1.7.1 - release

SHINNYHRSN - Local Development build (v1.7.1) 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: 1.7.1
Active as of 2025-12-09 | 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.

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Goal |  | 0..* | SDOHCCGoal | Describes the intended SDOH-related objective(s) for a patient.
id | S Σ | 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 Σ | 1..1 | SHINNYMeta | Metadata about the resource
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 | ?!S Σ | 1..1 | code | proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required)
achievementStatus | S 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.
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 | S Σ | 0..* | CodeableConcept | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.
description | S Σ | 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.
Additional Bindings | Purpose | Usage
SDOHCC ValueSet LOINC SNOMEDCT | Preferred | SDOHCCGoal#`Goal.category` = digital-access
SDOHCC ValueSet LOINC SNOMEDCT | Preferred | SDOHCCGoal#`Goal.category` = digital-literacy
Less Than High School Education Goals | Extensible | SDOHCCGoal#`Goal.category` = educational-attainment
Elder Abuse Goals | Extensible | SDOHCCGoal#`Goal.category` = elder-abuse
Unemployment Goals | Extensible | SDOHCCGoal#`Goal.category` = employment-status
Financial Insecurity Goals | Extensible | SDOHCCGoal#`Goal.category` = financial-insecurity
Food Insecurity Goals | Extensible | SDOHCCGoal#`Goal.category` = food-insecurity
Health Insurance Coverage Status Goals | Extensible | SDOHCCGoal#`Goal.category` = health-insurance-coverage-status
Homelessness Goals | Extensible | SDOHCCGoal#`Goal.category` = homelessness
Housing Instability Goals | Extensible | SDOHCCGoal#`Goal.category` = housing-instability
Inadequate Housing Goals | Extensible | SDOHCCGoal#`Goal.category` = inadequate-housing
Intimate Partner Violence Goals | Extensible | SDOHCCGoal#`Goal.category` = intimate-partner-violence
Material Hardship Goals | Extensible | SDOHCCGoal#`Goal.category` = material-hardship
Medical Cost Burden Goals | Extensible | SDOHCCGoal#`Goal.category` = medical-cost-burden
Health Literacy Goals | Extensible | SDOHCCGoal#`Goal.category` = personal-health-literacy
Social Connection Goals | Extensible | SDOHCCGoal#`Goal.category` = social-connection
Stress Goals | Extensible | SDOHCCGoal#`Goal.category` = stress
Transportation Insecurity Goals | Extensible | SDOHCCGoal#`Goal.category` = transportation-insecurity
Utility Insecurity Goals | Extensible | SDOHCCGoal#`Goal.category` = utility-insecurity
Veteran Status Goals | Extensible | SDOHCCGoal#`Goal.category` = veteran-status
SDOHCC ValueSet LOINC SNOMEDCT | Preferred | SDOHCCGoal#`Goal.category` = sdoh-category-unspecified
subject | S Σ | 1..1 | Reference(US Core Patient Profile) | Who this goal is intended for
target | S C | 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 | S Σ | 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 | Conformance | ValueSet | URI
Goal.language | preferred | SHINNYLanguageVS `http://test.shinny.org/us/ny/hrsn/ValueSet/SHINNYLanguageVS` From this IG
Goal.lifecycleStatus | required | GoalLifecycleStatus `http://hl7.org/fhir/ValueSet/goal-status` From the FHIR Standard
Goal.achievementStatus | preferred | GoalAchievementStatus `http://hl7.org/fhir/ValueSet/goal-achievement` From the FHIR Standard
Goal.category | example | GoalCategory `http://hl7.org/fhir/ValueSet/goal-category` From the FHIR Standard
Goal.category:SDOH | required | SDOHCCValueSetSDOHCategory `http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetSDOHCategory`
Goal.description | preferred | SDOHCCValueSetLOINCSNOMEDCT `http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetLOINCSNOMEDCT`

#### Constraints

Id | Grade | Path(s) | Details | Requirements
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: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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
language |  | 0..1 | code | Language of the resource content Binding: SHINNYLanguageVS (preferred)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
Goal.language | preferred | SHINNYLanguageVS `http://test.shinny.org/us/ny/hrsn/ValueSet/SHINNYLanguageVS` From this IG

