HL7.FHIR.US.PACIO-ADI\ADI Goal

PACIO Advance Directive Interoperability Implementation Guide
0.1.0 - STU1

PACIO Advance Directive Interoperability Implementation Guide, published by HL7 Patient Empowerment Working Group. This is not an authorized publication; it is the continuous build for version 0.1.0). This version is based on the current content of https://github.com/HL7/pacio-adi/ and changes regularly. See the Directory of published versions

Resource Profile: ADI Goal

Defining URL:

http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-Goal

Version:

0.1.0

Name:

PADIGoal

Title:

ADI Goal

Status:

Active as of 2021-11-08T23:13:35+00:00

Definition:

This profile defines the base requirements for all ADI Goals.

Publisher:

HL7 Patient Empowerment Working Group

Source Resource:

XML / JSON / Turtle

The official URL for this profile is:

http://hl7.org/fhir/us/pacio-adi/StructureDefinition/PADI-Goal

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from USCoreGoalProfile

Summary

Mandatory: 3 elements
Must-Support: 7 elements

Structures

This structure refers to these other structures:

US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)

Extensions

This structure refers to these extensions:

http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-contextualValue-extension

This structure is derived from USCoreGoalProfile

Name	Flags	Card.	Type	Description & Constraints
Goal	I	0..*	USCoreGoalProfile	This is an abstract profile Describes the intended objective(s) for a patient, group or organization goal-subject-expressedby: subject and expressedBy refer to the same patient
text	S	1..1	Narrative	Text summary of the resource, for human interpretation
category	S	1..1	CodeableConcept	E.g. Treatment, dietary, behavioral, etc.
text	S	0..1	string	Plain text representation of the concept
description
padi-contextualValue-extension		0..1	(Complex)	Contextual Value URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-contextualValue-extension
target
measure	S	0..1	CodeableConcept	The parameter whose value is being tracked
detail[x]	S	0..1	Quantity, Range, CodeableConcept, string, boolean, integer, Ratio	The target value to be achieved
expressedBy	S	1..1	Reference(US Core Patient Profile)	Who's responsible for creating Goal?
note	S	0..*	Annotation	Comments about the goal
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Goal	I	0..*	USCoreGoalProfile	This is an abstract profile Describes the intended objective(s) for a patient, group or organization goal-subject-expressedby: subject and expressedBy refer to the same patient
id	Σ	0..1	string	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language.
text	S	1..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	External Ids for this goal
lifecycleStatus	?!SΣ	1..1	code	proposed \| planned \| accepted \| active \| on-hold \| completed \| cancelled \| entered-in-error \| rejected Binding: GoalLifecycleStatus (required)
achievementStatus	Σ	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	SΣ	1..1	CodeableConcept	E.g. Treatment, dietary, behavioral, etc. Binding: GoalCategory (example): Codes for grouping and sorting goals.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	SΣ	0..1	string	Plain text representation of the concept
priority	Σ	0..1	CodeableConcept	high-priority \| medium-priority \| low-priority Binding: GoalPriority (preferred): The level of importance associated with a goal.
description	SΣ	1..1	CodeableConcept	Code or text describing goal Binding: 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.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
padi-contextualValue-extension		0..1	(Complex)	Contextual Value URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-contextualValue-extension
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(US Core Patient Profile)	Who this goal is intended for
start[x]	Σ	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	SI	0..*	BackboneElement	Target outcome for the goal
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
measure	SΣI	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]	SΣI	0..1		The target value to be achieved Binding: (unbound) (example): Codes to identify the target value of the focus to be achieved to signify the fulfillment of the goal.
detailQuantity			Quantity
detailRange			Range
detailCodeableConcept			CodeableConcept
detailString			string
detailBoolean			boolean
detailInteger			integer
detailRatio			Ratio
due[x]	SΣ	0..1		Reach goal on or before
dueDate			date S
dueDuration			Duration
statusDate	Σ	0..1	date	When goal status took effect
statusReason		0..1	string	Reason for current status
expressedBy	SΣ	1..1	Reference(US Core Patient Profile)	Who's responsible for creating Goal?
addresses		0..*	Reference(Condition \| Observation \| MedicationStatement \| NutritionOrder \| ServiceRequest \| RiskAssessment)	Issues addressed by this goal
note	S	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

