SHINNYHRSN - Local Development build (v1.9.3) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Resource Profile: SHINNY SDOHCCGoal Profile
| Official URL: http://test.shinny.org/us/ny/hrsn/StructureDefinition/shinny-SDOHCCGoal | Version: 1.9.3 | |||
| Active as of 2026-07-14 | Computable Name: SHINNYSDOHCCGoalProfile | |||
- SHINNY HRSN: Needed for the Assessment. Included in all Assessment bundles.
- Profiled off of the SDOHCC Goal:Profile for goals that address Social Determinants of Health (SDOH).
Usages:
- Examples for this Profile: Goal/GoalExample
You can also check for usages in the FHIR IG Statistics
Formal Views of Profile Content
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  Goal |
0..* | SDOHCCGoal | Describes the intended SDOH-related objective(s) for a patient. | |
  id |
SΣ | 1..1 | id | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. |
  meta |
SΣ | 1..1 | SHINNYMeta | Metadata about the resource |
 lastUpdated |
SΣ | 1..1 | instant | When the resource version was created or last changed |
 profile |
SΣ | 1..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| language |
0..1 | code | Language of the resource content Binding: SHINNYLanguageVS (preferred) | |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| lifecycleStatus |
?!SΣ | 1..1 | code | proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required) |
| achievementStatus |
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. |
 Slices for category |
Σ | 0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Slice: Unordered, Open by value:$this Binding: GoalCategory (example): Codes for grouping and sorting goals. |
  category:SDOH |
SΣ | 0..* | CodeableConcept | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories. |
| description |
SΣ | 1..1 | CodeableConcept | Code or text describing goal Binding: SDOHCC ValueSet LOINC SNOMEDCT (preferred): Codes providing the details of a particular goal. In many systems, only the text element will be used. |
 subject |
SΣ | 1..1 | Reference(US Core Patient Profile) | Who this goal is intended for |
| target |
SC | 0..* | BackboneElement | Target outcome for the goal Constraints: gol-1 |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
 Slices for due[x] |
Σ | 0..1 | date | Reach goal on or before Slice: Unordered, Closed by type:$this |
 due[x]:dueDate |
SΣ | 0..1 | date | Reach goal on or before |
| Slices for addresses |
0..* | Reference(Condition | Observation | RiskAssessment) | Issues addressed by this goal Slice: Unordered, Open by profile:resolve() | |
| addresses:SupportedAddresses |
S | 0..* | Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | Issues addressed by this goal |
| Slices for outcomeReference |
0..* | Reference(Observation) | Observation that resulted from goal Slice: Unordered, Open by profile:resolve() | |
| outcomeReference:SupportedOutcomeReference |
S | 0..* | Reference(SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | Observation that resulted from goal |
| Documentation for this format | ||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| Goal.language | Base | preferred | SHINNYLanguageVS | 📦1.9.3 | This IG |
| 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.category:SDOH | Base | required | SDOHCC ValueSet SDOH Category | 📦2.2.0 | SDOH Clinical Care v2.2 |
| Goal.description | Base | preferred | SDOHCC ValueSet LOINC SNOMEDCT | 📦2.2.0 | SDOH Clinical Care v2.2 |
Constraints
| 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()
|
This structure is derived from SDOHCCGoal
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Goal |
0..* | SDOHCCGoal | Describes the intended SDOH-related objective(s) for a patient. | |
 id |
S | 1..1 | id | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. |
| meta |
S | 1..1 | SHINNYMeta | Metadata about the resource |
| profile |
1..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to | |
| language |
0..1 | code | Language of the resource content Binding: SHINNYLanguageVS (preferred) | |
| Documentation for this format | ||||
Terminology Bindings (Differential)
| Path | Status | Usage | ValueSet | Version | Source |
| Goal.language | Base | preferred | SHINNYLanguageVS | 📦1.9.3 | This IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Goal |
0..* | SDOHCCGoal | Describes the intended SDOH-related objective(s) for a patient. | |
| id |
SΣ | 1..1 | id | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. |
