{
"description": "Describes the intended objective(s) for a patient, group, or organizational care. Examples include a patient's weight loss, restoration of an activity of daily living for a patient, obtaining herd immunity via immunization for a group, meeting a process improvement objective for an organization, etc.",
"_filename": "StructureDefinition-Goal.json",
"package_name": "hl7.fhir.r6.core",
"date": "2025-12-18T07:07:42+11:00",
"derivation": "specialization",
"meta": {
"lastUpdated": "2025-12-18T07:07:42.170+11:00"
},
"publisher": "HL7 International / Patient Care",
"fhirVersion": "6.0.0-ballot4",
"jurisdiction": [ {
"coding": [ {
"code": "001",
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
"display": "World"
} ]
} ],
"name": "Goal",
"mapping": [ {
"uri": "http://hl7.org/fhir/fivews",
"name": "FiveWs Pattern Mapping",
"identity": "w5"
}, {
"uri": "http://hl7.org/v2",
"name": "HL7 V2 Mapping",
"identity": "v2"
}, {
"uri": "http://hl7.org/v3",
"name": "RIM Mapping",
"identity": "rim"
} ],
"abstract": false,
"type": "Goal",
"experimental": "false",
"resourceType": "StructureDefinition",
"title": null,
"package_version": "6.0.0-ballot4",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
"valueString": "Clinical.Care Provision"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "pc"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 2
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
"valueCode": "patient"
} ],
"snapshot": {
"element": [ {
"constraint": [ {
"key": "dom-2",
"human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
"severity": "error",
"expression": "contained.contained.empty()"
}, {
"key": "dom-3",
"human": "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",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
"severity": "error",
"expression": "contained.where((('#'+id.trace('id') in %resource.descendants().select(reference | as(uri))) or descendants().where(reference='#' | as(uri)='#').exists()).not()).trace('unmatched', id).empty()"
}, {
"key": "dom-4",
"human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
"severity": "error",
"expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"
}, {
"key": "dom-5",
"human": "If a resource is contained in another resource, it SHALL NOT have a security label",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
"severity": "error",
"expression": "contained.meta.security.empty()"
}, {
"key": "dom-6",
"human": "A resource should have narrative for robust management",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
"severity": "warning",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
"valueBoolean": true
}, {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
"valueMarkdown": "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
} ],
"expression": "text.`div`.exists()"
} ],
"path": "Goal",
"min": 0,
"definition": "Describes the intended objective(s) for a patient, group, or organizational care. Examples include a patient's weight loss, restoration of an activity of daily living for a patient, obtaining herd immunity via immunization for a group, meeting a process improvement objective for an organization, etc.",
"isModifier": false,
"short": "Describes the intended objective(s) for a patient, group, or organizational care",
"mapping": [ {
"map": "Entity, Role, or Act,.outboundRelationship[typeCode<=OBJ].",
"identity": "rim"
}, {
"map": "clinical.careprovision",
"identity": "w5"
}, {
"map": "GOL.1",
"identity": "v2"
} ],
"mustSupport": false,
"max": "*",
"id": "Goal",
"comment": "Goal can be achieving a particular change or merely maintaining a current state or even slowing a decline.",
"base": {
"max": "*",
"min": 0,
"path": "Goal"
},
"isSummary": false
}, {
"path": "Goal.id",
"min": 0,
"definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"isModifier": false,
"short": "Logical id of this artifact",
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"mustSupport": false,
"max": "1",
"id": "Goal.id",
"comment": "Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.",
"base": {
"max": "1",
"min": 0,
"path": "Resource.id"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Goal.meta",
"min": 0,
"definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
"isModifier": false,
"short": "Metadata about the resource",
"type": [ {
"code": "Meta"
} ],
"mustSupport": false,
"max": "1",
"id": "Goal.meta",
"base": {
"max": "1",
"min": 0,
"path": "Resource.meta"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Goal.implicitRules",
"min": 0,
"definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. For DomainResources, if more than one implicitRules policy applies, additional policies may be conveyed using the [additionalImplicitRules](https://build.fhir.org/ig/HL7/fhir-extensions/StructureDefinition-additionalImplicitRules.html) extension.",
"isModifier": true,
"short": "A set of rules under which this content was created",
"type": [ {
"code": "uri"
} ],
"mustSupport": false,
"max": "1",
"id": "Goal.implicitRules",
"comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.",
"base": {
"max": "1",
"min": 0,
"path": "Resource.implicitRules"
},
"isModifierReason": "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Goal.language",
"min": 0,
"definition": "The base language in which the resource is written.",
"isModifier": false,
"short": "Language of the resource content",
"type": [ {
"code": "code"
} ],
"mustSupport": false,
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot4",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "Language"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean": true
} ],
"additional": [ {
"purpose": "starter",
"valueSet": "http://hl7.org/fhir/ValueSet/languages"
} ],
"description": "IETF language tag for a human language"
},
"max": "1",
"id": "Goal.language",
"comment": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
"base": {
"max": "1",
"min": 0,
"path": "Resource.language"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Goal.text",
"min": 0,
"definition": "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
"isModifier": false,
"short": "Text summary of the resource, for human interpretation",
"mapping": [ {
"map": "Act.text?",
"identity": "rim"
} ],
"type": [ {
"code": "Narrative"
} ],
"mustSupport": false,
"alias": [ "narrative", "html", "xhtml", "display" ],
