcept; Codes describing events that can trigger the initiation of a goal (Strength=Example)GoalStartEvent?? »Identifies when the current status. I.e. When initially created, when achieved, when cancelled, etcstatusDate : date [0..1]Captures the reason for the current statusstatusReason : string [0..1]Indicates whose goal this is - patient goal, practitioner goal, etcexpressedBy : Reference [0..1] « Patient|Practitioner|RelatedPerson »The identified conditions and other health record elements that are intended to be addressed by the goaladdresses : Reference [0..*] « Condition|Observation| MedicationStatement|NutritionOrder|ServiceRequest| RiskAssessment »Any comments related to the goalnote : Annotation [0..*]Identifies the change (or lack of change) at the point when the status of the goal is assessedoutcomeCode : CodeableConcept [0..*] « 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" (Strength=Example)SNOMED CT Clinical Findings?? »Details of what's changed (or not changed)outcomeReference : Reference [0..*] « Observation »TargetThe parameter whose value is being tracked, e.g. body weight, blood pressure, or hemoglobin A1c levelmeasure : CodeableConcept [0..1] « Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level. (Strength=Example)LOINC ?? »The target value of the focus to be achieved to signify the fulfillment of the goal, e.g. 150 pounds, 7.0%. Either the high or low or both values of the range can be specified. When a low value is missing, it indicates that the goal is achieved at any focus value at or below the high value. Similarly, if the high value is missing, it indicates that the goal is achieved at any focus value at or above the low valuedetail[x] : Type [0..1] « Quantity|Range|CodeableConcept »Indicates either the date or the duration after start by which the goal should be metdue[x] : Type [0..1] « date|Duration »Indicates what should be done by whentarget[0..1]

XML Template

<Goal xmlns="http://hl7.org/fhir"> doco
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <identifier><!-- 0..* Identifier External Ids for this goal --></identifier>
 <status value="[code]"/><!-- 1..1 proposed | accepted | planned | in-progress | on-target | ahead-of-target | behind-target | sustaining | achieved | on-hold | cancelled | entered-in-error | rejected -->
 <category><!-- 0..* CodeableConcept E.g. Treatment, dietary, behavioral, etc. --></category>
 <priority><!-- 0..1 CodeableConcept high-priority | medium-priority | low-priority --></priority>
 <description><!-- 1..1 CodeableConcept Code or text describing goal --></description>
 <subject><!-- 1..1 Reference(Patient|Group|Organization) Who this goal is intended for --></subject>
 <start[x]><!-- 0..1 date|CodeableConcept When goal pursuit begins --></start[x]>
 <target>  <!-- ?? 0..1 Target outcome for the goal -->
  <measure><!-- ?? 0..1 CodeableConcept The parameter whose value is being tracked --></measure>
  <detail[x]><!-- ?? 0..1 Quantity|Range|CodeableConcept The target value to be achieved --></detail[x]>
  <due[x]><!-- 0..1 date|Duration Reach goal on or before --></due[x]>
 </target>
 <statusDate value="[date]"/><!-- 0..1 When goal status took effect -->
 <statusReason value="[string]"/><!-- 0..1 Reason for current status -->
 <expressedBy><!-- 0..1 Reference(Patient|Practitioner|RelatedPerson) Who's responsible for creating Goal? --></expressedBy>
 <addresses><!-- 0..* Reference(Condition|Observation|MedicationStatement|
   NutritionOrder|ServiceRequest|RiskAssessment) Issues addressed by this goal --></addresses>
 <note><!-- 0..* Annotation Comments about the goal --></note>
 <outcomeCode><!-- 0..* CodeableConcept What result was achieved regarding the goal? --></outcomeCode>
 <outcomeReference><!-- 0..* Reference(Observation) Observation that resulted from goal --></outcomeReference>
</Goal>

JSON Template

{doco
  "resourceType" : "Goal",
  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "identifier" : [{ Identifier }], // External Ids for this goal
  "status" : "<code>", // R!  proposed | accepted | planned | in-progress | on-target | ahead-of-target | behind-target | sustaining | achieved | on-hold | cancelled | entered-in-error | rejected
  "category" : [{ CodeableConcept }], // E.g. Treatment, dietary, behavioral, etc.
  "priority" : { CodeableConcept }, // high-priority | medium-priority | low-priority
  "description" : { CodeableConcept }, // R!  Code or text describing goal
  "subject" : { Reference(Patient|Group|Organization) }, // R!  Who this goal is intended for
  // start[x]: When goal pursuit begins. One of these 2:
  "startDate" : "<date>",
  "startCodeableConcept" : { CodeableConcept },
  "target" : { // C? Target outcome for the goal
    "measure" : { CodeableConcept }, // C? The parameter whose value is being tracked
    // detail[x]: The target value to be achieved. One of these 3:
    "detailQuantity" : { Quantity },
    "detailRange" : { Range },
    "detailCodeableConcept" : { CodeableConcept },
    // due[x]: Reach goal on or before. One of these 2:
    "dueDate" : "<date>"
    "dueDuration" : { Duration }
  },
  "statusDate" : "<date>", // When goal status took effect
  "statusReason" : "<string>", // Reason for current status
  "expressedBy" : { Reference(Patient|Practitioner|RelatedPerson) }, // Who's responsible for creating Goal?
  "addresses" : [{ Reference(Condition|Observation|MedicationStatement|
   NutritionOrder|ServiceRequest|RiskAssessment) }], // Issues addressed by this goal
  "note" : [{ Annotation }], // Comments about the goal
  "outcomeCode" : [{ CodeableConcept }], // What result was achieved regarding the goal?
  "outcomeReference" : [{ Reference(Observation) }] // Observation that resulted from goal
}

