Clinical Practice Guidelines
3.0.0-ballot - STU 3 Ballot
Clinical Practice Guidelines
3.0.0-ballot - STU 3 Ballot
Clinical Practice Guidelines, published by HL7 International / Clinical Decision Support. This guide is not an authorized publication; it is the continuous build for version 3.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/cqf-recommendations/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-goal | Version: 3.0.0-ballot | ||||
| Active as of 2026-11-10 | Computable Name: CPGGoal | ||||
| Other Identifiers: OID:2.16.840.1.113883.4.642.40.48.42.65 | |||||
Defines the expectations for the representation of goals used in computable guidelines
This is a domain case/instance profile
Usages:
You can also check for usages in the FHIR IG Statistics
Description Differentials, Snapshots, and other representations.
| Name | Flags | Card. | Type | Description & Constraints Filter:  |
|---|---|---|---|---|
  Goal |
0..* | Goal | Describes the intended objective(s) for a patient, group or organization | |
  implicitRules |
0..1 | uri | A set of rules under which this content was created | |
  Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
   extension:pertinenceRating |
0..1 | integer | CPG Pertinence Rating Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-pertinenceRating | |
| extension:pertinentTo |
0..1 | Reference() | CPG Pertinent To Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-pertinentTo | |
 extension:goalFor |
0..* | canonical(CPG Computable Plan Definition) | CPG Goal For Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-goalFor | |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
 identifier |
0..* | Identifier | External Ids for this goal | |
| lifecycleStatus |
1..1 | code | proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required): Codes that reflect the current state of a goal and whether the goal is still being targeted. | |
| achievementStatus |
0..1 | CodeableConcept | in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable Binding: GoalAchievementStatus (preferred): Indicates the progression, or lack thereof, towards the goal against the target. | |
| category |
0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Binding: GoalCategory (example): Codes for grouping and sorting goals. | |
| priority |
0..1 | CodeableConcept | high-priority | medium-priority | low-priority Binding: GoalPriority (preferred): The level of importance associated with a goal. | |
| description |
1..1 | CodeableConcept | Code or text describing goal Binding: SNOMEDCTClinicalFindings (example): 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. | |
 subject |
1..1 | Reference(Patient | Group | Organization) | Who this goal is intended for | |
 start[x] |
0..1 | When goal pursuit begins Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal. | ||
| startDate |
date | |||
 startCodeableConcept |
CodeableConcept | |||
 target |
C | 0..* | BackboneElement | Target outcome for the goal Constraints: gol-1 |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| measure |
C | 0..1 | CodeableConcept | The parameter whose value is being tracked Binding: LOINCCodes (example): Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level. |
| detail[x] |
C | 0..1 | The target value to be achieved Binding Description: (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 | |||
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Goal.lifecycleStatus | Base | required | GoalLifecycleStatus | 📍4.0.1 | FHIR Std. |
| Goal.achievementStatus | Base | preferred | Goal achievement status | 📍4.0.1 | FHIR Std. |
| Goal.category | Base | example | Goal category | 📍4.0.1 | FHIR Std. |
| Goal.priority | Base | preferred | Goal priority | 📍4.0.1 | FHIR Std. |
| Goal.description | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. |
| Goal.start[x] | Base | example | Goal start event | 📍4.0.1 | FHIR Std. |
| Goal.target.measure | Base | example | LOINC Codes | 📍4.0.1 | FHIR Std. |
| Goal.target.detail[x] | Base | example | Not State | Unknown |
| Id | Grade | Path(s) | Description | Expression |
| 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 Goal
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Goal |
0..* | Goal | Describes the intended objective(s) for a patient, group or organization | |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:pertinenceRating |
0..1 | integer | CPG Pertinence Rating Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-pertinenceRating | |
| extension:pertinentTo |
0..1 | Reference() | CPG Pertinent To Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-pertinentTo | |
| extension:goalFor |
0..* | canonical(CPG Computable Plan Definition) | CPG Goal For Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-goalFor | |
