Patient
Care
![]() | Maturity Level : 2 | Trial Use | Security Category : Patient | Compartments : Patient |
Detailed Descriptions for the elements in the Goal resource.
Goal | |||||||||||||
Element Id | Goal | ||||||||||||
Definition |
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. | ||||||||||||
|
| ||||||||||||
Type | DomainResource | ||||||||||||
Summary | false | ||||||||||||
Comments |
Goal can be achieving a particular change or merely maintaining a current state or even slowing a decline. | ||||||||||||
Goal.identifier | |||||||||||||
Element Id | Goal.identifier | ||||||||||||
Definition |
| ||||||||||||
Note |
This
is
a
business
| ||||||||||||
| 0..* | ||||||||||||
Type | Identifier | ||||||||||||
Requirements |
| ||||||||||||
Summary | false | ||||||||||||
Comments |
This
is
a
business
identifier,
not
a
resource
identifier
(see
discussion
).
It
is
best
practice
for
the
identifier
to
only
appear
on
a
| ||||||||||||
| |||||||||||||
Element Id | Goal.lifecycleStatus | ||||||||||||
Definition |
| ||||||||||||
| 1..1 | ||||||||||||
Terminology Binding |
| ||||||||||||
Type | code | ||||||||||||
Is Modifier | true (Reason: 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) | ||||||||||||
Requirements |
Allows
| ||||||||||||
Summary | true | ||||||||||||
Comments |
This
element
is
labeled
as
a
modifier
because
the
| ||||||||||||
Goal.achievementStatus | |||||||||||||
Element Id | Goal.achievementStatus | ||||||||||||
Definition | Describes the progression, or lack thereof, towards the goal against the target. | ||||||||||||
Cardinality | 0..1 | ||||||||||||
Terminology Binding | GoalAchievementStatus ( Preferred ) | ||||||||||||
Type | CodeableConcept | ||||||||||||
Summary | true | ||||||||||||
Goal.category | |||||||||||||
Element Id | Goal.category | ||||||||||||
Definition |
Indicates a category the goal falls within. | ||||||||||||
| 0..* | ||||||||||||
Terminology Binding | GoalCategory ( Example ) | ||||||||||||
Type | CodeableConcept | ||||||||||||
Requirements |
Allows goals to be filtered and sorted. | ||||||||||||
Summary | true | ||||||||||||
Goal.continuous | |||||||||||||
Element Id | Goal.continuous | ||||||||||||
Definition | After meeting the goal, ongoing activity is needed to sustain the goal objective. | ||||||||||||
Cardinality | 0..1 | ||||||||||||
Type | boolean | ||||||||||||
Requirements | Allows for a system to programmatically update achievementStatus upon finding evidence the goal has been met. | ||||||||||||
Summary | false | ||||||||||||
Comments | 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). | ||||||||||||
Goal.priority | |||||||||||||
Element Id | Goal.priority | ||||||||||||
Definition |
Identifies the mutually agreed level of importance associated with reaching/sustaining the goal. | ||||||||||||
| 0..1 | ||||||||||||
Terminology Binding | GoalPriority ( Preferred ) | ||||||||||||
Type | CodeableConcept | ||||||||||||
Requirements |
Used for sorting and presenting goals. | ||||||||||||
Summary | true | ||||||||||||
Comments |
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) The 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". | ||||||||||||
Goal.description | |||||||||||||
Element Id | Goal.description | ||||||||||||
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". | ||||||||||||
| 1..1 | ||||||||||||
Terminology Binding | SNOMED CT Clinical Findings ( Example ) | ||||||||||||
Type | CodeableConcept | ||||||||||||
Requirements |
Without a description of what's trying to be achieved, element has no purpose. | ||||||||||||
Summary | true | ||||||||||||
Comments |
If no code is available, use CodeableConcept.text. | ||||||||||||
Goal.subject | |||||||||||||
Element Id | Goal.subject | ||||||||||||
Definition |
Identifies the patient, group or organization for whom the goal is being established. | ||||||||||||
|
| ||||||||||||
Type | Reference ( Patient | Group | Organization ) | ||||||||||||
Patterns | Reference(Patient,Group,Organization): Common patterns = Participant | ||||||||||||
Requirements |
Subject is optional to support annonymized reporting. | ||||||||||||
Summary | true | ||||||||||||
Goal.start[x] | |||||||||||||
Element Id | Goal.start[x] | ||||||||||||
Definition |
The date or event after which the goal should begin being pursued. | ||||||||||||
| 0..1 | ||||||||||||
Terminology Binding | GoalStartEvent ( Example ) | ||||||||||||
Type | date | CodeableConcept | ||||||||||||
[x] Note | See Choice of Data Types for further information about how to use [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. | ||||||||||||
Summary | true | ||||||||||||
Goal.target | |||||||||||||
Element Id | Goal.target | ||||||||||||
Definition |