| meta |
SΣ | 1..1 | SHINNYMeta | Metadata about the resource |
| id |
0..1 | string | Unique id for inter-element referencing | |
 extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| versionId |
Σ | 0..1 | id | Version specific identifier |
| lastUpdated |
SΣ | 1..1 | instant | When the resource version was created or last changed |
| source |
Σ | 0..1 | uri | Identifies where the resource comes from |
| profile |
SΣ | 1..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to |
| security |
Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. |
| tag |
Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| language |
0..1 | code | Language of the resource content Binding: SHINNYLanguageVS (preferred) | |
| 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 | |
| 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 |
?!SΣ | 1..1 | code | proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required) |
| achievementStatus |
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. |
| Slices for category |
Σ | 0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Slice: Unordered, Open by value:$this Binding: GoalCategory (example): Codes for grouping and sorting goals. |
| category:SDOH |
SΣ | 0..* | CodeableConcept | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories. |
| priority |
Σ | 0..1 | CodeableConcept | high-priority | medium-priority | low-priority Binding: GoalPriority (preferred): The level of importance associated with a goal. |
| description |
SΣ | 1..1 | CodeableConcept | Code or text describing goal Binding: SDOHCC ValueSet LOINC SNOMEDCT (preferred): Codes providing the details of a particular goal. In many systems, only the text element will be used. |
| subject |
SΣ | 1..1 | Reference(US Core Patient Profile) | 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 |
SC | 0..* | BackboneElement | Target outcome for the goal Constraints: gol-1 |
| 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: LOINCCodes (preferred): Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level. |
| detail[x] |
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. | |
| detailQuantity |
Quantity | |||
| detailRange |
Range | |||
| detailCodeableConcept |
CodeableConcept | |||
| detailString |
string | |||
| detailBoolean |
boolean | |||
| detailInteger |
integer | |||
| detailRatio |
Ratio | |||
| Slices for due[x] |
Σ | 0..1 | date | Reach goal on or before Slice: Unordered, Closed by type:$this |
| due[x]:dueDate |
SΣ | 0..1 | date | Reach goal on or before |
| statusDate |
Σ | 0..1 | date | When goal status took effect |
| statusReason |
0..1 | string | Reason for current status | |
| expressedBy |
Σ | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) | Who's responsible for creating Goal? |
| Slices for addresses |
0..* | Reference(Condition | Observation | RiskAssessment) | Issues addressed by this goal Slice: Unordered, Open by profile:resolve() | |
| addresses:SupportedAddresses |
S | 0..* | Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | Issues addressed by this goal |
| note |
0..* | Annotation | Comments about the goal | |
| outcomeCode |
0..* | CodeableConcept | What result was achieved regarding the goal? Binding: SDOHCC ValueSet LOINC SNOMEDCT (preferred): The result of the goal; e.g., "Food security", "Has access to a car ". | |
| Slices for outcomeReference |
0..* | Reference(Observation) | Observation that resulted from goal Slice: Unordered, Open by profile:resolve() | |
| outcomeReference:SupportedOutcomeReference |
S | 0..* | Reference(SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | Observation that resulted from goal |
| Documentation for this format | ||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| Goal.meta.security | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std. |
| Goal.meta.tag | Base | example | Common Tags | 📍4.0.1 | FHIR Std. |
| Goal.language | Base | preferred | SHINNYLanguageVS | 📦1.9.3 | This IG |
| 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.category:SDOH | Base | required | SDOHCC ValueSet SDOH Category | 📦2.2.0 | SDOH Clinical Care v2.2 |
| Goal.priority | Base | preferred | Goal priority | 📦4.0.1 | FHIR Std. |
| Goal.description | Base | preferred | SDOHCC ValueSet LOINC SNOMEDCT | 📦2.2.0 | SDOH Clinical Care v2.2 |
| Goal.start[x] | Base | example | Goal start event | 📦4.0.1 | FHIR Std. |
| Goal.target.measure | Base | preferred | LOINC Codes | 📦4.0.1 | FHIR Std. |
