This is the set of resources that conform to both Multiple Chronic Condition Care Plan Goal (http://hl7.org/fhir/us/mcc/StructureDefinition/MCCGoal) and Multiple Chronic Condition Care Plan Goal (http://hl7.org/fhir/us/mcc/StructureDefinition/MCCGoal).
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Goal | 0..* | Describes the intended objective(s) for a patient, group or organization dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management | ||||||
meta | Σ | 0..1 | Meta | Metadata about the resource ele-1: All FHIR elements must have a @value or children | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children | ||||
language | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
ele-1: All FHIR elements must have a @value or children | |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation ele-1: All FHIR elements must have a @value or children | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
extension | 0..* | Extension | Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
identifier | 0..* | Identifier | External Ids for this goal ele-1: All FHIR elements must have a @value or children | |||||
lifecycleStatus | ?!SΣ | 1..1 | code | (USCDI) proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: ?? (required) ele-1: All FHIR elements must have a @value or children | ||||
achievementStatus | SΣ | 0..1 | CodeableConcept | in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable Binding: ?? (preferred): Indicates the progression, or lack thereof, towards the goal against the target. ele-1: All FHIR elements must have a @value or children | ||||
category | Σ | 0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Binding: ?? (example): Codes for grouping and sorting goals. ele-1: All FHIR elements must have a @value or children | ||||
priority | SΣ | 0..1 | CodeableConcept | high-priority | medium-priority | low-priority Binding: ?? (preferred): The level of importance associated with a goal. ele-1: All FHIR elements must have a @value or children | ||||
description | SΣ | 1..1 | CodeableConcept | (USCDI) Code or text describing goal Binding: ?? (extensible): Value set to describe the Goal ele-1: All FHIR elements must have a @value or children | ||||
subject | SΣ | 1..1 | Reference(US Core Patient Profile) | (USCDI) Who this goal is intended for ele-1: All FHIR elements must have a @value or children | ||||
start[x] | SΣ | 0..1 | (USCDI) When goal pursuit begins Binding: ?? (example): Codes describing events that can trigger the initiation of a goal. ele-1: All FHIR elements must have a @value or children | |||||
startDate | date S | |||||||
startCodeableConcept | CodeableConcept | |||||||
target | SC | 0..* | BackboneElement | (USCDI) Target outcome for the goal ele-1: All FHIR elements must have a @value or children gol-1: Goal.target.measure is required if Goal.target.detail is populated | ||||
extension | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
measure | Σ | 0..1 | CodeableConcept | The parameter whose value is being tracked Binding: ?? (example): Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level. ele-1: All FHIR elements must have a @value or children | ||||
detail[x] | Σ | 0..1 | The target value to be achieved Binding Description (No ValueSet): (example): Codes to identify the target value of the focus to be achieved to signify the fulfillment of the goal. ele-1: All FHIR elements must have a @value or children | |||||
detailQuantity | Quantity | |||||||
detailRange | Range | |||||||
detailCodeableConcept | CodeableConcept | |||||||
detailString | string | |||||||
detailBoolean | boolean | |||||||
detailInteger | integer | |||||||
detailRatio | Ratio | |||||||
due[x] | SΣ | 0..1 | (USCDI) Reach goal on or before ele-1: All FHIR elements must have a @value or children | |||||
dueDate | date S | |||||||
dueDuration | Duration | |||||||
statusDate | Σ | 0..1 | date | When goal status took effect ele-1: All FHIR elements must have a @value or children | ||||
statusReason | 0..1 | string | Reason for current status ele-1: All FHIR elements must have a @value or children | |||||
expressedBy | SΣ | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) | Who's responsible for creating Goal? ele-1: All FHIR elements must have a @value or children | ||||
addresses | S | 0..* | Reference(Condition | Observation | MedicationStatement | NutritionOrder | ServiceRequest | RiskAssessment) | Issues addressed by this goal ele-1: All FHIR elements must have a @value or children | ||||
note | 0..* | Annotation | Comments about the goal ele-1: All FHIR elements must have a @value or children | |||||
outcomeCode | 0..* | CodeableConcept | What result was achieved regarding the goal? Binding: ?? (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". ele-1: All FHIR elements must have a @value or children | |||||
outcomeReference | S | 0..* | Reference(Observation) | Observation that resulted from goal ele-1: All FHIR elements must have a @value or children | ||||
Documentation for this format |