Indicates what should be done by when. | ||||||||||||
|
| ||||||||||||
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. | ||||||||||||
Summary | false | ||||||||||||
Comments | When multiple targets are present for a single goal instance, all targets must be met for the overall goal to be met. | ||||||||||||
Invariants |
| ||||||||||||
Goal.target.measure | |||||||||||||
Element Id | Goal.target.measure | ||||||||||||
Definition |
The parameter whose value is being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level. | ||||||||||||
| 0..1 | ||||||||||||
Terminology Binding | LOINC Codes ( Example ) | ||||||||||||
Type | CodeableConcept | ||||||||||||
Summary | true | ||||||||||||
Invariants |
| ||||||||||||
Goal.target.detail[x] | |||||||||||||
Element Id | Goal.target.detail[x] | ||||||||||||
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. | ||||||||||||
| 0..1 | ||||||||||||
Terminology Binding | GoalTargetDetail : | ||||||||||||
Type | Quantity | Range | CodeableConcept | string | boolean | integer | Ratio | ||||||||||||
[x] Note | See Choice of Data Types for further information about how to use [x] | ||||||||||||
Summary | true | ||||||||||||
Comments | 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. | ||||||||||||
Invariants |
| ||||||||||||
Goal.target.due[x] | |||||||||||||
Element Id | Goal.target.due[x] | ||||||||||||
Definition |
Indicates either the date or the duration after start by which the goal should be met. | ||||||||||||
| 0..1 | ||||||||||||
Type | date | Duration | ||||||||||||
[x] Note | See Choice of Data Types for further information about how to use [x] | ||||||||||||
Requirements |
Identifies when the goal should be evaluated. | ||||||||||||
Summary | true | ||||||||||||
Goal.statusDate | |||||||||||||
Element Id | Goal.statusDate | ||||||||||||
Definition |
Identifies when the current status. I.e. When initially created, when achieved, when cancelled, etc. | ||||||||||||
| 0..1 | ||||||||||||
Type | date | ||||||||||||
Summary | true | ||||||||||||
Comments |
To see the date for past statuses, query history. | ||||||||||||
Goal.statusReason | |||||||||||||
Element Id | Goal.statusReason | ||||||||||||
Definition |
Captures the reason for the current status. | ||||||||||||
| 0..1 | ||||||||||||
Type | string | ||||||||||||
Summary | false | ||||||||||||
Comments |
This will typically be captured for statuses such as rejected, on-hold or cancelled, but could be present for others. | ||||||||||||
Goal.expressedBy | |||||||||||||
Element Id | Goal.expressedBy | ||||||||||||
Definition |
Indicates whose goal this is - patient goal, practitioner goal, etc. | ||||||||||||
| 0..1 | ||||||||||||
Type | Reference ( Patient | Practitioner | PractitionerRole | RelatedPerson ) | ||||||||||||
Patterns | Reference(Patient,Practitioner,PractitionerRole,RelatedPerson): Common patterns = Participant | ||||||||||||
Summary | true | ||||||||||||
Comments |
This
is
the
individual
| ||||||||||||
Goal.addresses | |||||||||||||
Element Id | Goal.addresses | ||||||||||||
Definition |
The identified conditions and other health record elements that are intended to be addressed by the goal. | ||||||||||||
| 0..* | ||||||||||||
Type |
Reference
(
Condition
|
Observation
|
| ||||||||||||
Patterns | Reference(Condition,Observation,MedicationUsage,MedicationRequest,NutritionOrder,ServiceRequest,RiskAssessment): No common pattern | ||||||||||||
Requirements |
Allows specific goals to explicitly linked to the concerns they're dealing with - makes the goal more understandable. | ||||||||||||
Summary | false | ||||||||||||
Goal.note | |||||||||||||
Element Id | Goal.note | ||||||||||||
Definition |
Any comments related to the goal. | ||||||||||||
| 0..* | ||||||||||||
Type | Annotation | ||||||||||||
Requirements |
There's a need to capture information about the goal that doesn't actually describe the goal. | ||||||||||||
Summary | false | ||||||||||||
Comments |
May be used for progress notes, concerns or other related information that doesn't actually describe the goal itself. | ||||||||||||
| |||||||||||||
Element Id | Goal.outcome | ||||||||||||
Definition |
Identifies the change (or lack of change) at the point when the status of the goal is assessed. | ||||||||||||
| 0..* | ||||||||||||
Terminology Binding | SNOMED CT Clinical Findings ( Example ) | ||||||||||||
Type |
| ||||||||||||
Requirements |
Outcome tracking is a key aspect of care planning. | ||||||||||||
|
| ||||||||||||
Comments |
Note
that
this
should
not
duplicate
the
goal
status;
The
goal
outcome
is
independent
of
the
outcome
of
the
related
activities.
For
example,
if
the
Goal
is
to
achieve
a
target
body
weight
of
150
lb
and
a
care
plan
activity
is
defined
to
diet,
then
the
care
|