SDOH Clinical Care
3.0.0 - STU 3

SDOH Clinical Care, published by HL7 International / Patient Care. This guide is not an authorized publication; it is the continuous build for version 3.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-sdoh-clinicalcare/ and changes regularly. See the Directory of published versions

## Resource Profile: SDOHCC Goal

Official URL: http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Goal | Version: 3.0.0
Standards status: Trial-use | Maturity Level: 2 | Computable Name: SDOHCCGoal

Profile for goals that address Social Determinants of Health (SDOH).

### Purpose

SDOHCC Goal is generally intended to represent a goal established to address an identified social risk or need (e.g., SDOHCC Condition, SDOHCC Observation Screening Response, SDOHCC Observation Assessment). An SDOHCC ServiceRequest and SDOHCC Procedure can pertain to an SDOHCC Goal. See the Data Modeling Framework for more detail on the relationships between SDOHCC Goal and the other profiles in this IG.

### Usage

`Goal.description` has a binding to US Core Goal Codes (extensible). `Goal.description` also has additional bindings to SDOH domain-specific value sets (e.g., for Food Insecurity) which are determined by the value selected for `Goal.category`. When `Goal.category` is a value from SDOHCC ValueSet SDOH Category (e.g., food-insecurity), `Goal.description` SHALL be selected from the corresponding domain-specific value set found in Additional Bindings (i.e. Food Insecurity Goals). If more than one value is selected from SDOHCC ValueSet SDOH Category (e.g., food-insecurity and financial-insecurity) for `Goal.category`, then `Goal.description` SHALL be selected from at least one of the corresponding domain-specific value sets found in Additional Bindings (e.g. Food Insecurity Goals).

Of note, Gravity Project is continuously developing terminology for new SDOH domains. Sometimes, a new SDOH domain may already be represented by a category code in SDOHCC ValueSet SDOH Category, but a domain-specific value set may not yet be available in VSAC. In this case, the Additional Binding for the new SDOH domain/category is the default binding for the profile element. Additionally, sometimes a domain-specific value set for a new domain is available in VSAC but does not yet include all standardized codes identified during the domain’s terminology development cycle. In this case, the value set’s “Description” tab in VSAC will state, “In progress”. Additional information related to Gravity value sets is provided on the Social Risk Terminology Value Sets page on the Gravity Project Confluence site.

Additionally, some SDOH domains may not yet be represented in SDOHCC ValueSet SDOH Category. In this case, `Goal.category`: sdoh-category-unspecified can be used so that the Goal instance can still be categorized as SDOH-related. If desired, `Goal.category.text` can also be used to further specify the domain. For example, at the time of publication of this IG, “disability-status” is not yet included in SDOHCC ValueSet SDOH Category. In this case, `Goal.category`: sdoh-category-unspecified can be used along with `Goal.category.text`: Disability Status. For `Goal.category`: sdoh-category-unspecified, there will not be domain-specific value sets and Additional Bindings for `Goal.description` will designate the default binding to US Core Goal Codes (extensible).

For more information on the correlation between `Goal.category` and the domain-specific value sets in Additional Bindings for `Goal.description`, see Gravity Project Value Sets.

Usages:

- Refer to this Profile: SDOHCC Procedure, SDOHCC ServiceRequest and SDOHCC Task For Referral Management
- Examples for this Profile: Goal/SDOHCC-GoalFoodSecurityExample
- CapabilityStatements using this Profile: SDOHCC Coordination Platform, SDOHCC Patient Application, SDOHCC Referral Recipient, SDOHCC Referral Recipient - Light and SDOHCC Referral Source

