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9.6 Resource Goal - Content

Patient Care icon

Work Group

Maturity Level: 2

Trial Use

Security Category: Patient

Compartments: 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.

9.6.1 Scope and Usage

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 increased 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.

9.6.2 Boundaries and Relationships

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.

Goal does not include the legal Advance Directives, which should be represented with the Consent resource with Consent.category = Advance Directive or a request resource with the intent = directive. Legal Advance Directives may specify clinical goals that can be represented as a Goal resource as well. Informally, advance directives could be represented as a Goal resource regardless of whether it was included in the legal Consent, such as "I want to die at home."

9.6.3 References to this Resource

Resource References: CarePlan and RequestOrchestration
Extension References: Conditions, Dosage - Minimum Gap Between Doses, Goal: Related Goal and ServiceRequest Pertains To Goal

Structure

Name	Flags	Card.	Type	Description & Constraints
Goal	TU		DomainResource	Describes the intended objective(s) for a patient, group or organization Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
identifier		0..*	Identifier	External Ids for this goal
lifecycleStatus	?!Σ	1..1	code	proposed \| planned \| accepted \| active \| on-hold \| completed \| cancelled \| entered-in-error \| rejected Binding: Goal Lifecycle Status (Required)
achievementStatus	Σ	0..1	CodeableConcept	in-progress \| improving \| worsening \| no-change \| achieved \| sustaining \| not-achieved \| no-progress \| not-attainable Binding: Goal Achievement Status (Preferred)
category	Σ	0..*	CodeableConcept	E.g. Treatment, dietary, behavioral, etc Binding: Goal Category (Example)
continuous		0..1	boolean	After meeting the goal, ongoing activity is needed to sustain the goal objective
priority	Σ	0..1	CodeableConcept	high-priority \| medium-priority \| low-priority Binding: Goal Priority (Preferred)
description	Σ	1..1	CodeableConcept	Code or text describing goal Binding: Goal Description (Example)
subject	Σ	1..1	Reference(Patient \| Group \| Organization)	Who this goal is intended for
start[x]	Σ	0..1		When goal pursuit begins Binding: Goal Start Event (Example)
startDate			date
startCodeableConcept			CodeableConcept
target	C	0..*	BackboneElement	Target outcome for the goal + Rule: Goal.target.measure is required if Goal.target.detail is populated
measure	Σ C	0..1	CodeableConcept	The parameter whose value is being tracked Binding: LOINC Codes (Example)
detail[x]	Σ C	0..1		The target value to be achieved Binding: GoalTargetDetail (Example)
detailQuantity			Quantity
detailRange			Range
detailCodeableConcept			CodeableConcept
detailString			string
detailBoolean			boolean
detailInteger			integer
detailRatio			Ratio
due[x]	Σ	0..1		Reach goal on or before
dueDate			date
dueDuration			Duration
statusDate	Σ	0..1	date	When goal status took effect
statusReason		0..1	string	Reason for current status
source	Σ	0..1	Reference(Patient \| Practitioner \| PractitionerRole \| RelatedPerson \| CareTeam)	Who's responsible for creating Goal?
addresses		0..*	Reference(Condition \| Observation \| MedicationStatement \| MedicationRequest \| NutritionOrder \| ServiceRequest \| RiskAssessment \| Procedure \| NutritionIntake)	Issues addressed by this goal
note		0..*	Annotation	Comments about the goal
outcome		0..*	CodeableReference(Observation)	What result was achieved regarding the goal? Binding: SNOMED CT Clinical Findings (Example)
Documentation for this format

See the Extensions for this resource

UML Diagram (Legend)

