Implementation Guide for FFB reporting (FFB uddatasæt)
1.0.0 - release
This page is part of the KLFFBReporting (v1.0.0: Release) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions
Active as of 2023-08-27 |
Definitions for the kl-reporting-ffb-interventionGoal resource profile.
Guidance on how to interpret the contents of this table can be found here
0. Goal | |
Invariants | kl-reporting-ffb-intervention-goal-1: Intervention goal shall only address conditions under 'Aktivitet og Deltagelse' (addresses.all(reference.resolve().code.memberOf('http://fhir.kl.dk/term/ValueSet/KLConditionADCodesFFB')) )kl-reporting-ffb-intervention-goal-2: InterventionGoal shall address excactly one condition with rank 1 ( addresses.where(extension('http://fhir.kl.dk/term/StructureDefinition/ConditionRank').valuePositiveInt = '1').count() = 1 ) |
2. Goal.identifier | |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 0..0 |
4. Goal.lifecycleStatus | |
Must Support | true |
6. Goal.achievementStatus | |
Control | 0..0 |
8. Goal.category | |
Short | [DK] målkategori |
Control | 1..1 |
Binding | The codes SHALL be taken from KLMålKategoriKoder |
Must Support | true |
Pattern Value | <valueCodeableConcept xmlns="http://hl7.org/fhir"><br/> <coding><br/> <system value="http://fhir.kl.dk/term/CodeSystem/CareSocialCodes"/><br/> <code value="0bb3daef-538d-45dc-b444-abdbcb63f6bc"/><br/> </coding><br/></valueCodeableConcept><br/> |
10. Goal.priority | |
Control | 0..0 |
12. Goal.description | |
Short | [DK] målbeskrivelse |
Must Support | true |
14. Goal.description.coding | |
Control | 1..1 |
Pattern Value | <valueCoding xmlns="http://hl7.org/fhir"><br/> <system value="http://snomed.info/sct"/><br/> <code value="410518001"/><br/></valueCoding><br/> |
16. Goal.subject | |
Short | [DK] målSubjekt |
Type | Reference(Citizen) |
Must Support | true |
18. Goal.start[x] | |
Control | 0..0 |
20. Goal.target | |
Control | 2..? |
Must Support | true |
Slicing | This element introduces a set of slices on Goal.target . The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: |
22. Goal.target.measure | |
Short | [DK] målemetode |
Binding | Unless not suitable, these codes SHALL be taken from KLTypeAfObservationPåMål |
24. Goal.target:severitySlice | |
Slice Name | severitySlice |
Short | [DK] målSværhedsgrad |
Control | 1..1 |
Must Support | true |
26. Goal.target:severitySlice.measure | |
Control | 1..? |
Pattern Value | <valueCodeableConcept xmlns="http://hl7.org/fhir"><br/> <coding><br/> <system value="http://fhir.kl.dk/term/CodeSystem/CareSocialCodes"/><br/> <code value="66959f77-6e2a-4574-8423-3ff097f8b9fa"/><br/> </coding><br/></valueCodeableConcept><br/> |
28. Goal.target:severitySlice.detail[x] | |
[x] Note | See Choice of Data Types for further information about how to use [x] |
Slicing | This element introduces a set of slices on Goal.target.detail[x] . The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: |
30. Goal.target:severitySlice.detail[x]:detailCodeableConcept | |
Slice Name | detailCodeableConcept |
Control | 0..1 |
Binding | The codes SHALL be taken from KLFunktionsevneniveauFFB |
Type | CodeableConcept |
[x] Note | See Choice of Data Types for further information about how to use [x] |
Must Support | true |
32. Goal.target:changeValueSlice | |
Slice Name | changeValueSlice |
Short | [DK] måltype |
Control | 1..1 |
Must Support | true |
34. Goal.target:changeValueSlice.measure | |
Control | 1..? |
Pattern Value | <valueCodeableConcept xmlns="http://hl7.org/fhir"><br/> <coding><br/> <system value="http://fhir.kl.dk/term/CodeSystem/CareSocialCodes"/><br/> <code value="90c48f03-f194-4b2f-ad7d-6cba1069ae48"/><br/> </coding><br/></valueCodeableConcept><br/> |
36. Goal.target:changeValueSlice.detail[x] | |
[x] Note | See Choice of Data Types for further information about how to use [x] |
Slicing | This element introduces a set of slices on Goal.target.detail[x] . The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: |
38. Goal.target:changeValueSlice.detail[x]:detailCodeableConcept | |
Slice Name | detailCodeableConcept |
Control | 0..1 |
Binding | The codes SHALL be taken from KLMåltypekoderFFB |
Type | CodeableConcept |
[x] Note | See Choice of Data Types for further information about how to use [x] |
Must Support | true |
40. Goal.statusDate | |
Control | 0..0 |
42. Goal.statusReason | |
Control | 0..0 |
44. Goal.expressedBy | |
Short | [DK] målAnsvarlig |