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Goal |  | 0..* | USCoreGoalProfile(7.0.0) | Describes the intended SDOH-related objective(s) for a patient.
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
lifecycleStatus | ?!S Σ | 1..1 | code | proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required)
achievementStatus | S 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.
Slices for category | Σ | 0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Slice: Unordered, Open by value:$this Binding: GoalCategory (example): Codes for grouping and sorting goals.
category:SDOHCC | S Σ | 0..* | CodeableConcept | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.
description | S Σ | 1..1 | CodeableConcept | Code or text describing goal Binding: USCoreGoalCodes (7.0.0) (extensible): Codes providing the details of a particular goal. In many systems, only the text element will be used.
Additional Bindings | Purpose | Usage
Digital Access Goals | Extensible | SDOHCCGoal#`Goal.category` = digital-access
Digital Literacy Goals | Extensible | SDOHCCGoal#`Goal.category` = digital-literacy
LessThanHighSchoolEducationGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = educational-attainment
Elder Abuse Goals | Extensible | SDOHCCGoal#`Goal.category` = elder-abuse
UnemploymentGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = employment-status
FinancialInsecurityGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = financial-insecurity
FoodInsecurityGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = food-insecurity
HealthInsuranceCoverageStatusGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = health-insurance-coverage-status
HomelessnessGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = homelessness
HousingInstabilityGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = housing-instability
InadequateHousingGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = inadequate-housing
Incarceration Status Goals | Extensible | SDOHCCGoal#`Goal.category` = incarceration-status
IntimatePartnerViolenceGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = intimate-partner-violence
Language Access Goals | Extensible | SDOHCCGoal#`Goal.category` = language-access
MaterialHardshipGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = material-hardship
MedicalCostBurdenGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = medical-cost-burden
HealthLiteracyGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = personal-health-literacy
SocialConnectionGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = social-connection
StressGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = stress
TransportationInsecurityGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = transportation-insecurity
Utility Insecurity Goals | Extensible | SDOHCCGoal#`Goal.category` = utility-insecurity
Veteran Status Goals | Extensible | SDOHCCGoal#`Goal.category` = veteran-status
USCoreGoalCodes (7.0.0) | Extensible | SDOHCCGoal#`Goal.category` = sdoh-category-unspecified
subject | S Σ | 1..1 | Reference(US Core Patient Profile(7.0.0)) | Who this goal is intended for
start[x] | S Σ | 0..1 |  | When goal pursuit begins Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal.
startDate |  |  | date S |
startCodeableConcept |  |  | CodeableConcept |
target | S C | 0..* | BackboneElement | Target outcome for the goal Constraints: gol-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
measure | Σ C | 0..1 | CodeableConcept | The parameter whose value is being tracked Binding: LOINCCodes (preferred): Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level.
due[x] | S Σ | 0..1 |  | Reach goal on or before
dueDate |  |  | date S |
dueDuration |  |  | Duration |
statusDate | Σ | 0..1 | date | When goal status took effect
Slices for addresses |  | 0..* | Reference(Condition | Observation | RiskAssessment) | Issues addressed by this goal Slice: Unordered, Open by profile:resolve()
addresses:SupportedAddresses | S | 0..* | Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | Issues addressed by this goal
outcomeCode |  | 0..* | CodeableConcept | What result was achieved regarding the goal? Binding: USCoreGoalCodes (7.0.0) (preferred): The result of the goal; e.g., "Food security", "Has access to a car ".
Slices for outcomeReference |  | 0..* | Reference(Observation) | Observation that resulted from goal Slice: Unordered, Open by profile:resolve()
outcomeReference:SupportedOutcomeReference | S | 0..* | Reference(SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | Observation that resulted from goal
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Goal.lifecycleStatus | required | GoalLifecycleStatus `http://hl7.org/fhir/ValueSet/goal-status` From the FHIR Standard
Goal.achievementStatus | preferred | GoalAchievementStatus `http://hl7.org/fhir/ValueSet/goal-achievement` From the FHIR Standard
Goal.category | example | GoalCategory `http://hl7.org/fhir/ValueSet/goal-category` From the FHIR Standard
Goal.category:SDOHCC | required | SDOHCCValueSetSDOHCategory `http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetSDOHCategory` From this IG
Goal.description | extensible | USCoreGoalCodes `http://hl7.org/fhir/us/core/ValueSet/us-core-goal-description|7.0.0`
Goal.start[x] | example | GoalStartEvent `http://hl7.org/fhir/ValueSet/goal-start-event` From the FHIR Standard
Goal.target.measure | preferred | LOINCCodes(a valid code from LOINC) `http://hl7.org/fhir/ValueSet/observation-codes` From the FHIR Standard
Goal.outcomeCode | preferred | USCoreGoalCodes `http://hl7.org/fhir/us/core/ValueSet/us-core-goal-description|7.0.0`

