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.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Goal		0..*	Goal	Describes the intended objective(s) for a patient, group or organization
Goal.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Goal.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Goal.lifecycleStatus	?! This element is a modifier element. Σ This element is included in summaries.	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.
Goal.description	Σ This element is included in summaries.	1..1	CodeableConcept	Code or text describing goal Binding: Goal Description (required)
Goal.subject	Σ This element is included in summaries.	1..1	Reference(ehealth-patient) {r}	Who this goal is intended for
Goal.expressedBy	Σ This element is included in summaries.	0..1	Reference(ehealth-patient | ehealth-practitioner | ehealth-relatedperson)	Who's responsible for creating Goal?
Goal.addresses		0..*	Reference(ehealth-condition | ehealth-observation | MedicationStatement | NutritionOrder | ehealth-servicerequest | RiskAssessment) {r}	Issues addressed by this goal
Goal.outcomeReference		0..*	Reference(ehealth-observation) {r}	Observation that resulted from goal
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Goal.lifecycleStatus	Base	required	GoalLifecycleStatus	📍4.0.1	FHIR Std.
Goal.description	Base	required	Goal Description	📦11.0.1	This IG

Constraints

Id

Grade

Path(s)

Description

Expression

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Goal		0..*	Goal	Describes the intended objective(s) for a patient, group or organization
Goal.description		1..1	CodeableConcept	Code or text describing goal Binding: Goal Description (required)
Goal.subject		1..1	Reference(ehealth-patient) {r}	Who this goal is intended for
Goal.target
Goal.target.measure		0..1	CodeableConcept	The parameter whose value is being tracked Binding: Goal Target Measure (required)
Goal.expressedBy		0..1	Reference(ehealth-patient | ehealth-practitioner | ehealth-relatedperson)	Who's responsible for creating Goal?
Goal.addresses		0..*	Reference(ehealth-condition | ehealth-observation | MedicationStatement | NutritionOrder | ehealth-servicerequest | RiskAssessment) {r}	Issues addressed by this goal
Goal.outcomeReference		0..*	Reference(ehealth-observation) {r}	Observation that resulted from goal
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Goal.description	Base	required	Goal Description	📦11.0.1	This IG
Goal.target.measure	Base	required	Goal Target Measure	📦11.0.1	This IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Goal		0..*	Goal	Describes the intended objective(s) for a patient, group or organization
Goal.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
Goal.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Goal.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Goal.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Goal.text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Goal.contained		0..*	Resource	Contained, inline Resources
Goal.extension		0..*	Extension	Additional content defined by implementations
Goal.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Goal.identifier		0..*	Identifier	External Ids for this goal
Goal.lifecycleStatus	?! This element is a modifier element. Σ This element is included in summaries.	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.
Goal.achievementStatus	Σ This element is included in summaries.	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.
Goal.category	Σ This element is included in summaries.	0..*	CodeableConcept	E.g. Treatment, dietary, behavioral, etc. Binding: GoalCategory (example): Codes for grouping and sorting goals.
Goal.priority	Σ This element is included in summaries.	0..1	CodeableConcept	high-priority | medium-priority | low-priority Binding: GoalPriority (preferred): The level of importance associated with a goal.
Goal.description	Σ This element is included in summaries.	1..1	CodeableConcept	Code or text describing goal Binding: Goal Description (required)
Goal.subject	Σ This element is included in summaries.	1..1	Reference(ehealth-patient) {r}	Who this goal is intended for
Goal.start[x]	Σ This element is included in summaries.	0..1		When goal pursuit begins Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal.
Goal.start[x].startDate			date
Goal.start[x].startCodeableConcept			CodeableConcept
Goal.target	C	0..*	BackboneElement	Target outcome for the goal Constraints: gol-1
Goal.target.id		0..1	string	Unique id for inter-element referencing
Goal.target.extension		0..*	Extension	Additional content defined by implementations
Goal.target.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Goal.target.measure	Σ This element is included in summaries. C	0..1	CodeableConcept	The parameter whose value is being tracked Binding: Goal Target Measure (required)
Goal.target.detail[x]	Σ This element is included in summaries. C	0..1		The target value to be achieved Binding Description: (example): Codes to identify the target value of the focus to be achieved to signify the fulfillment of the goal.
Goal.target.detail[x].detailQuantity			Quantity
Goal.target.detail[x].detailRange			Range
Goal.target.detail[x].detailCodeableConcept			CodeableConcept
Goal.target.detail[x].detailString			string
Goal.target.detail[x].detailBoolean			boolean
Goal.target.detail[x].detailInteger			integer
Goal.target.detail[x].detailRatio			Ratio
Goal.target.due[x]	Σ This element is included in summaries.	0..1		Reach goal on or before
Goal.target.due[x].dueDate			date
Goal.target.due[x].dueDuration			Duration
Goal.statusDate	Σ This element is included in summaries.	0..1	date	When goal status took effect
Goal.statusReason		0..1	string	Reason for current status
Goal.expressedBy	Σ This element is included in summaries.	0..1	Reference(ehealth-patient | ehealth-practitioner | ehealth-relatedperson)	Who's responsible for creating Goal?
Goal.addresses		0..*	Reference(ehealth-condition | ehealth-observation | MedicationStatement | NutritionOrder | ehealth-servicerequest | RiskAssessment) {r}	Issues addressed by this goal
Goal.note		0..*	Annotation	Comments about the goal
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".
Goal.outcomeReference		0..*	Reference(ehealth-observation) {r}	Observation that resulted from goal
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Goal.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Goal.lifecycleStatus	Base	required	GoalLifecycleStatus	📍4.0.1	FHIR Std.
Goal.achievementStatus	Base	preferred	Goal achievement status	📍4.0.1	FHIR Std.
Goal.category	Base	example	Goal category	📍4.0.1	FHIR Std.
Goal.priority	Base	preferred	Goal priority	📍4.0.1	FHIR Std.
Goal.description	Base	required	Goal Description	📦11.0.1	This IG
Goal.start[x]	Base	example	Goal start event	📍4.0.1	FHIR Std.
Goal.target.measure	Base	required	Goal Target Measure	📦11.0.1	This IG
Goal.target.detail[x]	Base	example		Not State	Unknown
Goal.outcomeCode	Base	example	SNOMED CT Clinical Findings	📍4.0.1	FHIR Std.