Name	Flags	Card.	Type	Description & Constraints
Goal	I	0..*	USCoreGoalProfile	This is an abstract profile Describes the intended objective(s) for a patient, group or organization goal-subject-expressedby: subject and expressedBy refer to the same patient
text		1..1	Narrative	Text summary of the resource, for human interpretation
lifecycleStatus	?!Σ	1..1	code	proposed \| planned \| accepted \| active \| on-hold \| completed \| cancelled \| entered-in-error \| rejected Binding: GoalLifecycleStatus (required)
category	Σ	1..1	CodeableConcept	E.g. Treatment, dietary, behavioral, etc. Binding: GoalCategory (example): Codes for grouping and sorting goals.
text	Σ	0..1	string	Plain text representation of the concept
description	Σ	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	Σ	1..1	Reference(US Core Patient Profile)	Who this goal is intended for
target	I	0..*	BackboneElement	Target outcome for the goal
measure	ΣI	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]	ΣI	0..1		The target value to be achieved Binding: (unbound) (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]	Σ	0..1		Reach goal on or before
dueDate			date
expressedBy	Σ	1..1	Reference(US Core Patient Profile)	Who's responsible for creating Goal?
note		0..*	Annotation	Comments about the goal
Documentation for this format

This structure is derived from USCoreGoalProfile

Summary

Mandatory: 3 elements
Must-Support: 7 elements

Structures

This structure refers to these other structures:

US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)

Extensions

This structure refers to these extensions:

http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-contextualValue-extension

Differential View

This structure is derived from USCoreGoalProfile

Name	Flags	Card.	Type	Description & Constraints
Goal	I	0..*	USCoreGoalProfile	This is an abstract profile Describes the intended objective(s) for a patient, group or organization goal-subject-expressedby: subject and expressedBy refer to the same patient
text	S	1..1	Narrative	Text summary of the resource, for human interpretation
category	S	1..1	CodeableConcept	E.g. Treatment, dietary, behavioral, etc.
text	S	0..1	string	Plain text representation of the concept
description
padi-contextualValue-extension		0..1	(Complex)	Contextual Value URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-contextualValue-extension
target
measure	S	0..1	CodeableConcept	The parameter whose value is being tracked
detail[x]	S	0..1	Quantity, Range, CodeableConcept, string, boolean, integer, Ratio	The target value to be achieved
expressedBy	S	1..1	Reference(US Core Patient Profile)	Who's responsible for creating Goal?
note	S	0..*	Annotation	Comments about the goal
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Goal	I	0..*	USCoreGoalProfile	This is an abstract profile Describes the intended objective(s) for a patient, group or organization goal-subject-expressedby: subject and expressedBy refer to the same patient
id	Σ	0..1	string	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language.
text	S	1..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	External Ids for this goal
lifecycleStatus	?!SΣ	1..1	code	proposed \| planned \| accepted \| active \| on-hold \| completed \| cancelled \| entered-in-error \| rejected Binding: GoalLifecycleStatus (required)
achievementStatus	Σ	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	SΣ	1..1	CodeableConcept	E.g. Treatment, dietary, behavioral, etc. Binding: GoalCategory (example): Codes for grouping and sorting goals.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	SΣ	0..1	string	Plain text representation of the concept
priority	Σ	0..1	CodeableConcept	high-priority \| medium-priority \| low-priority Binding: GoalPriority (preferred): The level of importance associated with a goal.
description	SΣ	1..1	CodeableConcept	Code or text describing goal Binding: 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.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
padi-contextualValue-extension		0..1	(Complex)	Contextual Value URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/padi-contextualValue-extension
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(US Core Patient Profile)	Who this goal is intended for
start[x]	Σ	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	SI	0..*	BackboneElement	Target outcome for the goal
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
measure	SΣI	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]	SΣI	0..1		The target value to be achieved Binding: (unbound) (example): Codes to identify the target value of the focus to be achieved to signify the fulfillment of the goal.
detailQuantity			Quantity
detailRange			Range
detailCodeableConcept			CodeableConcept
detailString			string
detailBoolean			boolean
detailInteger			integer
detailRatio			Ratio
due[x]	SΣ	0..1		Reach goal on or before
dueDate			date S
dueDuration			Duration
statusDate	Σ	0..1	date	When goal status took effect
statusReason		0..1	string	Reason for current status
expressedBy	SΣ	1..1	Reference(US Core Patient Profile)	Who's responsible for creating Goal?
addresses		0..*	Reference(Condition \| Observation \| MedicationStatement \| NutritionOrder \| ServiceRequest \| RiskAssessment)	Issues addressed by this goal
note	S	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

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

Path	Conformance	ValueSet
Goal.language	preferred	CommonLanguages Max Binding: AllLanguages
Goal.lifecycleStatus	required	GoalLifecycleStatus
Goal.achievementStatus	preferred	GoalAchievementStatus
Goal.category	example	GoalCategory
Goal.priority	preferred	GoalPriority
Goal.description	example	SNOMEDCTClinicalFindings
Goal.start[x]	example	GoalStartEvent
Goal.target.measure	example	LOINCCodes
Goal.target.detail[x]	example
Goal.outcomeCode	example	SNOMEDCTClinicalFindings

Constraints

Id	Path	Details	Requirements
goal-subject-expressedby	Goal	subject and expressedBy refer to the same patient : subject = expressedBy