Atención clínica de SDOH
0.1.0 - ci-build Chile flag

Atención clínica de SDOH, published by HL7 Chile. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/SIMSADIs/GI-SDOH/ and changes regularly. See the Directory of published versions

Resource Profile: Metas/Objetivos SDOHCC

Official URL: https://hl7chile.cl/fhir/ig/gravitycl/StructureDefinition/SDOHCC-GoalCL Version: 0.1.0
Draft as of 2024-12-12 Computable Name: SDOHCCGoalCL

Perfil para metas/objetivos que abordan los Determinantes Sociales de la Salud (SDOH).

Objetivo

Metas/Objetivos SDOHCC está generalmente destinado a representar un objetivo establecido para abordar un riesgo o necesidad social identificado (por ejemplo,Condición SDOHCC, Respuesta de Detección de Observación de SDOHCC, Evaluación de Observación de SDOHCC). Una Solicitud de servicio de SDOHCC y un Procedimiento SDOHCC pueden estar relacionadas con una Meta/Objetivo SDOHCC. Consulte elMarco de modelado de datos para obtener más detalles sobre las relaciones entre Metas/Objetivos SDOHCC y los demás perfiles en esta IG.

Uso

Goal.description tiene una vinculación preferida con el ValueSet SDOHCC LOINC-SNOMEDCT. Además, Goal.description cuenta con vinculaciones adicionales a value sets específicos de dominios SDOH (por ejemplo, Inseguridad alimentaria), determinados según el valor seleccionado para Goal.category. Cuando Goal.category corresponde a un valor del ValueSet SDOHCC para Categoría SDOH (por ejemplo, food-insecurity), Goal.description DEBE seleccionarse del value set específico del dominio correspondiente que se encuentra en los enlaces adicionales (es decir, Objetivos de Inseguridad alimentaria). Si se selecciona más de un valor del ValueSet SDOHCC para Categoría SDOH (por ejemplo,food-insecurity y financial-insecurity) para Goal.category, entonces Goal.description DEBE seleccionarse de al menos uno de los value sets específicos del dominio correspondiente en los enlaces adicionales es decir, Objetivos de Inseguridad alimentaria).

Algunos dominios de SDOH pueden no estar representados todavía en el ValueSet SDOHCC para Categoría SDOH. En este caso, se puede usar Goal.category: sdoh-category-unspecified para que la instancia de Goal pueda seguir siendo categorizada como relación con SDOH. Si se desea, también se puede usar category.text para especificar más detalladamente el dominio. Para Goal.category: sdoh-category-unspecified, no habrá value set específicos de dominio, y los enlaces adicionales para Goal.description designarán la vinculación predeterminada con ValueSet SDOHCC LOINC-SNOMEDCT (preferido).

Usage:

Formal Views of Profile Content

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

This structure is derived from Goal

NameFlagsCard.TypeDescription & Constraintsdoco
.. Goal 0..* Goal Describe el(los) objetivo(s) relacionado(s) con los SDOH para un paciente.
... 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:SDOH S 0..* CodeableConcept Por ejemplo, inseguridad alimentaria | inseguridad en el transporte
Binding: ValueSet SDOHCC para Categoría SDOH (required): Códigos para categorías de SDOH de alto nivel.


... description 1..1 CodeableConcept Code or text describing goal
Binding: ValueSet SDOHCC LOINC-SNOMEDCT (preferred): Códigos que proporcionan los detalles de un objetivo particular. En muchos sistemas, sólo se utilizará el elemento de texto.

... target
.... measure 0..1 CodeableConcept The parameter whose value is being tracked
Binding: ValueSet SDOHCC LOINC-SNOMEDCT (preferred): Códigos para identificar el valor que se está rastreando,por ejemplo, peso corporal, presión arterial o nivel de hemoglobina A1c.

... statusDate 0..1 date When goal status took effect
... Slices for addresses 0..* Reference(CL Condición-Diagnóstico | CL Observación | RiskAssessment) Issues addressed by this goal
Slice: Unordered, Open by profile:resolve()
.... addresses:SupportedAddresses S 0..* Reference(Condición SDOHCC | Respuesta de Detección de Observación de SDOHCC | Evaluación de Observación de SDOHCC) Issues addressed by this goal
... outcomeCode 0..* CodeableConcept What result was achieved regarding the goal?
Binding: ValueSet SDOHCC LOINC-SNOMEDCT (preferred): El resultado de la meta/objetivo; por ejemplo, "Seguridad alimentaria", "Tiene acceso a un automóvil".