Constraints

Id

Grade

Path(s)

Description

Expression

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Goal		0..*	Goal	Describes the intended objective(s) for a patient, group or organization
Goal.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Goal.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Goal.lifecycleStatus	?! This element is a modifier element. Σ This element is included in summaries.	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.
Goal.description	Σ This element is included in summaries.	1..1	CodeableConcept	Code or text describing goal Binding: Goal Description (required)
Goal.subject	Σ This element is included in summaries.	1..1	Reference(ehealth-patient) {r}	Who this goal is intended for
Goal.expressedBy	Σ This element is included in summaries.	0..1	Reference(ehealth-patient | ehealth-practitioner | ehealth-relatedperson)	Who's responsible for creating Goal?
Goal.addresses		0..*	Reference(ehealth-condition | ehealth-observation | MedicationStatement | NutritionOrder | ehealth-servicerequest | RiskAssessment) {r}	Issues addressed by this goal
Goal.outcomeReference		0..*	Reference(ehealth-observation) {r}	Observation that resulted from goal
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Goal.lifecycleStatus	Base	required	GoalLifecycleStatus	📍4.0.1	FHIR Std.
Goal.description	Base	required	Goal Description	📦11.0.1	This IG

Constraints

Id

Grade

Path(s)

Description

Expression

Differential View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Goal		0..*	Goal	Describes the intended objective(s) for a patient, group or organization
Goal.description		1..1	CodeableConcept	Code or text describing goal Binding: Goal Description (required)
Goal.subject		1..1	Reference(ehealth-patient) {r}	Who this goal is intended for
Goal.target
Goal.target.measure		0..1	CodeableConcept	The parameter whose value is being tracked Binding: Goal Target Measure (required)
Goal.expressedBy		0..1	Reference(ehealth-patient | ehealth-practitioner | ehealth-relatedperson)	Who's responsible for creating Goal?
Goal.addresses		0..*	Reference(ehealth-condition | ehealth-observation | MedicationStatement | NutritionOrder | ehealth-servicerequest | RiskAssessment) {r}	Issues addressed by this goal
Goal.outcomeReference		0..*	Reference(ehealth-observation) {r}	Observation that resulted from goal
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Goal.description	Base	required	Goal Description	📦11.0.1	This IG
Goal.target.measure	Base	required	Goal Target Measure	📦11.0.1	This IG