#### Constraints

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 USCoreGoalProfile

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Goal |  | 0..* | USCoreGoalProfile(7.0.0) | Describes the intended SDOH-related objective(s) for a patient.
achievementStatus | S | 0..1 | CodeableConcept | in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable
Slices for category |  | 0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Slice: Unordered, Open by value:$this
category:SDOHCC | S | 0..* | CodeableConcept | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.
description |  | 1..1 | CodeableConcept | Code or text describing goal Binding: USCoreGoalCodes (7.0.0) (extensible): Codes providing the details of a particular goal. In many systems, only the text element will be used.
Additional Bindings | Purpose | Usage
Digital Access Goals | Extensible | SDOHCCGoal#`Goal.category` = digital-access
Digital Literacy Goals | Extensible | SDOHCCGoal#`Goal.category` = digital-literacy
LessThanHighSchoolEducationGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = educational-attainment
Elder Abuse Goals | Extensible | SDOHCCGoal#`Goal.category` = elder-abuse
UnemploymentGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = employment-status
FinancialInsecurityGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = financial-insecurity
FoodInsecurityGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = food-insecurity
HealthInsuranceCoverageStatusGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = health-insurance-coverage-status
HomelessnessGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = homelessness
HousingInstabilityGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = housing-instability
InadequateHousingGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = inadequate-housing
Incarceration Status Goals | Extensible | SDOHCCGoal#`Goal.category` = incarceration-status
IntimatePartnerViolenceGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = intimate-partner-violence
Language Access Goals | Extensible | SDOHCCGoal#`Goal.category` = language-access
MaterialHardshipGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = material-hardship
MedicalCostBurdenGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = medical-cost-burden
HealthLiteracyGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = personal-health-literacy
SocialConnectionGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = social-connection
StressGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = stress
TransportationInsecurityGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = transportation-insecurity
Utility Insecurity Goals | Extensible | SDOHCCGoal#`Goal.category` = utility-insecurity
Veteran Status Goals | Extensible | SDOHCCGoal#`Goal.category` = veteran-status
USCoreGoalCodes (7.0.0) | Extensible | SDOHCCGoal#`Goal.category` = sdoh-category-unspecified
subject |  | 1..1 | Reference(US Core Patient Profile(7.0.0)) | Who this goal is intended for
target |  |  |  |
measure |  | 0..1 | CodeableConcept | The parameter whose value is being tracked Binding: LOINCCodes (preferred): Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level.
statusDate |  | 0..1 | date | When goal status took effect
Slices for addresses |  | 0..* | Reference(Condition | Observation | RiskAssessment) | Issues addressed by this goal Slice: Unordered, Open by profile:resolve()
addresses:SupportedAddresses | S | 0..* | Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | Issues addressed by this goal
outcomeCode |  | 0..* | CodeableConcept | What result was achieved regarding the goal? Binding: USCoreGoalCodes (7.0.0) (preferred): The result of the goal; e.g., "Food security", "Has access to a car ".
Slices for outcomeReference |  | 0..* | Reference(Observation) | Observation that resulted from goal Slice: Unordered, Open by profile:resolve()
outcomeReference:SupportedOutcomeReference | S | 0..* | Reference(SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | Observation that resulted from goal
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
Goal.category:SDOHCC | required | SDOHCCValueSetSDOHCategory `http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetSDOHCategory` From this IG
Goal.description | extensible | USCoreGoalCodes `http://hl7.org/fhir/us/core/ValueSet/us-core-goal-description|7.0.0`
Goal.target.measure | preferred | LOINCCodes(a valid code from LOINC) `http://hl7.org/fhir/ValueSet/observation-codes` From the FHIR Standard
Goal.outcomeCode | preferred | USCoreGoalCodes `http://hl7.org/fhir/us/core/ValueSet/us-core-goal-description|7.0.0`

