StructureDefinition: ehealth-goal

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 procedureRequest 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.

Formal Views of Profile Content

The official URL for this profile is:

http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-goal

This profile builds on Goal.

This profile was published on Thu May 06 07:41:40 UTC 2021 as a active by null.

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

This structure is derived from Goal

Summary

Mandatory: 1 element

Structures

This structure refers to these other structures:

This structure is derived from Goal

Name	Card.	Type	Description & Constraints
Goal	0..*	Goal	Describes the intended objective(s) for a patient, group or organization
description	1..1	CodeableConcept	Code or text describing goal Binding: Goal Description (example)
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 ProcedureRequest \| RiskAssessment) {r }	Issues addressed by this goal
outcomeReference	0..*	Reference(eHealth Observation) {r }	Observation that resulted from goal
Documentation for this format

This structure is derived from Goal

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: Common Languages (extensible) Max Binding: All Languages: A human language.
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
status	?!Σ	1..1	code	proposed \| accepted \| planned \| in-progress \| on-target \| ahead-of-target \| behind-target \| sustaining \| achieved \| on-hold \| cancelled \| entered-in-error \| rejected Binding: GoalStatus (required): Indicates whether the goal has been met and is still being targeted
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 (example)
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	I	0..1	BackboneElement	Target outcome for the goal gol-1: Goal.target.measure is required if Goal.target.detail is populated
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
measure	ΣI	0..1	CodeableConcept	The parameter whose value is being tracked Binding: Goal Target Measure (required)
detail[x]	ΣI	0..1		The target value to be achieved Binding: (unbound) (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
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 ProcedureRequest \| 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: SNOMED CT Clinical Findings (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

This structure is derived from Goal

Summary

Mandatory: 1 element

Structures

This structure refers to these other structures:

Differential View

This structure is derived from Goal

Name	Card.	Type	Description & Constraints
Goal	0..*	Goal	Describes the intended objective(s) for a patient, group or organization
description	1..1	CodeableConcept	Code or text describing goal Binding: Goal Description (example)
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 ProcedureRequest \| RiskAssessment) {r }	Issues addressed by this goal
outcomeReference	0..*	Reference(eHealth Observation) {r }	Observation that resulted from goal
Documentation for this format

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: Common Languages (extensible) Max Binding: All Languages: A human language.
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
status	?!Σ	1..1	code	proposed \| accepted \| planned \| in-progress \| on-target \| ahead-of-target \| behind-target \| sustaining \| achieved \| on-hold \| cancelled \| entered-in-error \| rejected Binding: GoalStatus (required): Indicates whether the goal has been met and is still being targeted
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 (example)
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	I	0..1	BackboneElement	Target outcome for the goal gol-1: Goal.target.measure is required if Goal.target.detail is populated
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
measure	ΣI	0..1	CodeableConcept	The parameter whose value is being tracked Binding: Goal Target Measure (required)
detail[x]	ΣI	0..1		The target value to be achieved Binding: (unbound) (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
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 ProcedureRequest \| 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: SNOMED CT Clinical Findings (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
Goal.language	extensible	Common Languages Max Binding: All Languages
Goal.status	required	GoalStatus
Goal.category	example	GoalCategory
Goal.priority	preferred	GoalPriority
Goal.description	example	GoalDescription
Goal.start[x]	example	GoalStartEvent
Goal.target.measure	required	GoalTargetMeasure
Goal.target.detail[x]	example
Goal.outcomeCode	example	SNOMED CT Clinical Findings

Constraints

Id	Path	Details	Requirements
dom-2	Goal	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-1	Goal	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
dom-4	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-3	Goal	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty()
ele-1	Goal.target	All FHIR elements must have a @value or children : hasValue() \| (children().count() > id.count())
gol-1	Goal.target	Goal.target.measure is required if Goal.target.detail is populated : (detail.exists() and measure.exists()) or detail.exists().not()