Da Vinci Payer Data Exchange
2.1.0 - STU2 United States of America flag

Da Vinci Payer Data Exchange, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-epdx/ and changes regularly. See the Directory of published versions

US Core Goal

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This IG supports the full complement of US Core profiles. They are supported to enable a payer to produce FHIR resources from data provided in other formats.

For some resources, payers are unlikely to have the clinical information necessary to create a valid US Core resource. The US Core 3.1.1 Goal or US Core 6.1.0 Goal resource is one potential example of a resource that payers may be unable to create from the source clinical data they have available.

A valid US Core Goal profile in addition to a reference to a member, using the US Core Patient resource, will require a lifecycleStatus, a description of the goal and, optionally, a target date.

The essential fields (Must Support or Cardinality greater than 0..*) to be provided in the US Core 3.1.1 Goal or US Core 6.1.0 Goal resource are:

R4 Element Name Cardinality Type
Goal.lifecycleStatus lifecycleStatus 1..1 code
Goal.description description 1..1 CodeableConcept
Goal.subject subject 1..1 Reference(US Core Patient Profile)
Goal.target target 0..* BackboneElement
Goal.due[x]:dueDate due[x]:dueDate 0..1 date

Table Definition

Example Goal Resource

An example mapping of a Goal resource is shown here:

{
  "resourceType" : "Goal",
  "id" : "goal-1",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/us/core/StructureDefinition/us-core-goal"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">
Generated Narrative
id: goal-1
meta: 
lifecycleStatus: active
description: <span title=\"Codes: \">Patient is targeting a pulse oximetry of 92% and a weight of 195 lbs</span>
subject: <a href=\"Patient-example.html\">Amy Shaw. Generated Summary: id: example; Medical Record Number = 1032702 (USUAL); active; Amy V. Shaw , Amy V. Baxter ; ph: 555-555-5555(HOME), amy.shaw@example.com; gender: female; birthDate: 1987-02-20</a>
Targets
<table class=\"grid\">-Due[x]*2016-04-05</table></div>"
  },
  "lifecycleStatus" : "active",
  "description" : {
    "text" : "Patient is targeting a pulse oximetry of 92% and a weight of 195 lbs"
  },
  "subject" : {
    "reference" : "Patient/example",
    "display" : "Amy Shaw"
  },
  "target" : [
    {
      "dueDate" : "2016-04-05"
    }
  ]
}

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