... Slices for outcomeReference 0..* Reference(Observation) Observation that resulted from goal
Slice: Unordered, Open by profile:resolve()
.... outcomeReference:SupportedOutcomeReference S 0..* Reference(Respuesta de Detección de Observación de SDOHCC | Evaluación de Observación de SDOHCC) Observation that resulted from goal

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Goal.category:SDOHrequiredSDOHCCValueSetSDOHCategoryCL
https://hl7chile.cl/fhir/ig/gravitycl/ValueSet/SDOHCC-ValueSetSDOHCategoryCL
from this IG
Goal.descriptionpreferredSDOHCCValueSetLOINCSNOMEDCTCL
https://hl7chile.cl/fhir/ig/gravitycl/ValueSet/SDOHCC-ValueSetLOINCSNOMEDCT-CL
from this IG
Goal.target.measurepreferredSDOHCCValueSetLOINCSNOMEDCTCL
https://hl7chile.cl/fhir/ig/gravitycl/ValueSet/SDOHCC-ValueSetLOINCSNOMEDCT-CL
from this IG
Goal.outcomeCodepreferredSDOHCCValueSetLOINCSNOMEDCTCL
https://hl7chile.cl/fhir/ig/gravitycl/ValueSet/SDOHCC-ValueSetLOINCSNOMEDCT-CL
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. Goal 0..* Goal Describe el(los) objetivo(s) relacionado(s) con los SDOH para un paciente.
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
... 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
... 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
... 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.


ele-1: All FHIR elements must have a @value or children
... 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.


ele-1: All FHIR elements must have a @value or children
.... category:SDOH SΣ 0..* CodeableConcept Por ejemplo, inseguridad alimentaria | inseguridad en el transporte
Binding: ValueSet SDOHCC para Categoría SDOH (required): Códigos para categorías de SDOH de alto nivel.


ele-1: All FHIR elements must have a @value or children
... description Σ 1..1 CodeableConcept Code or text describing goal
Binding: ValueSet SDOHCC LOINC-SNOMEDCT (preferred): Códigos que proporcionan los detalles de un objetivo particular. En muchos sistemas, sólo se utilizará el elemento de texto.


ele-1: All FHIR elements must have a @value or children
... subject Σ 1..1 Reference(Patient | Group | Organization) Who this goal is intended for
ele-1: All FHIR elements must have a @value or children
... statusDate Σ 0..1 date When goal status took effect
ele-1: All FHIR elements must have a @value or children
... Slices for addresses 0..* Reference(CL Condición-Diagnóstico | CL Observación | RiskAssessment) Issues addressed by this goal
Slice: Unordered, Open by profile:resolve()
ele-1: All FHIR elements must have a @value or children
.... addresses:SupportedAddresses S 0..* Reference(Condición SDOHCC | Respuesta de Detección de Observación de SDOHCC | Evaluación de Observación de SDOHCC) Issues addressed by this goal
ele-1: All FHIR elements must have a @value or children
... outcomeCode 0..* CodeableConcept What result was achieved regarding the goal?
Binding: ValueSet SDOHCC LOINC-SNOMEDCT (preferred): El resultado de la meta/objetivo; por ejemplo, "Seguridad alimentaria", "Tiene acceso a un automóvil".