Snapshot ViewView

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Goal		0..*	Goal	Describes the intended objective(s) for a patient, group or organization
Goal.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
Goal.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Goal.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Goal.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Goal.text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Goal.contained		0..*	Resource	Contained, inline Resources
Goal.extension		0..*	Extension	Additional content defined by implementations
Goal.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Goal.identifier		0..*	Identifier	External Ids for this goal
Goal.lifecycleStatus	?! This element is a modifier element. Σ This element is included in summaries.	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.
Goal.achievementStatus	Σ This element is included in summaries.	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.
Goal.category	Σ This element is included in summaries.	0..*	CodeableConcept	E.g. Treatment, dietary, behavioral, etc. Binding: GoalCategory (example): Codes for grouping and sorting goals.
Goal.priority	Σ This element is included in summaries.	0..1	CodeableConcept	high-priority | medium-priority | low-priority Binding: GoalPriority (preferred): The level of importance associated with a goal.
Goal.description	Σ This element is included in summaries.	1..1	CodeableConcept	Code or text describing goal Binding: Goal Description (required)
Goal.subject	Σ This element is included in summaries.	1..1	Reference(ehealth-patient) {r}	Who this goal is intended for
Goal.start[x]	Σ This element is included in summaries.	0..1		When goal pursuit begins Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal.
Goal.start[x].startDate			date
Goal.start[x].startCodeableConcept			CodeableConcept
Goal.target	C	0..*	BackboneElement	Target outcome for the goal Constraints: gol-1
Goal.target.id		0..1	string	Unique id for inter-element referencing
Goal.target.extension		0..*	Extension	Additional content defined by implementations
Goal.target.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Goal.target.measure	Σ This element is included in summaries. C	0..1	CodeableConcept	The parameter whose value is being tracked Binding: Goal Target Measure (required)
Goal.target.detail[x]	Σ This element is included in summaries. C	0..1		The target value to be achieved Binding Description: (example): Codes to identify the target value of the focus to be achieved to signify the fulfillment of the goal.
Goal.target.detail[x].detailQuantity			Quantity
Goal.target.detail[x].detailRange			Range
Goal.target.detail[x].detailCodeableConcept			CodeableConcept
Goal.target.detail[x].detailString			string
Goal.target.detail[x].detailBoolean			boolean
Goal.target.detail[x].detailInteger			integer
Goal.target.detail[x].detailRatio			Ratio
Goal.target.due[x]	Σ This element is included in summaries.	0..1		Reach goal on or before
Goal.target.due[x].dueDate			date
Goal.target.due[x].dueDuration			Duration
Goal.statusDate	Σ This element is included in summaries.	0..1	date	When goal status took effect
Goal.statusReason		0..1	string	Reason for current status
Goal.expressedBy	Σ This element is included in summaries.	0..1	Reference(ehealth-patient | ehealth-practitioner | ehealth-relatedperson)	Who's responsible for creating Goal?
Goal.addresses		0..*	Reference(ehealth-condition | ehealth-observation | MedicationStatement | NutritionOrder | ehealth-servicerequest | RiskAssessment) {r}	Issues addressed by this goal
Goal.note		0..*	Annotation	Comments about the goal
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".
Goal.outcomeReference		0..*	Reference(ehealth-observation) {r}	Observation that resulted from goal
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Goal.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Goal.lifecycleStatus	Base	required	GoalLifecycleStatus	📍4.0.1	FHIR Std.
Goal.achievementStatus	Base	preferred	Goal achievement status	📍4.0.1	FHIR Std.
Goal.category	Base	example	Goal category	📍4.0.1	FHIR Std.
Goal.priority	Base	preferred	Goal priority	📍4.0.1	FHIR Std.
Goal.description	Base	required	Goal Description	📦11.0.1	This IG
Goal.start[x]	Base	example	Goal start event	📍4.0.1	FHIR Std.
Goal.target.measure	Base	required	Goal Target Measure	📦11.0.1	This IG
Goal.target.detail[x]	Base	example		Not State	Unknown
Goal.outcomeCode	Base	example	SNOMED CT Clinical Findings	📍4.0.1	FHIR Std.

Constraints

Id

Grade

Path(s)

Description

Expression

Summary

Structures

This structure refers to these other structures:

• ehealth-patient (http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-patient)
• ehealth-practitioner (http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-practitioner)
• ehealth-relatedperson (http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-relatedperson)
• ehealth-condition (http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-condition)
• ehealth-observation (http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-observation)
• ehealth-servicerequest (http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-servicerequest)