SHINNYHRSN - Local Development build (v1.5.3) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: SHINNY SDOHCCGoal Profile

• 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).

Usage:

• Examples for this Resource Profile: Goal/GoalExample

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
Goal		0..*	SDOHCCGoal	Describes the intended SDOH-related objective(s) for a patient. dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
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 ele-1: All FHIR elements must have a @value or children
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
lifecycleStatus	?!SΣ	1..1	code	proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required) ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children
category:SDOH	SΣ	0..*	CodeableConcept	e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories. ele-1: All FHIR elements must have a @value or children
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. Additional Bindings Purpose Usage SDOHCC ValueSet LOINC SNOMEDCT Preferred Goal.category = digital-access SDOHCC ValueSet LOINC SNOMEDCT Preferred Goal.category = digital-literacy Less Than High School Education Goals Extensible Goal.category = educational-attainment Elder Abuse Goals Extensible Goal.category = elder-abuse Unemployment Goals Extensible Goal.category = employment-status Financial Insecurity Goals Extensible Goal.category = financial-insecurity Food Insecurity Goals Extensible Goal.category = food-insecurity Health Insurance Coverage Status Goals Extensible Goal.category = health-insurance-coverage-status Homelessness Goals Extensible Goal.category = homelessness Housing Instability Goals Extensible Goal.category = housing-instability Inadequate Housing Goals Extensible Goal.category = inadequate-housing Intimate Partner Violence Goals Extensible Goal.category = intimate-partner-violence Material Hardship Goals Extensible Goal.category = material-hardship Medical Cost Burden Goals Extensible Goal.category = medical-cost-burden Health Literacy Goals Extensible Goal.category = personal-health-literacy Social Connection Goals Extensible Goal.category = social-connection Stress Goals Extensible Goal.category = stress Transportation Insecurity Goals Extensible Goal.category = transportation-insecurity Utility Insecurity Goals Extensible Goal.category = utility-insecurity Veteran Status Goals Extensible Goal.category = veteran-status SDOHCC ValueSet LOINC SNOMEDCT Preferred Goal.category = sdoh-category-unspecified ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(US Core Patient Profile)	Who this goal is intended for ele-1: All FHIR elements must have a @value or children
target	SC	0..*	BackboneElement	Target outcome for the goal ele-1: All FHIR elements must have a @value or children gol-1: Goal.target.measure is required if Goal.target.detail is populated
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for due[x]	Σ	0..1	date	Reach goal on or before Slice: Unordered, Closed by type:$this ele-1: All FHIR elements must have a @value or children
due[x]:dueDate	SΣ	0..1	date	Reach goal on or before ele-1: All FHIR elements must have a @value or children
Slices for addresses		0..*	Reference(Condition | Observation | RiskAssessment)	Issues addressed by this goal Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children
addresses:SupportedAddresses	S	0..*	Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment)	Issues addressed by this goal ele-1: All FHIR elements must have a @value or children
Slices for outcomeReference		0..*	Reference(Observation)	Observation that resulted from goal Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children
outcomeReference:SupportedOutcomeReference	S	0..*	Reference(SDOHCC Observation Screening Response | SDOHCC Observation Assessment)	Observation that resulted from goal ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
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
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
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
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
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: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	External Ids for this goal
lifecycleStatus	?!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. Additional Bindings Purpose Usage SDOHCC ValueSet LOINC SNOMEDCT Preferred Goal.category = digital-access SDOHCC ValueSet LOINC SNOMEDCT Preferred Goal.category = digital-literacy Less Than High School Education Goals Extensible Goal.category = educational-attainment Elder Abuse Goals Extensible Goal.category = elder-abuse Unemployment Goals Extensible Goal.category = employment-status Financial Insecurity Goals Extensible Goal.category = financial-insecurity Food Insecurity Goals Extensible Goal.category = food-insecurity Health Insurance Coverage Status Goals Extensible Goal.category = health-insurance-coverage-status Homelessness Goals Extensible Goal.category = homelessness Housing Instability Goals Extensible Goal.category = housing-instability Inadequate Housing Goals Extensible Goal.category = inadequate-housing Intimate Partner Violence Goals Extensible Goal.category = intimate-partner-violence Material Hardship Goals Extensible Goal.category = material-hardship Medical Cost Burden Goals Extensible Goal.category = medical-cost-burden Health Literacy Goals Extensible Goal.category = personal-health-literacy Social Connection Goals Extensible Goal.category = social-connection Stress Goals Extensible Goal.category = stress Transportation Insecurity Goals Extensible Goal.category = transportation-insecurity Utility Insecurity Goals Extensible Goal.category = utility-insecurity Veteran Status Goals Extensible Goal.category = veteran-status SDOHCC ValueSet LOINC SNOMEDCT Preferred Goal.category = sdoh-category-unspecified
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 gol-1: Goal.target.measure is required if Goal.target.detail is populated
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
measure	ΣC	0..1	CodeableConcept	The parameter whose value is being tracked Binding: 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 (No ValueSet): (example): Codes to identify the target value of the focus to be achieved to signify the fulfillment of the goal.
detailQuantity			Quantity
detailRange			Range
detailCodeableConcept			CodeableConcept
detailString			string
detailBoolean			boolean
detailInteger			integer
detailRatio			Ratio
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	Conformance	ValueSet	URI
Goal.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
