Open Nursing Core FHIR Implementation Guide (ONC-IG)
1.0.0 - release
Open Nursing Core FHIR Implementation Guide (ONC-IG) - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: https://opennursingcoreig.com/StructureDefinition/onc-nursing-goal | Version: 1.0.0 | |||
| Active as of 2026-01-27 | Computable Name: ONCNursingGoal | |||
Patient-centered goal with mandatory evaluation requirements. Serves as the 'spine' of the CarePlan, linking problems to outcomes.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
C | 0..* | Goal | Describes the intended objective(s) for a patient, group or organization Constraints: onc-goal-evaluation-timing |
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() |
?!SΣ | 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. |
![]() ![]() |
SΣ | 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. |
![]() ![]() |
Σ | 0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Binding: GoalCategory (example): Codes for grouping and sorting goals. Required Pattern: At least the following |
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |
![]() ![]() ![]() |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |
![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/goal-category | |
![]() ![]() ![]() ![]() |
0..1 | string | Version of the system - if relevant | |
![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: nursing | |
![]() ![]() ![]() ![]() |
0..1 | string | Representation defined by the system | |
![]() ![]() ![]() ![]() |
0..1 | boolean | If this coding was chosen directly by the user | |
![]() ![]() ![]() |
0..1 | string | Plain text representation of the concept | |
![]() ![]() |
Σ | 1..1 | CodeableConcept | Code or text describing goal Binding: SNOMEDCTClinicalFindings (example): 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. |
![]() ![]() |
Σ | 1..1 | Reference(Patient) | Who this goal is intended for |
![]() ![]() |
SC | 1..* | BackboneElement | Target outcome for the goal Constraints: gol-1 |
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() |
ΣC | 0..1 | CodeableConcept | The parameter whose value is being tracked Binding: Goal Target Measure ValueSet (extensible) |
![]() ![]() ![]() |
Σ | 1..1 | date | Reach goal on or before Slice: Unordered, Closed by type:$this |
![]() ![]() ![]() ![]() |
SΣ | 1..1 | date | Reach goal on or before |
![]() ![]() |
S | 1..* | Reference(Nursing Problem) | Issues addressed by this goal |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| 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.description | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. |
| Goal.target.measure | Base | extensible | Goal Target Measure ValueSet | 📦1.0.0 | This IG |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Goal | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Goal | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Goal | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Goal | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Goal | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| gol-1 | error | Goal.target | Goal.target.measure is required if Goal.target.detail is populated |
(detail.exists() and measure.exists()) or detail.exists().not()
|
| onc-goal-evaluation-timing | warning | Goal | Goal must have evaluation observation by target.dueDate |
target.dueDate.exists() implies (lifecycleStatus = 'active' or lifecycleStatus = 'completed' or lifecycleStatus = 'cancelled')
|
This structure is derived from Goal
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
C | 0..* | Goal | Describes the intended objective(s) for a patient, group or organization Constraints: onc-goal-evaluation-timing |
![]() ![]() |
S | 1..1 | code | proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected |
![]() ![]() |
S | 0..1 | CodeableConcept | in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable |
![]() ![]() |
0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Required Pattern: At least the following | |
![]() ![]() ![]() |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/goal-category | |
![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: nursing | |
![]() ![]() |
1..1 | Reference(Patient) | Who this goal is intended for | |
![]() ![]() |
S | 1..* | BackboneElement | Target outcome for the goal |
![]() ![]() ![]() |
0..1 | CodeableConcept | The parameter whose value is being tracked Binding: Goal Target Measure ValueSet (extensible) | |
![]() ![]() ![]() |
1..1 | date | Reach goal on or before Slice: Unordered, Open by type:$this | |
![]() ![]() ![]() ![]() |
S | 1..1 | date | Reach goal on or before |
![]() ![]() |
S | 1..* | Reference(Nursing Problem) | Issues addressed by this goal |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Goal.target.measure | Base | extensible | Goal Target Measure ValueSet | 📦1.0.0 | This IG |
| Id | Grade | Path(s) | Description | Expression |
| onc-goal-evaluation-timing | warning | Goal | Goal must have evaluation observation by target.dueDate |
target.dueDate.exists() implies (lifecycleStatus = 'active' or lifecycleStatus = 'completed' or lifecycleStatus = 'cancelled')
|
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
|---|---|---|---|---|---|---|---|---|
![]() |
C | 0..* | Goal | Describes the intended objective(s) for a patient, group or organization Constraints: onc-goal-evaluation-timing | ||||
![]() ![]() |
Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() |
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 | |||||
![]() ![]() |
0..* | Resource | Contained, inline Resources | |||||
![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() |
0..* | Identifier | External Ids for this goal | |||||
![]() ![]() |
?!SΣ | 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. | ||||
![]() ![]() |
SΣ | 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. | ||||
![]() ![]() |
Σ | 0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Binding: GoalCategory (example): Codes for grouping and sorting goals. Required Pattern: At least the following | ||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/goal-category | |||||
![]() ![]() ![]() ![]() |
0..1 | string | Version of the system - if relevant | |||||
![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: nursing | |||||
![]() ![]() ![]() ![]() |
0..1 | string | Representation defined by the system | |||||
![]() ![]() ![]() ![]() |
0..1 | boolean | If this coding was chosen directly by the user | |||||
![]() ![]() ![]() |
0..1 | string | Plain text representation of the concept | |||||
![]() ![]() |
Σ | 0..1 | CodeableConcept | high-priority | medium-priority | low-priority Binding: GoalPriority (preferred): The level of importance associated with a goal. | ||||
![]() ![]() |
Σ | 1..1 | CodeableConcept | Code or text describing goal Binding: SNOMEDCTClinicalFindings (example): 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. | ||||