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Goal |  | 0..* | USCoreGoalProfile(7.0.0) | Describes the intended SDOH-related objective(s) for a patient.
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.
Additional Bindings | Purpose
AllLanguages | Max Binding
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
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 | ?!S Σ | 1..1 | code | proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required)
achievementStatus | S 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.
Slices for category | Σ | 0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Slice: Unordered, Open by value:$this Binding: GoalCategory (example): Codes for grouping and sorting goals.
category:SDOHCC | S Σ | 0..* | CodeableConcept | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.
priority | Σ | 0..1 | CodeableConcept | high-priority | medium-priority | low-priority Binding: GoalPriority (preferred): The level of importance associated with a goal.
description | S Σ | 1..1 | CodeableConcept | Code or text describing goal Binding: USCoreGoalCodes (7.0.0) (extensible): Codes providing the details of a particular goal. In many systems, only the text element will be used.
Additional Bindings | Purpose | Usage
Digital Access Goals | Extensible | SDOHCCGoal#`Goal.category` = digital-access
Digital Literacy Goals | Extensible | SDOHCCGoal#`Goal.category` = digital-literacy
LessThanHighSchoolEducationGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = educational-attainment
Elder Abuse Goals | Extensible | SDOHCCGoal#`Goal.category` = elder-abuse
UnemploymentGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = employment-status
FinancialInsecurityGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = financial-insecurity
FoodInsecurityGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = food-insecurity
HealthInsuranceCoverageStatusGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = health-insurance-coverage-status
HomelessnessGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = homelessness
HousingInstabilityGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = housing-instability
InadequateHousingGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = inadequate-housing
Incarceration Status Goals | Extensible | SDOHCCGoal#`Goal.category` = incarceration-status
IntimatePartnerViolenceGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = intimate-partner-violence
Language Access Goals | Extensible | SDOHCCGoal#`Goal.category` = language-access
MaterialHardshipGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = material-hardship
MedicalCostBurdenGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = medical-cost-burden
HealthLiteracyGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = personal-health-literacy
SocialConnectionGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = social-connection
StressGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = stress
TransportationInsecurityGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = transportation-insecurity
Utility Insecurity Goals | Extensible | SDOHCCGoal#`Goal.category` = utility-insecurity
Veteran Status Goals | Extensible | SDOHCCGoal#`Goal.category` = veteran-status
USCoreGoalCodes (7.0.0) | Extensible | SDOHCCGoal#`Goal.category` = sdoh-category-unspecified
subject | S Σ | 1..1 | Reference(US Core Patient Profile(7.0.0)) | Who this goal is intended for
start[x] | S Σ | 0..1 |  | When goal pursuit begins Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal.
startDate |  |  | date S |
startCodeableConcept |  |  | CodeableConcept |
target | S 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 | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
measure | Σ C | 0..1 | CodeableConcept | The parameter whose value is being tracked Binding: LOINCCodes (preferred): Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level.
detail[x] | Σ 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] | S Σ | 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 | Σ | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) | Who's responsible for creating Goal?
Slices for addresses |  | 0..* | Reference(Condition | Observation | RiskAssessment) | Issues addressed by this goal Slice: Unordered, Open by profile:resolve()
addresses:SupportedAddresses | S | 0..* | Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | Issues addressed by this goal
note |  | 0..* | Annotation | Comments about the goal
outcomeCode |  | 0..* | CodeableConcept | What result was achieved regarding the goal? Binding: USCoreGoalCodes (7.0.0) (preferred): The result of the goal; e.g., "Food security", "Has access to a car ".
Slices for outcomeReference |  | 0..* | Reference(Observation) | Observation that resulted from goal Slice: Unordered, Open by profile:resolve()
outcomeReference:SupportedOutcomeReference | S | 0..* | Reference(SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | Observation that resulted from goal
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Goal.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` From the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
Goal.lifecycleStatus | required | GoalLifecycleStatus `http://hl7.org/fhir/ValueSet/goal-status` From the FHIR Standard
Goal.achievementStatus | preferred | GoalAchievementStatus `http://hl7.org/fhir/ValueSet/goal-achievement` From the FHIR Standard
Goal.category | example | GoalCategory `http://hl7.org/fhir/ValueSet/goal-category` From the FHIR Standard
Goal.category:SDOHCC | required | SDOHCCValueSetSDOHCategory `http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetSDOHCategory` From this IG
Goal.priority | preferred | GoalPriority `http://hl7.org/fhir/ValueSet/goal-priority` From the FHIR Standard
Goal.description | extensible | USCoreGoalCodes `http://hl7.org/fhir/us/core/ValueSet/us-core-goal-description|7.0.0`
Goal.start[x] | example | GoalStartEvent `http://hl7.org/fhir/ValueSet/goal-start-event` From the FHIR Standard
Goal.target.measure | preferred | LOINCCodes(a valid code from LOINC) `http://hl7.org/fhir/ValueSet/observation-codes` From the FHIR Standard
Goal.target.detail[x] | example |
Goal.outcomeCode | preferred | USCoreGoalCodes `http://hl7.org/fhir/us/core/ValueSet/us-core-goal-description|7.0.0`