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Goal |  | 0..* | SDOHCCGoal | Describes the intended SDOH-related objective(s) for a patient.
id | S Σ | 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 Σ | 1..1 | SHINNYMeta | Metadata about the resource
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 | ?!S Σ | 1..1 | code | proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required)
achievementStatus | S 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.
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 | S Σ | 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 | S Σ | 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.
Additional Bindings | Purpose | Usage
SDOHCC ValueSet LOINC SNOMEDCT | Preferred | SDOHCCGoal#`Goal.category` = digital-access
SDOHCC ValueSet LOINC SNOMEDCT | Preferred | SDOHCCGoal#`Goal.category` = digital-literacy
Less Than High School Education Goals | Extensible | SDOHCCGoal#`Goal.category` = educational-attainment
Elder Abuse Goals | Extensible | SDOHCCGoal#`Goal.category` = elder-abuse
Unemployment Goals | Extensible | SDOHCCGoal#`Goal.category` = employment-status
Financial Insecurity Goals | Extensible | SDOHCCGoal#`Goal.category` = financial-insecurity
Food Insecurity Goals | Extensible | SDOHCCGoal#`Goal.category` = food-insecurity
Health Insurance Coverage Status Goals | Extensible | SDOHCCGoal#`Goal.category` = health-insurance-coverage-status
Homelessness Goals | Extensible | SDOHCCGoal#`Goal.category` = homelessness
Housing Instability Goals | Extensible | SDOHCCGoal#`Goal.category` = housing-instability
Inadequate Housing Goals | Extensible | SDOHCCGoal#`Goal.category` = inadequate-housing
Intimate Partner Violence Goals | Extensible | SDOHCCGoal#`Goal.category` = intimate-partner-violence
Material Hardship Goals | Extensible | SDOHCCGoal#`Goal.category` = material-hardship
Medical Cost Burden Goals | Extensible | SDOHCCGoal#`Goal.category` = medical-cost-burden
Health Literacy Goals | Extensible | SDOHCCGoal#`Goal.category` = personal-health-literacy
Social Connection Goals | Extensible | SDOHCCGoal#`Goal.category` = social-connection
Stress Goals | Extensible | SDOHCCGoal#`Goal.category` = stress
Transportation Insecurity Goals | Extensible | SDOHCCGoal#`Goal.category` = transportation-insecurity
Utility Insecurity Goals | Extensible | SDOHCCGoal#`Goal.category` = utility-insecurity
Veteran Status Goals | Extensible | SDOHCCGoal#`Goal.category` = veteran-status
SDOHCC ValueSet LOINC SNOMEDCT | Preferred | SDOHCCGoal#`Goal.category` = sdoh-category-unspecified
subject | S Σ | 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 | S C | 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 | Σ C | 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] | Σ 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.
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 | S Σ | 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 | Conformance | ValueSet | URI
Goal.language | preferred | SHINNYLanguageVS `http://test.shinny.org/us/ny/hrsn/ValueSet/SHINNYLanguageVS` From this IG
Goal.lifecycleStatus | required | GoalLifecycleStatus `http://hl7.org/fhir/ValueSet/goal-status` From the FHIR Standard
Goal.achievementStatus | preferred | GoalAchievementStatus `http://hl7.org/fhir/ValueSet/goal-achievement` From the FHIR Standard
Goal.category | example | GoalCategory `http://hl7.org/fhir/ValueSet/goal-category` From the FHIR Standard
Goal.category:SDOH | required | SDOHCCValueSetSDOHCategory `http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetSDOHCategory`
Goal.priority | preferred | GoalPriority `http://hl7.org/fhir/ValueSet/goal-priority` From the FHIR Standard
Goal.description | preferred | SDOHCCValueSetLOINCSNOMEDCT `http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetLOINCSNOMEDCT`
Goal.start[x] | example | GoalStartEvent `http://hl7.org/fhir/ValueSet/goal-start-event` From the FHIR Standard
Goal.target.measure | preferred | LOINCCodes(a valid code from LOINC) `http://hl7.org/fhir/ValueSet/observation-codes` From the FHIR Standard
Goal.target.detail[x] | example |
Goal.outcomeCode | preferred | SDOHCCValueSetLOINCSNOMEDCT `http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetLOINCSNOMEDCT`

#### Constraints

Id | Grade | Path(s) | Details | Requirements
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

Summary

Mandatory: 2 elements
Must-Support: 2 elements

Structures

This structure refers to these other structures:

- SHINNYMeta (http://test.shinny.org/us/ny/hrsn/StructureDefinition/SHINNYMeta)