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Σ | 1..1 | Reference(Patient) | Who this goal is intended for | ||||
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Σ | 0..1 | When goal pursuit begins Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal. | |||||
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date | |||||||
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CodeableConcept | |||||||
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SC | 1..* | BackboneElement | Target outcome for the goal Constraints: gol-1 | ||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() |
ΣC | 0..1 | CodeableConcept | The parameter whose value is being tracked Binding: Goal Target Measure ValueSet (extensible) | ||||
![]() ![]() ![]() |
ΣC | 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. | |||||
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Quantity | |||||||
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Range | |||||||
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CodeableConcept | |||||||
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string | |||||||
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boolean | |||||||
![]() ![]() ![]() ![]() |
integer | |||||||
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Ratio | |||||||
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Σ | 1..1 | date | Reach goal on or before Slice: Unordered, Closed by type:$this | ||||
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SΣ | 1..1 | date | Reach goal on or before | ||||
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Σ | 0..1 | date | When goal status took effect | ||||
![]() ![]() |
0..1 | string | Reason for current status | |||||
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Σ | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) | Who's responsible for creating Goal? | ||||
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S | 1..* | Reference(Nursing Problem) | Issues addressed by this goal | ||||
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0..* | Annotation | Comments about the goal | |||||
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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". | |||||
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0..* | Reference(Observation) | Observation that resulted from goal | |||||
Documentation for this format | ||||||||
| 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 | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. |
| Goal.start[x] | Base | example | Goal start event | 📍4.0.1 | FHIR Std. |
| Goal.target.measure | Base | extensible | Goal Target Measure ValueSet | 📦1.0.0 | This IG |
| Goal.target.detail[x] | Base | example | Not State | Unknown | |
| Goal.outcomeCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Goal | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Goal | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Goal | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Goal | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Goal | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| gol-1 | error | Goal.target | Goal.target.measure is required if Goal.target.detail is populated |
(detail.exists() and measure.exists()) or detail.exists().not()
|
| onc-goal-evaluation-timing | warning | Goal | Goal must have evaluation observation by target.dueDate |
target.dueDate.exists() implies (lifecycleStatus = 'active' or lifecycleStatus = 'completed' or lifecycleStatus = 'cancelled')
|
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
C | 0..* | Goal | Describes the intended objective(s) for a patient, group or organization Constraints: onc-goal-evaluation-timing |
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() |
?!SΣ | 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. |
![]() ![]() |
SΣ | 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. |
![]() ![]() |
Σ | 0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Binding: GoalCategory (example): Codes for grouping and sorting goals. Required Pattern: At least the following |
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |
![]() ![]() ![]() |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |
![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/goal-category | |
![]() ![]() ![]() ![]() |
0..1 | string | Version of the system - if relevant | |
![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: nursing | |
![]() ![]() ![]() ![]() |
0..1 | string | Representation defined by the system | |
![]() ![]() ![]() ![]() |
0..1 | boolean | If this coding was chosen directly by the user | |
![]() ![]() ![]() |
0..1 | string | Plain text representation of the concept | |
![]() ![]() |
Σ | 1..1 | CodeableConcept | Code or text describing goal Binding: SNOMEDCTClinicalFindings (example): 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. |
![]() ![]() |
Σ | 1..1 | Reference(Patient) | Who this goal is intended for |
![]() ![]() |
SC | 1..* | BackboneElement | Target outcome for the goal Constraints: gol-1 |
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() |
ΣC | 0..1 | CodeableConcept | The parameter whose value is being tracked Binding: Goal Target Measure ValueSet (extensible) |
![]() ![]() ![]() |
Σ | 1..1 | date | Reach goal on or before Slice: Unordered, Closed by type:$this |
![]() ![]() ![]() ![]() |
SΣ | 1..1 | date | Reach goal on or before |
![]() ![]() |
S | 1..* | Reference(Nursing Problem) | Issues addressed by this goal |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| 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.description | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. |
| Goal.target.measure | Base | extensible | Goal Target Measure ValueSet | 📦1.0.0 | This IG |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Goal | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Goal | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Goal | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Goal | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Goal | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| gol-1 | error | Goal.target | Goal.target.measure is required if Goal.target.detail is populated |
(detail.exists() and measure.exists()) or detail.exists().not()
|
| onc-goal-evaluation-timing | warning | Goal | Goal must have evaluation observation by target.dueDate |
target.dueDate.exists() implies (lifecycleStatus = 'active' or lifecycleStatus = 'completed' or lifecycleStatus = 'cancelled')
|
Differential View
This structure is derived from Goal
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
C | 0..* | Goal | Describes the intended objective(s) for a patient, group or organization Constraints: onc-goal-evaluation-timing |
![]() ![]() |