XML Template

<Goal xmlns="http://hl7.org/fhir"> 
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <identifier><!-- 0..* Identifier External Ids for this goal --></identifier>
 <lifecycleStatus value="[code]"/><!-- 1..1 proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected -->
 <achievementStatus><!-- 0..1 CodeableConcept in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable --></achievementStatus>
 <category><!-- 0..* CodeableConcept E.g. Treatment, dietary, behavioral, etc --></category>
 <continuous value="[boolean]"/><!-- 0..1 After meeting the goal, ongoing activity is needed to sustain the goal objective -->
 <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(Group|Organization|Patient) Who this goal is intended for --></subject>
 <start[x]><!-- 0..1 date|CodeableConcept When goal pursuit begins --></start[x]>
 <target>  <!-- 0..* Target outcome for the goal -->
  <measure><!-- I 0..1 CodeableConcept The parameter whose value is being tracked --></measure>
  <detail[x]><!-- I 0..1 Quantity|Range|CodeableConcept|string|boolean|integer|
    Ratio 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 -->
 <source><!-- 0..1 Reference(CareTeam|Patient|Practitioner|PractitionerRole|
   RelatedPerson) Who's responsible for creating Goal? --></source>
 <addresses><!-- 0..* Reference(Condition|MedicationRequest|MedicationStatement|
   NutritionIntake|NutritionOrder|Observation|Procedure|RiskAssessment|
   ServiceRequest) Issues addressed by this goal --></addresses>
 <note><!-- 0..* Annotation Comments about the goal --></note>
 <outcome><!-- 0..* CodeableReference(Observation) What result was achieved regarding the goal? --></outcome>
</Goal>

JSON Template

{
  "resourceType" : "Goal",
  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "identifier" : [{ Identifier }], // External Ids for this goal
  "lifecycleStatus" : "<code>", // R!  proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected
  "achievementStatus" : { CodeableConcept }, // in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable
  "category" : [{ CodeableConcept }], // E.g. Treatment, dietary, behavioral, etc
  "continuous" : <boolean>, // After meeting the goal, ongoing activity is needed to sustain the goal objective
  "priority" : { CodeableConcept }, // high-priority | medium-priority | low-priority
  "description" : { CodeableConcept }, // R!  Code or text describing goal
  "subject" : { Reference(Group|Organization|Patient) }, // R!  Who this goal is intended for
  // start[x]: When goal pursuit begins. One of these 2:
  "startDate" : "<date>",
  "startCodeableConcept" : { CodeableConcept },
  "target" : [{ // Target outcome for the goal
    "measure" : { CodeableConcept }, // I The parameter whose value is being tracked
    // detail[x]: The target value to be achieved. One of these 7:
    "detailQuantity" : { Quantity },
    "detailRange" : { Range },
    "detailCodeableConcept" : { CodeableConcept },
    "detailString" : "<string>",
    "detailBoolean" : <boolean>,
    "detailInteger" : <integer>,
    "detailRatio" : { Ratio },
    // 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
  "source" : { Reference(CareTeam|Patient|Practitioner|PractitionerRole|
   RelatedPerson) }, // Who's responsible for creating Goal?
  "addresses" : [{ Reference(Condition|MedicationRequest|MedicationStatement|
   NutritionIntake|NutritionOrder|Observation|Procedure|RiskAssessment|
   ServiceRequest) }], // Issues addressed by this goal
  "note" : [{ Annotation }], // Comments about the goal
  "outcome" : [{ CodeableReference(Observation) }] // What result was achieved regarding the goal?
}