#### Constraints

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 USCoreGoalProfile

Summary

Must-Support: 4 elements

Structures

This structure refers to these other structures:

- US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|7.0.0)
- SDOHCC Condition (http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Condition)
- SDOHCC Observation Screening Response (http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse)
- SDOHCC Observation Assessment (http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationAssessment)

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Goal.category
- The element 1 is sliced based on the value of Goal.addresses
- The element 1 is sliced based on the value of Goal.outcomeReference

Maturity: 2

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Goal |  | 0..* | USCoreGoalProfile(7.0.0) | Describes the intended SDOH-related objective(s) for a patient.
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
lifecycleStatus | ?!S Σ | 1..1 | code | proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required)
achievementStatus | S 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.
Slices for category | Σ | 0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Slice: Unordered, Open by value:$this Binding: GoalCategory (example): Codes for grouping and sorting goals.
category:SDOHCC | S Σ | 0..* | CodeableConcept | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.
description | S Σ | 1..1 | CodeableConcept | Code or text describing goal Binding: USCoreGoalCodes (7.0.0) (extensible): Codes providing the details of a particular goal. In many systems, only the text element will be used.
Additional Bindings | Purpose | Usage
Digital Access Goals | Extensible | SDOHCCGoal#`Goal.category` = digital-access
Digital Literacy Goals | Extensible | SDOHCCGoal#`Goal.category` = digital-literacy
LessThanHighSchoolEducationGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = educational-attainment
Elder Abuse Goals | Extensible | SDOHCCGoal#`Goal.category` = elder-abuse
UnemploymentGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = employment-status
FinancialInsecurityGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = financial-insecurity
FoodInsecurityGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = food-insecurity
HealthInsuranceCoverageStatusGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = health-insurance-coverage-status
HomelessnessGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = homelessness
HousingInstabilityGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = housing-instability
InadequateHousingGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = inadequate-housing
Incarceration Status Goals | Extensible | SDOHCCGoal#`Goal.category` = incarceration-status
IntimatePartnerViolenceGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = intimate-partner-violence
Language Access Goals | Extensible | SDOHCCGoal#`Goal.category` = language-access
MaterialHardshipGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = material-hardship
MedicalCostBurdenGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = medical-cost-burden
HealthLiteracyGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = personal-health-literacy
SocialConnectionGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = social-connection
StressGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = stress
TransportationInsecurityGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = transportation-insecurity
Utility Insecurity Goals | Extensible | SDOHCCGoal#`Goal.category` = utility-insecurity
Veteran Status Goals | Extensible | SDOHCCGoal#`Goal.category` = veteran-status
USCoreGoalCodes (7.0.0) | Extensible | SDOHCCGoal#`Goal.category` = sdoh-category-unspecified
subject | S Σ | 1..1 | Reference(US Core Patient Profile(7.0.0)) | Who this goal is intended for
start[x] | S Σ | 0..1 |  | When goal pursuit begins Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal.
startDate |  |  | date S |
startCodeableConcept |  |  | CodeableConcept |
target | S C | 0..* | BackboneElement | Target outcome for the goal Constraints: gol-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
measure | Σ C | 0..1 | CodeableConcept | The parameter whose value is being tracked Binding: LOINCCodes (preferred): Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level.
due[x] | S Σ | 0..1 |  | Reach goal on or before
dueDate |  |  | date S |
dueDuration |  |  | Duration |
statusDate | Σ | 0..1 | date | When goal status took effect
Slices for addresses |  | 0..* | Reference(Condition | Observation | RiskAssessment) | Issues addressed by this goal Slice: Unordered, Open by profile:resolve()
addresses:SupportedAddresses | S | 0..* | Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | Issues addressed by this goal
outcomeCode |  | 0..* | CodeableConcept | What result was achieved regarding the goal? Binding: USCoreGoalCodes (7.0.0) (preferred): The result of the goal; e.g., "Food security", "Has access to a car ".
Slices for outcomeReference |  | 0..* | Reference(Observation) | Observation that resulted from goal Slice: Unordered, Open by profile:resolve()
outcomeReference:SupportedOutcomeReference | S | 0..* | Reference(SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | Observation that resulted from goal
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Goal.lifecycleStatus | required | GoalLifecycleStatus `http://hl7.org/fhir/ValueSet/goal-status` From the FHIR Standard
Goal.achievementStatus | preferred | GoalAchievementStatus `http://hl7.org/fhir/ValueSet/goal-achievement` From the FHIR Standard
Goal.category | example | GoalCategory `http://hl7.org/fhir/ValueSet/goal-category` From the FHIR Standard
Goal.category:SDOHCC | required | SDOHCCValueSetSDOHCategory `http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetSDOHCategory` From this IG
Goal.description | extensible | USCoreGoalCodes `http://hl7.org/fhir/us/core/ValueSet/us-core-goal-description|7.0.0`
Goal.start[x] | example | GoalStartEvent `http://hl7.org/fhir/ValueSet/goal-start-event` From the FHIR Standard
Goal.target.measure | preferred | LOINCCodes(a valid code from LOINC) `http://hl7.org/fhir/ValueSet/observation-codes` From the FHIR Standard
Goal.outcomeCode | preferred | USCoreGoalCodes `http://hl7.org/fhir/us/core/ValueSet/us-core-goal-description|7.0.0`