ele-1: All FHIR elements must have a @value or children
... Slices for outcomeReference 0..* Reference(Observation) Observation that resulted from goal
Slice: Unordered, Open by profile:resolve()
ele-1: All FHIR elements must have a @value or children
.... outcomeReference:SupportedOutcomeReference S 0..* Reference(Respuesta de Detección de Observación de SDOHCC | Evaluación de Observación de SDOHCC) Observation that resulted from goal
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Goal.lifecycleStatusrequiredGoalLifecycleStatus
http://hl7.org/fhir/ValueSet/goal-status|4.0.1
from the FHIR Standard
Goal.achievementStatuspreferredGoalAchievementStatus
http://hl7.org/fhir/ValueSet/goal-achievement
from the FHIR Standard
Goal.categoryexampleGoalCategory
http://hl7.org/fhir/ValueSet/goal-category
from the FHIR Standard
Goal.category:SDOHrequiredSDOHCCValueSetSDOHCategoryCL
https://hl7chile.cl/fhir/ig/gravitycl/ValueSet/SDOHCC-ValueSetSDOHCategoryCL
from this IG
Goal.descriptionpreferredSDOHCCValueSetLOINCSNOMEDCTCL
https://hl7chile.cl/fhir/ig/gravitycl/ValueSet/SDOHCC-ValueSetLOINCSNOMEDCT-CL
from this IG
Goal.outcomeCodepreferredSDOHCCValueSetLOINCSNOMEDCTCL
https://hl7chile.cl/fhir/ig/gravitycl/ValueSet/SDOHCC-ValueSetLOINCSNOMEDCT-CL
from this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorGoalIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorGoalIf 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-4errorGoalIf 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-5errorGoalIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceGoalA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Goal 0..* Goal Describe el(los) objetivo(s) relacionado(s) con los SDOH para un paciente.
... 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
... 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 ?!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 SΣ 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:SDOH SΣ 0..* CodeableConcept Por ejemplo, inseguridad alimentaria | inseguridad en el transporte
Binding: ValueSet SDOHCC para Categoría SDOH (required): Códigos para categorías de SDOH de alto nivel.


... priority Σ 0..1 CodeableConcept high-priority | medium-priority | low-priority
Binding: GoalPriority (preferred): The level of importance associated with a goal.

... description Σ 1..1 CodeableConcept Code or text describing goal
Binding: ValueSet SDOHCC LOINC-SNOMEDCT (preferred): Códigos que proporcionan los detalles de un objetivo particular. En muchos sistemas, sólo se utilizará el elemento de texto.

... subject Σ 1..1 Reference(Patient | Group | Organization) Who this goal is intended for
... start[x] Σ 0..1 When goal pursuit begins
Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal.

.... startDate date
.... startCodeableConcept CodeableConcept
... target C 0..* BackboneElement Target outcome for the goal
gol-1: Goal.target.measure is required if Goal.target.detail is populated
.... 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 ΣC 0..1 CodeableConcept The parameter whose value is being tracked
Binding: ValueSet SDOHCC LOINC-SNOMEDCT (preferred): Códigos para identificar el valor que se está rastreando,por ejemplo, peso corporal, presión arterial o nivel de hemoglobina A1c.

.... detail[x] ΣC 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.

..... 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?
... Slices for addresses 0..* Reference(CL Condición-Diagnóstico | CL Observación | RiskAssessment) Issues addressed by this goal
Slice: Unordered, Open by profile:resolve()
.... addresses:SupportedAddresses S 0..* Reference(Condición SDOHCC | Respuesta de Detección de Observación de SDOHCC | Evaluación de Observación de SDOHCC) Issues addressed by this goal
... note 0..* Annotation Comments about the goal
... outcomeCode 0..* CodeableConcept What result was achieved regarding the goal?
Binding: ValueSet SDOHCC LOINC-SNOMEDCT (preferred): El resultado de la meta/objetivo; por ejemplo, "Seguridad alimentaria", "Tiene acceso a un automóvil".


... Slices for outcomeReference 0..* Reference(Observation) Observation that resulted from goal
Slice: Unordered, Open by profile:resolve()
.... outcomeReference:SupportedOutcomeReference S 0..* Reference(Respuesta de Detección de Observación de SDOHCC | Evaluación de Observación de SDOHCC) Observation that resulted from goal