Control | 0..0 |
46. Goal.addresses | |
Short | [DK] målrelateret |
Type | Reference(Condition) |
Must Support | true |
48. Goal.addresses.extension:conditionRank | |
Slice Name | conditionRank |
Short | [DK] målrelateretRang - 1 = primær, 2 = sekundær |
Control | 0..1 |
Type | Extension(ConditionRank) (Extension Type: positiveInt) |
Must Support | true |
50. Goal.addresses.extension:conditionRank.value[x] | |
[x] Note | See Choice of Data Types for further information about how to use [x] |
Max Value | 2 |
52. Goal.note | |
Control | 0..0 |
55. Goal.outcomeCode | |
Control | 0..0 |
58. Goal.outcomeReference | |
Control | 0..0 |
Guidance on how to interpret the contents of this table can be found here
0. Goal | |
Definition | Describes the intended objective(s) for a patient, group or organization care, for example, weight loss, restoring an activity of daily living, obtaining herd immunity via immunization, meeting a process improvement objective, etc. |
Short | Describes the intended objective(s) for a patient, group or organization |
Comments | Goal can be achieving a particular change or merely maintaining a current state or even slowing a decline. |
Control | 0..* |
Is Modifier | false |
Summary | false |
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) 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 (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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists()) kl-reporting-ffb-intervention-goal-1: Intervention goal shall only address conditions under 'Aktivitet og Deltagelse' ( addresses.all(reference.resolve().code.memberOf('http://fhir.kl.dk/term/ValueSet/KLConditionADCodesFFB')) )kl-reporting-ffb-intervention-goal-2: InterventionGoal shall address excactly one condition with rank 1 ( addresses.where(extension('http://fhir.kl.dk/term/StructureDefinition/ConditionRank').valuePositiveInt = '1').count() = 1 ) |
2. Goal.implicitRules | |
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. |
Short | A set of rules under which this content was created |
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. |
Control | 0..1 |
Type | uri |
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
4. Goal.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them |
Summary | false |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
6. Goal.identifier | |
Definition | Business identifiers assigned to this goal by the performer or other systems which remain constant as the resource is updated and propagates from server to server. |
Short | External Ids for this goal |
Comments | This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number. |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 0..0* |
Type | Identifier |
Is Modifier | false |
Summary | false |
Requirements | Allows identification of the goal as it is known by various participating systems and in a way that remains consistent across servers. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
8. Goal.lifecycleStatus | |
Definition | The state of the goal throughout its lifecycle. |
Short | proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected |
Comments | This element is labeled as a modifier because the lifecycleStatus contains codes that mark the resource as not currently valid. |
Control | 1..1 |
Binding | The codes SHALL be taken from GoalLifecycleStatushttp://hl7.org/fhir/ValueSet/goal-status|4.0.1 Codes that reflect the current state of a goal and whether the goal is still being targeted. |
Type | code |
Is Modifier | true because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | true |
Summary | true |
Requirements | Allows knowing whether goal needs to be further tracked. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
10. Goal.achievementStatus | |
Definition | Describes the progression, or lack thereof, towards the goal against the target. |
Short | in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable |
Control | 0..01 |
Binding | The codes SHOULD be taken from GoalAchievementStatushttp://hl7.org/fhir/ValueSet/goal-achievement Indicates the progression, or lack thereof, towards the goal against the target. |
Type | CodeableConcept |
Is Modifier | false |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
12. Goal.category | |
Definition | Indicates a category the goal falls within. |
Short | [DK] målkategoriE.g. Treatment, dietary, behavioral, etc. |
Control | 10..1* |