"max": "1",
"id": "Goal.text",
"condition": [ "dom-6" ],
"comment": "Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
"base": {
"max": "1",
"min": 0,
"path": "DomainResource.text"
},
"isSummary": false
}, {
"path": "Goal.contained",
"min": 0,
"definition": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.",
"isModifier": false,
"short": "Contained, inline Resources",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Resource"
} ],
"mustSupport": false,
"alias": [ "inline resources", "anonymous resources", "contained resources" ],
"max": "*",
"id": "Goal.contained",
"condition": [ "dom-2", "dom-4", "dom-3", "dom-5" ],
"comment": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels. Contained resources may be a resource type defined in the FHIR specification, or an [additional resource](resource.html#additional).",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.contained"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Goal.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"mustSupport": false,
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Goal.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Goal.modifierExtension",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"mustSupport": false,
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Goal.modifierExtension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Goal.identifier",
"requirements": "Allows identification of the goal as it is known by various participating systems and in a way that remains consistent across servers.",
"min": 0,
"definition": "Business identifiers assigned to this goal by the performer or other systems which remain constant as the resource is updated and propagates from server to server.",
"isModifier": false,
"short": "External Ids for this goal",
"mapping": [ {
"map": "FiveWs.identifier",
"identity": "w5"
}, {
"map": ".id",
"identity": "rim"
} ],
"type": [ {
"code": "Identifier"
} ],
"mustSupport": false,
"max": "*",
"id": "Goal.identifier",
"comment": "This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.",
"base": {
"max": "*",
"min": 0,
"path": "Goal.identifier"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Goal.lifecycleStatus",
"requirements": "Allows knowing whether goal needs to be further tracked.",
"min": 1,
"definition": "The state of the goal throughout its lifecycle.",
"isModifier": true,
"short": "proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected",
"mapping": [ {
"map": "FiveWs.status",
"identity": "w5"
}, {
"map": "GOL-18-goal life cycle status",
"identity": "v2"
}, {
"map": ".statusCode in-progress = active (classCode = OBJ) cancelled = aborted",
"identity": "rim"
} ],
"type": [ {
"code": "code"
} ],
"mustSupport": false,
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/goal-status|6.0.0-ballot4",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "GoalLifecycleStatus"
} ],
"description": "Codes that reflect the current state of a goal and whether the goal is still being targeted."
},
"max": "1",
"id": "Goal.lifecycleStatus",
"comment": "This element is labeled as a modifier because the lifecycleStatus contains codes that mark the resource as not currently valid.",
"base": {
"max": "1",
"min": 1,
"path": "Goal.lifecycleStatus"
},
"isModifierReason": "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Goal.achievementStatus",
"min": 0,
"definition": "Describes the progression, or lack thereof, towards the goal against the target.",
"isModifier": false,
"short": "in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable",
"mapping": [ {
"map": ".statusCode achieved = complete sustaining = active",
"identity": "rim"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": false,
"binding": {
"strength": "preferred",
"valueSet": "http://hl7.org/fhir/ValueSet/goal-achievement",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "GoalAchievementStatus"
} ],
"description": "Indicates the progression, or lack thereof, towards the goal against the target."
},
"max": "1",
"id": "Goal.achievementStatus",
"base": {
"max": "1",
"min": 0,
"path": "Goal.achievementStatus"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Goal.category",
"requirements": "Allows goals to be filtered and sorted.",
"min": 0,
"definition": "Indicates a category the goal falls within.",
"isModifier": false,
"short": "E.g. Treatment, dietary, behavioral, etc",
"mapping": [ {
"map": "FiveWs.class",
"identity": "w5"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": false,
"binding": {
"strength": "example",
"valueSet": "http://hl7.org/fhir/ValueSet/goal-category",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "GoalCategory"
} ],
"description": "Codes for grouping and sorting goals."
},
"max": "*",
"id": "Goal.category",
"base": {
"max": "*",
"min": 0,
"path": "Goal.category"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Goal.continuous",
"requirements": "Allows for a system to programmatically update achievementStatus upon finding evidence the goal has been met.",
"min": 0,
"definition": "After meeting the goal, ongoing activity is needed to sustain the goal objective.",
"isModifier": false,
"short": "After meeting the goal, ongoing activity is needed to sustain the goal objective",
"type": [ {
"code": "boolean"
} ],
"mustSupport": false,
"max": "1",
"id": "Goal.continuous",
"comment": "For example, getting a yellow fever vaccination for a planned trip is a goal that is designed to be completed (continuous = false). A goal to sustain HbA1c levels would not be a one-time goal (continuous = true).",
"base": {
"max": "1",
"min": 0,
"path": "Goal.continuous"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Goal.priority",
"requirements": "Used for sorting and presenting goals.",
"min": 0,
"definition": "Identifies the mutually agreed level of importance associated with reaching/sustaining the goal.",
"isModifier": false,
"short": "high-priority | medium-priority | low-priority",
"mapping": [ {
"map": "FiveWs.grade",
"identity": "w5"
}, {
"map": ".priorityCode",
"identity": "rim"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": false,
"binding": {
"strength": "preferred",
"valueSet": "http://hl7.org/fhir/ValueSet/goal-priority",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "GoalPriority"
} ],
"description": "The level of importance associated with a goal."