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Goal.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Goal.lifecycleStatusrequiredGoalLifecycleStatus
http://hl7.org/fhir/ValueSet/goal-status|4.0.1
from the FHIR Standard
Goal.achievementStatuspreferredGoalAchievementStatus
http://hl7.org/fhir/ValueSet/goal-achievement
from the FHIR Standard
Goal.categoryexampleGoalCategory
http://hl7.org/fhir/ValueSet/goal-category
from the FHIR Standard
Goal.category:SDOHrequiredSDOHCCValueSetSDOHCategoryCL
https://hl7chile.cl/fhir/ig/gravitycl/ValueSet/SDOHCC-ValueSetSDOHCategoryCL
from this IG
Goal.prioritypreferredGoalPriority
http://hl7.org/fhir/ValueSet/goal-priority
from the FHIR Standard
Goal.descriptionpreferredSDOHCCValueSetLOINCSNOMEDCTCL
https://hl7chile.cl/fhir/ig/gravitycl/ValueSet/SDOHCC-ValueSetLOINCSNOMEDCT-CL
from this IG
Goal.start[x]exampleGoalStartEvent
http://hl7.org/fhir/ValueSet/goal-start-event
from the FHIR Standard
Goal.target.measurepreferredSDOHCCValueSetLOINCSNOMEDCTCL
https://hl7chile.cl/fhir/ig/gravitycl/ValueSet/SDOHCC-ValueSetLOINCSNOMEDCT-CL
from this IG
Goal.target.detail[x]example
Goal.outcomeCodepreferredSDOHCCValueSetLOINCSNOMEDCTCL
https://hl7chile.cl/fhir/ig/gravitycl/ValueSet/SDOHCC-ValueSetLOINCSNOMEDCT-CL
from this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorGoalIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorGoalIf 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-4errorGoalIf 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-5errorGoalIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceGoalA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
gol-1errorGoal.targetGoal.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 Goal

NameFlagsCard.TypeDescription & Constraintsdoco
.. Goal 0..* Goal Describe el(los) objetivo(s) relacionado(s) con los SDOH para un paciente.
... 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:SDOH S 0..* CodeableConcept Por ejemplo, inseguridad alimentaria | inseguridad en el transporte
Binding: ValueSet SDOHCC para Categoría SDOH (required): Códigos para categorías de SDOH de alto nivel.


... description 1..1 CodeableConcept Code or text describing goal
Binding: ValueSet SDOHCC LOINC-SNOMEDCT (preferred): Códigos que proporcionan los detalles de un objetivo particular. En muchos sistemas, sólo se utilizará el elemento de texto.

... target
.... measure 0..1 CodeableConcept The parameter whose value is being tracked
Binding: ValueSet SDOHCC LOINC-SNOMEDCT (preferred): Códigos para identificar el valor que se está rastreando,por ejemplo, peso corporal, presión arterial o nivel de hemoglobina A1c.

... statusDate 0..1 date When goal status took effect
... Slices for addresses 0..* Reference(CL Condición-Diagnóstico | CL Observación | RiskAssessment) Issues addressed by this goal
Slice: Unordered, Open by profile:resolve()
.... addresses:SupportedAddresses S 0..* Reference(Condición SDOHCC | Respuesta de Detección de Observación de SDOHCC | Evaluación de Observación de SDOHCC) Issues addressed by this goal
... outcomeCode 0..* CodeableConcept What result was achieved regarding the goal?
Binding: ValueSet SDOHCC LOINC-SNOMEDCT (preferred): El resultado de la meta/objetivo; por ejemplo, "Seguridad alimentaria", "Tiene acceso a un automóvil".

... Slices for outcomeReference 0..* Reference(Observation) Observation that resulted from goal
Slice: Unordered, Open by profile:resolve()
.... outcomeReference:SupportedOutcomeReference S 0..* Reference(Respuesta de Detección de Observación de SDOHCC | Evaluación de Observación de SDOHCC) Observation that resulted from goal

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Goal.category:SDOHrequiredSDOHCCValueSetSDOHCategoryCL
https://hl7chile.cl/fhir/ig/gravitycl/ValueSet/SDOHCC-ValueSetSDOHCategoryCL
from this IG
Goal.descriptionpreferredSDOHCCValueSetLOINCSNOMEDCTCL
https://hl7chile.cl/fhir/ig/gravitycl/ValueSet/SDOHCC-ValueSetLOINCSNOMEDCT-CL
from this IG
Goal.target.measurepreferredSDOHCCValueSetLOINCSNOMEDCTCL
https://hl7chile.cl/fhir/ig/gravitycl/ValueSet/SDOHCC-ValueSetLOINCSNOMEDCT-CL
from this IG
Goal.outcomeCodepreferredSDOHCCValueSetLOINCSNOMEDCTCL
https://hl7chile.cl/fhir/ig/gravitycl/ValueSet/SDOHCC-ValueSetLOINCSNOMEDCT-CL
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Goal 0..* Goal Describe el(los) objetivo(s) relacionado(s) con los SDOH para un paciente.
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
... 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
... 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
... 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.