Binding | The codes SHALL be taken from For example codes, see KLMålKategoriKoderhttp://hl7.org/fhir/ValueSet/goal-category |
Type | CodeableConcept |
Is Modifier | false |
Must Support | true |
Summary | true |
Requirements | Allows goals to be filtered and sorted. |
Pattern Value | <valueCodeableConcept xmlns="http://hl7.org/fhir"><br/> <coding><br/> <system value="http://fhir.kl.dk/term/CodeSystem/CareSocialCodes"/><br/> <code value="0bb3daef-538d-45dc-b444-abdbcb63f6bc"/><br/> </coding><br/></valueCodeableConcept><br/> |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
14. Goal.priority | |
Definition | Identifies the mutually agreed level of importance associated with reaching/sustaining the goal. |
Short | high-priority | medium-priority | low-priority |
Comments | Extensions are available to track priorities as established by each participant (i.e. Priority from the patient's perspective, different practitioners' perspectives, family member's perspectives) The ordinal extension on Coding can be used to convey a numerically comparable ranking to priority. (Keep in mind that different coding systems may use a "low value=important". |
Control | 0..01 |
Binding | The codes SHOULD be taken from GoalPriorityhttp://hl7.org/fhir/ValueSet/goal-priority The level of importance associated with a goal. |
Type | CodeableConcept |
Is Modifier | false |
Summary | true |
Requirements | Used for sorting and presenting goals. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
16. Goal.description | |
Definition | Human-readable and/or coded description of a specific desired objective of care, such as "control blood pressure" or "negotiate an obstacle course" or "dance with child at wedding". |
Short | [DK] målbeskrivelseCode or text describing goal |
Comments | If no code is available, use CodeableConcept.text. |
Control | 1..1 |
Binding | For example codes, see SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findings Codes providing the details of a particular goal. This will generally be system or implementation guide-specific. In many systems, only the text element will be used. |
Type | CodeableConcept |
Is Modifier | false |
Must Support | true |
Summary | true |
Requirements | Without a description of what's trying to be achieved, element has no purpose. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
18. Goal.description.coding | |
Definition | A reference to a code defined by a terminology system. |
Short | Code defined by a terminology system |
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. |
Control | 10..1* |
Type | Coding |
Is Modifier | false |
Summary | true |
Requirements | Allows for alternative encodings within a code system, and translations to other code systems. |
Pattern Value | <valueCoding xmlns="http://hl7.org/fhir"><br/> <system value="http://snomed.info/sct"/><br/> <code value="410518001"/><br/></valueCoding><br/> |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
20. Goal.subject | |
Definition | Identifies the patient, group or organization for whom the goal is being established. |
Short | [DK] målSubjektWho this goal is intended for |
Control | 1..1 |
Type | Reference(Citizen, Patient, Group, Organization) |
Is Modifier | false |
Must Support | true |
Summary | true |
Requirements | Subject is optional to support annonymized reporting. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
22. Goal.start[x] | |
Definition | The date or event after which the goal should begin being pursued. |
Short | When goal pursuit begins |
Control | 0..01 |
Binding | For example codes, see GoalStartEventhttp://hl7.org/fhir/ValueSet/goal-start-event Codes describing events that can trigger the initiation of a goal. |
Type | Choice of: date, CodeableConcept |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Requirements | Goals can be established prior to there being an intention to start pursuing them; e.g. Goals for post-surgical recovery established prior to surgery. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
24. Goal.target | |
Definition | Indicates what should be done by when. |
Short | Target outcome for the goal |
Comments | When multiple targets are present for a single goal instance, all targets must be met for the overall goal to be met. |
Control | 20..* This element is affected by the following invariants: gol-1 |
Type | BackboneElement |
Is Modifier | false |
Must Support | true |