 identifier |
0..* | Identifier | External Ids for this goal | |
| lifecycleStatus |
1..1 | code | 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 | |
| category |
0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. | |
| priority |
0..1 | CodeableConcept | high-priority | medium-priority | low-priority | |
| description |
1..1 | CodeableConcept | Code or text describing goal | |
| subject |
1..1 | Reference(Patient | Group | Organization) | Who this goal is intended for | |
| start[x] |
0..1 | date, CodeableConcept | When goal pursuit begins | |
| target |
0..* | BackboneElement | Target outcome for the goal | |
| measure |
0..1 | CodeableConcept | The parameter whose value is being tracked | |
| detail[x] |
0..1 | Quantity, Range, CodeableConcept, string, boolean, integer, Ratio | The target value to be achieved | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Goal |
0..* | Goal | Describes the intended objective(s) for a patient, group or organization | |||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:pertinenceRating |
0..1 | integer | CPG Pertinence Rating Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-pertinenceRating | |||||
| extension:pertinentTo |
0..1 | Reference() | CPG Pertinent To Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-pertinentTo | |||||
| extension:goalFor |
0..* | canonical(CPG Computable Plan Definition) | CPG Goal For Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-goalFor | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
0..* | Identifier | External Ids for this goal | |||||
| lifecycleStatus |
1..1 | code | proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required): Codes that reflect the current state of a goal and whether the goal is still being targeted. | |||||
| achievementStatus |
0..1 | CodeableConcept | in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable Binding: GoalAchievementStatus (preferred): Indicates the progression, or lack thereof, towards the goal against the target. | |||||
| category |
0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Binding: GoalCategory (example): Codes for grouping and sorting goals. | |||||
| priority |
0..1 | CodeableConcept | high-priority | medium-priority | low-priority Binding: GoalPriority (preferred): The level of importance associated with a goal. | |||||
| description |
1..1 | CodeableConcept | Code or text describing goal Binding: SNOMEDCTClinicalFindings (example): 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. | |||||
| subject |
1..1 | Reference(Patient | Group | Organization) | Who this goal is intended for | |||||
| start[x] |
0..1 | When goal pursuit begins Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal. | ||||||
| startDate |
date | |||||||
| startCodeableConcept |
CodeableConcept | |||||||
| target |
C | 0..* | BackboneElement | Target outcome for the goal Constraints: gol-1 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| measure |
C | 0..1 | CodeableConcept | The parameter whose value is being tracked Binding: LOINCCodes (example): Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level. | ||||
| detail[x] |
C | 0..1 | The target value to be achieved Binding Description: (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] |
0..1 | Reach goal on or before | ||||||
| dueDate |
date | |||||||
| dueDuration |
Duration | |||||||
| statusDate |
0..1 | date | When goal status took effect | |||||
| statusReason |
0..1 | string | Reason for current status | |||||
| expressedBy |
0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) | Who's responsible for creating Goal? | |||||
| addresses |
0..* | Reference(Condition | Observation | MedicationStatement | NutritionOrder | ServiceRequest | RiskAssessment) | Issues addressed by this goal | |||||
| note |
0..* | Annotation | Comments about the goal | |||||
| outcomeCode |
0..* | CodeableConcept | What result was achieved regarding the goal? Binding: SNOMEDCTClinicalFindings (example): The result of the goal; e.g. "25% increase in shoulder mobility", "Anxiety reduced to moderate levels". "15 kg weight loss sustained over 6 months". | |||||
| outcomeReference |
0..* | Reference(Observation) | Observation that resulted from goal | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Goal.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Goal.lifecycleStatus | Base | required | GoalLifecycleStatus | 📍4.0.1 | FHIR Std. |
| Goal.achievementStatus | Base | preferred | Goal achievement status | 📍4.0.1 | FHIR Std. |
| Goal.category | Base | example | Goal category | 📍4.0.1 | FHIR Std. |
| Goal.priority | Base | preferred | Goal priority | 📍4.0.1 | FHIR Std. |
| Goal.description | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. |
