Clinical Practice Guidelines
2.0.0-ballot - ballot
Clinical Practice Guidelines
2.0.0-ballot - 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 2.0.0-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: 2.0.0-ballot | |||
| Active as of 2024-04-14 | Computable Name: CPGGoal | |||
Defines the expectations for the representation of goals used in computable guidelines
This is a domain case/instance profile
Examples:
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Goal
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  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 | |
 goalFor |
S | 0..* | canonical(CPG Computable Plan Definition) | CPG Goal For Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-goalFor |
 identifier |
S | 0..* | Identifier | External Ids for this goal |
| lifecycleStatus |
S | 1..1 | code | proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected |
| achievementStatus |
S | 0..1 | CodeableConcept | in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable |
| category |
S | 0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. |
| priority |
S | 0..1 | CodeableConcept | high-priority | medium-priority | low-priority |
| description |
S | 1..1 | CodeableConcept | Code or text describing goal |
| subject |
S | 1..1 | Reference(Patient | Group | Organization) | Who this goal is intended for |
| start[x] |
S | 0..1 | date, CodeableConcept | When goal pursuit begins |
 target |
S | 0..* | BackboneElement | Target outcome for the goal |
 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 |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Goal |
0..* | Goal | Describes the intended objective(s) for a patient, group or organization | |
 implicitRules |
?!Σ | 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 | |
| goalFor |
S | 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 |
S | 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): Codes that reflect the current state of a goal and whether the goal is still being targeted. |
| achievementStatus |
SΣ | 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 | 0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Binding: GoalCategory (example): Codes for grouping and sorting goals. |
| priority |
SΣ | 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. |
 subject |
SΣ | 1..1 | Reference(Patient | Group | Organization) | Who this goal is intended for |
  start[x] |
SΣ | 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 |
SC | 0..* | BackboneElement | Target outcome for the goal gol-1: Goal.target.measure is required if Goal.target.detail is populated |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| measure |
SΣC | 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] |
SΣC | 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 | |||
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Goal.lifecycleStatus | required | GoalLifecycleStatushttp://hl7.org/fhir/ValueSet/goal-status|4.0.1from the FHIR Standard | |
| Goal.achievementStatus | preferred | GoalAchievementStatushttp://hl7.org/fhir/ValueSet/goal-achievementfrom the FHIR Standard | |
| Goal.category | example | GoalCategoryhttp://hl7.org/fhir/ValueSet/goal-categoryfrom the FHIR Standard | |
| Goal.priority | preferred | GoalPriorityhttp://hl7.org/fhir/ValueSet/goal-priorityfrom the FHIR Standard | |
| Goal.description | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findingsfrom the FHIR Standard | |
| Goal.start[x] | example | GoalStartEventhttp://hl7.org/fhir/ValueSet/goal-start-eventfrom the FHIR Standard | |
| Goal.target.measure | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | |
| Goal.target.detail[x] | example |
| Id | Grade | Path(s) | Details | Requirements |
| 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() |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Goal |
0..* | Goal | Describes the intended objective(s) for a patient, group or organization | |||||
| id |
Σ | 0..1 | id | 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): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| goalFor |
S | 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 |
S | 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): Codes that reflect the current state of a goal and whether the goal is still being targeted. | ||||
| achievementStatus |
SΣ | 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 | 0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Binding: GoalCategory (example): Codes for grouping and sorting goals. | ||||
| priority |
SΣ | 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. | ||||
| subject |
SΣ | 1..1 | Reference(Patient | Group | Organization) | Who this goal is intended for | ||||
| start[x] |
SΣ | 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 |
SC | 0..* | BackboneElement | Target outcome for the goal gol-1: Goal.target.measure is required if Goal.target.detail is populated | ||||
| 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 |
SΣC | 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] |
SΣC | 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 | |||||||
| dueDuration |
Duration | |||||||
| statusDate |
Σ | 0..1 | date | When goal status took effect | ||||
| statusReason |
0..1 | string | Reason for current status | |||||
| expressedBy |
Σ | 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 | Conformance | ValueSet | URI | |||
| Goal.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Goal.lifecycleStatus | required | GoalLifecycleStatushttp://hl7.org/fhir/ValueSet/goal-status|4.0.1from the FHIR Standard | ||||
| Goal.achievementStatus | preferred | GoalAchievementStatushttp://hl7.org/fhir/ValueSet/goal-achievementfrom the FHIR Standard | ||||
| Goal.category | example | GoalCategoryhttp://hl7.org/fhir/ValueSet/goal-categoryfrom the FHIR Standard | ||||
| Goal.priority | preferred | GoalPriorityhttp://hl7.org/fhir/ValueSet/goal-priorityfrom the FHIR Standard | ||||
| Goal.description | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findingsfrom the FHIR Standard | ||||
| Goal.start[x] | example | GoalStartEventhttp://hl7.org/fhir/ValueSet/goal-start-eventfrom the FHIR Standard | ||||
| Goal.target.measure | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | ||||
| Goal.target.detail[x] | example | |||||