#### Constraints

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() |

Differential View

This structure is derived from USCoreGoalProfile

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Goal |  | 0..* | USCoreGoalProfile(7.0.0) | Describes the intended SDOH-related objective(s) for a patient.
achievementStatus | S | 0..1 | CodeableConcept | in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable
Slices for category |  | 0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Slice: Unordered, Open by value:$this
category:SDOHCC | S | 0..* | CodeableConcept | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.
description |  | 1..1 | CodeableConcept | Code or text describing goal Binding: USCoreGoalCodes (7.0.0) (extensible): Codes providing the details of a particular goal. In many systems, only the text element will be used.
Additional Bindings | Purpose | Usage
Digital Access Goals | Extensible | SDOHCCGoal#`Goal.category` = digital-access
Digital Literacy Goals | Extensible | SDOHCCGoal#`Goal.category` = digital-literacy
LessThanHighSchoolEducationGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = educational-attainment
Elder Abuse Goals | Extensible | SDOHCCGoal#`Goal.category` = elder-abuse
UnemploymentGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = employment-status
FinancialInsecurityGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = financial-insecurity
FoodInsecurityGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = food-insecurity
HealthInsuranceCoverageStatusGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = health-insurance-coverage-status
HomelessnessGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = homelessness
HousingInstabilityGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = housing-instability
InadequateHousingGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = inadequate-housing
Incarceration Status Goals | Extensible | SDOHCCGoal#`Goal.category` = incarceration-status
IntimatePartnerViolenceGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = intimate-partner-violence
Language Access Goals | Extensible | SDOHCCGoal#`Goal.category` = language-access
MaterialHardshipGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = material-hardship
MedicalCostBurdenGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = medical-cost-burden
HealthLiteracyGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = personal-health-literacy
SocialConnectionGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = social-connection
StressGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = stress
TransportationInsecurityGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = transportation-insecurity
Utility Insecurity Goals | Extensible | SDOHCCGoal#`Goal.category` = utility-insecurity
Veteran Status Goals | Extensible | SDOHCCGoal#`Goal.category` = veteran-status
USCoreGoalCodes (7.0.0) | Extensible | SDOHCCGoal#`Goal.category` = sdoh-category-unspecified
subject |  | 1..1 | Reference(US Core Patient Profile(7.0.0)) | Who this goal is intended for
target |  |  |  |
measure |  | 0..1 | CodeableConcept | The parameter whose value is being tracked Binding: LOINCCodes (preferred): Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level.
statusDate |  | 0..1 | date | When goal status took effect
Slices for addresses |  | 0..* | Reference(Condition | Observation | RiskAssessment) | Issues addressed by this goal Slice: Unordered, Open by profile:resolve()
addresses:SupportedAddresses | S | 0..* | Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | Issues addressed by this goal
outcomeCode |  | 0..* | CodeableConcept | What result was achieved regarding the goal? Binding: USCoreGoalCodes (7.0.0) (preferred): The result of the goal; e.g., "Food security", "Has access to a car ".
Slices for outcomeReference |  | 0..* | Reference(Observation) | Observation that resulted from goal Slice: Unordered, Open by profile:resolve()
outcomeReference:SupportedOutcomeReference | S | 0..* | Reference(SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | Observation that resulted from goal
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
Goal.category:SDOHCC | required | SDOHCCValueSetSDOHCategory `http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetSDOHCategory` From this IG
Goal.description | extensible | USCoreGoalCodes `http://hl7.org/fhir/us/core/ValueSet/us-core-goal-description|7.0.0`
Goal.target.measure | preferred | LOINCCodes(a valid code from LOINC) `http://hl7.org/fhir/ValueSet/observation-codes` From the FHIR Standard
Goal.outcomeCode | preferred | USCoreGoalCodes `http://hl7.org/fhir/us/core/ValueSet/us-core-goal-description|7.0.0`

