Advance Care Planning (PZP), published by IKNL. This guide is not an authorized publication; it is the continuous build for version 1.0.0-rc1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IKNL/PZP-FHIR-R4/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
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Resource Profile: Medical Policy Goal

The primary, agreed-upon goal of a patient's medical treatment policy. Based on Goal resource.

Usages:

• Examples for this Profile: Goal/F1-ACP-Medical-Policy-Goal and Goal/P2-ACP-Medical-Policy-Goal

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..*	Goal(4.0.1)	Describes the intended objective(s) for a patient, group or organization
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:encounter		0..1	(Complex)	ext Encounter Reference URL: https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ext-EncounterReference Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ext-EncounterReference"
value[x]		0..1	Reference(Encounter(1.0.0-rc1))	Encounter
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
lifecycleStatus	?!Σ	1..1	code	proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required): Codes that reflect the current state of a goal and whether the goal is still being targeted.
description	OΣ	1..1	CodeableConcept	Code or text describing goal Binding: MedicalPolicyGoalVS (1.0.0-rc1) (required) Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
subject	OΣ	1..1	Reference(Patient(1.0.0-rc1))	Who this goal is intended for Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
Slices for start[x]	Σ	0..1		When goal pursuit begins Slice: Unordered, Open by type:$this Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal.
startDate			date
startCodeableConcept			CodeableConcept
start[x]:startDate	OΣ	0..1	date	When goal pursuit begins Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Goal.lifecycleStatus	Base	required	GoalLifecycleStatus	📍4.0.1	FHIR Std.
Goal.description	Base	required	Most Important Agreed-upon Goal of Medical Policy	📍1.0.0-rc1	This IG
Goal.start[x]	Base	example	Goal start event	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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	Goal.implicitRules, Goal.extension, Goal.extension:encounter, Goal.extension:encounter.value[x], Goal.modifierExtension, Goal.lifecycleStatus, Goal.description, Goal.subject, Goal.start[x], Goal.start[x]:startDate	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Goal.extension, Goal.extension:encounter, Goal.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from Goal

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Goal		0..*	Goal(4.0.1)	Describes the intended objective(s) for a patient, group or organization
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:encounter		0..1	(Complex)	ext Encounter Reference URL: https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ext-EncounterReference
value[x]		0..1	Reference(Encounter(1.0.0-rc1))	Encounter
description	O	1..1	CodeableConcept	Code or text describing goal Binding: MedicalPolicyGoalVS (1.0.0-rc1) (required) Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
subject	O	1..1	Reference(Patient(1.0.0-rc1))	Who this goal is intended for Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
Slices for start[x]		0..1	date, CodeableConcept	When goal pursuit begins Slice: Unordered, Open by type:$this
start[x]:startDate	O	0..1	date	When goal pursuit begins Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
note
text	O	1..1	markdown	The annotation - text content (as markdown) Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Goal.description	Base	required	Most Important Agreed-upon Goal of Medical Policy	📍1.0.0-rc1	This IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Goal		0..*	Goal(4.0.1)	Describes the intended objective(s) for a patient, group or organization
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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:encounter		0..1	(Complex)	ext Encounter Reference URL: https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ext-EncounterReference Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ext-EncounterReference"
value[x]		0..1	Reference(Encounter(1.0.0-rc1))	Encounter
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
identifier		0..*	Identifier	External Ids for this goal
lifecycleStatus	?!Σ	1..1	code	proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required): Codes that reflect the current state of a goal and whether the goal is still being targeted.
achievementStatus	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.
category	Σ	0..*	CodeableConcept	E.g. Treatment, dietary, behavioral, etc. Binding: GoalCategory (example): Codes for grouping and sorting goals.
priority	Σ	0..1	CodeableConcept	high-priority | medium-priority | low-priority Binding: GoalPriority (preferred): The level of importance associated with a goal.
description	OΣ	1..1	CodeableConcept	Code or text describing goal Binding: MedicalPolicyGoalVS (1.0.0-rc1) (required) Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
subject	OΣ	1..1	Reference(Patient(1.0.0-rc1))	Who this goal is intended for Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
Slices for start[x]	Σ	0..1		When goal pursuit begins Slice: Unordered, Open by type:$this Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal.
startDate			date
startCodeableConcept			CodeableConcept
start[x]:startDate	OΣ	0..1	date	When goal pursuit begins Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
target	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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
measure	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.
detail[x]	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.
detailQuantity			Quantity
detailRange			Range
detailCodeableConcept			CodeableConcept
detailString			string
detailBoolean			boolean
detailInteger			integer
detailRatio			Ratio
due[x]	Σ	0..1		Reach goal on or before
dueDate			date
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?
addresses		0..*	Reference(Condition | Observation | MedicationStatement | NutritionOrder | ServiceRequest | RiskAssessment)	Issues addressed by this goal
note		0..*	Annotation	Comments about the goal
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	OΣ	1..1	markdown	The annotation - text content (as markdown) Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
outcomeCode		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".
outcomeReference		0..*	Reference(Observation)	Observation that resulted from goal
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Goal.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Goal.lifecycleStatus	Base	required	GoalLifecycleStatus	📍4.0.1	FHIR Std.
Goal.achievementStatus	Base	preferred	Goal achievement status	📍4.0.1	FHIR Std.
Goal.category	Base	example	Goal category	📍4.0.1	FHIR Std.
Goal.priority	Base	preferred	Goal priority	📍4.0.1	FHIR Std.
Goal.description	Base	required	Most Important Agreed-upon Goal of Medical Policy	📍1.0.0-rc1	This IG
Goal.start[x]	Base	example	Goal start event	📍4.0.1	FHIR Std.
Goal.target.measure	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Goal.target.detail[x]	Base	example		Not State	Unknown
Goal.outcomeCode	Base	example	SNOMED CT Clinical Findings	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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	Goal.meta, Goal.implicitRules, Goal.language, Goal.text, Goal.extension, Goal.extension:encounter, Goal.extension:encounter.value[x], Goal.modifierExtension, Goal.identifier, Goal.lifecycleStatus, Goal.achievementStatus, Goal.category, Goal.priority, Goal.description, Goal.subject, Goal.start[x], Goal.start[x]:startDate, Goal.target, Goal.target.extension, Goal.target.modifierExtension, Goal.target.measure, Goal.target.detail[x], Goal.target.due[x], Goal.statusDate, Goal.statusReason, Goal.expressedBy, Goal.addresses, Goal.note, Goal.note.extension, Goal.note.author[x], Goal.note.time, Goal.note.text, Goal.outcomeCode, Goal.outcomeReference	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Goal.extension, Goal.extension:encounter, Goal.modifierExtension, Goal.target.extension, Goal.target.modifierExtension, Goal.note.extension	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 Goal