| Goal.start[x] | Base | example | Goal start event | 📍4.0.1 | FHIR Std. |
| Goal.target.measure | Base | example | LOINC Codes | 📍4.0.1 | FHIR Std. |
| Goal.target.detail[x] | Base | example | Not State | Unknown | |
| Goal.outcomeCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| 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 Goal
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Goal |
0..* | Goal | Describes the intended objective(s) for a patient, group or organization | |
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:pertinenceRating |
0..1 | integer | CPG Pertinence Rating Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-pertinenceRating | |
| extension:pertinentTo |
0..1 | Reference() | CPG Pertinent To Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-pertinentTo | |
| extension:goalFor |
0..* | canonical(CPG Computable Plan Definition) | CPG Goal For Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-goalFor | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| identifier |
0..* | Identifier | External Ids for this goal | |
| lifecycleStatus |
1..1 | code | proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required): Codes that reflect the current state of a goal and whether the goal is still being targeted. | |
| achievementStatus |
0..1 | CodeableConcept | in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable Binding: GoalAchievementStatus (preferred): Indicates the progression, or lack thereof, towards the goal against the target. | |
| category |
0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Binding: GoalCategory (example): Codes for grouping and sorting goals. | |
| priority |
0..1 | CodeableConcept | high-priority | medium-priority | low-priority Binding: GoalPriority (preferred): The level of importance associated with a goal. | |
| description |
1..1 | CodeableConcept | Code or text describing goal Binding: SNOMEDCTClinicalFindings (example): 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. | |
| subject |
1..1 | Reference(Patient | Group | Organization) | Who this goal is intended for | |
| start[x] |
0..1 | When goal pursuit begins Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal. | ||
| startDate |
date | |||
| startCodeableConcept |
CodeableConcept | |||
| target |
C | 0..* | BackboneElement | Target outcome for the goal Constraints: gol-1 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| measure |
C | 0..1 | CodeableConcept | The parameter whose value is being tracked Binding: LOINCCodes (example): Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level. |
| detail[x] |
C | 0..1 | The target value to be achieved Binding Description: (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 | |||
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Goal.lifecycleStatus | Base | required | GoalLifecycleStatus | 📍4.0.1 | FHIR Std. |
| Goal.achievementStatus | Base | preferred | Goal achievement status | 📍4.0.1 | FHIR Std. |
| Goal.category | Base | example | Goal category | 📍4.0.1 | FHIR Std. |
| Goal.priority | Base | preferred | Goal priority | 📍4.0.1 | FHIR Std. |
| Goal.description | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. |
| Goal.start[x] | Base | example | Goal start event | 📍4.0.1 | FHIR Std. |
| Goal.target.measure | Base | example | LOINC Codes | 📍4.0.1 | FHIR Std. |
| Goal.target.detail[x] | Base | example | Not State | Unknown |
| Id | Grade | Path(s) | Description | Expression |
| 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 Goal
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Goal |
0..* | Goal | Describes the intended objective(s) for a patient, group or organization | |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:pertinenceRating |
0..1 | integer | CPG Pertinence Rating Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-pertinenceRating | |
| extension:pertinentTo |
0..1 | Reference() | CPG Pertinent To Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-pertinentTo | |
| extension:goalFor |
0..* | canonical(CPG Computable Plan Definition) | CPG Goal For Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-goalFor | |
| identifier |
0..* | Identifier | External Ids for this goal | |
| lifecycleStatus |
1..1 | code | 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 | |
| category |
0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. | |
| priority |
0..1 | CodeableConcept | high-priority | medium-priority | low-priority | |
| description |
1..1 | CodeableConcept | Code or text describing goal | |
| subject |
1..1 | Reference(Patient | Group | Organization) | Who this goal is intended for | |
| start[x] |
0..1 | date, CodeableConcept | When goal pursuit begins | |
| target |
0..* | BackboneElement | Target outcome for the goal | |
