Person-Centered Outcomes (PCO) Implementation Guide
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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

Extension: Goal Attainment Scaling Extension

Official URL: http://hl7.org/fhir/us/pco/StructureDefinition/pco-goal-attainment-scaling Version: 1.0.0
Standards status: Draft Draft as of 2026-03-02 Maturity Level: 2 Computable Name: PCOGoalAttainmentScaling

Goal Attainment Scaling (GAS) is an extension used to specify five levels of attainment for a person-centered goal.

Context of Use

    This extension may be used on the following element(s)

Usage info

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Extension Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Goal Attainment Scaling Extension
... extension 1..* Extension Extension
... Slices for extension Content/Rules for all slices
.... extension:level S 0..1 Extension Code indicating GAS level
..... extension 0..0 Extension
..... url 1..1 uri "level"
..... value[x] 1..1 Coding Value of extension
Binding: LOINC Answer List LL6900-6 (required)
.... extension:progressText S 1..1 Extension Description of GAS level
..... extension 0..0 Extension
..... url 1..1 uri "progressText"
..... value[x] 1..1 string Free-text description of GAS progress level
... url 1..1 uri "http://hl7.org/fhir/us/pco/StructureDefinition/pco-goal-attainment-scaling"

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Extension.extension:level.​value[x] Base required LOINC Answer Codes for LL6900-6 unknown?
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Goal Attainment Scaling Extension
... id 0..1 string Unique id for inter-element referencing
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:level S 0..1 Extension Code indicating GAS level
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "level"
..... value[x] 1..1 Coding Value of extension
Binding: LOINC Answer List LL6900-6 (required)
.... extension:progressText S 1..1 Extension Description of GAS level
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "progressText"
..... value[x] 1..1 string Free-text description of GAS progress level
... url 1..1 uri "http://hl7.org/fhir/us/pco/StructureDefinition/pco-goal-attainment-scaling"

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Extension.extension:level.​value[x] Base required LOINC Answer Codes for LL6900-6 unknown?

Constraints

Id Grade Path(s) Description Expression
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()

Summary

Complex Extension: Goal Attainment Scaling (GAS) is an extension used to specify five levels of attainment for a person-centered goal.

  • level: Coding: An Extension
  • progressText: string: An Extension

Maturity: 2

Differential ViewDifferential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Goal Attainment Scaling Extension
... extension 1..* Extension Extension
... Slices for extension Content/Rules for all slices
.... extension:level S 0..1 Extension Code indicating GAS level
..... extension 0..0 Extension
..... url 1..1 uri "level"
..... value[x] 1..1 Coding Value of extension
Binding: LOINC Answer List LL6900-6 (required)
.... extension:progressText S 1..1 Extension Description of GAS level
..... extension 0..0 Extension
..... url 1..1 uri "progressText"
..... value[x] 1..1 string Free-text description of GAS progress level
... url 1..1 uri "http://hl7.org/fhir/us/pco/StructureDefinition/pco-goal-attainment-scaling"

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Extension.extension:level.​value[x] Base required LOINC Answer Codes for LL6900-6 unknown?

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Goal Attainment Scaling Extension
... id 0..1 string Unique id for inter-element referencing
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:level S 0..1 Extension Code indicating GAS level
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "level"
..... value[x] 1..1 Coding Value of extension
Binding: LOINC Answer List LL6900-6 (required)
.... extension:progressText S 1..1 Extension Description of GAS level
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "progressText"
..... value[x] 1..1 string Free-text description of GAS progress level
... url 1..1 uri "http://hl7.org/fhir/us/pco/StructureDefinition/pco-goal-attainment-scaling"

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Extension.extension:level.​value[x] Base required LOINC Answer Codes for LL6900-6 unknown?

Constraints

Id Grade Path(s) Description Expression
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()

Summary

Complex Extension: Goal Attainment Scaling (GAS) is an extension used to specify five levels of attainment for a person-centered goal.

  • level: Coding: An Extension
  • progressText: string: An Extension

Maturity: 2

 

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