Summary

Structures

This structure refers to these other structures:

• Encounter (https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-Encounter|1.0.0-rc1)
• Patient (https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-Patient|1.0.0-rc1)

Extensions

This structure refers to these extensions:

• https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ext-EncounterReference|1.0.0-rc1

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Goal.start[x]

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Goal		0..*	Goal(4.0.1)	Describes the intended objective(s) for a patient, group or organization
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:encounter		0..1	(Complex)	ext Encounter Reference URL: https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ext-EncounterReference Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ext-EncounterReference"
value[x]		0..1	Reference(Encounter(1.0.0-rc1))	Encounter
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
lifecycleStatus	?!Σ	1..1	code	proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required): Codes that reflect the current state of a goal and whether the goal is still being targeted.
description	OΣ	1..1	CodeableConcept	Code or text describing goal Binding: MedicalPolicyGoalVS (1.0.0-rc1) (required) Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
subject	OΣ	1..1	Reference(Patient(1.0.0-rc1))	Who this goal is intended for Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
Slices for start[x]	Σ	0..1		When goal pursuit begins Slice: Unordered, Open by type:$this Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal.
startDate			date
startCodeableConcept			CodeableConcept
start[x]:startDate	OΣ	0..1	date	When goal pursuit begins Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Goal.lifecycleStatus	Base	required	GoalLifecycleStatus	📍4.0.1	FHIR Std.
Goal.description	Base	required	Most Important Agreed-upon Goal of Medical Policy	📍1.0.0-rc1	This IG
Goal.start[x]	Base	example	Goal start event	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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	Goal.implicitRules, Goal.extension, Goal.extension:encounter, Goal.extension:encounter.value[x], Goal.modifierExtension, Goal.lifecycleStatus, Goal.description, Goal.subject, Goal.start[x], Goal.start[x]:startDate	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Goal.extension, Goal.extension:encounter, Goal.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Differential View

