Person-Centered Outcomes
0.1.0 - ci-build International flag

Person-Centered Outcomes, published by Mountain Lotus WellBeing LLC. 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/mtnlotus/pco-ig/ and changes regularly. See the Directory of published versions

Resource Profile: Person-Centered GAS Goal

Official URL: http://mtnlotus.com/uv/pco/StructureDefinition/pco-gas-goal-profile Version: 0.1.0
Draft as of 2024-09-17 Computable Name: PCOGoalAttainmentScaleProfile

Person-centered goal with goal attainment scaling.

Usage:

Formal Views of Profile Content

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

This structure is derived from PCOGoalProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. Goal 0..* PCOGoalProfile Describes the intended objective(s) for a patient, group or organization
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... gas-scaling S 0..5 (Complex) Goal Attainment Scaling
URL: http://mtnlotus.com/uv/pco/StructureDefinition/pco-goal-attainment-scaling
... target 1..1 BackboneElement (USCDI) Target outcome for the goal
.... measure 0..1 CodeableConcept The parameter whose value is being tracked
Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 68489
...... display 1..1 string Representation defined by the system
Fixed Value: Goal attainment scale

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Goal 0..* PCOGoalProfile 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
.... gas-scaling S 0..5 (Complex) Goal Attainment Scaling
URL: http://mtnlotus.com/uv/pco/StructureDefinition/pco-goal-attainment-scaling
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for category Σ 0..* CodeableConcept E.g. Treatment, dietary, behavioral, etc.
Slice: Unordered, Open by pattern:$this
Binding: GoalCategory (example): Codes for grouping and sorting goals.


.... category:pcoCategory SΣ 0..* CodeableConcept Person-Centered Outcome category
Binding: PCO Categories (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets


... description SΣ 1..1 CodeableConcept (USCDI) Code or text describing goal
Binding: US Core Goal Codes (extensible): Value set to describe the Goal

... subject SΣ 1..1 Reference(US Core Patient Profile(6.1.0)) (USCDI) Who this goal is intended for
... start[x] SΣ 1..1 date (USCDI) When goal pursuit begins
... target SC 1..1 BackboneElement (USCDI) Target outcome for the goal
gol-1: Goal.target.measure is required if Goal.target.detail is populated
.... 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: LOINCCodes (example): Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level.


Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 68489
...... display 1..1 string Representation defined by the system
Fixed Value: Goal attainment scale
.... due[x] SΣ 0..1 (USCDI) Reach goal on or before
..... dueDate date
... expressedBy SΣ 0..1 Reference(US Core Patient Profile(6.1.0) | US Core Practitioner Profile(6.1.0) | US Core RelatedPerson Profile(6.1.0)) Who's responsible for creating Goal?
... addresses S 0..* Reference(What Matters Assessment | US Core Condition Problems and Health Concerns Profile(6.1.0)) What Matters Assessment or Condition

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Goal.lifecycleStatusrequiredGoalLifecycleStatus
http://hl7.org/fhir/ValueSet/goal-status
from the FHIR Standard
Goal.categoryexampleGoalCategory
http://hl7.org/fhir/ValueSet/goal-category
from the FHIR Standard
Goal.category:pcoCategoryrequiredPCOCategoryValueSet
http://mtnlotus.com/uv/pco/ValueSet/pco-category-valueset
from this IG
Goal.descriptionextensibleUSCoreGoalCodes
http://hl7.org/fhir/us/core/ValueSet/us-core-goal-description
Goal.target.measureexamplePattern: LOINC Code 68489("Goal attainment scale")
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard

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()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Goal 0..* PCOGoalProfile 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... gas-scaling S 0..5 (Complex) Goal Attainment Scaling
URL: http://mtnlotus.com/uv/pco/StructureDefinition/pco-goal-attainment-scaling
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier External Ids for this goal
... lifecycleStatus ?!SΣ 1..1 code (USCDI) proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected
Binding: GoalLifecycleStatus (required)
... 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.

... Slices for category Σ 0..* CodeableConcept E.g. Treatment, dietary, behavioral, etc.
Slice: Unordered, Open by pattern:$this
Binding: GoalCategory (example): Codes for grouping and sorting goals.


