Person-Centered Outcomes (PCO) Implementation Guide, published by HL7 International / Patient Care. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/pco-ig/ and changes regularly. See the Directory of published versions
Official URL: http://hl7.org/fhir/us/pco/StructureDefinition/pco-goal-profile | Version: 1.0.0 | |||
Standards status: Draft | Maturity Level: 2 | Computable Name: PCOGoalProfile |
A person-centered goal is based on a values conversation with a patient to address what matters most to them.
The PCO Goal Profile inherits from the US Core Goal Profile; refer to it for scope and usage guidance. It sets minimum expectations for the Goal resource to record, search, and fetch Goal information associated with a patient to promote interoperability and adoption through common implementation.
Example Usage Scenarios:
The following are example usage scenarios for this Profile:
The following data elements must always be present or must be supported if the data is present in the sending system (Must Support definition). They are presented below with a simple human-readable explanation. Profile specific guidance and examples are provided as well. The Formal Profile Definition below provides the formal summary, definitions, and terminology requirements.
Each Goal must have:
Each Goal must support:
*see guidance below that clarifies use of multiple categories
Profile Specific Implementation Guidance:
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
---|---|---|---|---|
![]() ![]() |
0..* | USCoreGoalProfile | Describes the intended objective(s) for a patient, group or organization | |
![]() ![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() ![]() |
?!SΣ | 1..1 | code | (USCDI) proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required) |
![]() ![]() ![]() |
SΣ | 0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Slice: Unordered, Open by value:$this Binding: GoalCategory (example): Codes for grouping and sorting goals. |
![]() ![]() ![]() ![]() |
SΣ | 0..1 | CodeableConcept | Person-Centered resource category Binding: Person-Centered Categories (required) |
![]() ![]() ![]() ![]() |
SΣ | 0..* | CodeableConcept | Person-Centered Outcome goal domain category Binding: PCO Goal Domain Categories (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets |
![]() ![]() ![]() |
SΣ | 1..1 | CodeableConcept | (USCDI) Code or text describing goal Binding: US Core Goal Codes (extensible): Value set to describe the Goal |
![]() ![]() ![]() |
SΣ | 1..1 | Reference(US Core Patient Profile) | (USCDI) Who this goal is intended for |
![]() ![]() ![]() |
SΣ | 1..1 | date S | (USCDI) When goal pursuit begins |
![]() ![]() ![]() |
SC | 0..* | BackboneElement | (USCDI) Target outcome for the goal Constraints: gol-1 |
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() |
SΣ | 0..1 | (USCDI) Reach goal on or before | |
![]() ![]() ![]() ![]() ![]() |
date S | |||
![]() ![]() ![]() ![]() ![]() |
Duration | |||
![]() ![]() ![]() |
SΣ | 0..1 | Reference(US Core Patient Profile | US Core Practitioner Profile | US Core RelatedPerson Profile) | Who's responsible for creating Goal? |
![]() ![]() ![]() |
0..* | Reference(Condition | Observation | RiskAssessment) | Issues addressed by this goal Slice: Unordered, Open by profile:resolve() | |
![]() ![]() ![]() ![]() |
S | 0..* | Reference(What Matters Assessment) | What Matters Assessment or Priority |
![]() |
Path | Conformance | ValueSet | URI |
Goal.lifecycleStatus | required | GoalLifecycleStatushttp://hl7.org/fhir/ValueSet/goal-status From the FHIR Standard | |
Goal.category | example | GoalCategoryhttp://hl7.org/fhir/ValueSet/goal-category From the FHIR Standard | |
Goal.category:pco | required | PCOCategorieshttp://hl7.org/fhir/us/pco/ValueSet/pco-categories From this IG | |
Goal.category:goal-domain | required | PCOGoalDomainCategorieshttp://hl7.org/fhir/us/pco/ValueSet/pco-goal-domain-categories From this IG | |
Goal.description | extensible | USCoreGoalCodeshttp://hl7.org/fhir/us/core/ValueSet/us-core-goal-description |
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
Path | Conformance | ValueSet | URI |
Goal.category:pco | required | PCOCategorieshttp://hl7.org/fhir/us/pco/ValueSet/pco-categories From this IG | |
Goal.category:goal-domain | required | PCOGoalDomainCategorieshttp://hl7.org/fhir/us/pco/ValueSet/pco-goal-domain-categories From this IG |