},
"max": "1",
"id": "Goal.priority",
"comment": "Extensions are available to track priorities as established by each participant (i.e. Priority from the patient's perspective, different practitioners' perspectives, family member's perspectives)\r\rThe ordinal extension on Coding can be used to convey a numerically comparable ranking to priority. (Keep in mind that different coding systems may use a \"low value=important\".",
"base": {
"max": "1",
"min": 0,
"path": "Goal.priority"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Goal.description",
"requirements": "Without a description of what's trying to be achieved, element has no purpose.",
"min": 1,
"definition": "Human-readable and/or coded description of a specific desired objective of care, such as \"control blood pressure\" or \"negotiate an obstacle course\" or \"dance with child at wedding\".",
"isModifier": false,
"short": "Code or text describing goal",
"mapping": [ {
"map": "FiveWs.what[x]",
"identity": "w5"
}, {
"map": "GOL-3.2-goal ID.text",
"identity": "v2"
}, {
"map": ".text",
"identity": "rim"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": false,
"binding": {
"strength": "example",
"valueSet": "http://hl7.org/fhir/ValueSet/goal-description",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "GoalDescription"
} ],
"description": "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."
},
"max": "1",
"id": "Goal.description",
"comment": "If no code is available, use CodeableConcept.text.",
"base": {
"max": "1",
"min": 1,
"path": "Goal.description"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Goal.subject",
"requirements": "Subject is optional to support annonymized reporting.",
"min": 1,
"definition": "Identifies the patient, group or organization for whom the goal is being established.",
"isModifier": false,
"short": "Who this goal is intended for",
"mapping": [ {
"map": "FiveWs.subject",
"identity": "w5"
}, {
"map": "PID-3-patient ID list",
"identity": "v2"
}, {
"map": ".participation[typeCode=PAT].role[classCode=PAT]",
"identity": "rim"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Group", "http://hl7.org/fhir/StructureDefinition/Organization" ]
} ],
"mustSupport": false,
"max": "1",
"id": "Goal.subject",
"base": {
"max": "1",
"min": 1,
"path": "Goal.subject"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Goal.start[x]",
"requirements": "Goals can be established prior to there being an intention to start pursuing them; e.g. Goals for post-surgical recovery established prior to surgery.",
"min": 0,
"definition": "The date or event after which the goal should begin being pursued.",
"isModifier": false,
"short": "When goal pursuit begins",
"mapping": [ {
"map": "FiveWs.planned",
"identity": "w5"
} ],
"type": [ {
"code": "date"
}, {
"code": "CodeableConcept"
} ],
"mustSupport": false,
"binding": {
"strength": "example",
"valueSet": "http://hl7.org/fhir/ValueSet/goal-start-event",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "GoalStartEvent"
} ],
"description": "Codes describing events that can trigger the initiation of a goal."
},
"max": "1",
"id": "Goal.start[x]",
"base": {
"max": "1",
"min": 0,
"path": "Goal.start[x]"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children or both",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Goal.acceptance",
"min": 0,
"definition": "Information about the acceptance and relative priority assigned to the goal by the patient, practitioners and other stakeholders.",
"isModifier": false,
"short": "Individual acceptance of goal",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": false,
"max": "*",
"id": "Goal.acceptance",
"base": {
"max": "*",
"min": 0,
"path": "Goal.acceptance"
},
"isSummary": false
}, {
"path": "Goal.acceptance.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Goal.acceptance.id",
"condition": [ "ele-1" ],
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Goal.acceptance.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Goal.acceptance.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Goal.acceptance.modifierExtension",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Goal.acceptance.modifierExtension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Goal.acceptance.participant",
"min": 1,
"definition": "The person ororganization whose acceptance/priority is being reflected.",
"isModifier": false,
"short": "Individual or organization whose acceptance is reflected",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/CareTeam", "http://hl7.org/fhir/StructureDefinition/Organization", "http://hl7.org/fhir/StructureDefinition/Group" ]
} ],
"mustSupport": false,
"max": "1",
"id": "Goal.acceptance.participant",
"comment": "Using Group is only allowed when the group represents a family or a household and should not represent groups of Practitioners.",
"base": {
"max": "1",
"min": 1,
"path": "Goal.acceptance.participant"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Goal.acceptance.status",
"min": 0,
"definition": "Indicates whether the specified individual has accepted the goal or not.",
"isModifier": false,
"short": "agree | disagree | pending",
"type": [ {
"code": "code"
} ],
"mustSupport": false,
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/goal-accept-status|6.0.0-ballot4",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "GoalAcceptStatus"
} ],
"description": "Codes that identify whether the goal has been accepted or not."
},
"max": "1",
"id": "Goal.acceptance.status",
"base": {
"max": "1",
"min": 0,
"path": "Goal.acceptance.status"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Goal.acceptance.priority",
"min": 0,
"definition": "Indicates the relative priority assigned to the goal by the stakeholder.",
"isModifier": false,
"short": "Priority of goal for individual",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": false,
"binding": {
"strength": "example",
"valueSet": "http://hl7.org/fhir/ValueSet/goal-priority",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "GoalPriority"
} ],
"description": "Codes to identify the level of importance associated with reaching or sustaining a goal."