.... category:pcoCategory SΣ 0..* CodeableConcept Person-Centered Outcome category
Binding: PCO Categories (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets


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

... description SΣ 1..1 CodeableConcept (USCDI) Code or text describing goal
Binding: US Core Goal Codes (extensible): Value set to describe the Goal

... subject SΣ 1..1 Reference(US Core Patient Profile(6.1.0)) (USCDI) Who this goal is intended for
... start[x] SΣ 1..1 date S (USCDI) When goal pursuit begins
... target SC 1..1 BackboneElement (USCDI) 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: LOINCCodes (example): Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level.


Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 68489
...... display 1..1 string Representation defined by the system
Fixed Value: Goal attainment scale
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
.... 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] SΣ 0..1 (USCDI) Reach goal on or before
..... dueDate date S
..... dueDuration Duration
... statusDate Σ 0..1 date When goal status took effect
... statusReason 0..1 string Reason for current status
... expressedBy SΣ 0..1 Reference(US Core Patient Profile(6.1.0) | US Core Practitioner Profile(6.1.0) | US Core RelatedPerson Profile(6.1.0)) Who's responsible for creating Goal?
... addresses S 0..* Reference(What Matters Assessment | US Core Condition Problems and Health Concerns Profile(6.1.0)) What Matters Assessment or Condition
... 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(Observation) Observation that resulted from goal

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Goal.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Goal.lifecycleStatusrequiredGoalLifecycleStatus
http://hl7.org/fhir/ValueSet/goal-status
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:pcoCategoryrequiredPCOCategoryValueSet
http://mtnlotus.com/uv/pco/ValueSet/pco-category-valueset
from this IG
Goal.prioritypreferredGoalPriority
http://hl7.org/fhir/ValueSet/goal-priority
from the FHIR Standard
Goal.descriptionextensibleUSCoreGoalCodes
http://hl7.org/fhir/us/core/ValueSet/us-core-goal-description
Goal.target.measureexamplePattern: LOINC Code 68489("Goal attainment scale")
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Goal.target.detail[x]example
Goal.outcomeCodeexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
from the FHIR Standard

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()

This structure is derived from PCOGoalProfile

Summary

Mandatory: 1 element
Must-Support: 1 element

Extensions

This structure refers to these extensions:

Differential View

This structure is derived from PCOGoalProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. Goal 0..* PCOGoalProfile Describes the intended objective(s) for a patient, group or organization
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... gas-scaling S 0..5 (Complex) Goal Attainment Scaling
URL: http://mtnlotus.com/uv/pco/StructureDefinition/pco-goal-attainment-scaling
... target 1..1 BackboneElement (USCDI) Target outcome for the goal
.... measure 0..1 CodeableConcept The parameter whose value is being tracked
Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 68489
...... display 1..1 string Representation defined by the system
Fixed Value: Goal attainment scale

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Goal 0..* PCOGoalProfile 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
.... gas-scaling S 0..5 (Complex) Goal Attainment Scaling
URL: http://mtnlotus.com/uv/pco/StructureDefinition/pco-goal-attainment-scaling
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for category Σ 0..* CodeableConcept E.g. Treatment, dietary, behavioral, etc.
Slice: Unordered, Open by pattern:$this
Binding: GoalCategory (example): Codes for grouping and sorting goals.


.... category:pcoCategory SΣ 0..* CodeableConcept Person-Centered Outcome category
Binding: PCO Categories (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets


... description SΣ 1..1 CodeableConcept (USCDI) Code or text describing goal
Binding: US Core Goal Codes (extensible): Value set to describe the Goal

... subject SΣ 1..1 Reference(US Core Patient Profile(6.1.0)) (USCDI) Who this goal is intended for
... start[x] SΣ 1..1 date (USCDI) When goal pursuit begins
... target SC 1..1 BackboneElement (USCDI) Target outcome for the goal
gol-1: Goal.target.measure is required if Goal.target.detail is populated
.... 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: LOINCCodes (example): Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level.


Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 68489
...... display 1..1 string Representation defined by the system
Fixed Value: Goal attainment scale
.... due[x] SΣ 0..1 (USCDI) Reach goal on or before
..... dueDate date
... expressedBy SΣ 0..1 Reference(US Core Patient Profile(6.1.0) | US Core Practitioner Profile(6.1.0) | US Core RelatedPerson Profile(6.1.0)) Who's responsible for creating Goal?
... addresses S 0..* Reference(What Matters Assessment | US Core Condition Problems and Health Concerns Profile(6.1.0)) What Matters Assessment or Condition

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Goal.lifecycleStatusrequiredGoalLifecycleStatus
http://hl7.org/fhir/ValueSet/goal-status
from the FHIR Standard
Goal.categoryexampleGoalCategory
http://hl7.org/fhir/ValueSet/goal-category
from the FHIR Standard
Goal.category:pcoCategoryrequiredPCOCategoryValueSet
http://mtnlotus.com/uv/pco/ValueSet/pco-category-valueset
from this IG
Goal.descriptionextensibleUSCoreGoalCodes
http://hl7.org/fhir/us/core/ValueSet/us-core-goal-description
Goal.target.measureexamplePattern: LOINC Code 68489("Goal attainment scale")
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard

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()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Goal 0..* PCOGoalProfile 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... gas-scaling S 0..5 (Complex) Goal Attainment Scaling
URL: http://mtnlotus.com/uv/pco/StructureDefinition/pco-goal-attainment-scaling
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier External Ids for this goal
... lifecycleStatus ?!SΣ 1..1 code (USCDI) proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected
Binding: GoalLifecycleStatus (required)
... 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.

... Slices for category Σ 0..* CodeableConcept E.g. Treatment, dietary, behavioral, etc.
Slice: Unordered, Open by pattern:$this
Binding: GoalCategory (example): Codes for grouping and sorting goals.


.... category:pcoCategory SΣ 0..* CodeableConcept Person-Centered Outcome category
Binding: PCO Categories (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets


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

... description SΣ 1..1 CodeableConcept (USCDI) Code or text describing goal
Binding: US Core Goal Codes (extensible): Value set to describe the Goal

... subject SΣ 1..1 Reference(US Core Patient Profile(6.1.0)) (USCDI) Who this goal is intended for
... start[x] SΣ 1..1 date S (USCDI) When goal pursuit begins
... target SC 1..1 BackboneElement (USCDI) 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: LOINCCodes (example): Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level.


Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 68489
...... display 1..1 string Representation defined by the system
Fixed Value: Goal attainment scale
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
.... 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] SΣ 0..1 (USCDI) Reach goal on or before
..... dueDate date S
..... dueDuration Duration
... statusDate Σ 0..1 date When goal status took effect
... statusReason 0..1 string Reason for current status
... expressedBy SΣ 0..1 Reference(US Core Patient Profile(6.1.0) | US Core Practitioner Profile(6.1.0) | US Core RelatedPerson Profile(6.1.0)) Who's responsible for creating Goal?
... addresses S 0..* Reference(What Matters Assessment | US Core Condition Problems and Health Concerns Profile(6.1.0)) What Matters Assessment or Condition
... 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(Observation) Observation that resulted from goal

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Goal.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Goal.lifecycleStatusrequiredGoalLifecycleStatus
http://hl7.org/fhir/ValueSet/goal-status
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:pcoCategoryrequiredPCOCategoryValueSet
http://mtnlotus.com/uv/pco/ValueSet/pco-category-valueset
from this IG
Goal.prioritypreferredGoalPriority
http://hl7.org/fhir/ValueSet/goal-priority
from the FHIR Standard
Goal.descriptionextensibleUSCoreGoalCodes
http://hl7.org/fhir/us/core/ValueSet/us-core-goal-description
Goal.target.measureexamplePattern: LOINC Code 68489("Goal attainment scale")
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Goal.target.detail[x]example
Goal.outcomeCodeexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
from the FHIR Standard

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()

This structure is derived from PCOGoalProfile

Summary

Mandatory: 1 element
Must-Support: 1 element

Extensions

This structure refers to these extensions:

 

Other representations of profile: CSV, Excel, Schematron