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
---|---|---|---|---|---|---|---|---|
![]() ![]() |
0..* | USCoreGoalProfile | Describes the intended objective(s) for a patient, group or organization | |||||
![]() ![]() ![]() |
Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() ![]() |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() ![]() |
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 | |||||
![]() ![]() ![]() |
0..* | Resource | Contained, inline Resources | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() ![]() |
0..* | Identifier | External Ids for this goal | |||||
![]() ![]() ![]() |
?!SΣ | 1..1 | code | (USCDI) proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required) | ||||
![]() ![]() ![]() |
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. | ||||
![]() ![]() ![]() |
SΣ | 0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Slice: Unordered, Open by value:$this Binding: GoalCategory (example): Codes for grouping and sorting goals. | ||||
![]() ![]() ![]() ![]() |
SΣ | 0..1 | CodeableConcept | Person-Centered resource category Binding: Person-Centered Categories (required) | ||||
![]() ![]() ![]() ![]() |
SΣ | 0..* | CodeableConcept | Person-Centered Outcome goal domain category Binding: PCO Goal Domain Categories (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets | ||||
![]() ![]() ![]() |
Σ | 0..1 | CodeableConcept | high-priority | medium-priority | low-priority Binding: GoalPriority (preferred): The level of importance associated with a goal. | ||||
![]() ![]() ![]() |
SΣ | 1..1 | CodeableConcept | (USCDI) Code or text describing goal Binding: US Core Goal Codes (extensible): Value set to describe the Goal | ||||
![]() ![]() ![]() |
SΣ | 1..1 | Reference(US Core Patient Profile) | (USCDI) Who this goal is intended for | ||||
![]() ![]() ![]() |
SΣ | 1..1 | date S | (USCDI) When goal pursuit begins | ||||
![]() ![]() ![]() |
SC | 0..* | BackboneElement | (USCDI) Target outcome for the goal Constraints: gol-1 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
ΣC | 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. | ||||
![]() ![]() ![]() ![]() |
ΣC | 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. | |||||
![]() ![]() ![]() ![]() ![]() |
Quantity | |||||||
![]() ![]() ![]() ![]() ![]() |
Range | |||||||
![]() ![]() ![]() ![]() ![]() |
CodeableConcept | |||||||
![]() ![]() ![]() ![]() ![]() |
string | |||||||
![]() ![]() ![]() ![]() ![]() |
boolean | |||||||
![]() ![]() ![]() ![]() ![]() |
integer | |||||||
![]() ![]() ![]() ![]() ![]() |
Ratio | |||||||
![]() ![]() ![]() ![]() |
SΣ | 0..1 | (USCDI) Reach goal on or before | |||||
![]() ![]() ![]() ![]() ![]() |
date S | |||||||
![]() ![]() ![]() ![]() ![]() |
Duration | |||||||
![]() ![]() ![]() |
Σ | 0..1 | date | When goal status took effect | ||||
![]() ![]() ![]() |
0..1 | string | Reason for current status | |||||
![]() ![]() ![]() |
SΣ | 0..1 | Reference(US Core Patient Profile | US Core Practitioner Profile | US Core RelatedPerson Profile) | Who's responsible for creating Goal? | ||||
![]() ![]() ![]() |
0..* | Reference(Condition | Observation | RiskAssessment) | Issues addressed by this goal Slice: Unordered, Open by profile:resolve() | |||||
![]() ![]() ![]() ![]() |
S | 0..* | Reference(What Matters Assessment) | What Matters Assessment or Priority | ||||
![]() ![]() ![]() |
0..* | Annotation | Comments about the goal | |||||
![]() ![]() ![]() |
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". | |||||
![]() ![]() ![]() |
0..* | Reference(Observation) | Observation that resulted from goal | |||||
![]() |
Path | Conformance | ValueSet | URI | |||
Goal.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages From the FHIR Standard
| ||||
Goal.lifecycleStatus | required | GoalLifecycleStatushttp://hl7.org/fhir/ValueSet/goal-status From the FHIR Standard | ||||
Goal.achievementStatus | preferred | GoalAchievementStatushttp://hl7.org/fhir/ValueSet/goal-achievement From the FHIR Standard | ||||
Goal.category | example | GoalCategoryhttp://hl7.org/fhir/ValueSet/goal-category From the FHIR Standard | ||||
Goal.category:pco | required | PCOCategorieshttp://hl7.org/fhir/us/pco/ValueSet/pco-categories From this IG | ||||
Goal.category:goal-domain | required | PCOGoalDomainCategorieshttp://hl7.org/fhir/us/pco/ValueSet/pco-goal-domain-categories From this IG | ||||