Turtle Template

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


[ 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:identifier  ( [ Identifier ] ... ) ; # 0..* External Ids for this goal
  fhir:lifecycleStatus [ code ] ; # 1..1 proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected
  fhir:achievementStatus [ CodeableConcept ] ; # 0..1 in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable
  fhir:category  ( [ CodeableConcept ] ... ) ; # 0..* E.g. Treatment, dietary, behavioral, etc
  fhir:continuous [ boolean ] ; # 0..1 After meeting the goal, ongoing activity is needed to sustain the goal objective
  fhir:priority [ CodeableConcept ] ; # 0..1 high-priority | medium-priority | low-priority
  fhir:description [ CodeableConcept ] ; # 1..1 Code or text describing goal
  fhir:subject [ Reference(Group|Organization|Patient) ] ; # 1..1 Who this goal is intended for
  # start[x] : 0..1 When goal pursuit begins. One of these 2
    fhir:start [  a fhir:date ; date ]
    fhir:start [  a fhir:CodeableConcept ; CodeableConcept ]
  fhir:target ( [ # 0..* Target outcome for the goal
    fhir:measure [ CodeableConcept ] ; # 0..1 I The parameter whose value is being tracked
    # detail[x] : 0..1 I The target value to be achieved. One of these 7
      fhir:detail [  a fhir:Quantity ; Quantity ]
      fhir:detail [  a fhir:Range ; Range ]
      fhir:detail [  a fhir:CodeableConcept ; CodeableConcept ]
      fhir:detail [  a fhir:string ; string ]
      fhir:detail [  a fhir:boolean ; boolean ]
      fhir:detail [  a fhir:integer ; integer ]
      fhir:detail [  a fhir:Ratio ; Ratio ]
    # due[x] : 0..1 Reach goal on or before. One of these 2
      fhir:due [  a fhir:date ; date ]
      fhir:due [  a fhir:Duration ; Duration ]
  ] ... ) ;
  fhir:statusDate [ date ] ; # 0..1 When goal status took effect
  fhir:statusReason [ string ] ; # 0..1 Reason for current status
  fhir:source [ Reference(CareTeam|Patient|Practitioner|PractitionerRole|RelatedPerson) ] ; # 0..1 Who's responsible for creating Goal?
  fhir:addresses  ( [ Reference(Condition|MedicationRequest|MedicationStatement|NutritionIntake|NutritionOrder|
  Observation|Procedure|RiskAssessment|ServiceRequest) ] ... ) ; # 0..* Issues addressed by this goal
  fhir:note  ( [ Annotation ] ... ) ; # 0..* Comments about the goal
  fhir:outcome  ( [ CodeableReference(Observation) ] ... ) ; # 0..* What result was achieved regarding the goal?
]

Changes from both R4 and R4B

Goal

Goal.continuous

Added Element

Goal.source

Renamed from expressedBy to source
Type Reference: Added Target Type CareTeam

Goal.addresses

Type Reference: Added Target Types MedicationRequest, Procedure, NutritionIntake

Goal.outcome

Added Element

Goal.outcomeCode

Deleted (-> Goal.outcome)

Goal.outcomeReference

Deleted (-> Goal.outcome)

See the Full Difference for further information

This analysis is available for R4 as XML or JSON and for R4B as XML or JSON.

See R4 <--> R5 Conversion Maps (status = See Conversions Summary.)

Structure

Name	Flags	Card.	Type	Description & Constraints
Goal	TU		DomainResource	Describes the intended objective(s) for a patient, group or organization Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
identifier		0..*	Identifier	External Ids for this goal
lifecycleStatus	?!Σ	1..1	code	proposed \| planned \| accepted \| active \| on-hold \| completed \| cancelled \| entered-in-error \| rejected Binding: Goal Lifecycle Status (Required)
achievementStatus	Σ	0..1	CodeableConcept	in-progress \| improving \| worsening \| no-change \| achieved \| sustaining \| not-achieved \| no-progress \| not-attainable Binding: Goal Achievement Status (Preferred)
category	Σ	0..*	CodeableConcept	E.g. Treatment, dietary, behavioral, etc Binding: Goal Category (Example)
continuous		0..1	boolean	After meeting the goal, ongoing activity is needed to sustain the goal objective
priority	Σ	0..1	CodeableConcept	high-priority \| medium-priority \| low-priority Binding: Goal Priority (Preferred)
description	Σ	1..1	CodeableConcept	Code or text describing goal Binding: Goal Description (Example)
subject	Σ	1..1	Reference(Patient \| Group \| Organization)	Who this goal is intended for
start[x]	Σ	0..1		When goal pursuit begins Binding: Goal Start Event (Example)
startDate			date
startCodeableConcept			CodeableConcept
target	C	0..*	BackboneElement	Target outcome for the goal + Rule: Goal.target.measure is required if Goal.target.detail is populated
measure	Σ C	0..1	CodeableConcept	The parameter whose value is being tracked Binding: LOINC Codes (Example)
detail[x]	Σ C	0..1		The target value to be achieved Binding: GoalTargetDetail (Example)
detailQuantity			Quantity
detailRange			Range
detailCodeableConcept			CodeableConcept
detailString			string
detailBoolean			boolean
detailInteger			integer
detailRatio			Ratio
due[x]	Σ	0..1		Reach goal on or before
dueDate			date
dueDuration			Duration
statusDate	Σ	0..1	date	When goal status took effect
statusReason		0..1	string	Reason for current status
source	Σ	0..1	Reference(Patient \| Practitioner \| PractitionerRole \| RelatedPerson \| CareTeam)	Who's responsible for creating Goal?
addresses		0..*	Reference(Condition \| Observation \| MedicationStatement \| MedicationRequest \| NutritionOrder \| ServiceRequest \| RiskAssessment \| Procedure \| NutritionIntake)	Issues addressed by this goal
note		0..*	Annotation	Comments about the goal
outcome		0..*	CodeableReference(Observation)	What result was achieved regarding the goal? Binding: SNOMED CT Clinical Findings (Example)
Documentation for this format