| Goal.outcomeCode | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findingsfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| 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
Differential View
This structure is derived from Goal
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| 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 | |
| goalFor |
S | 0..* | canonical(CPG Computable Plan Definition) | CPG Goal For Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-goalFor |
| identifier |
S | 0..* | Identifier | External Ids for this goal |
| lifecycleStatus |
S | 1..1 | code | proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected |
| achievementStatus |
S | 0..1 | CodeableConcept | in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable |
| category |
S | 0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. |
| priority |
S | 0..1 | CodeableConcept | high-priority | medium-priority | low-priority |
| description |
S | 1..1 | CodeableConcept | Code or text describing goal |
| subject |
S | 1..1 | Reference(Patient | Group | Organization) | Who this goal is intended for |
| start[x] |
S | 0..1 | date, CodeableConcept | When goal pursuit begins |
| target |
S | 0..* | BackboneElement | Target outcome for the goal |
| 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 |
| Documentation for this format | ||||
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Goal |
0..* | Goal | Describes the intended objective(s) for a patient, group or organization | |
| implicitRules |
?!Σ | 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 | |
| goalFor |
S | 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 |
S | 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): Codes that reflect the current state of a goal and whether the goal is still being targeted. |
| achievementStatus |
SΣ | 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 | 0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Binding: GoalCategory (example): Codes for grouping and sorting goals. |
| priority |
SΣ | 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. |
| subject |
SΣ | 1..1 | Reference(Patient | Group | Organization) | Who this goal is intended for |
| start[x] |
SΣ | 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 |
SC | 0..* | BackboneElement | Target outcome for the goal gol-1: Goal.target.measure is required if Goal.target.detail is populated |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| measure |
SΣC | 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] |
SΣC | 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 | |||
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Goal.lifecycleStatus | required | GoalLifecycleStatushttp://hl7.org/fhir/ValueSet/goal-status|4.0.1from the FHIR Standard | |
| Goal.achievementStatus | preferred | GoalAchievementStatushttp://hl7.org/fhir/ValueSet/goal-achievementfrom the FHIR Standard | |
| Goal.category | example | GoalCategoryhttp://hl7.org/fhir/ValueSet/goal-categoryfrom the FHIR Standard | |
| Goal.priority | preferred | GoalPriorityhttp://hl7.org/fhir/ValueSet/goal-priorityfrom the FHIR Standard | |
| Goal.description | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findingsfrom the FHIR Standard | |
| Goal.start[x] | example | GoalStartEventhttp://hl7.org/fhir/ValueSet/goal-start-eventfrom the FHIR Standard | |
| Goal.target.measure | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | |
| Goal.target.detail[x] | example |
| Id | Grade | Path(s) | Details | Requirements |
| 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() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Goal |
0..* | Goal | Describes the intended objective(s) for a patient, group or organization | |||||
| id |
Σ | 0..1 | id | 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): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| goalFor |
S | 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 |
S | 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): Codes that reflect the current state of a goal and whether the goal is still being targeted. | ||||
| achievementStatus |
SΣ | 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 | 0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Binding: GoalCategory (example): Codes for grouping and sorting goals. | ||||
| priority |
SΣ | 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. | ||||
| subject |
SΣ | 1..1 | Reference(Patient | Group | Organization) | Who this goal is intended for | ||||
| start[x] |
SΣ | 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 |
SC | 0..* | BackboneElement | Target outcome for the goal gol-1: Goal.target.measure is required if Goal.target.detail is populated | ||||
| 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 |
SΣC | 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] |
SΣC | 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 | |||||||
| dueDuration |
Duration | |||||||
| statusDate |
Σ | 0..1 | date | When goal status took effect | ||||
| statusReason |
0..1 | string | Reason for current status | |||||
| expressedBy |
Σ | 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 | Conformance | ValueSet | URI | |||
| Goal.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Goal.lifecycleStatus | required | GoalLifecycleStatushttp://hl7.org/fhir/ValueSet/goal-status|4.0.1from the FHIR Standard | ||||
| Goal.achievementStatus | preferred | GoalAchievementStatushttp://hl7.org/fhir/ValueSet/goal-achievementfrom the FHIR Standard | ||||
| Goal.category | example | GoalCategoryhttp://hl7.org/fhir/ValueSet/goal-categoryfrom the FHIR Standard | ||||
| Goal.priority | preferred | GoalPriorityhttp://hl7.org/fhir/ValueSet/goal-priorityfrom the FHIR Standard | ||||
| Goal.description | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findingsfrom the FHIR Standard | ||||
| Goal.start[x] | example | GoalStartEventhttp://hl7.org/fhir/ValueSet/goal-start-eventfrom the FHIR Standard | ||||
| Goal.target.measure | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | ||||
| Goal.target.detail[x] | example | |||||
| Goal.outcomeCode | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findingsfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| 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#2.0.0-ballot based on FHIR 4.0.1. Generated 2024-04-14
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