ele-1: All FHIR elements must have a @value or children
... 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.


ele-1: All FHIR elements must have a @value or children
.... category:SDOH SΣ 0..* CodeableConcept Por ejemplo, inseguridad alimentaria | inseguridad en el transporte
Binding: ValueSet SDOHCC para Categoría SDOH (required): Códigos para categorías de SDOH de alto nivel.


ele-1: All FHIR elements must have a @value or children
... description Σ 1..1 CodeableConcept Code or text describing goal
Binding: ValueSet SDOHCC LOINC-SNOMEDCT (preferred): Códigos que proporcionan los detalles de un objetivo particular. En muchos sistemas, sólo se utilizará el elemento de texto.


ele-1: All FHIR elements must have a @value or children
... subject Σ 1..1 Reference(Patient | Group | Organization) Who this goal is intended for
ele-1: All FHIR elements must have a @value or children
... statusDate Σ 0..1 date When goal status took effect
ele-1: All FHIR elements must have a @value or children
... Slices for addresses 0..* Reference(CL Condición-Diagnóstico | CL Observación | RiskAssessment) Issues addressed by this goal
Slice: Unordered, Open by profile:resolve()
ele-1: All FHIR elements must have a @value or children
.... addresses:SupportedAddresses S 0..* Reference(Condición SDOHCC | Respuesta de Detección de Observación de SDOHCC | Evaluación de Observación de SDOHCC) Issues addressed by this goal
ele-1: All FHIR elements must have a @value or children
... outcomeCode 0..* CodeableConcept What result was achieved regarding the goal?
Binding: ValueSet SDOHCC LOINC-SNOMEDCT (preferred): El resultado de la meta/objetivo; por ejemplo, "Seguridad alimentaria", "Tiene acceso a un automóvil".


ele-1: All FHIR elements must have a @value or children
... Slices for outcomeReference 0..* Reference(Observation) Observation that resulted from goal
Slice: Unordered, Open by profile:resolve()
ele-1: All FHIR elements must have a @value or children
.... outcomeReference:SupportedOutcomeReference S 0..* Reference(Respuesta de Detección de Observación de SDOHCC | Evaluación de Observación de SDOHCC) Observation that resulted from goal
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Goal.lifecycleStatusrequiredGoalLifecycleStatus
http://hl7.org/fhir/ValueSet/goal-status|4.0.1
from the FHIR Standard
Goal.achievementStatuspreferredGoalAchievementStatus
http://hl7.org/fhir/ValueSet/goal-achievement
from the FHIR Standard
Goal.categoryexampleGoalCategory
http://hl7.org/fhir/ValueSet/goal-category
from the FHIR Standard
Goal.category:SDOHrequiredSDOHCCValueSetSDOHCategoryCL
https://hl7chile.cl/fhir/ig/gravitycl/ValueSet/SDOHCC-ValueSetSDOHCategoryCL
from this IG
Goal.descriptionpreferredSDOHCCValueSetLOINCSNOMEDCTCL
https://hl7chile.cl/fhir/ig/gravitycl/ValueSet/SDOHCC-ValueSetLOINCSNOMEDCT-CL
from this IG
Goal.outcomeCodepreferredSDOHCCValueSetLOINCSNOMEDCTCL
https://hl7chile.cl/fhir/ig/gravitycl/ValueSet/SDOHCC-ValueSetLOINCSNOMEDCT-CL
from this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorGoalIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorGoalIf 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-4errorGoalIf 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-5errorGoalIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceGoalA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Goal 0..* Goal Describe el(los) objetivo(s) relacionado(s) con los SDOH para un paciente.
... 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
... 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 ?!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 SΣ 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:SDOH SΣ 0..* CodeableConcept Por ejemplo, inseguridad alimentaria | inseguridad en el transporte
Binding: ValueSet SDOHCC para Categoría SDOH (required): Códigos para categorías de SDOH de alto nivel.