},
"max": "1",
"id": "Goal.acceptance.priority",
"base": {
"max": "1",
"min": 0,
"path": "Goal.acceptance.priority"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children or both",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "gol-1",
"human": "Goal.target.measure is required if Goal.target.detail is populated",
"source": "http://hl7.org/fhir/StructureDefinition/Goal",
"severity": "error",
"expression": "(detail.exists() and measure.exists()) or detail.exists().not()"
} ],
"path": "Goal.target",
"requirements": "Allows the progress of the goal to be monitored against an observation or due date. Target is 0..* to support Observations with multiple components, such as blood pressure goals with both a systolic and diastolic target.",
"min": 0,
"definition": "Indicates what should be done by when.",
"isModifier": false,
"short": "Target outcome for the goal",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": false,
"max": "*",
"id": "Goal.target",
"comment": "When multiple targets are present for a single goal instance, all targets must be met for the overall goal to be met.",
"base": {
"max": "*",
"min": 0,
"path": "Goal.target"
},
"isSummary": false
}, {
"path": "Goal.target.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"isModifier": false,
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Goal.target.id",
"condition": [ "ele-1" ],
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Goal.target.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"isModifier": false,
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Goal.target.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Goal.target.modifierExtension",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Goal.target.modifierExtension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Goal.target.measure",
"min": 0,
"definition": "The parameter whose value is being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level.",
"isModifier": false,
"short": "The parameter whose value is being tracked",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": false,
"binding": {
"strength": "example",
"valueSet": "http://hl7.org/fhir/ValueSet/observation-codes",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "GoalTargetMeasure"
} ],
"description": "Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level."
},
"max": "1",
"id": "Goal.target.measure",
"condition": [ "gol-1" ],
"base": {
"max": "1",
"min": 0,
"path": "Goal.target.measure"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Goal.target.detail[x]",
"min": 0,
"definition": "The target value of the focus to be achieved to signify the fulfillment of the goal, e.g. 150 pounds, 7.0%. Either the high or low or both values of the range can be specified. When a low value is missing, it indicates that the goal is achieved at any focus value at or below the high value. Similarly, if the high value is missing, it indicates that the goal is achieved at any focus value at or above the low value. A CodeableConcept target value could be Positive, Negative, Abnormal, Normal, Present, Absent, Yes, No.",
"isModifier": false,
"short": "The target value to be achieved",
"type": [ {
"code": "Quantity"
}, {
"code": "Range"
}, {
"code": "CodeableConcept"
}, {
"code": "string"
}, {
"code": "boolean"
}, {
"code": "integer"
}, {
"code": "Ratio"
} ],
"mustSupport": false,
"max": "1",
"id": "Goal.target.detail[x]",
"condition": [ "gol-1" ],
"comment": "A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Goal.target.measure defines a coded value.",
"base": {
"max": "1",
"min": 0,
"path": "Goal.target.detail[x]"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Goal.target.due[x]",
"requirements": "Identifies when the goal should be evaluated.",
"min": 0,
"definition": "Indicates either the date or the duration after start by which the goal should be met.",
"isModifier": false,
"short": "Reach goal on or before",
"mapping": [ {
"map": "FiveWs.done[x]",
"identity": "w5"
} ],
"type": [ {
"code": "date"
}, {
"code": "Duration"
} ],
"mustSupport": false,
"max": "1",
"id": "Goal.target.due[x]",
"base": {
"max": "1",
"min": 0,
"path": "Goal.target.due[x]"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Goal.statusDate",
"min": 0,
"definition": "Identifies when the current achievement status took effect. I.e. When achieved, when improving, etc.",
"isModifier": false,
"short": "When goal achievment status took effect",
"mapping": [ {
"map": "FiveWs.recorded",
"identity": "w5"
} ],
"type": [ {
"code": "date"
} ],
"mustSupport": false,
"max": "1",
"id": "Goal.statusDate",
"comment": "To see the date for past statuses, query history.",
"base": {
"max": "1",
"min": 0,
"path": "Goal.statusDate"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Goal.statusReason",
"min": 0,
"definition": "Captures the reason for the current lifecycle status.",
"isModifier": false,
"short": "Reason for current lifecycle status",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": false,
"binding": {
"strength": "example",
"valueSet": "http://hl7.org/fhir/ValueSet/goal-status-reason",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "GoalStatusReason"
} ],
"description": "Codes to identify the reason for current lifecycle status."