| Goal.target.detail[x] | Base | example | Not State | Unknown | |
| Goal.outcomeCode | Base | preferred | SDOHCC ValueSet LOINC SNOMEDCT | 📦2.2.0 | SDOH Clinical Care v2.2 |
Constraints
| 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()
|
This structure is derived from SDOHCCGoal
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Goal |
0..* | SDOHCCGoal | Describes the intended SDOH-related objective(s) for a patient. | |
| id |
SΣ | 1..1 | id | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. |
| meta |
SΣ | 1..1 | SHINNYMeta | Metadata about the resource |
| lastUpdated |
SΣ | 1..1 | instant | When the resource version was created or last changed |
| profile |
SΣ | 1..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| language |
0..1 | code | Language of the resource content Binding: SHINNYLanguageVS (preferred) | |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| lifecycleStatus |
?!SΣ | 1..1 | code | proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required) |
| achievementStatus |
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. |
| Slices for category |
Σ | 0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Slice: Unordered, Open by value:$this Binding: GoalCategory (example): Codes for grouping and sorting goals. |
| category:SDOH |
SΣ | 0..* | CodeableConcept | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories. |
| description |
SΣ | 1..1 | CodeableConcept | Code or text describing goal Binding: SDOHCC ValueSet LOINC SNOMEDCT (preferred): Codes providing the details of a particular goal. In many systems, only the text element will be used. |
| subject |
SΣ | 1..1 | Reference(US Core Patient Profile) | Who this goal is intended for |
| target |
SC | 0..* | BackboneElement | Target outcome for the goal Constraints: gol-1 |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Slices for due[x] |
Σ | 0..1 | date | Reach goal on or before Slice: Unordered, Closed by type:$this |
| due[x]:dueDate |
SΣ | 0..1 | date | Reach goal on or before |
| Slices for addresses |
0..* | Reference(Condition | Observation | RiskAssessment) | Issues addressed by this goal Slice: Unordered, Open by profile:resolve() | |
| addresses:SupportedAddresses |
S | 0..* | Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | Issues addressed by this goal |
| Slices for outcomeReference |
0..* | Reference(Observation) | Observation that resulted from goal Slice: Unordered, Open by profile:resolve() | |
| outcomeReference:SupportedOutcomeReference |
S | 0..* | Reference(SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | Observation that resulted from goal |
| Documentation for this format | ||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| Goal.language | Base | preferred | SHINNYLanguageVS | 📦1.9.3 | This IG |
| 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.category:SDOH | Base | required | SDOHCC ValueSet SDOH Category | 📦2.2.0 | SDOH Clinical Care v2.2 |
| Goal.description | Base | preferred | SDOHCC ValueSet LOINC SNOMEDCT | 📦2.2.0 | SDOH Clinical Care v2.2 |
Constraints
| 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()
|
Differential View
This structure is derived from SDOHCCGoal
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Goal |
0..* | SDOHCCGoal | Describes the intended SDOH-related objective(s) for a patient. | |
| id |
S | 1..1 | id | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. |
| meta |
S | 1..1 | SHINNYMeta | Metadata about the resource |
| profile |
1..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to | |
| language |
0..1 | code | Language of the resource content Binding: SHINNYLanguageVS (preferred) | |
| Documentation for this format | ||||
Terminology Bindings (Differential)
| Path | Status | Usage | ValueSet | Version | Source |
| Goal.language | Base | preferred | SHINNYLanguageVS | 📦1.9.3 | This IG |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Goal |
0..* | SDOHCCGoal | Describes the intended SDOH-related objective(s) for a patient. | |
| id |
SΣ | 1..1 | id | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. |
| meta |
SΣ | 1..1 | SHINNYMeta | Metadata about the resource |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| versionId |
Σ | 0..1 | id | Version specific identifier |
| lastUpdated |
SΣ | 1..1 | instant | When the resource version was created or last changed |
| source |
Σ | 0..1 | uri | Identifies where the resource comes from |