See the Extensions for this resource

UML Diagram (Legend)

XML Template

<Goal xmlns="http://hl7.org/fhir"> 
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <identifier><!-- 0..* Identifier External Ids for this goal --></identifier>
 <lifecycleStatus value="[code]"/><!-- 1..1 proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected -->
 <achievementStatus><!-- 0..1 CodeableConcept in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable --></achievementStatus>
 <category><!-- 0..* CodeableConcept E.g. Treatment, dietary, behavioral, etc --></category>
 <continuous value="[boolean]"/><!-- 0..1 After meeting the goal, ongoing activity is needed to sustain the goal objective -->
 <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(Group|Organization|Patient) Who this goal is intended for --></subject>
 <start[x]><!-- 0..1 date|CodeableConcept When goal pursuit begins --></start[x]>
 <target>  <!-- 0..* Target outcome for the goal -->
  <measure><!-- I 0..1 CodeableConcept The parameter whose value is being tracked --></measure>
  <detail[x]><!-- I 0..1 Quantity|Range|CodeableConcept|string|boolean|integer|
    Ratio 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 -->
 <source><!-- 0..1 Reference(CareTeam|Patient|Practitioner|PractitionerRole|
   RelatedPerson) Who's responsible for creating Goal? --></source>
 <addresses><!-- 0..* Reference(Condition|MedicationRequest|MedicationStatement|
   NutritionIntake|NutritionOrder|Observation|Procedure|RiskAssessment|
   ServiceRequest) Issues addressed by this goal --></addresses>
 <note><!-- 0..* Annotation Comments about the goal --></note>
 <outcome><!-- 0..* CodeableReference(Observation) What result was achieved regarding the goal? --></outcome>
</Goal>

JSON Template

{
  "resourceType" : "Goal",
  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "identifier" : [{ Identifier }], // External Ids for this goal
  "lifecycleStatus" : "<code>", // R!  proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected
  "achievementStatus" : { CodeableConcept }, // in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable
  "category" : [{ CodeableConcept }], // E.g. Treatment, dietary, behavioral, etc
  "continuous" : <boolean>, // After meeting the goal, ongoing activity is needed to sustain the goal objective
  "priority" : { CodeableConcept }, // high-priority | medium-priority | low-priority
  "description" : { CodeableConcept }, // R!  Code or text describing goal
  "subject" : { Reference(Group|Organization|Patient) }, // R!  Who this goal is intended for
  // start[x]: When goal pursuit begins. One of these 2:
  "startDate" : "<date>",
  "startCodeableConcept" : { CodeableConcept },
  "target" : [{ // Target outcome for the goal
    "measure" : { CodeableConcept }, // I The parameter whose value is being tracked
    // detail[x]: The target value to be achieved. One of these 7:
    "detailQuantity" : { Quantity },
    "detailRange" : { Range },
    "detailCodeableConcept" : { CodeableConcept },
    "detailString" : "<string>",
    "detailBoolean" : <boolean>,
    "detailInteger" : <integer>,
    "detailRatio" : { Ratio },
    // 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
  "source" : { Reference(CareTeam|Patient|Practitioner|PractitionerRole|
   RelatedPerson) }, // Who's responsible for creating Goal?
  "addresses" : [{ Reference(Condition|MedicationRequest|MedicationStatement|
   NutritionIntake|NutritionOrder|Observation|Procedure|RiskAssessment|
   ServiceRequest) }], // Issues addressed by this goal
  "note" : [{ Annotation }], // Comments about the goal
  "outcome" : [{ CodeableReference(Observation) }] // What result was achieved regarding the goal?
}