},
"max": "*",
"id": "Goal.statusReason",
"comment": "This will typically be captured for statuses such as rejected, on-hold or cancelled, but could be present for others.",
"base": {
"max": "*",
"min": 0,
"path": "Goal.statusReason"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Goal.recorder",
"min": 0,
"definition": "Individual who recorded the record and takes responsibility for its content.",
"isModifier": false,
"short": "Who recorded the goal",
"mapping": [ {
"map": "FiveWs.author",
"identity": "w5"
}, {
"map": ".participation[typeCode=AUT].role",
"identity": "rim"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "http://hl7.org/fhir/StructureDefinition/Group" ]
} ],
"mustSupport": false,
"max": "1",
"id": "Goal.recorder",
"comment": "Because the recorder takes responsibility for accurately recording information in the record, the recorder is the most recent author. The recorder might or might not be the source who established the goal. Using Group is only allowed when the group represents a family or a household and should not represent groups of Practitioners.",
"base": {
"max": "1",
"min": 0,
"path": "Goal.recorder"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Goal.source",
"min": 0,
"definition": "Indicates whose goal this is - patient goal, practitioner goal, etc.",
"isModifier": false,
"short": "Who's responsible for creating Goal?",
"mapping": [ {
"map": "FiveWs.source",
"identity": "w5"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "http://hl7.org/fhir/StructureDefinition/CareTeam", "http://hl7.org/fhir/StructureDefinition/Group" ]
} ],
"mustSupport": false,
"max": "1",
"id": "Goal.source",
"comment": "This is the individual or team responsible for establishing the goal, not necessarily who recorded it. Using Group is only allowed when the group represents a family or a household and should not represent groups of Practitioners.",
"base": {
"max": "1",
"min": 0,
"path": "Goal.source"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Goal.addresses",
"requirements": "Allows specific goals to explicitly linked to the concerns they're dealing with - makes the goal more understandable.",
"min": 0,
"definition": "The identified conditions and other resources that provide the context for why the goal exists.",
"isModifier": false,
"short": "Issues addressed by this goal",
"mapping": [ {
"map": "FiveWs.why[x]",
"identity": "w5"
}, {
"map": ".outboundRelationship[typeCode=SUBJ].target[classCode=CONC]",
"identity": "rim"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Condition", "http://hl7.org/fhir/StructureDefinition/Observation", "http://hl7.org/fhir/StructureDefinition/MedicationStatement", "http://hl7.org/fhir/StructureDefinition/MedicationRequest", "http://hl7.org/fhir/StructureDefinition/NutritionOrder", "http://hl7.org/fhir/StructureDefinition/ServiceRequest", "http://hl7.org/fhir/StructureDefinition/RiskAssessment", "http://hl7.org/fhir/StructureDefinition/Procedure", "http://hl7.org/fhir/StructureDefinition/NutritionIntake" ]
} ],
"mustSupport": false,
"max": "*",
"id": "Goal.addresses",
"base": {
"max": "*",
"min": 0,
"path": "Goal.addresses"
},
"isSummary": false
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Goal.note",
"requirements": "There's a need to capture information about the goal that doesn't actually describe the goal.",
"min": 0,
"definition": "Any comments related to the goal.",
"isModifier": false,
"short": "Comments about the goal",
"mapping": [ {
"map": "GOL-16-goal evaluation + NTE?",
"identity": "v2"
}, {
"map": ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value",
"identity": "rim"
} ],
"type": [ {
"code": "Annotation"
} ],
"mustSupport": false,
"max": "*",
"id": "Goal.note",
"comment": "May be used for progress notes, concerns or other related information that doesn't actually describe the goal itself.",
"base": {
"max": "*",
"min": 0,
"path": "Goal.note"
},
"isSummary": false
} ]
},
"status": "active",
"id": "28c1a004-48b1-4b61-ba02-d1beb5bdf1f4",
"kind": "resource",
"url": "http://hl7.org/fhir/StructureDefinition/Goal",
"version": "6.0.0-ballot4",
"differential": {
"element": [ {
"path": "Goal",
"min": 0,
"definition": "Describes the intended objective(s) for a patient, group, or organizational care. Examples include a patient's weight loss, restoration of an activity of daily living for a patient, obtaining herd immunity via immunization for a group, meeting a process improvement objective for an organization, etc.",
"isModifier": false,
"short": "Describes the intended objective(s) for a patient, group, or organizational care",
"mapping": [ {
"map": "clinical.careprovision",
"identity": "w5"
}, {
"map": "GOL.1",
"identity": "v2"
}, {
"map": ".outboundRelationship[typeCode<=OBJ].",
"identity": "rim"
} ],
"mustSupport": false,
"max": "*",
"id": "Goal",
"comment": "Goal can be achieving a particular change or merely maintaining a current state or even slowing a decline."
}, {
"path": "Goal.identifier",
"requirements": "Allows identification of the goal as it is known by various participating systems and in a way that remains consistent across servers.",
"min": 0,
"definition": "Business identifiers assigned to this goal by the performer or other systems which remain constant as the resource is updated and propagates from server to server.",
"isModifier": false,
"short": "External Ids for this goal",
"mapping": [ {
"map": "FiveWs.identifier",
"identity": "w5"
}, {
"map": ".id",
"identity": "rim"
} ],
"type": [ {
"code": "Identifier"
} ],
"mustSupport": false,
"max": "*",
"id": "Goal.identifier",
"comment": "This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.",
"isSummary": false
}, {
"path": "Goal.lifecycleStatus",
"requirements": "Allows knowing whether goal needs to be further tracked.",
"min": 1,
"definition": "The state of the goal throughout its lifecycle.",
"isModifier": true,
"short": "proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected",
"mapping": [ {
"map": "FiveWs.status",
"identity": "w5"
}, {
"map": "GOL-18-goal life cycle status",
"identity": "v2"
}, {
"map": ".statusCode in-progress = active (classCode = OBJ) cancelled = aborted",
"identity": "rim"
} ],
"type": [ {
"code": "code"
} ],
"mustSupport": false,
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/goal-status|6.0.0-ballot4",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "GoalLifecycleStatus"
} ],
"description": "Codes that reflect the current state of a goal and whether the goal is still being targeted."