... priority Σ 0..1 CodeableConcept high-priority | medium-priority | low-priority
Binding: GoalPriority (preferred): The level of importance associated with a goal.

... description Σ 1..1 CodeableConcept Code or text describing goal
Binding: ValueSet SDOHCC LOINC-SNOMEDCT (preferred): Códigos que proporcionan los detalles de un objetivo particular. En muchos sistemas, sólo se utilizará el elemento de texto.

... subject Σ 1..1 Reference(Patient | Group | Organization) Who this goal is intended for
... start[x] Σ 0..1 When goal pursuit begins
Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal.

.... startDate date
.... startCodeableConcept CodeableConcept
... target C 0..* BackboneElement Target outcome for the goal
gol-1: Goal.target.measure is required if Goal.target.detail is populated
.... 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 ΣC 0..1 CodeableConcept The parameter whose value is being tracked
Binding: ValueSet SDOHCC LOINC-SNOMEDCT (preferred): Códigos para identificar el valor que se está rastreando,por ejemplo, peso corporal, presión arterial o nivel de hemoglobina A1c.

.... detail[x] ΣC 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.

..... 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?
... Slices for addresses 0..* Reference(CL Condición-Diagnóstico | CL Observación | RiskAssessment) Issues addressed by this goal
Slice: Unordered, Open by profile:resolve()
.... addresses:SupportedAddresses S 0..* Reference(Condición SDOHCC | Respuesta de Detección de Observación de SDOHCC | Evaluación de Observación de SDOHCC) Issues addressed by this goal
... note 0..* Annotation Comments about the goal
... outcomeCode 0..* CodeableConcept What result was achieved regarding the goal?
Binding: ValueSet SDOHCC LOINC-SNOMEDCT (preferred): El resultado de la meta/objetivo; por ejemplo, "Seguridad alimentaria", "Tiene acceso a un automóvil".


... Slices for outcomeReference 0..* Reference(Observation) Observation that resulted from goal
Slice: Unordered, Open by profile:resolve()
.... outcomeReference:SupportedOutcomeReference S 0..* Reference(Respuesta de Detección de Observación de SDOHCC | Evaluación de Observación de SDOHCC) Observation that resulted from goal

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Goal.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Goal.lifecycleStatusrequiredGoalLifecycleStatus
http://hl7.org/fhir/ValueSet/goal-status|4.0.1
from the FHIR Standard
Goal.achievementStatuspreferredGoalAchievementStatus
http://hl7.org/fhir/ValueSet/goal-achievement
from the FHIR Standard
Goal.categoryexampleGoalCategory
http://hl7.org/fhir/ValueSet/goal-category
from the FHIR Standard
Goal.category:SDOHrequiredSDOHCCValueSetSDOHCategoryCL
https://hl7chile.cl/fhir/ig/gravitycl/ValueSet/SDOHCC-ValueSetSDOHCategoryCL
from this IG
Goal.prioritypreferredGoalPriority
http://hl7.org/fhir/ValueSet/goal-priority
from the FHIR Standard
Goal.descriptionpreferredSDOHCCValueSetLOINCSNOMEDCTCL
https://hl7chile.cl/fhir/ig/gravitycl/ValueSet/SDOHCC-ValueSetLOINCSNOMEDCT-CL
from this IG
Goal.start[x]exampleGoalStartEvent
http://hl7.org/fhir/ValueSet/goal-start-event
from the FHIR Standard
Goal.target.measurepreferredSDOHCCValueSetLOINCSNOMEDCTCL
https://hl7chile.cl/fhir/ig/gravitycl/ValueSet/SDOHCC-ValueSetLOINCSNOMEDCT-CL
from this IG
Goal.target.detail[x]example
Goal.outcomeCodepreferredSDOHCCValueSetLOINCSNOMEDCTCL
https://hl7chile.cl/fhir/ig/gravitycl/ValueSet/SDOHCC-ValueSetLOINCSNOMEDCT-CL
from this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorGoalIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorGoalIf 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-4errorGoalIf 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-5errorGoalIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceGoalA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
gol-1errorGoal.targetGoal.target.measure is required if Goal.target.detail is populated
: (detail.exists() and measure.exists()) or detail.exists().not()

 

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