Summary | false |
Requirements | Allows the progress of the goal to be monitored against an observation or due date. Target is 0..* to support Observations with multiple components, such as blood pressure goals with both a systolic and diastolic target. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) gol-1: Goal.target.measure is required if Goal.target.detail is populated ( (detail.exists() and measure.exists()) or detail.exists().not() )gol-1: Goal.target.measure is required if Goal.target.detail is populated ((detail.exists() and measure.exists()) or detail.exists().not()) |
Slicing | This element introduces a set of slices on Goal.target . The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: |
26. Goal.target.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
28. Goal.target.measure | |
Definition | The parameter whose value is being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level. |
Short | [DK] målemetodeThe parameter whose value is being tracked |
Control | 0..1 This element is affected by the following invariants: gol-1 |
Binding | Unless not suitable, these codes SHALL be taken from For example codes, see KLTypeAfObservationPåMålhttp://hl7.org/fhir/ValueSet/observation-codes |
Type | CodeableConcept |
Is Modifier | false |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
30. Goal.target:severitySlice | |
Slice Name | severitySlice |
Definition | Indicates what should be done by when. |
Short | [DK] målSværhedsgradTarget outcome for the goal |
Comments | When multiple targets are present for a single goal instance, all targets must be met for the overall goal to be met. |
Control | 10..1* This element is affected by the following invariants: gol-1 |
Type | BackboneElement |
Is Modifier | false |
Must Support | true |
Summary | false |
Requirements | Allows the progress of the goal to be monitored against an observation or due date. Target is 0..* to support Observations with multiple components, such as blood pressure goals with both a systolic and diastolic target. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) gol-1: Goal.target.measure is required if Goal.target.detail is populated ( (detail.exists() and measure.exists()) or detail.exists().not() )gol-1: Goal.target.measure is required if Goal.target.detail is populated ((detail.exists() and measure.exists()) or detail.exists().not()) |
32. Goal.target:severitySlice.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
34. Goal.target:severitySlice.measure | |
Definition | The parameter whose value is being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level. |
Short | The parameter whose value is being tracked |
Control | 10..1 This element is affected by the following invariants: gol-1 |
Binding | For example codes, see LOINCCodeshttp://hl7.org/fhir/ValueSet/observation-codes Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level. |
Type | CodeableConcept |
Is Modifier | false |
Summary | true |
Pattern Value | <valueCodeableConcept xmlns="http://hl7.org/fhir"><br/> <coding><br/> <system value="http://fhir.kl.dk/term/CodeSystem/CareSocialCodes"/><br/> <code value="66959f77-6e2a-4574-8423-3ff097f8b9fa"/><br/> </coding><br/></valueCodeableConcept><br/> |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
36. Goal.target:severitySlice.detail[x] | |
Definition | The target value of the focus to be achieved to signify the fulfillment of the goal, e.g. 150 pounds, 7.0%. Either the high or low or both values of the range can be specified. When a low value is missing, it indicates that the goal is achieved at any focus value at or below the high value. Similarly, if the high value is missing, it indicates that the goal is achieved at any focus value at or above the low value. |
Short | The target value to be achieved |
Comments | A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Goal.target.measure defines a coded value. |
Control | 0..1 This element is affected by the following invariants: gol-1 |
Binding | Codes to identify the target value of the focus to be achieved to signify the fulfillment of the goal. |
Type | Choice of: Quantity, Range, CodeableConcept, string, boolean, integer, Ratio |
[x] Note | See Choice of Data Types for further information about how to use [x] |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
Slicing | This element introduces a set of slices on Goal.target.detail[x] . The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: |