| measure |
0..1 | CodeableConcept | The parameter whose value is being tracked | |
| detail[x] |
0..1 | Quantity, Range, CodeableConcept, string, boolean, integer, Ratio | The target value to be achieved | |
| Documentation for this format | ||||
Snapshot ViewView
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Goal |
0..* | Goal | Describes the intended objective(s) for a patient, group or organization | |||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:pertinenceRating |
0..1 | integer | CPG Pertinence Rating Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-pertinenceRating | |||||
| extension:pertinentTo |
0..1 | Reference() | CPG Pertinent To Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-pertinentTo | |||||
| extension:goalFor |
0..* | canonical(CPG Computable Plan Definition) | CPG Goal For Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-goalFor | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
0..* | Identifier | External Ids for this goal | |||||
| lifecycleStatus |
1..1 | code | proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required): Codes that reflect the current state of a goal and whether the goal is still being targeted. | |||||
| achievementStatus |
0..1 | CodeableConcept | in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable Binding: GoalAchievementStatus (preferred): Indicates the progression, or lack thereof, towards the goal against the target. | |||||
| category |
0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Binding: GoalCategory (example): Codes for grouping and sorting goals. | |||||
| priority |
0..1 | CodeableConcept | high-priority | medium-priority | low-priority Binding: GoalPriority (preferred): The level of importance associated with a goal. | |||||
| description |
1..1 | CodeableConcept | Code or text describing goal Binding: SNOMEDCTClinicalFindings (example): 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. | |||||
| subject |
1..1 | Reference(Patient | Group | Organization) | Who this goal is intended for | |||||
| start[x] |
0..1 | When goal pursuit begins Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal. | ||||||
| startDate |
date | |||||||
| startCodeableConcept |
CodeableConcept | |||||||
| target |
C | 0..* | BackboneElement | Target outcome for the goal Constraints: gol-1 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| measure |
C | 0..1 | CodeableConcept | The parameter whose value is being tracked Binding: LOINCCodes (example): Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level. | ||||
| detail[x] |
C | 0..1 | The target value to be achieved Binding Description: (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] |
0..1 | Reach goal on or before | ||||||
| dueDate |
date | |||||||
| dueDuration |
Duration | |||||||
| statusDate |
0..1 | date | When goal status took effect | |||||
| statusReason |
0..1 | string | Reason for current status | |||||
| expressedBy |
0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) | Who's responsible for creating Goal? | |||||
| addresses |
0..* | Reference(Condition | Observation | MedicationStatement | NutritionOrder | ServiceRequest | RiskAssessment) | Issues addressed by this goal | |||||
| note |
0..* | Annotation | Comments about the goal | |||||
| outcomeCode |
0..* | CodeableConcept | What result was achieved regarding the goal? Binding: SNOMEDCTClinicalFindings (example): The result of the goal; e.g. "25% increase in shoulder mobility", "Anxiety reduced to moderate levels". "15 kg weight loss sustained over 6 months". | |||||
| outcomeReference |
0..* | Reference(Observation) | Observation that resulted from goal | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Goal.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Goal.lifecycleStatus | Base | required | GoalLifecycleStatus | 📍4.0.1 | FHIR Std. |
| Goal.achievementStatus | Base | preferred | Goal achievement status | 📍4.0.1 | FHIR Std. |
| Goal.category | Base | example | Goal category | 📍4.0.1 | FHIR Std. |
| Goal.priority | Base | preferred | Goal priority | 📍4.0.1 | FHIR Std. |
| Goal.description | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. |
| Goal.start[x] | Base | example | Goal start event | 📍4.0.1 | FHIR Std. |
| Goal.target.measure | Base | example | LOINC Codes | 📍4.0.1 | FHIR Std. |
| Goal.target.detail[x] | Base | example | Not State | Unknown | |
| Goal.outcomeCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| 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 Goal
Other representations of profile: CSV, Excel, Schematron
IG © 2023+ HL7 International / Clinical Decision Support.
Package hl7.fhir.uv.cpg#3.0.0-ballot based on FHIR 4.0.1.
Generated
2026-11-10
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