eHealth Infrastructure
2021.3.0 - build

eHealth Infrastructure - Local Development build (v2021.3.0). See the Directory of published versions

Resource Profile: ehealth-goal

Defining URL:

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

Version:

2021.3.0

Name:

ehealth-goal

Status:

Active as of 2021-11-25T09:32:14+00:00

Publisher:

Systematic | Trifork

Source Resource:

XML / JSON / Turtle

The official URL for this profile is:

http://ehealth.sundhed.dk/fhir/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

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

This structure is derived from Goal

Summary

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 (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

Name	Flags	Card.	Type	Description & Constraints
Goal		0..*	Goal	Describes the intended objective(s) for a patient, group or organization
id	Σ	0..1	string	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) Max Binding: AllLanguages: 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
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	I	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	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
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

This structure is derived from Goal

Summary

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 (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

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	string	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) Max Binding: AllLanguages: 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
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	I	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	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
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

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

Path	Conformance	ValueSet
Goal.language	preferred	CommonLanguages Max Binding: AllLanguages
Goal.lifecycleStatus	required	GoalLifecycleStatus
Goal.achievementStatus	preferred	GoalAchievementStatus
Goal.category	example	GoalCategory
Goal.priority	preferred	GoalPriority
Goal.description	required	GoalDescription
Goal.start[x]	example	GoalStartEvent
Goal.target.measure	required	GoalTargetMeasure
Goal.target.detail[x]	example
Goal.outcomeCode	example	SNOMEDCTClinicalFindings

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-3	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	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	Goal	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	Goal	A resource should have narrative for robust management : text.`div`.exists()
ele-1	Goal.meta	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Goal.implicitRules	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Goal.language	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Goal.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Goal.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Goal.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Goal.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Goal.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Goal.identifier	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Goal.lifecycleStatus	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Goal.achievementStatus	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Goal.category	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Goal.priority	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Goal.description	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Goal.subject	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Goal.start[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Goal.target	All FHIR elements must have a @value or children : hasValue() or (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()
ele-1	Goal.target.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Goal.target.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Goal.target.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Goal.target.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Goal.target.measure	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Goal.target.detail[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Goal.target.due[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Goal.statusDate	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Goal.statusReason	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Goal.expressedBy	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Goal.addresses	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Goal.note	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Goal.outcomeCode	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Goal.outcomeReference	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())

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