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Goal |  | 0..* | SDOHCCGoal | Describes the intended SDOH-related objective(s) for a patient.
id | S Σ | 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 Σ | 1..1 | SHINNYMeta | Metadata about the resource
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 | ?!S Σ | 1..1 | code | proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required)
achievementStatus | S 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.
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 | S Σ | 0..* | CodeableConcept | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.
description | S Σ | 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.
Additional Bindings | Purpose | Usage
SDOHCC ValueSet LOINC SNOMEDCT | Preferred | SDOHCCGoal#`Goal.category` = digital-access
SDOHCC ValueSet LOINC SNOMEDCT | Preferred | SDOHCCGoal#`Goal.category` = digital-literacy
Less Than High School Education Goals | Extensible | SDOHCCGoal#`Goal.category` = educational-attainment
Elder Abuse Goals | Extensible | SDOHCCGoal#`Goal.category` = elder-abuse
Unemployment Goals | Extensible | SDOHCCGoal#`Goal.category` = employment-status
Financial Insecurity Goals | Extensible | SDOHCCGoal#`Goal.category` = financial-insecurity
Food Insecurity Goals | Extensible | SDOHCCGoal#`Goal.category` = food-insecurity
Health Insurance Coverage Status Goals | Extensible | SDOHCCGoal#`Goal.category` = health-insurance-coverage-status
Homelessness Goals | Extensible | SDOHCCGoal#`Goal.category` = homelessness
Housing Instability Goals | Extensible | SDOHCCGoal#`Goal.category` = housing-instability
Inadequate Housing Goals | Extensible | SDOHCCGoal#`Goal.category` = inadequate-housing
Intimate Partner Violence Goals | Extensible | SDOHCCGoal#`Goal.category` = intimate-partner-violence
Material Hardship Goals | Extensible | SDOHCCGoal#`Goal.category` = material-hardship
Medical Cost Burden Goals | Extensible | SDOHCCGoal#`Goal.category` = medical-cost-burden
Health Literacy Goals | Extensible | SDOHCCGoal#`Goal.category` = personal-health-literacy
Social Connection Goals | Extensible | SDOHCCGoal#`Goal.category` = social-connection
Stress Goals | Extensible | SDOHCCGoal#`Goal.category` = stress
Transportation Insecurity Goals | Extensible | SDOHCCGoal#`Goal.category` = transportation-insecurity
Utility Insecurity Goals | Extensible | SDOHCCGoal#`Goal.category` = utility-insecurity
Veteran Status Goals | Extensible | SDOHCCGoal#`Goal.category` = veteran-status
SDOHCC ValueSet LOINC SNOMEDCT | Preferred | SDOHCCGoal#`Goal.category` = sdoh-category-unspecified
subject | S Σ | 1..1 | Reference(US Core Patient Profile) | Who this goal is intended for
target | S C | 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 | S Σ | 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 | Conformance | ValueSet | URI
Goal.language | preferred | SHINNYLanguageVS `http://test.shinny.org/us/ny/hrsn/ValueSet/SHINNYLanguageVS` From this IG
Goal.lifecycleStatus | required | GoalLifecycleStatus `http://hl7.org/fhir/ValueSet/goal-status` From the FHIR Standard
Goal.achievementStatus | preferred | GoalAchievementStatus `http://hl7.org/fhir/ValueSet/goal-achievement` From the FHIR Standard
Goal.category | example | GoalCategory `http://hl7.org/fhir/ValueSet/goal-category` From the FHIR Standard
Goal.category:SDOH | required | SDOHCCValueSetSDOHCategory `http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetSDOHCategory`
Goal.description | preferred | SDOHCCValueSetLOINCSNOMEDCT `http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetLOINCSNOMEDCT`

#### Constraints

Id | Grade | Path(s) | Details | Requirements
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: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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
language |  | 0..1 | code | Language of the resource content Binding: SHINNYLanguageVS (preferred)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
Goal.language | preferred | SHINNYLanguageVS `http://test.shinny.org/us/ny/hrsn/ValueSet/SHINNYLanguageVS` From this IG