S | 1..1 | code | proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected |
![]() ![]() |
S | 0..1 | CodeableConcept | in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable |
![]() ![]() |
0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Required Pattern: At least the following | |
![]() ![]() ![]() |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/goal-category | |
![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: nursing | |
![]() ![]() |
1..1 | Reference(Patient) | Who this goal is intended for | |
![]() ![]() |
S | 1..* | BackboneElement | Target outcome for the goal |
![]() ![]() ![]() |
0..1 | CodeableConcept | The parameter whose value is being tracked Binding: Goal Target Measure ValueSet (extensible) | |
![]() ![]() ![]() |
1..1 | date | Reach goal on or before Slice: Unordered, Open by type:$this | |
![]() ![]() ![]() ![]() |
S | 1..1 | date | Reach goal on or before |
![]() ![]() |
S | 1..* | Reference(Nursing Problem) | Issues addressed by this goal |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Goal.target.measure | Base | extensible | Goal Target Measure ValueSet | 📦1.0.0 | This IG |
| Id | Grade | Path(s) | Description | Expression |
| onc-goal-evaluation-timing | warning | Goal | Goal must have evaluation observation by target.dueDate |
target.dueDate.exists() implies (lifecycleStatus = 'active' or lifecycleStatus = 'completed' or lifecycleStatus = 'cancelled')
|
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
|---|---|---|---|---|---|---|---|---|
![]() |
C | 0..* | Goal | Describes the intended objective(s) for a patient, group or organization Constraints: onc-goal-evaluation-timing | ||||
![]() ![]() |
Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() |
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 | |||||
![]() ![]() |
0..* | Resource | Contained, inline Resources | |||||
![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() |
0..* | Identifier | External Ids for this goal | |||||
![]() ![]() |
?!SΣ | 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. | ||||
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SΣ | 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. | ||||
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Σ | 0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Binding: GoalCategory (example): Codes for grouping and sorting goals. Required Pattern: At least the following | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/goal-category | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: nursing | |||||
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0..1 | string | Representation defined by the system | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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Σ | 0..1 | CodeableConcept | high-priority | medium-priority | low-priority Binding: GoalPriority (preferred): The level of importance associated with a goal. | ||||
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Σ | 1..1 | CodeableConcept | Code or text describing goal Binding: SNOMEDCTClinicalFindings (example): 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. | ||||
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Σ | 1..1 | Reference(Patient) | Who this goal is intended for | ||||
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Σ | 0..1 | When goal pursuit begins Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal. | |||||
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date | |||||||
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CodeableConcept | |||||||
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SC | 1..* | BackboneElement | Target outcome for the goal Constraints: gol-1 | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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ΣC | 0..1 | CodeableConcept | The parameter whose value is being tracked Binding: Goal Target Measure ValueSet (extensible) | ||||
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ΣC | 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. | |||||
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Quantity | |||||||
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Range | |||||||
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CodeableConcept | |||||||
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string | |||||||
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boolean | |||||||
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integer | |||||||
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Ratio | |||||||
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Σ | 1..1 | date | Reach goal on or before Slice: Unordered, Closed by type:$this | ||||
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SΣ | 1..1 | date | Reach goal on or before | ||||
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Σ | 0..1 | date | When goal status took effect | ||||
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0..1 | string | Reason for current status | |||||
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Σ | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) | Who's responsible for creating Goal? | ||||
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S | 1..* | Reference(Nursing Problem) | Issues addressed by this goal | ||||
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0..* | Annotation | Comments about the goal | |||||
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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". | |||||
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0..* | Reference(Observation) | Observation that resulted from goal | |||||
Documentation for this format | ||||||||
| 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 | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. |
| Goal.start[x] | Base | example | Goal start event | 📍4.0.1 | FHIR Std. |
| Goal.target.measure | Base | extensible | Goal Target Measure ValueSet | 📦1.0.0 | This IG |
| Goal.target.detail[x] | Base | example | Not State | Unknown | |
| Goal.outcomeCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Goal | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Goal | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Goal | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Goal | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Goal | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| gol-1 | error | Goal.target | Goal.target.measure is required if Goal.target.detail is populated |
(detail.exists() and measure.exists()) or detail.exists().not()
|
| onc-goal-evaluation-timing | warning | Goal | Goal must have evaluation observation by target.dueDate |
target.dueDate.exists() implies (lifecycleStatus = 'active' or lifecycleStatus = 'completed' or lifecycleStatus = 'cancelled')
|
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