Turtle Template

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


[ 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:identifier  ( [ Identifier ] ... ) ; # 0..* External Ids for this goal
  fhir:lifecycleStatus [ code ] ; # 1..1 proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected
  fhir:achievementStatus [ CodeableConcept ] ; # 0..1 in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable
  fhir:category  ( [ CodeableConcept ] ... ) ; # 0..* E.g. Treatment, dietary, behavioral, etc
  fhir:continuous [ boolean ] ; # 0..1 After meeting the goal, ongoing activity is needed to sustain the goal objective
  fhir:priority [ CodeableConcept ] ; # 0..1 high-priority | medium-priority | low-priority
  fhir:description [ CodeableConcept ] ; # 1..1 Code or text describing goal
  fhir:subject [ Reference(Group|Organization|Patient) ] ; # 1..1 Who this goal is intended for
  # start[x] : 0..1 When goal pursuit begins. One of these 2
    fhir:start [  a fhir:date ; date ]
    fhir:start [  a fhir:CodeableConcept ; CodeableConcept ]
  fhir:target ( [ # 0..* Target outcome for the goal
    fhir:measure [ CodeableConcept ] ; # 0..1 I The parameter whose value is being tracked
    # detail[x] : 0..1 I The target value to be achieved. One of these 7
      fhir:detail [  a fhir:Quantity ; Quantity ]
      fhir:detail [  a fhir:Range ; Range ]
      fhir:detail [  a fhir:CodeableConcept ; CodeableConcept ]
      fhir:detail [  a fhir:string ; string ]
      fhir:detail [  a fhir:boolean ; boolean ]
      fhir:detail [  a fhir:integer ; integer ]
      fhir:detail [  a fhir:Ratio ; Ratio ]
    # due[x] : 0..1 Reach goal on or before. One of these 2
      fhir:due [  a fhir:date ; date ]
      fhir:due [  a fhir:Duration ; Duration ]
  ] ... ) ;
  fhir:statusDate [ date ] ; # 0..1 When goal status took effect
  fhir:statusReason [ string ] ; # 0..1 Reason for current status
  fhir:source [ Reference(CareTeam|Patient|Practitioner|PractitionerRole|RelatedPerson) ] ; # 0..1 Who's responsible for creating Goal?
  fhir:addresses  ( [ Reference(Condition|MedicationRequest|MedicationStatement|NutritionIntake|NutritionOrder|
  Observation|Procedure|RiskAssessment|ServiceRequest) ] ... ) ; # 0..* Issues addressed by this goal
  fhir:note  ( [ Annotation ] ... ) ; # 0..* Comments about the goal
  fhir:outcome  ( [ CodeableReference(Observation) ] ... ) ; # 0..* What result was achieved regarding the goal?
]

Changes from both R4 and R4B

Goal

Goal.continuous

Added Element

Goal.source

Renamed from expressedBy to source
Type Reference: Added Target Type CareTeam

Goal.addresses

Type Reference: Added Target Types MedicationRequest, Procedure, NutritionIntake

Goal.outcome

Added Element

Goal.outcomeCode

Deleted (-> Goal.outcome)

Goal.outcomeReference

Deleted (-> Goal.outcome)

See the Full Difference for further information

This analysis is available for R4 as XML or JSON and for R4B as XML or JSON.

See R4 <--> R5 Conversion Maps (status = See Conversions Summary.)