},
"max": "1",
"id": "Goal.lifecycleStatus",
"comment": "This element is labeled as a modifier because the lifecycleStatus contains codes that mark the resource as not currently valid.",
"isModifierReason": "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
"isSummary": true
}, {
"path": "Goal.achievementStatus",
"min": 0,
"definition": "Describes the progression, or lack thereof, towards the goal against the target.",
"isModifier": false,
"short": "in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable",
"mapping": [ {
"map": ".statusCode achieved = complete sustaining = active",
"identity": "rim"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": false,
"binding": {
"strength": "preferred",
"valueSet": "http://hl7.org/fhir/ValueSet/goal-achievement",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "GoalAchievementStatus"
} ],
"description": "Indicates the progression, or lack thereof, towards the goal against the target."
},
"max": "1",
"id": "Goal.achievementStatus",
"isSummary": true
}, {
"path": "Goal.category",
"requirements": "Allows goals to be filtered and sorted.",
"min": 0,
"definition": "Indicates a category the goal falls within.",
"isModifier": false,
"short": "E.g. Treatment, dietary, behavioral, etc",
"mapping": [ {
"map": "FiveWs.class",
"identity": "w5"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": false,
"binding": {
"strength": "example",
"valueSet": "http://hl7.org/fhir/ValueSet/goal-category",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "GoalCategory"
} ],
"description": "Codes for grouping and sorting goals."
},
"max": "*",
"id": "Goal.category",
"isSummary": true
}, {
"path": "Goal.continuous",
"requirements": "Allows for a system to programmatically update achievementStatus upon finding evidence the goal has been met.",
"min": 0,
"definition": "After meeting the goal, ongoing activity is needed to sustain the goal objective.",
"isModifier": false,
"short": "After meeting the goal, ongoing activity is needed to sustain the goal objective",
"type": [ {
"code": "boolean"
} ],
"mustSupport": false,
"max": "1",
"id": "Goal.continuous",
"comment": "For example, getting a yellow fever vaccination for a planned trip is a goal that is designed to be completed (continuous = false). A goal to sustain HbA1c levels would not be a one-time goal (continuous = true).",
"isSummary": false
}, {
"path": "Goal.priority",
"requirements": "Used for sorting and presenting goals.",
"min": 0,
"definition": "Identifies the mutually agreed level of importance associated with reaching/sustaining the goal.",
"isModifier": false,
"short": "high-priority | medium-priority | low-priority",
"mapping": [ {
"map": "FiveWs.grade",
"identity": "w5"
}, {
"map": ".priorityCode",
"identity": "rim"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": false,
"binding": {
"strength": "preferred",
"valueSet": "http://hl7.org/fhir/ValueSet/goal-priority",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "GoalPriority"
} ],
"description": "The level of importance associated with a goal."
},
"max": "1",
"id": "Goal.priority",
"comment": "Extensions are available to track priorities as established by each participant (i.e. Priority from the patient's perspective, different practitioners' perspectives, family member's perspectives)\r\rThe ordinal extension on Coding can be used to convey a numerically comparable ranking to priority. (Keep in mind that different coding systems may use a \"low value=important\".",
"isSummary": true
}, {
"path": "Goal.description",
"requirements": "Without a description of what's trying to be achieved, element has no purpose.",
"min": 1,
"definition": "Human-readable and/or coded description of a specific desired objective of care, such as \"control blood pressure\" or \"negotiate an obstacle course\" or \"dance with child at wedding\".",
"isModifier": false,
"short": "Code or text describing goal",
"mapping": [ {
"map": "FiveWs.what[x]",
"identity": "w5"
}, {
"map": "GOL-3.2-goal ID.text",
"identity": "v2"
}, {
"map": ".text",
"identity": "rim"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": false,
"binding": {
"strength": "example",
"valueSet": "http://hl7.org/fhir/ValueSet/goal-description",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "GoalDescription"
} ],
"description": "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."