Turtle Template

@prefix fhir: <http://hl7.org/fhir/> .doco


[ a fhir:Goal;
  fhir:nodeRole fhir:treeRoot; # if this is the parser root

  # from Resource: .id, .meta, .implicitRules, and .language
  # from DomainResource: .text, .contained, .extension, and .modifierExtension
  fhir:Goal.identifier [ Identifier ], ... ; # 0..* External Ids for this goal
  fhir:Goal.status [ code ]; # 1..1 proposed | accepted | planned | in-progress | on-target | ahead-of-target | behind-target | sustaining | achieved | on-hold | cancelled | entered-in-error | rejected
  fhir:Goal.category [ CodeableConcept ], ... ; # 0..* E.g. Treatment, dietary, behavioral, etc.
  fhir:Goal.priority [ CodeableConcept ]; # 0..1 high-priority | medium-priority | low-priority
  fhir:Goal.description [ CodeableConcept ]; # 1..1 Code or text describing goal
  fhir:Goal.subject [ Reference(Patient|Group|Organization) ]; # 1..1 Who this goal is intended for
  # Goal.start[x] : 0..1 When goal pursuit begins. One of these 2
    fhir:Goal.startDate [ date ]
    fhir:Goal.startCodeableConcept [ CodeableConcept ]
  fhir:Goal.target [ # 0..1 Target outcome for the goal
    fhir:Goal.target.measure [ CodeableConcept ]; # 0..1 The parameter whose value is being tracked
    # Goal.target.detail[x] : 0..1 The target value to be achieved. One of these 3
      fhir:Goal.target.detailQuantity [ Quantity ]
      fhir:Goal.target.detailRange [ Range ]
      fhir:Goal.target.detailCodeableConcept [ CodeableConcept ]
    # Goal.target.due[x] : 0..1 Reach goal on or before. One of these 2
      fhir:Goal.target.dueDate [ date ]
      fhir:Goal.target.dueDuration [ Duration ]
  ];
  fhir:Goal.statusDate [ date ]; # 0..1 When goal status took effect
  fhir:Goal.statusReason [ string ]; # 0..1 Reason for current status
  fhir:Goal.expressedBy [ Reference(Patient|Practitioner|RelatedPerson) ]; # 0..1 Who's responsible for creating Goal?
  fhir:Goal.addresses [ Reference(Condition|Observation|MedicationStatement|NutritionOrder|ServiceRequest|
  RiskAssessment) ], ... ; # 0..* Issues addressed by this goal
  fhir:Goal.note [ Annotation ], ... ; # 0..* Comments about the goal
  fhir:Goal.outcomeCode [ CodeableConcept ], ... ; # 0..* What result was achieved regarding the goal?
  fhir:Goal.outcomeReference [ Reference(Observation) ], ... ; # 0..* Observation that resulted from goal
]

Changes since DSTU2

Goal
Goal.description
  • Type changed from string to CodeableConcept
Goal.subject
  • Min Cardinality changed from 0 to 1
Goal.target
  • Renamed from target[x] to target
  • Remove date, Remove Quantity{http://hl7.org/fhir/StructureDefinition/Duration}
Goal.target.measure
  • Added Element
Goal.target.detail[x]
  • Added Element
Goal.target.due[x]
  • Added Element
Goal.statusReason
  • Type changed from CodeableConcept to string
Goal.expressedBy
  • Renamed from author to expressedBy
Goal.addresses
  • Remove Reference(ProcedureRequest), Add Reference(ServiceRequest)
Goal.outcomeCode
  • Added Element
Goal.outcomeReference
  • Added Element
Goal.outcome
  • deleted

See the Full Difference for further information

This analysis is available as XML or JSON.

See R2 <--> R3 Conversion Maps (status = 2 tests that all execute ok. All tests pass round-trip testing and 2 r3 resources are invalid (2 errors).).

 

Alternate definitions: Master Definition (XML, JSON), XML Schema/Schematron + JSON Schema, ShEx (for Turtle)

PathDefinitionTypeReference
Goal.status Indicates whether the goal has been met and is still being targetedRequiredGoalStatus
Goal.category Codes for grouping and sorting goalsExampleGoalCategory
Goal.priority The level of importance associated with a goalPreferredGoalPriority
Goal.description Codes providing the details of a particular goal. This will generally be system or implementation guide-specific. In many systems, only the text element will be used.ExampleSNOMED CT Clinical Findings
Goal.start[x] Codes describing events that can trigger the initiation of a goalExampleGoalStartEvent
Goal.target.measure Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level.ExampleLOINC Codes
Goal.target.detail[x] Codes to identify the target value of the focus to be achieved to signify the fulfillment of the goal.UnknownNo details provided yet
Goal.outcomeCode 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"ExampleSNOMED CT Clinical Findings

  • gol-1: On Goal.target: Goal.target.measure is required if Goal.target.detail is populated (expression on Goal.target: (detail.exists() and measure.exists()) or detail.exists().not())

Search parameters for this resource. The common parameters also apply. See Searching for more information about searching in REST, messaging, and services.

NameTypeDescriptionExpressionIn Common
categorytokenE.g. Treatment, dietary, behavioral, etc.Goal.category
identifiertokenExternal Ids for this goalGoal.identifier26 Resources
patientreferenceWho this goal is intended forGoal.subject
(Patient)
30 Resources
start-datedateWhen goal pursuit beginsGoal.start.as(Date)
statustokenproposed | accepted | planned | in-progress | on-target | ahead-of-target | behind-target | sustaining | achieved | on-hold | cancelled | entered-in-error | rejectedGoal.status
subjectreferenceWho this goal is intended forGoal.subject
(Group, Organization, Patient)
target-datedateReach goal on or beforeGoal.target.due.as(Date)