Goal.priority | preferred | GoalPriorityhttp://hl7.org/fhir/ValueSet/goal-priority From the FHIR Standard | ||||
Goal.description | extensible | USCoreGoalCodeshttp://hl7.org/fhir/us/core/ValueSet/us-core-goal-description | ||||
Goal.target.measure | example | LOINCCodes(a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard | ||||
Goal.target.detail[x] | example | |||||
Goal.outcomeCode | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findings From 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 USCoreGoalProfile
Summary
Mandatory: 1 element
Must-Support: 5 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Maturity: 2
Key Elements View
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
---|---|---|---|---|
![]() ![]() |
0..* | USCoreGoalProfile | Describes the intended objective(s) for a patient, group or organization | |
![]() ![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() ![]() |
?!SΣ | 1..1 | code | (USCDI) proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required) |
![]() ![]() ![]() |
SΣ | 0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Slice: Unordered, Open by value:$this Binding: GoalCategory (example): Codes for grouping and sorting goals. |
![]() ![]() ![]() ![]() |
SΣ | 0..1 | CodeableConcept | Person-Centered resource category Binding: Person-Centered Categories (required) |
![]() ![]() ![]() ![]() |
SΣ | 0..* | CodeableConcept | Person-Centered Outcome goal domain category Binding: PCO Goal Domain Categories (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets |
![]() ![]() ![]() |
SΣ | 1..1 | CodeableConcept | (USCDI) Code or text describing goal Binding: US Core Goal Codes (extensible): Value set to describe the Goal |
![]() ![]() ![]() |
SΣ | 1..1 | Reference(US Core Patient Profile) | (USCDI) Who this goal is intended for |
![]() ![]() ![]() |
SΣ | 1..1 | date S | (USCDI) When goal pursuit begins |
![]() ![]() ![]() |
SC | 0..* | BackboneElement | (USCDI) Target outcome for the goal Constraints: gol-1 |
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() |
SΣ | 0..1 | (USCDI) Reach goal on or before | |
![]() ![]() ![]() ![]() ![]() |
date S | |||
![]() ![]() ![]() ![]() ![]() |
Duration | |||
![]() ![]() ![]() |
SΣ | 0..1 | Reference(US Core Patient Profile | US Core Practitioner Profile | US Core RelatedPerson Profile) | Who's responsible for creating Goal? |
![]() ![]() ![]() |
0..* | Reference(Condition | Observation | RiskAssessment) | Issues addressed by this goal Slice: Unordered, Open by profile:resolve() | |
![]() ![]() ![]() ![]() |
S | 0..* | Reference(What Matters Assessment) | What Matters Assessment or Priority |
![]() |
Path | Conformance | ValueSet | URI |
Goal.lifecycleStatus | required | GoalLifecycleStatushttp://hl7.org/fhir/ValueSet/goal-status From the FHIR Standard | |
Goal.category | example | GoalCategoryhttp://hl7.org/fhir/ValueSet/goal-category From the FHIR Standard | |
Goal.category:pco | required | PCOCategorieshttp://hl7.org/fhir/us/pco/ValueSet/pco-categories From this IG | |
Goal.category:goal-domain | required | PCOGoalDomainCategorieshttp://hl7.org/fhir/us/pco/ValueSet/pco-goal-domain-categories From this IG | |
Goal.description | extensible | USCoreGoalCodeshttp://hl7.org/fhir/us/core/ValueSet/us-core-goal-description |
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
Path | Conformance | ValueSet | URI |
Goal.category:pco | required | PCOCategorieshttp://hl7.org/fhir/us/pco/ValueSet/pco-categories From this IG | |
Goal.category:goal-domain | required | PCOGoalDomainCategorieshttp://hl7.org/fhir/us/pco/ValueSet/pco-goal-domain-categories From this IG |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
---|---|---|---|---|---|---|---|---|
![]() ![]() |
0..* | USCoreGoalProfile | Describes the intended objective(s) for a patient, group or organization | |||||
![]() ![]() ![]() |
Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() ![]() |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() ![]() |
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 | |||||
![]() ![]() ![]() |
0..* | Resource | Contained, inline Resources | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() ![]() |
0..* | Identifier | External Ids for this goal | |||||
![]() ![]() ![]() |
?!SΣ | 1..1 | code | (USCDI) proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required) | ||||
