eHealth Infrastructure
3.2.0 - release

This page is part of the FUT Infrastructure (v3.2.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: ehealth-goal

Official URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-goal Version: 3.2.0
Active as of 2024-09-02 Computable Name: 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 serviceRequest 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.

Usage:

Formal Views of Profile Content

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

This structure is derived from Goal

NameFlagsCard.TypeDescription & Constraintsdoco
.. Goal Goal
... 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)
... 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

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Goal.descriptionrequiredGoalDescription (a valid code from Goal Description)
http://ehealth.sundhed.dk/vs/goal-description
from this IG
Goal.target.measurerequiredGoalTargetMeasure
http://ehealth.sundhed.dk/vs/goal-target-measure
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. Goal 0..* Goal Describes the intended objective(s) for a patient, group or organization
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... 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.

... subject Σ 1..1 Reference(ehealth-patient) {r} Who this goal is intended for
... 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
... outcomeReference 0..* Reference(ehealth-observation) {r} Observation that resulted from goal

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Goal.lifecycleStatusrequiredGoalLifecycleStatus
http://hl7.org/fhir/ValueSet/goal-status|4.0.1
from the FHIR Standard
Goal.descriptionrequiredGoalDescription (a valid code from Goal Description)
http://ehealth.sundhed.dk/vs/goal-description
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. Goal 0..* Goal Describes the intended objective(s) for a patient, group or organization
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... 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 C 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 ΣC 0..1 CodeableConcept The parameter whose value is being tracked
Binding: Goal Target Measure (required)
.... detail[x] ΣC 0..1 The target value to be achieved
Binding Description (No ValueSet): (example): Codes to identify the target value of the focus to be achieved to signify the fulfillment of the goal.

..... detailQuantity Quantity
..... detailRange Range
..... detailCodeableConcept CodeableConcept
..... detailString string
..... detailBoolean boolean
..... detailInteger integer
..... detailRatio Ratio
.... due[x] 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Goal.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Goal.lifecycleStatusrequiredGoalLifecycleStatus
http://hl7.org/fhir/ValueSet/goal-status|4.0.1
from the FHIR Standard
Goal.achievementStatuspreferredGoalAchievementStatus
http://hl7.org/fhir/ValueSet/goal-achievement
from the FHIR Standard
Goal.categoryexampleGoalCategory
http://hl7.org/fhir/ValueSet/goal-category
from the FHIR Standard
Goal.prioritypreferredGoalPriority
http://hl7.org/fhir/ValueSet/goal-priority
from the FHIR Standard
Goal.descriptionrequiredGoalDescription (a valid code from Goal Description)
http://ehealth.sundhed.dk/vs/goal-description
from this IG
Goal.start[x]exampleGoalStartEvent
http://hl7.org/fhir/ValueSet/goal-start-event
from the FHIR Standard
Goal.target.measurerequiredGoalTargetMeasure
http://ehealth.sundhed.dk/vs/goal-target-measure
from this IG
Goal.target.detail[x]example
Goal.outcomeCodeexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
from the FHIR Standard

Differential View

This structure is derived from Goal

NameFlagsCard.TypeDescription & Constraintsdoco
.. Goal Goal
... 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)
... 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

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Goal.descriptionrequiredGoalDescription (a valid code from Goal Description)
http://ehealth.sundhed.dk/vs/goal-description
from this IG
Goal.target.measurerequiredGoalTargetMeasure
http://ehealth.sundhed.dk/vs/goal-target-measure
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Goal 0..* Goal Describes the intended objective(s) for a patient, group or organization
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... 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.

... subject Σ 1..1 Reference(ehealth-patient) {r} Who this goal is intended for
... 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
... outcomeReference 0..* Reference(ehealth-observation) {r} Observation that resulted from goal

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Goal.lifecycleStatusrequiredGoalLifecycleStatus
http://hl7.org/fhir/ValueSet/goal-status|4.0.1
from the FHIR Standard
Goal.descriptionrequiredGoalDescription (a valid code from Goal Description)
http://ehealth.sundhed.dk/vs/goal-description
from this IG

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Goal 0..* Goal Describes the intended objective(s) for a patient, group or organization
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... 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 C 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 ΣC 0..1 CodeableConcept The parameter whose value is being tracked
Binding: Goal Target Measure (required)
.... detail[x] ΣC 0..1 The target value to be achieved
Binding Description (No ValueSet): (example): Codes to identify the target value of the focus to be achieved to signify the fulfillment of the goal.

..... detailQuantity Quantity
..... detailRange Range
..... detailCodeableConcept CodeableConcept
..... detailString string
..... detailBoolean boolean
..... detailInteger integer
..... detailRatio Ratio
.... due[x] 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Goal.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Goal.lifecycleStatusrequiredGoalLifecycleStatus
http://hl7.org/fhir/ValueSet/goal-status|4.0.1
from the FHIR Standard
Goal.achievementStatuspreferredGoalAchievementStatus
http://hl7.org/fhir/ValueSet/goal-achievement
from the FHIR Standard
Goal.categoryexampleGoalCategory
http://hl7.org/fhir/ValueSet/goal-category
from the FHIR Standard
Goal.prioritypreferredGoalPriority
http://hl7.org/fhir/ValueSet/goal-priority
from the FHIR Standard
Goal.descriptionrequiredGoalDescription (a valid code from Goal Description)
http://ehealth.sundhed.dk/vs/goal-description
from this IG
Goal.start[x]exampleGoalStartEvent
http://hl7.org/fhir/ValueSet/goal-start-event
from the FHIR Standard
Goal.target.measurerequiredGoalTargetMeasure
http://ehealth.sundhed.dk/vs/goal-target-measure
from this IG
Goal.target.detail[x]example
Goal.outcomeCodeexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
from the FHIR Standard

 

Other representations of profile: CSV, Excel, Schematron