},
"max": "1",
"id": "Goal.description",
"comment": "If no code is available, use CodeableConcept.text.",
"isSummary": true
}, {
"path": "Goal.subject",
"requirements": "Subject is optional to support annonymized reporting.",
"min": 1,
"definition": "Identifies the patient, group or organization for whom the goal is being established.",
"isModifier": false,
"short": "Who this goal is intended for",
"mapping": [ {
"map": "FiveWs.subject",
"identity": "w5"
}, {
"map": "PID-3-patient ID list",
"identity": "v2"
}, {
"map": ".participation[typeCode=PAT].role[classCode=PAT]",
"identity": "rim"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Group", "http://hl7.org/fhir/StructureDefinition/Organization" ]
} ],
"mustSupport": false,
"max": "1",
"id": "Goal.subject",
"isSummary": true
}, {
"path": "Goal.start[x]",
"requirements": "Goals can be established prior to there being an intention to start pursuing them; e.g. Goals for post-surgical recovery established prior to surgery.",
"min": 0,
"definition": "The date or event after which the goal should begin being pursued.",
"isModifier": false,
"short": "When goal pursuit begins",
"mapping": [ {
"map": "FiveWs.planned",
"identity": "w5"
} ],
"type": [ {
"code": "date"
}, {
"code": "CodeableConcept"
} ],
"mustSupport": false,
"binding": {
"strength": "example",
"valueSet": "http://hl7.org/fhir/ValueSet/goal-start-event",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "GoalStartEvent"
} ],
"description": "Codes describing events that can trigger the initiation of a goal."
},
"max": "1",
"id": "Goal.start[x]",
"isSummary": true
}, {
"path": "Goal.acceptance",
"min": 0,
"definition": "Information about the acceptance and relative priority assigned to the goal by the patient, practitioners and other stakeholders.",
"isModifier": false,
"short": "Individual acceptance of goal",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": false,
"max": "*",
"id": "Goal.acceptance",
"isSummary": false
}, {
"path": "Goal.acceptance.participant",
"min": 1,
"definition": "The person ororganization whose acceptance/priority is being reflected.",
"isModifier": false,
"short": "Individual or organization whose acceptance is reflected",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/CareTeam", "http://hl7.org/fhir/StructureDefinition/Organization", "http://hl7.org/fhir/StructureDefinition/Group" ]
} ],
"mustSupport": false,
"max": "1",
"id": "Goal.acceptance.participant",
"comment": "Using Group is only allowed when the group represents a family or a household and should not represent groups of Practitioners.",
"isSummary": false
}, {
"path": "Goal.acceptance.status",
"min": 0,
"definition": "Indicates whether the specified individual has accepted the goal or not.",
"isModifier": false,
"short": "agree | disagree | pending",
"type": [ {
"code": "code"
} ],
"mustSupport": false,
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/goal-accept-status|6.0.0-ballot4",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "GoalAcceptStatus"
} ],
"description": "Codes that identify whether the goal has been accepted or not."
},
"max": "1",
"id": "Goal.acceptance.status",
"isSummary": false
}, {
"path": "Goal.acceptance.priority",
"min": 0,
"definition": "Indicates the relative priority assigned to the goal by the stakeholder.",
"isModifier": false,
"short": "Priority of goal for individual",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": false,
"binding": {
"strength": "example",
"valueSet": "http://hl7.org/fhir/ValueSet/goal-priority",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "GoalPriority"
} ],
"description": "Codes to identify the level of importance associated with reaching or sustaining a goal."
},
"max": "1",
"id": "Goal.acceptance.priority",
"isSummary": false
}, {
"constraint": [ {
"key": "gol-1",
"human": "Goal.target.measure is required if Goal.target.detail is populated",
"source": "http://hl7.org/fhir/StructureDefinition/Goal",
"severity": "error",
"expression": "(detail.exists() and measure.exists()) or detail.exists().not()"
} ],
"path": "Goal.target",
"requirements": "Allows the progress of the goal to be monitored against an observation or due date. Target is 0..* to support Observations with multiple components, such as blood pressure goals with both a systolic and diastolic target.",
"min": 0,
"definition": "Indicates what should be done by when.",
"isModifier": false,
"short": "Target outcome for the goal",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": false,
"max": "*",
"id": "Goal.target",
"comment": "When multiple targets are present for a single goal instance, all targets must be met for the overall goal to be met.",
"isSummary": false
}, {
"path": "Goal.target.measure",
"min": 0,
"definition": "The parameter whose value is being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level.",
"isModifier": false,
"short": "The parameter whose value is being tracked",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": false,
"binding": {
"strength": "example",
"valueSet": "http://hl7.org/fhir/ValueSet/observation-codes",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "GoalTargetMeasure"
} ],
"description": "Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level."