| profile |
SΣ | 1..1 | canonical(StructureDefinition) | Profiles this resource claims to conform to |
| security |
Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. |
| tag |
Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| language |
0..1 | code | Language of the resource content Binding: SHINNYLanguageVS (preferred) | |
| 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 | |
| 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 |
?!SΣ | 1..1 | code | proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required) |
| achievementStatus |
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. |
| Slices for category |
Σ | 0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Slice: Unordered, Open by value:$this Binding: GoalCategory (example): Codes for grouping and sorting goals. |
| category:SDOH |
SΣ | 0..* | CodeableConcept | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories. |
| priority |
Σ | 0..1 | CodeableConcept | high-priority | medium-priority | low-priority Binding: GoalPriority (preferred): The level of importance associated with a goal. |
| description |
SΣ | 1..1 | CodeableConcept | Code or text describing goal Binding: SDOHCC ValueSet LOINC SNOMEDCT (preferred): Codes providing the details of a particular goal. In many systems, only the text element will be used. |
| subject |
SΣ | 1..1 | Reference(US Core Patient Profile) | 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 |
SC | 0..* | BackboneElement | Target outcome for the goal Constraints: gol-1 |
| 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: LOINCCodes (preferred): Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level. |
| detail[x] |
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. | |
| detailQuantity |
Quantity | |||
| detailRange |
Range | |||
| detailCodeableConcept |
CodeableConcept | |||
| detailString |
string | |||
| detailBoolean |
boolean | |||
| detailInteger |
integer | |||
| detailRatio |
Ratio | |||
| Slices for due[x] |
Σ | 0..1 | date | Reach goal on or before Slice: Unordered, Closed by type:$this |
| due[x]:dueDate |
SΣ | 0..1 | date | Reach goal on or before |
| statusDate |
Σ | 0..1 | date | When goal status took effect |
| statusReason |
0..1 | string | Reason for current status | |
| expressedBy |
Σ | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) | Who's responsible for creating Goal? |
| Slices for addresses |
0..* | Reference(Condition | Observation | RiskAssessment) | Issues addressed by this goal Slice: Unordered, Open by profile:resolve() | |
| addresses:SupportedAddresses |
S | 0..* | Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | Issues addressed by this goal |
| note |
0..* | Annotation | Comments about the goal | |
| outcomeCode |
0..* | CodeableConcept | What result was achieved regarding the goal? Binding: SDOHCC ValueSet LOINC SNOMEDCT (preferred): The result of the goal; e.g., "Food security", "Has access to a car ". | |
| Slices for outcomeReference |
0..* | Reference(Observation) | Observation that resulted from goal Slice: Unordered, Open by profile:resolve() | |
| outcomeReference:SupportedOutcomeReference |
S | 0..* | Reference(SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | Observation that resulted from goal |
| Documentation for this format | ||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| Goal.meta.security | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std. |
| Goal.meta.tag | Base | example | Common Tags | 📍4.0.1 | FHIR Std. |
| Goal.language | Base | preferred | SHINNYLanguageVS | 📦1.9.3 | This IG |
| 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.category:SDOH | Base | required | SDOHCC ValueSet SDOH Category | 📦2.2.0 | SDOH Clinical Care v2.2 |
| Goal.priority | Base | preferred | Goal priority | 📦4.0.1 | FHIR Std. |
| Goal.description | Base | preferred | SDOHCC ValueSet LOINC SNOMEDCT | 📦2.2.0 | SDOH Clinical Care v2.2 |
| Goal.start[x] | Base | example | Goal start event | 📦4.0.1 | FHIR Std. |
| Goal.target.measure | Base | preferred | LOINC Codes | 📦4.0.1 | FHIR Std. |
| Goal.target.detail[x] | Base | example | Not State | Unknown | |
| Goal.outcomeCode | Base | preferred | SDOHCC ValueSet LOINC SNOMEDCT | 📦2.2.0 | SDOH Clinical Care v2.2 |
Constraints
| 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()
|
This structure is derived from SDOHCCGoal
Other representations of profile: CSV, Excel, Schematron