![]() ![]() ![]() |
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. | ||||
![]() ![]() ![]() |
SΣ | 0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Slice: Unordered, Open by value:$this Binding: GoalCategory (example): Codes for grouping and sorting goals. | ||||
![]() ![]() ![]() ![]() |
SΣ | 0..1 | CodeableConcept | Person-Centered resource category Binding: Person-Centered Categories (required) | ||||
![]() ![]() ![]() ![]() |
SΣ | 0..* | CodeableConcept | Person-Centered Outcome goal domain category Binding: PCO Goal Domain Categories (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets | ||||
![]() ![]() ![]() |
Σ | 0..1 | CodeableConcept | high-priority | medium-priority | low-priority Binding: GoalPriority (preferred): The level of importance associated with a goal. | ||||
![]() ![]() ![]() |
SΣ | 1..1 | CodeableConcept | (USCDI) Code or text describing goal Binding: US Core Goal Codes (extensible): Value set to describe the Goal | ||||
![]() ![]() ![]() |
SΣ | 1..1 | Reference(US Core Patient Profile) | (USCDI) Who this goal is intended for | ||||
![]() ![]() ![]() |
SΣ | 1..1 | date S | (USCDI) When goal pursuit begins | ||||
![]() ![]() ![]() |
SC | 0..* | BackboneElement | (USCDI) Target outcome for the goal Constraints: gol-1 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
ΣC | 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. | ||||
![]() ![]() ![]() ![]() |
ΣC | 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. | |||||
![]() ![]() ![]() ![]() ![]() |
Quantity | |||||||
![]() ![]() ![]() ![]() ![]() |
Range | |||||||
![]() ![]() ![]() ![]() ![]() |
CodeableConcept | |||||||
![]() ![]() ![]() ![]() ![]() |
string | |||||||
![]() ![]() ![]() ![]() ![]() |
boolean | |||||||
![]() ![]() ![]() ![]() ![]() |
integer | |||||||
![]() ![]() ![]() ![]() ![]() |
Ratio | |||||||
![]() ![]() ![]() ![]() |
SΣ | 0..1 | (USCDI) Reach goal on or before | |||||
![]() ![]() ![]() ![]() ![]() |
date S | |||||||
![]() ![]() ![]() ![]() ![]() |
Duration | |||||||
![]() ![]() ![]() |
Σ | 0..1 | date | When goal status took effect | ||||
![]() ![]() ![]() |
0..1 | string | Reason for current status | |||||
![]() ![]() ![]() |
SΣ | 0..1 | Reference(US Core Patient Profile | US Core Practitioner Profile | US Core RelatedPerson Profile) | Who's responsible for creating Goal? | ||||
![]() ![]() ![]() |
0..* | Reference(Condition | Observation | RiskAssessment) | Issues addressed by this goal Slice: Unordered, Open by profile:resolve() | |||||
![]() ![]() ![]() ![]() |
S | 0..* | Reference(What Matters Assessment) | What Matters Assessment or Priority | ||||
![]() ![]() ![]() |
0..* | Annotation | Comments about the goal | |||||
![]() ![]() ![]() |
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". | |||||
![]() ![]() ![]() |
0..* | Reference(Observation) | Observation that resulted from goal | |||||
![]() |
Path | Conformance | ValueSet | URI | |||
Goal.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages From the FHIR Standard
| ||||
Goal.lifecycleStatus | required | GoalLifecycleStatushttp://hl7.org/fhir/ValueSet/goal-status From the FHIR Standard | ||||
Goal.achievementStatus | preferred | GoalAchievementStatushttp://hl7.org/fhir/ValueSet/goal-achievement From the FHIR Standard | ||||
Goal.category | example | GoalCategoryhttp://hl7.org/fhir/ValueSet/goal-category From the FHIR Standard | ||||
Goal.category:pco | required | PCOCategorieshttp://hl7.org/fhir/us/pco/ValueSet/pco-categories From this IG | ||||
Goal.category:goal-domain | required | PCOGoalDomainCategorieshttp://hl7.org/fhir/us/pco/ValueSet/pco-goal-domain-categories From this IG | ||||
Goal.priority | preferred | GoalPriorityhttp://hl7.org/fhir/ValueSet/goal-priority From the FHIR Standard | ||||
Goal.description | extensible | USCoreGoalCodeshttp://hl7.org/fhir/us/core/ValueSet/us-core-goal-description | ||||
Goal.target.measure | example | LOINCCodes(a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard | ||||
Goal.target.detail[x] | example | |||||
Goal.outcomeCode | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findings From 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 USCoreGoalProfile
Summary
Mandatory: 1 element
Must-Support: 5 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Maturity: 2
Other representations of profile: CSV, Excel, Schematron