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Goal |  | 0..* | USCoreGoalProfile(7.0.0) | Describes the intended SDOH-related objective(s) for a patient.
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.
Additional Bindings | Purpose
AllLanguages | Max Binding
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
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 | ?!S Σ | 1..1 | code | proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required)
achievementStatus | S 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.
Slices for category | Σ | 0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Slice: Unordered, Open by value:$this Binding: GoalCategory (example): Codes for grouping and sorting goals.
category:SDOHCC | S Σ | 0..* | CodeableConcept | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.
priority | Σ | 0..1 | CodeableConcept | high-priority | medium-priority | low-priority Binding: GoalPriority (preferred): The level of importance associated with a goal.
description | S Σ | 1..1 | CodeableConcept | Code or text describing goal Binding: USCoreGoalCodes (7.0.0) (extensible): Codes providing the details of a particular goal. In many systems, only the text element will be used.
Additional Bindings | Purpose | Usage
Digital Access Goals | Extensible | SDOHCCGoal#`Goal.category` = digital-access
Digital Literacy Goals | Extensible | SDOHCCGoal#`Goal.category` = digital-literacy
LessThanHighSchoolEducationGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = educational-attainment
Elder Abuse Goals | Extensible | SDOHCCGoal#`Goal.category` = elder-abuse
UnemploymentGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = employment-status
FinancialInsecurityGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = financial-insecurity
FoodInsecurityGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = food-insecurity
HealthInsuranceCoverageStatusGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = health-insurance-coverage-status
HomelessnessGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = homelessness
HousingInstabilityGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = housing-instability
InadequateHousingGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = inadequate-housing
Incarceration Status Goals | Extensible | SDOHCCGoal#`Goal.category` = incarceration-status
IntimatePartnerViolenceGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = intimate-partner-violence
Language Access Goals | Extensible | SDOHCCGoal#`Goal.category` = language-access
MaterialHardshipGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = material-hardship
MedicalCostBurdenGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = medical-cost-burden
HealthLiteracyGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = personal-health-literacy
SocialConnectionGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = social-connection
StressGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = stress
TransportationInsecurityGoals (20240604) | Extensible | SDOHCCGoal#`Goal.category` = transportation-insecurity
Utility Insecurity Goals | Extensible | SDOHCCGoal#`Goal.category` = utility-insecurity
Veteran Status Goals | Extensible | SDOHCCGoal#`Goal.category` = veteran-status
USCoreGoalCodes (7.0.0) | Extensible | SDOHCCGoal#`Goal.category` = sdoh-category-unspecified
subject | S Σ | 1..1 | Reference(US Core Patient Profile(7.0.0)) | Who this goal is intended for
start[x] | S Σ | 0..1 |  | When goal pursuit begins Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal.
