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-ballot 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
Page standards status: Informative |
Previous Page - US Core Encounter
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 |
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] </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" } ] } * 2016-04-05