Additional definitions: Master Definition XML + JSON, XML Schema/Schematron + JSON Schema, ShEx (for Turtle) + see the extensions, the spreadsheet version & the dependency analysis

9.6.4.1 Terminology Bindings

Path	ValueSet	Type	Documentation
Goal.lifecycleStatus	GoalLifecycleStatus	Required	Codes that reflect the current state of a goal and whether the goal is still being targeted.
Goal.achievementStatus	GoalAchievementStatus	Preferred	Describes the progression, or lack thereof, towards the goal against the target.
Goal.category	GoalCategory	Example	Example codes for grouping goals to use for filtering or presentation.
Goal.priority	GoalPriority	Preferred	Indicates the level of importance associated with reaching or sustaining a goal.
Goal.description	GoalDescription	Example	Example value set for Goal descriptions.
Goal.start[x]	GoalStartEvent	Example	Identifies types of events that might trigger the start of a goal.
Goal.target.measure	LOINCCodes (a valid code from LOINC )	Example	This value set includes all LOINC codes
Goal.target.detail[x]		Example
Goal.outcome	SNOMEDCTClinicalFindings	Example	This value set includes all the "Clinical finding" SNOMED CT codes - concepts where concept is-a 404684003 (Clinical finding (finding)).

Path

ValueSet

Type

Documentation

Goal.lifecycleStatus

GoalLifecycleStatus

Required

Codes that reflect the current state of a goal and whether the goal is still being targeted.

Goal.achievementStatus

GoalAchievementStatus

Preferred

Describes the progression, or lack thereof, towards the goal against the target.

Goal.category

GoalCategory

Example

Example codes for grouping goals to use for filtering or presentation.

Goal.priority

GoalPriority

Preferred

Indicates the level of importance associated with reaching or sustaining a goal.

Goal.description

GoalDescription

Example

Example value set for Goal descriptions.

Goal.start[x]

GoalStartEvent

Example

Identifies types of events that might trigger the start of a goal.

Goal.target.measure

LOINCCodes (a valid code from LOINC icon

)

Example

This value set includes all LOINC codes

Goal.target.detail[x]

Example

Goal.outcome

SNOMEDCTClinicalFindings

Example

This value set includes all the "Clinical finding" SNOMED CT icon codes - concepts where concept is-a 404684003 (Clinical finding (finding)).

9.6.4.2 Constraints

UniqueKey

Level

Location

Description

Expression

gol-1

Rule

Goal.target

Goal.target.measure is required if Goal.target.detail is populated

(detail.exists() and measure.exists()) or detail.exists().not()

9.6.5 Search Parameters

Search parameters for this resource. See also the full list of search parameters for this resource, and check the Extensions registry for search parameters on extensions related to this resource. The common parameters also apply. See Searching for more information about searching in REST, messaging, and services.

Name	Type	Description	Expression	In Common
achievement-status	token	in-progress \| improving \| worsening \| no-change \| achieved \| sustaining \| not-achieved \| no-progress \| not-attainable	Goal.achievementStatus
addresses	reference	Issues addressed by this goal	Goal.addresses (Condition, RiskAssessment, MedicationRequest, NutritionOrder, Observation, Procedure, NutritionIntake, MedicationStatement, ServiceRequest)
category	token	E.g. Treatment, dietary, behavioral, etc.	Goal.category
description	token	Code or text describing goal	Goal.description
identifier	token	External Ids for this goal	Goal.identifier	65 Resources
lifecycle-status	token	proposed \| planned \| accepted \| active \| on-hold \| completed \| cancelled \| entered-in-error \| rejected	Goal.lifecycleStatus
patient	reference	Who this goal is intended for	Goal.subject.where(resolve() is Patient) (Patient)	66 Resources
start-date	date	When goal pursuit begins	(Goal.start.ofType(date))
subject	reference	Who this goal is intended for	Goal.subject (Group, Organization, Patient)
target-date	date	Reach goal on or before	(Goal.target.due.ofType(date))
target-measure	token	The parameter whose value is being tracked	Goal.target.measure