startDate |  |  | date S |
startCodeableConcept |  |  | CodeableConcept |
target | S 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 | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
measure | Σ C | 0..1 | CodeableConcept | The parameter whose value is being tracked Binding: LOINCCodes (preferred): Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level.
detail[x] | Σ 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] | S Σ | 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 | Σ | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) | Who's responsible for creating Goal?
Slices for addresses |  | 0..* | Reference(Condition | Observation | RiskAssessment) | Issues addressed by this goal Slice: Unordered, Open by profile:resolve()
addresses:SupportedAddresses | S | 0..* | Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | Issues addressed by this goal
note |  | 0..* | Annotation | Comments about the goal
outcomeCode |  | 0..* | CodeableConcept | What result was achieved regarding the goal? Binding: USCoreGoalCodes (7.0.0) (preferred): The result of the goal; e.g., "Food security", "Has access to a car ".
Slices for outcomeReference |  | 0..* | Reference(Observation) | Observation that resulted from goal Slice: Unordered, Open by profile:resolve()
outcomeReference:SupportedOutcomeReference | S | 0..* | Reference(SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | Observation that resulted from goal
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Goal.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` From the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
Goal.lifecycleStatus | required | GoalLifecycleStatus `http://hl7.org/fhir/ValueSet/goal-status` From the FHIR Standard
Goal.achievementStatus | preferred | GoalAchievementStatus `http://hl7.org/fhir/ValueSet/goal-achievement` From the FHIR Standard
Goal.category | example | GoalCategory `http://hl7.org/fhir/ValueSet/goal-category` From the FHIR Standard
Goal.category:SDOHCC | required | SDOHCCValueSetSDOHCategory `http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetSDOHCategory` From this IG
Goal.priority | preferred | GoalPriority `http://hl7.org/fhir/ValueSet/goal-priority` From the FHIR Standard
Goal.description | extensible | USCoreGoalCodes `http://hl7.org/fhir/us/core/ValueSet/us-core-goal-description|7.0.0`
Goal.start[x] | example | GoalStartEvent `http://hl7.org/fhir/ValueSet/goal-start-event` From the FHIR Standard
Goal.target.measure | preferred | LOINCCodes(a valid code from LOINC) `http://hl7.org/fhir/ValueSet/observation-codes` From the FHIR Standard
Goal.target.detail[x] | example |
Goal.outcomeCode | preferred | USCoreGoalCodes `http://hl7.org/fhir/us/core/ValueSet/us-core-goal-description|7.0.0`

#### Constraints

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 USCoreGoalProfile

Summary

Must-Support: 4 elements

Structures

This structure refers to these other structures:

- US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|7.0.0)
- SDOHCC Condition (http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Condition)
- SDOHCC Observation Screening Response (http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse)
- SDOHCC Observation Assessment (http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationAssessment)

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Goal.category
- The element 1 is sliced based on the value of Goal.addresses
- The element 1 is sliced based on the value of Goal.outcomeReference

Maturity: 2

Other representations of profile: CSV, Excel, Schematron