},
"max": "1",
"id": "Goal.target.measure",
"condition": [ "gol-1" ],
"isSummary": true
}, {
"path": "Goal.target.detail[x]",
"min": 0,
"definition": "The target value of the focus to be achieved to signify the fulfillment of the goal, e.g. 150 pounds, 7.0%. Either the high or low or both values of the range can be specified. When a low value is missing, it indicates that the goal is achieved at any focus value at or below the high value. Similarly, if the high value is missing, it indicates that the goal is achieved at any focus value at or above the low value. A CodeableConcept target value could be Positive, Negative, Abnormal, Normal, Present, Absent, Yes, No.",
"isModifier": false,
"short": "The target value to be achieved",
"type": [ {
"code": "Quantity"
}, {
"code": "Range"
}, {
"code": "CodeableConcept"
}, {
"code": "string"
}, {
"code": "boolean"
}, {
"code": "integer"
}, {
"code": "Ratio"
} ],
"mustSupport": false,
"max": "1",
"id": "Goal.target.detail[x]",
"condition": [ "gol-1" ],
"comment": "A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Goal.target.measure defines a coded value.",
"isSummary": true
}, {
"path": "Goal.target.due[x]",
"requirements": "Identifies when the goal should be evaluated.",
"min": 0,
"definition": "Indicates either the date or the duration after start by which the goal should be met.",
"isModifier": false,
"short": "Reach goal on or before",
"mapping": [ {
"map": "FiveWs.done[x]",
"identity": "w5"
} ],
"type": [ {
"code": "date"
}, {
"code": "Duration"
} ],
"mustSupport": false,
"max": "1",
"id": "Goal.target.due[x]",
"isSummary": true
}, {
"path": "Goal.statusDate",
"min": 0,
"definition": "Identifies when the current achievement status took effect. I.e. When achieved, when improving, etc.",
"isModifier": false,
"short": "When goal achievment status took effect",
"mapping": [ {
"map": "FiveWs.recorded",
"identity": "w5"
} ],
"type": [ {
"code": "date"
} ],
"mustSupport": false,
"max": "1",
"id": "Goal.statusDate",
"comment": "To see the date for past statuses, query history.",
"isSummary": true
}, {
"path": "Goal.statusReason",
"min": 0,
"definition": "Captures the reason for the current lifecycle status.",
"isModifier": false,
"short": "Reason for current lifecycle status",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": false,
"binding": {
"strength": "example",
"valueSet": "http://hl7.org/fhir/ValueSet/goal-status-reason",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "GoalStatusReason"
} ],
"description": "Codes to identify the reason for current lifecycle status."
},
"max": "*",
"id": "Goal.statusReason",
"comment": "This will typically be captured for statuses such as rejected, on-hold or cancelled, but could be present for others.",
"isSummary": false
}, {
"path": "Goal.recorder",
"min": 0,
"definition": "Individual who recorded the record and takes responsibility for its content.",
"isModifier": false,
"short": "Who recorded the goal",
"mapping": [ {
"map": "FiveWs.author",
"identity": "w5"
}, {
"map": ".participation[typeCode=AUT].role",
"identity": "rim"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "http://hl7.org/fhir/StructureDefinition/Group" ]
} ],
"mustSupport": false,
"max": "1",
"id": "Goal.recorder",
"comment": "Because the recorder takes responsibility for accurately recording information in the record, the recorder is the most recent author. The recorder might or might not be the source who established the goal. Using Group is only allowed when the group represents a family or a household and should not represent groups of Practitioners.",
"isSummary": true
}, {
"path": "Goal.source",
"min": 0,
"definition": "Indicates whose goal this is - patient goal, practitioner goal, etc.",
"isModifier": false,
"short": "Who's responsible for creating Goal?",
"mapping": [ {
"map": "FiveWs.source",
"identity": "w5"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "http://hl7.org/fhir/StructureDefinition/CareTeam", "http://hl7.org/fhir/StructureDefinition/Group" ]
} ],
"mustSupport": false,
"max": "1",
"id": "Goal.source",
"comment": "This is the individual or team responsible for establishing the goal, not necessarily who recorded it. Using Group is only allowed when the group represents a family or a household and should not represent groups of Practitioners.",
"isSummary": true
}, {
"path": "Goal.addresses",
"requirements": "Allows specific goals to explicitly linked to the concerns they're dealing with - makes the goal more understandable.",
"min": 0,
"definition": "The identified conditions and other resources that provide the context for why the goal exists.",
"isModifier": false,
"short": "Issues addressed by this goal",
"mapping": [ {
"map": "FiveWs.why[x]",
"identity": "w5"
}, {
"map": ".outboundRelationship[typeCode=SUBJ].target[classCode=CONC]",
"identity": "rim"
} ],
"type": [ {
"code": "Reference",
"targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Condition", "http://hl7.org/fhir/StructureDefinition/Observation", "http://hl7.org/fhir/StructureDefinition/MedicationStatement", "http://hl7.org/fhir/StructureDefinition/MedicationRequest", "http://hl7.org/fhir/StructureDefinition/NutritionOrder", "http://hl7.org/fhir/StructureDefinition/ServiceRequest", "http://hl7.org/fhir/StructureDefinition/RiskAssessment", "http://hl7.org/fhir/StructureDefinition/Procedure", "http://hl7.org/fhir/StructureDefinition/NutritionIntake" ]
} ],
"mustSupport": false,
"max": "*",
"id": "Goal.addresses",
"isSummary": false
}, {
"path": "Goal.note",
"requirements": "There's a need to capture information about the goal that doesn't actually describe the goal.",
"min": 0,
"definition": "Any comments related to the goal.",
"isModifier": false,
"short": "Comments about the goal",
"mapping": [ {
"map": "GOL-16-goal evaluation + NTE?",
"identity": "v2"
}, {
"map": ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value",
"identity": "rim"
} ],
"type": [ {
"code": "Annotation"
} ],
"mustSupport": false,
"max": "*",
"id": "Goal.note",
"comment": "May be used for progress notes, concerns or other related information that doesn't actually describe the goal itself.",
"isSummary": false
} ]
},
"contact": [ {
"telecom": [ {
"value": "http://www.hl7.org/Special/committees/fiwg",
"system": "url"
} ]
}, {
"telecom": [ {
"value": "http://www.hl7.org/Special/committees/patientcare",
"system": "url"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/DomainResource"
}