Introduction

Describes the intended objective(s) for a patient, group or organization care, for example, weight loss, restoring an activity of daily living, obtaining herd immunity via immunization, meeting a process improvement objective, etc.

Scope and Usage

In scope of the eHealth infrastructure Goals are used together with reference ranges to configure triaging based on relative values.

This use is indicated by setting the code reference-value in Goal.description. This is currently the only type of Goal used in the infrastructure, but other types may be added in the future.

A Goal must have a startDate and optionally a target.dueDate or dueDuration to specify during which period the Goal applies.

Goal.addresses must reference exactly one serviceRequest containing the reference ranges that the Goal supports.

Goal.target.measure must contain an observation code indicating which type of observation the Goal is intended for.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from Goal

Name	Flags	Card.	Type	Description & Constraints
Goal			Goal
description		1..1	CodeableConcept	Code or text describing goal Binding: Goal Description (required)
subject		1..1	Reference(ehealth-patient) {r}	Who this goal is intended for
target
measure		0..1	CodeableConcept	The parameter whose value is being tracked Binding: Goal Target Measure (required)
expressedBy		0..1	Reference(ehealth-patient | ehealth-practitioner | ehealth-relatedperson)	Who's responsible for creating Goal?
addresses		0..*	Reference(ehealth-condition | ehealth-observation | MedicationStatement | NutritionOrder | ehealth-servicerequest | RiskAssessment) {r}	Issues addressed by this goal
outcomeReference		0..*	Reference(ehealth-observation) {r}	Observation that resulted from goal
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Goal.description	required	GoalDescription (a valid code from Goal Description) http://ehealth.sundhed.dk/vs/goal-description from this IG
Goal.target.measure	required	GoalTargetMeasure http://ehealth.sundhed.dk/vs/goal-target-measure from this IG

Name	Flags	Card.	Type	Description & Constraints
Goal		0..*	Goal	Describes the intended objective(s) for a patient, group or organization dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
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
description	Σ	1..1	CodeableConcept	Code or text describing goal Binding: Goal Description (required) ele-1: All FHIR elements must have a @value or children
subject	Σ	1..1	Reference(ehealth-patient) {r}	Who this goal is intended for ele-1: All FHIR elements must have a @value or children
expressedBy	Σ	0..1	Reference(ehealth-patient | ehealth-practitioner | ehealth-relatedperson)	Who's responsible for creating Goal? ele-1: All FHIR elements must have a @value or children
addresses		0..*	Reference(ehealth-condition | ehealth-observation | MedicationStatement | NutritionOrder | ehealth-servicerequest | RiskAssessment) {r}	Issues addressed by this goal ele-1: All FHIR elements must have a @value or children
outcomeReference		0..*	Reference(ehealth-observation) {r}	Observation that resulted from goal ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Goal.lifecycleStatus	required	GoalLifecycleStatus http://hl7.org/fhir/ValueSet/goal-status|4.0.1 from the FHIR Standard
Goal.description	required	GoalDescription (a valid code from Goal Description) http://ehealth.sundhed.dk/vs/goal-description from this IG

Name	Flags	Card.	Type	Description & Constraints
Goal		0..*	Goal	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
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	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	Σ	1..1	CodeableConcept	Code or text describing goal Binding: Goal Description (required)
subject	Σ	1..1	Reference(ehealth-patient) {r}	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: Goal Target Measure (required)
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(ehealth-patient | ehealth-practitioner | ehealth-relatedperson)	Who's responsible for creating Goal?
addresses		0..*	Reference(ehealth-condition | ehealth-observation | MedicationStatement | NutritionOrder | ehealth-servicerequest | RiskAssessment) {r}	Issues addressed by this goal
note		0..*	Annotation	Comments about the goal
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(ehealth-observation) {r}	Observation that resulted from goal
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Goal.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Goal.lifecycleStatus	required	GoalLifecycleStatus http://hl7.org/fhir/ValueSet/goal-status|4.0.1 from the FHIR Standard
Goal.achievementStatus	preferred	GoalAchievementStatus http://hl7.org/fhir/ValueSet/goal-achievement from the FHIR Standard
Goal.category	example	GoalCategory http://hl7.org/fhir/ValueSet/goal-category from the FHIR Standard
Goal.priority	preferred	GoalPriority http://hl7.org/fhir/ValueSet/goal-priority from the FHIR Standard
Goal.description	required	GoalDescription (a valid code from Goal Description) http://ehealth.sundhed.dk/vs/goal-description from this IG
Goal.start[x]	example	GoalStartEvent http://hl7.org/fhir/ValueSet/goal-start-event from the FHIR Standard
Goal.target.measure	required	GoalTargetMeasure http://ehealth.sundhed.dk/vs/goal-target-measure from this IG
Goal.target.detail[x]	example
Goal.outcomeCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard

Differential View

This structure is derived from Goal

Name	Flags	Card.	Type	Description & Constraints
Goal			Goal
description		1..1	CodeableConcept	Code or text describing goal Binding: Goal Description (required)
subject		1..1	Reference(ehealth-patient) {r}	Who this goal is intended for
target
measure		0..1	CodeableConcept	The parameter whose value is being tracked Binding: Goal Target Measure (required)
expressedBy		0..1	Reference(ehealth-patient | ehealth-practitioner | ehealth-relatedperson)	Who's responsible for creating Goal?
addresses		0..*	Reference(ehealth-condition | ehealth-observation | MedicationStatement | NutritionOrder | ehealth-servicerequest | RiskAssessment) {r}	Issues addressed by this goal
outcomeReference		0..*	Reference(ehealth-observation) {r}	Observation that resulted from goal
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Goal.description	required	GoalDescription (a valid code from Goal Description) http://ehealth.sundhed.dk/vs/goal-description from this IG
Goal.target.measure	required	GoalTargetMeasure http://ehealth.sundhed.dk/vs/goal-target-measure from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Goal		0..*	Goal	Describes the intended objective(s) for a patient, group or organization dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
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
description	Σ	1..1	CodeableConcept	Code or text describing goal Binding: Goal Description (required) ele-1: All FHIR elements must have a @value or children
subject	Σ	1..1	Reference(ehealth-patient) {r}	Who this goal is intended for ele-1: All FHIR elements must have a @value or children
expressedBy	Σ	0..1	Reference(ehealth-patient | ehealth-practitioner | ehealth-relatedperson)	Who's responsible for creating Goal? ele-1: All FHIR elements must have a @value or children
addresses		0..*	Reference(ehealth-condition | ehealth-observation | MedicationStatement | NutritionOrder | ehealth-servicerequest | RiskAssessment) {r}	Issues addressed by this goal ele-1: All FHIR elements must have a @value or children
outcomeReference		0..*	Reference(ehealth-observation) {r}	Observation that resulted from goal ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Goal.lifecycleStatus	required	GoalLifecycleStatus http://hl7.org/fhir/ValueSet/goal-status|4.0.1 from the FHIR Standard
Goal.description	required	GoalDescription (a valid code from Goal Description) http://ehealth.sundhed.dk/vs/goal-description from this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Goal		0..*	Goal	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
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	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	Σ	1..1	CodeableConcept	Code or text describing goal Binding: Goal Description (required)
subject	Σ	1..1	Reference(ehealth-patient) {r}	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: Goal Target Measure (required)
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(ehealth-patient | ehealth-practitioner | ehealth-relatedperson)	Who's responsible for creating Goal?
addresses		0..*	Reference(ehealth-condition | ehealth-observation | MedicationStatement | NutritionOrder | ehealth-servicerequest | RiskAssessment) {r}	Issues addressed by this goal
note		0..*	Annotation	Comments about the goal
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(ehealth-observation) {r}	Observation that resulted from goal
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Goal.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Goal.lifecycleStatus	required	GoalLifecycleStatus http://hl7.org/fhir/ValueSet/goal-status|4.0.1 from the FHIR Standard
Goal.achievementStatus	preferred	GoalAchievementStatus http://hl7.org/fhir/ValueSet/goal-achievement from the FHIR Standard
Goal.category	example	GoalCategory http://hl7.org/fhir/ValueSet/goal-category from the FHIR Standard
Goal.priority	preferred	GoalPriority http://hl7.org/fhir/ValueSet/goal-priority from the FHIR Standard
Goal.description	required	GoalDescription (a valid code from Goal Description) http://ehealth.sundhed.dk/vs/goal-description from this IG
Goal.start[x]	example	GoalStartEvent http://hl7.org/fhir/ValueSet/goal-start-event from the FHIR Standard
Goal.target.measure	required	GoalTargetMeasure http://ehealth.sundhed.dk/vs/goal-target-measure from this IG
Goal.target.detail[x]	example
Goal.outcomeCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard

This structure is derived from Goal

Summary

Structures

This structure refers to these other structures:

• ehealth-patient (http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-patient)
• ehealth-practitioner (http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-practitioner)
• ehealth-relatedperson (http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-relatedperson)
• ehealth-condition (http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-condition)
• ehealth-observation (http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-observation)
• ehealth-servicerequest (http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-servicerequest)