HL7 Europe Discharge Report
1.0.0-ci-build - ci-build 150

HL7 Europe Discharge Report, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/discharge-report/ and changes regularly. See the Directory of published versions

Resource Profile: Goal (DR)

Official URL: http://hl7.eu/fhir/discharge-report/StructureDefinition/goal-eu-dr Version: 1.0.0-ci-build
Standards status: Draft Maturity Level: 1 Computable Name: GoalEuDr

Copyright/Legal: Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0).

This profile constrains the Goal resource for the purpose of this guide. It represents the goals of the patient care plan, aligned with the EHDSCarePlan logical model, and is referenced by CarePlanEuDr.

Usages:

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.

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Goal 0..* Goal Describes the intended objective(s) for a patient, group or organization
Goal.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Goal.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Goal.lifecycleStatus This element is a modifier element. This element is included in summaries. 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.
Goal.category This element is included in summaries. 0..* CodeableConcept Kind of goal
Binding: GoalCategory (example): Codes for grouping and sorting goals.
Goal.description This element is included in summaries. 1..1 CodeableConcept Code or text describing goal
Binding: SNOMEDCTClinicalFindings (example): Codes providing the details of a particular goal. This will generally be system or implementation guide-specific. In many systems, only the text element will be used.
Goal.subject This element is included in summaries. 1..1 Reference(Patient (EU core)) Who this goal is intended for
Goal.target C 0..* BackboneElement Target of the goal in the care plan
Constraints: gol-1
Goal.target.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Goal.target.Slices for due[x] This element is included in summaries. 0..1 Reach goal on or before
Slice: Unordered, Closed by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Goal.target.Slices for due[x].dueDate date
Goal.target.Slices for due[x].dueDuration Duration
Goal.target.Slices for due[x].due[x]:dueDate This element is included in summaries. 0..1 date Date by which the goal should be met or reviewed

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Goal.lifecycleStatus Base required GoalLifecycleStatus 📍4.0.1 FHIR Std.
Goal.category Base example Goal category 📍4.0.1 FHIR Std.
Goal.description 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 **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 Goal

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Goal Goal
Goal.category 0..* CodeableConcept Kind of goal
Goal.subject 1..1 Reference(Patient (EU core)) Who this goal is intended for
Goal.target 0..* BackboneElement Target of the goal in the care plan
Goal.target.Slices for due[x] 0..1 date, Duration Reach goal on or before
Slice: Unordered, Open by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Goal.target.Slices for due[x].due[x]:dueDate 0..1 date Date by which the goal should be met or reviewed

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: doco
Goal 0..* Goal Describes the intended objective(s) for a patient, group or organization
Goal.id This element is included in summaries. 0..1 id Logical id of this artifact
Goal.meta This element is included in summaries. 0..1 Meta Metadata about the resource
Goal.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Goal.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
Goal.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
Goal.contained 0..* Resource Contained, inline Resources
Goal.extension 0..* Extension Additional content defined by implementations
Goal.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Goal.identifier 0..* Identifier External Ids for this goal
Goal.lifecycleStatus This element is a modifier element. This element is included in summaries. 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.
Goal.achievementStatus This element is included in summaries. 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.
Goal.category This element is included in summaries. 0..* CodeableConcept Kind of goal
Binding: GoalCategory (example): Codes for grouping and sorting goals.
Goal.priority This element is included in summaries. 0..1 CodeableConcept high-priority | medium-priority | low-priority
Binding: GoalPriority (preferred): The level of importance associated with a goal.
Goal.description This element is included in summaries. 1..1 CodeableConcept Code or text describing goal
Binding: SNOMEDCTClinicalFindings (example): Codes providing the details of a particular goal. This will generally be system or implementation guide-specific. In many systems, only the text element will be used.
Goal.subject This element is included in summaries. 1..1 Reference(Patient (EU core)) Who this goal is intended for
Goal.start[x] This element is included in summaries. 0..1 When goal pursuit begins
Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal.
Goal.start[x].startDate date
Goal.start[x].startCodeableConcept CodeableConcept
Goal.target C 0..* BackboneElement Target of the goal in the care plan
Constraints: gol-1
Goal.target.id 0..1 string Unique id for inter-element referencing
Goal.target.extension 0..* Extension Additional content defined by implementations
Goal.target.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Goal.target.measure This element is included in summaries. C 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.
Goal.target.detail[x] This element is included in summaries. C 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.
Goal.target.detail[x].detailQuantity Quantity
Goal.target.detail[x].detailRange Range
Goal.target.detail[x].detailCodeableConcept CodeableConcept
Goal.target.detail[x].detailString string
Goal.target.detail[x].detailBoolean boolean
Goal.target.detail[x].detailInteger integer
Goal.target.detail[x].detailRatio Ratio
Goal.target.Slices for due[x] This element is included in summaries. 0..1 Reach goal on or before
Slice: Unordered, Closed by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Goal.target.Slices for due[x].dueDate date
Goal.target.Slices for due[x].dueDuration Duration
Goal.target.Slices for due[x].due[x]:dueDate This element is included in summaries. 0..1 date Date by which the goal should be met or reviewed
Goal.statusDate This element is included in summaries. 0..1 date When goal status took effect
Goal.statusReason 0..1 string Reason for current status
Goal.expressedBy This element is included in summaries. 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) Who's responsible for creating Goal?
Goal.addresses 0..* Reference(Condition | Observation | MedicationStatement | NutritionOrder | ServiceRequest | RiskAssessment) Issues addressed by this goal
Goal.note 0..* Annotation Comments about the goal
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".
Goal.outcomeReference 0..* Reference(Observation) Observation that resulted from goal

doco 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 example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.
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 **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 Goal