This structure is derived from Goal

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Goal		0..*	Goal(4.0.1)	Describes the intended objective(s) for a patient, group or organization
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:encounter		0..1	(Complex)	ext Encounter Reference URL: https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ext-EncounterReference
value[x]		0..1	Reference(Encounter(1.0.0-rc1))	Encounter
description	O	1..1	CodeableConcept	Code or text describing goal Binding: MedicalPolicyGoalVS (1.0.0-rc1) (required) Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
subject	O	1..1	Reference(Patient(1.0.0-rc1))	Who this goal is intended for Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
Slices for start[x]		0..1	date, CodeableConcept	When goal pursuit begins Slice: Unordered, Open by type:$this
start[x]:startDate	O	0..1	date	When goal pursuit begins Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
note
text	O	1..1	markdown	The annotation - text content (as markdown) Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Goal.description	Base	required	Most Important Agreed-upon Goal of Medical Policy	📍1.0.0-rc1	This IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Goal		0..*	Goal(4.0.1)	Describes the intended objective(s) for a patient, group or organization
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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:encounter		0..1	(Complex)	ext Encounter Reference URL: https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ext-EncounterReference Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ext-EncounterReference"
value[x]		0..1	Reference(Encounter(1.0.0-rc1))	Encounter
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
identifier		0..*	Identifier	External Ids for this goal
lifecycleStatus	?!Σ	1..1	code	proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required): Codes that reflect the current state of a goal and whether the goal is still being targeted.
achievementStatus	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.
category	Σ	0..*	CodeableConcept	E.g. Treatment, dietary, behavioral, etc. Binding: GoalCategory (example): Codes for grouping and sorting goals.
priority	Σ	0..1	CodeableConcept	high-priority | medium-priority | low-priority Binding: GoalPriority (preferred): The level of importance associated with a goal.
description	OΣ	1..1	CodeableConcept	Code or text describing goal Binding: MedicalPolicyGoalVS (1.0.0-rc1) (required) Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
subject	OΣ	1..1	Reference(Patient(1.0.0-rc1))	Who this goal is intended for Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
Slices for start[x]	Σ	0..1		When goal pursuit begins Slice: Unordered, Open by type:$this Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal.
startDate			date
startCodeableConcept			CodeableConcept
start[x]:startDate	OΣ	0..1	date	When goal pursuit begins Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
target	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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
measure	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.
detail[x]	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.
detailQuantity			Quantity
detailRange			Range
detailCodeableConcept			CodeableConcept
detailString			string
detailBoolean			boolean
detailInteger			integer
detailRatio			Ratio
due[x]	Σ	0..1		Reach goal on or before
dueDate			date
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?
addresses		0..*	Reference(Condition | Observation | MedicationStatement | NutritionOrder | ServiceRequest | RiskAssessment)	Issues addressed by this goal
note		0..*	Annotation	Comments about the goal
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	OΣ	1..1	markdown	The annotation - text content (as markdown) Obligations Actor SHALL:populate-if-known ACP Actor Provider SHALL:no-error ACP Actor Consulter
outcomeCode		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".
outcomeReference		0..*	Reference(Observation)	Observation that resulted from goal
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Goal.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Goal.lifecycleStatus	Base	required	GoalLifecycleStatus	📍4.0.1	FHIR Std.
Goal.achievementStatus	Base	preferred	Goal achievement status	📍4.0.1	FHIR Std.
Goal.category	Base	example	Goal category	📍4.0.1	FHIR Std.
Goal.priority	Base	preferred	Goal priority	📍4.0.1	FHIR Std.
Goal.description	Base	required	Most Important Agreed-upon Goal of Medical Policy	📍1.0.0-rc1	This IG
Goal.start[x]	Base	example	Goal start event	📍4.0.1	FHIR Std.
Goal.target.measure	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Goal.target.detail[x]	Base	example		Not State	Unknown
Goal.outcomeCode	Base	example	SNOMED CT Clinical Findings	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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	Goal.meta, Goal.implicitRules, Goal.language, Goal.text, Goal.extension, Goal.extension:encounter, Goal.extension:encounter.value[x], Goal.modifierExtension, Goal.identifier, Goal.lifecycleStatus, Goal.achievementStatus, Goal.category, Goal.priority, Goal.description, Goal.subject, Goal.start[x], Goal.start[x]:startDate, Goal.target, Goal.target.extension, Goal.target.modifierExtension, Goal.target.measure, Goal.target.detail[x], Goal.target.due[x], Goal.statusDate, Goal.statusReason, Goal.expressedBy, Goal.addresses, Goal.note, Goal.note.extension, Goal.note.author[x], Goal.note.time, Goal.note.text, Goal.outcomeCode, Goal.outcomeReference	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Goal.extension, Goal.extension:encounter, Goal.modifierExtension, Goal.target.extension, Goal.target.modifierExtension, Goal.note.extension	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 Goal

Summary

Structures

This structure refers to these other structures:

• Encounter (https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-Encounter|1.0.0-rc1)
• Patient (https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ACP-Patient|1.0.0-rc1)

Extensions

This structure refers to these extensions:

• https://api.iknl.nl/docs/pzp/r4/StructureDefinition/ext-EncounterReference|1.0.0-rc1

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Goal.start[x]

Other representations of profile: CSV, Excel, Schematron