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Goal |  | 0..* | SDOHCCGoal | Describes the intended SDOH-related objective(s) for a patient.
id | S Σ | 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 Σ | 1..1 | SHINNYMeta | Metadata about the resource
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 | ?!S Σ | 1..1 | code | proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required)
achievementStatus | S 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.
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 | S Σ | 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 | S Σ | 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.
Additional Bindings | Purpose | Usage
SDOHCC ValueSet LOINC SNOMEDCT | Preferred | SDOHCCGoal#`Goal.category` = digital-access
SDOHCC ValueSet LOINC SNOMEDCT | Preferred | SDOHCCGoal#`Goal.category` = digital-literacy
Less Than High School Education Goals | Extensible | SDOHCCGoal#`Goal.category` = educational-attainment
Elder Abuse Goals | Extensible | SDOHCCGoal#`Goal.category` = elder-abuse
Unemployment Goals | Extensible | SDOHCCGoal#`Goal.category` = employment-status
Financial Insecurity Goals | Extensible | SDOHCCGoal#`Goal.category` = financial-insecurity
Food Insecurity Goals | Extensible | SDOHCCGoal#`Goal.category` = food-insecurity
Health Insurance Coverage Status Goals | Extensible | SDOHCCGoal#`Goal.category` = health-insurance-coverage-status
Homelessness Goals | Extensible | SDOHCCGoal#`Goal.category` = homelessness
Housing Instability Goals | Extensible | SDOHCCGoal#`Goal.category` = housing-instability
Inadequate Housing Goals | Extensible | SDOHCCGoal#`Goal.category` = inadequate-housing
Intimate Partner Violence Goals | Extensible | SDOHCCGoal#`Goal.category` = intimate-partner-violence
Material Hardship Goals | Extensible | SDOHCCGoal#`Goal.category` = material-hardship
Medical Cost Burden Goals | Extensible | SDOHCCGoal#`Goal.category` = medical-cost-burden
Health Literacy Goals | Extensible | SDOHCCGoal#`Goal.category` = personal-health-literacy
Social Connection Goals | Extensible | SDOHCCGoal#`Goal.category` = social-connection
Stress Goals | Extensible | SDOHCCGoal#`Goal.category` = stress
Transportation Insecurity Goals | Extensible | SDOHCCGoal#`Goal.category` = transportation-insecurity
Utility Insecurity Goals | Extensible | SDOHCCGoal#`Goal.category` = utility-insecurity
Veteran Status Goals | Extensible | SDOHCCGoal#`Goal.category` = veteran-status
SDOHCC ValueSet LOINC SNOMEDCT | Preferred | SDOHCCGoal#`Goal.category` = sdoh-category-unspecified
subject | S Σ | 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 | S C | 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 | Σ C | 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] | Σ 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.
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 | S Σ | 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 | Conformance | ValueSet | URI
Goal.language | preferred | SHINNYLanguageVS `http://test.shinny.org/us/ny/hrsn/ValueSet/SHINNYLanguageVS` From this IG
Goal.lifecycleStatus | required | GoalLifecycleStatus `http://hl7.org/fhir/ValueSet/goal-status` From the FHIR Standard
Goal.achievementStatus | preferred | GoalAchievementStatus `http://hl7.org/fhir/ValueSet/goal-achievement` From the FHIR Standard
Goal.category | example | GoalCategory `http://hl7.org/fhir/ValueSet/goal-category` From the FHIR Standard
Goal.category:SDOH | required | SDOHCCValueSetSDOHCategory `http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetSDOHCategory`
Goal.priority | preferred | GoalPriority `http://hl7.org/fhir/ValueSet/goal-priority` From the FHIR Standard
Goal.description | preferred | SDOHCCValueSetLOINCSNOMEDCT `http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetLOINCSNOMEDCT`
Goal.start[x] | example | GoalStartEvent `http://hl7.org/fhir/ValueSet/goal-start-event` From the FHIR Standard
Goal.target.measure | preferred | LOINCCodes(a valid code from LOINC) `http://hl7.org/fhir/ValueSet/observation-codes` From the FHIR Standard
Goal.target.detail[x] | example |
Goal.outcomeCode | preferred | SDOHCCValueSetLOINCSNOMEDCT `http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetLOINCSNOMEDCT`

#### Constraints

Id | Grade | Path(s) | Details | Requirements
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

Summary

Mandatory: 2 elements
Must-Support: 2 elements

Structures

This structure refers to these other structures:

- SHINNYMeta (http://test.shinny.org/us/ny/hrsn/StructureDefinition/SHINNYMeta)

Other representations of profile: CSV, Excel, Schematron