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://shinny.org/us/ny/hrsn/StructureDefinition/SHINNYMeta)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Goal		0..*	SDOHCCGoal	Describes the intended SDOH-related objective(s) for a patient. dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
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 ele-1: All FHIR elements must have a @value or children
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
lifecycleStatus	?!SΣ	1..1	code	proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required) ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children
category:SDOH	SΣ	0..*	CodeableConcept	e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories. ele-1: All FHIR elements must have a @value or children
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. Additional Bindings Purpose Usage SDOHCC ValueSet LOINC SNOMEDCT Preferred Goal.category = digital-access SDOHCC ValueSet LOINC SNOMEDCT Preferred Goal.category = digital-literacy Less Than High School Education Goals Extensible Goal.category = educational-attainment Elder Abuse Goals Extensible Goal.category = elder-abuse Unemployment Goals Extensible Goal.category = employment-status Financial Insecurity Goals Extensible Goal.category = financial-insecurity Food Insecurity Goals Extensible Goal.category = food-insecurity Health Insurance Coverage Status Goals Extensible Goal.category = health-insurance-coverage-status Homelessness Goals Extensible Goal.category = homelessness Housing Instability Goals Extensible Goal.category = housing-instability Inadequate Housing Goals Extensible Goal.category = inadequate-housing Intimate Partner Violence Goals Extensible Goal.category = intimate-partner-violence Material Hardship Goals Extensible Goal.category = material-hardship Medical Cost Burden Goals Extensible Goal.category = medical-cost-burden Health Literacy Goals Extensible Goal.category = personal-health-literacy Social Connection Goals Extensible Goal.category = social-connection Stress Goals Extensible Goal.category = stress Transportation Insecurity Goals Extensible Goal.category = transportation-insecurity Utility Insecurity Goals Extensible Goal.category = utility-insecurity Veteran Status Goals Extensible Goal.category = veteran-status SDOHCC ValueSet LOINC SNOMEDCT Preferred Goal.category = sdoh-category-unspecified ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(US Core Patient Profile)	Who this goal is intended for ele-1: All FHIR elements must have a @value or children
target	SC	0..*	BackboneElement	Target outcome for the goal ele-1: All FHIR elements must have a @value or children gol-1: Goal.target.measure is required if Goal.target.detail is populated
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for due[x]	Σ	0..1	date	Reach goal on or before Slice: Unordered, Closed by type:$this ele-1: All FHIR elements must have a @value or children
due[x]:dueDate	SΣ	0..1	date	Reach goal on or before ele-1: All FHIR elements must have a @value or children
Slices for addresses		0..*	Reference(Condition | Observation | RiskAssessment)	Issues addressed by this goal Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children
addresses:SupportedAddresses	S	0..*	Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment)	Issues addressed by this goal ele-1: All FHIR elements must have a @value or children
Slices for outcomeReference		0..*	Reference(Observation)	Observation that resulted from goal Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children
outcomeReference:SupportedOutcomeReference	S	0..*	Reference(SDOHCC Observation Screening Response | SDOHCC Observation Assessment)	Observation that resulted from goal ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
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
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
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
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
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: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	External Ids for this goal
lifecycleStatus	?!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. Additional Bindings Purpose Usage SDOHCC ValueSet LOINC SNOMEDCT Preferred Goal.category = digital-access SDOHCC ValueSet LOINC SNOMEDCT Preferred Goal.category = digital-literacy Less Than High School Education Goals Extensible Goal.category = educational-attainment Elder Abuse Goals Extensible Goal.category = elder-abuse Unemployment Goals Extensible Goal.category = employment-status Financial Insecurity Goals Extensible Goal.category = financial-insecurity Food Insecurity Goals Extensible Goal.category = food-insecurity Health Insurance Coverage Status Goals Extensible Goal.category = health-insurance-coverage-status Homelessness Goals Extensible Goal.category = homelessness Housing Instability Goals Extensible Goal.category = housing-instability Inadequate Housing Goals Extensible Goal.category = inadequate-housing Intimate Partner Violence Goals Extensible Goal.category = intimate-partner-violence Material Hardship Goals Extensible Goal.category = material-hardship Medical Cost Burden Goals Extensible Goal.category = medical-cost-burden Health Literacy Goals Extensible Goal.category = personal-health-literacy Social Connection Goals Extensible Goal.category = social-connection Stress Goals Extensible Goal.category = stress Transportation Insecurity Goals Extensible Goal.category = transportation-insecurity Utility Insecurity Goals Extensible Goal.category = utility-insecurity Veteran Status Goals Extensible Goal.category = veteran-status SDOHCC ValueSet LOINC SNOMEDCT Preferred Goal.category = sdoh-category-unspecified
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 gol-1: Goal.target.measure is required if Goal.target.detail is populated
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
measure	ΣC	0..1	CodeableConcept	The parameter whose value is being tracked Binding: 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 (No ValueSet): (example): Codes to identify the target value of the focus to be achieved to signify the fulfillment of the goal.
detailQuantity			Quantity
detailRange			Range
detailCodeableConcept			CodeableConcept
detailString			string
detailBoolean			boolean
detailInteger			integer
detailRatio			Ratio
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	Conformance	ValueSet	URI
Goal.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
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://shinny.org/us/ny/hrsn/StructureDefinition/SHINNYMeta)

Other representations of profile: CSV, Excel, Schematron