Summary

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

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

Maturity: 1

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Goal 0..* Goal Describes the intended objective(s) for a patient, group or organization
Goal.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Goal.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Goal.lifecycleStatus This element is a modifier element. This element is included in summaries. 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.
Goal.category This element is included in summaries. 0..* CodeableConcept Kind of goal
Binding: GoalCategory (example): Codes for grouping and sorting goals.
Goal.description This element is included in summaries. 1..1 CodeableConcept Code or text describing goal
Binding: SNOMEDCTClinicalFindings (example): Codes providing the details of a particular goal. This will generally be system or implementation guide-specific. In many systems, only the text element will be used.
Goal.subject This element is included in summaries. 1..1 Reference(Patient (EU core)) Who this goal is intended for
Goal.target C 0..* BackboneElement Target of the goal in the care plan
Constraints: gol-1
Goal.target.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Goal.target.Slices for due[x] This element is included in summaries. 0..1 Reach goal on or before
Slice: Unordered, Closed by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Goal.target.Slices for due[x].dueDate date
Goal.target.Slices for due[x].dueDuration Duration
Goal.target.Slices for due[x].due[x]:dueDate This element is included in summaries. 0..1 date Date by which the goal should be met or reviewed

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Goal.lifecycleStatus Base required GoalLifecycleStatus 📍4.0.1 FHIR Std.
Goal.category Base example Goal category 📍4.0.1 FHIR Std.
Goal.description 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 **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 Goal

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Goal Goal
Goal.category 0..* CodeableConcept Kind of goal
Goal.subject 1..1 Reference(Patient (EU core)) Who this goal is intended for
Goal.target 0..* BackboneElement Target of the goal in the care plan
Goal.target.Slices for due[x] 0..1 date, Duration Reach goal on or before
Slice: Unordered, Open by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Goal.target.Slices for due[x].due[x]:dueDate 0..1 date Date by which the goal should be met or reviewed

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Goal 0..* Goal Describes the intended objective(s) for a patient, group or organization
Goal.id This element is included in summaries. 0..1 id Logical id of this artifact
Goal.meta This element is included in summaries. 0..1 Meta Metadata about the resource
Goal.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Goal.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
Goal.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
Goal.contained 0..* Resource Contained, inline Resources
Goal.extension 0..* Extension Additional content defined by implementations
Goal.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Goal.identifier 0..* Identifier External Ids for this goal
Goal.lifecycleStatus This element is a modifier element. This element is included in summaries. 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.
Goal.achievementStatus This element is included in summaries. 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.
Goal.category This element is included in summaries. 0..* CodeableConcept Kind of goal
Binding: GoalCategory (example): Codes for grouping and sorting goals.
Goal.priority This element is included in summaries. 0..1 CodeableConcept high-priority | medium-priority | low-priority
Binding: GoalPriority (preferred): The level of importance associated with a goal.
Goal.description This element is included in summaries. 1..1 CodeableConcept Code or text describing goal
Binding: SNOMEDCTClinicalFindings (example): Codes providing the details of a particular goal. This will generally be system or implementation guide-specific. In many systems, only the text element will be used.
Goal.subject This element is included in summaries. 1..1 Reference(Patient (EU core)) Who this goal is intended for
Goal.start[x] This element is included in summaries. 0..1 When goal pursuit begins
Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal.
Goal.start[x].startDate date
Goal.start[x].startCodeableConcept CodeableConcept
Goal.target C 0..* BackboneElement Target of the goal in the care plan
Constraints: gol-1
Goal.target.id 0..1 string Unique id for inter-element referencing
Goal.target.extension 0..* Extension Additional content defined by implementations
Goal.target.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Goal.target.measure This element is included in summaries. C 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.
Goal.target.detail[x] This element is included in summaries. C 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.
Goal.target.detail[x].detailQuantity Quantity
Goal.target.detail[x].detailRange Range
Goal.target.detail[x].detailCodeableConcept CodeableConcept
Goal.target.detail[x].detailString string
Goal.target.detail[x].detailBoolean boolean
Goal.target.detail[x].detailInteger integer
Goal.target.detail[x].detailRatio Ratio
Goal.target.Slices for due[x] This element is included in summaries. 0..1 Reach goal on or before
Slice: Unordered, Closed by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Goal.target.Slices for due[x].dueDate date
Goal.target.Slices for due[x].dueDuration Duration
Goal.target.Slices for due[x].due[x]:dueDate This element is included in summaries. 0..1 date Date by which the goal should be met or reviewed
Goal.statusDate This element is included in summaries. 0..1 date When goal status took effect
Goal.statusReason 0..1 string Reason for current status
Goal.expressedBy This element is included in summaries. 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) Who's responsible for creating Goal?
Goal.addresses 0..* Reference(Condition | Observation | MedicationStatement | NutritionOrder | ServiceRequest | RiskAssessment) Issues addressed by this goal
Goal.note 0..* Annotation Comments about the goal
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".
Goal.outcomeReference 0..* Reference(Observation) Observation that resulted from goal

doco 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 example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.
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 **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 Goal

Summary

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

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

Maturity: 1

 

Other representations of profile: CSV, Excel, Schematron