38. Goal.target:severitySlice.detail[x]:detailCodeableConcept | |
Slice Name | detailCodeableConcept |
Definition | The target value of the focus to be achieved to signify the fulfillment of the goal, e.g. 150 pounds, 7.0%. Either the high or low or both values of the range can be specified. When a low value is missing, it indicates that the goal is achieved at any focus value at or below the high value. Similarly, if the high value is missing, it indicates that the goal is achieved at any focus value at or above the low value. |
Short | The target value to be achieved |
Comments | A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Goal.target.measure defines a coded value. |
Control | 0..1 This element is affected by the following invariants: gol-1 |
Binding | The codes SHALL be taken from For example codes, see KLFunktionsevneniveauFFB |
Type | CodeableConcept, boolean, string, Quantity, Ratio, integer, Range |
[x] Note | See Choice of Data Types for further information about how to use [x] |
Is Modifier | false |
Must Support | true |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
40. Goal.target:changeValueSlice | |
Slice Name | changeValueSlice |
Definition | Indicates what should be done by when. |
Short | [DK] måltypeTarget outcome for the goal |
Comments | When multiple targets are present for a single goal instance, all targets must be met for the overall goal to be met. |
Control | 10..1* This element is affected by the following invariants: gol-1 |
Type | BackboneElement |
Is Modifier | false |
Must Support | true |
Summary | false |
Requirements | Allows the progress of the goal to be monitored against an observation or due date. Target is 0..* to support Observations with multiple components, such as blood pressure goals with both a systolic and diastolic target. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) gol-1: Goal.target.measure is required if Goal.target.detail is populated ( (detail.exists() and measure.exists()) or detail.exists().not() )gol-1: Goal.target.measure is required if Goal.target.detail is populated ((detail.exists() and measure.exists()) or detail.exists().not()) |
42. Goal.target:changeValueSlice.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | Extensions that cannot be ignored even if unrecognized |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
44. Goal.target:changeValueSlice.measure | |
Definition | The parameter whose value is being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level. |
Short | The parameter whose value is being tracked |
Control | 10..1 This element is affected by the following invariants: gol-1 |
Binding | For example codes, see LOINCCodeshttp://hl7.org/fhir/ValueSet/observation-codes Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level. |
Type | CodeableConcept |
Is Modifier | false |
Summary | true |
Pattern Value | <valueCodeableConcept xmlns="http://hl7.org/fhir"><br/> <coding><br/> <system value="http://fhir.kl.dk/term/CodeSystem/CareSocialCodes"/><br/> <code value="90c48f03-f194-4b2f-ad7d-6cba1069ae48"/><br/> </coding><br/></valueCodeableConcept><br/> |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
46. Goal.target:changeValueSlice.detail[x] | |
Definition | The target value of the focus to be achieved to signify the fulfillment of the goal, e.g. 150 pounds, 7.0%. Either the high or low or both values of the range can be specified. When a low value is missing, it indicates that the goal is achieved at any focus value at or below the high value. Similarly, if the high value is missing, it indicates that the goal is achieved at any focus value at or above the low value. |
Short | The target value to be achieved |
Comments | A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Goal.target.measure defines a coded value. |
Control | 0..1 This element is affected by the following invariants: gol-1 |
Binding | Codes to identify the target value of the focus to be achieved to signify the fulfillment of the goal. |
Type | Choice of: Quantity, Range, CodeableConcept, string, boolean, integer, Ratio |
[x] Note | See Choice of Data Types for further information about how to use [x] |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
Slicing | This element introduces a set of slices on Goal.target.detail[x] . The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: |
48. Goal.target:changeValueSlice.detail[x]:detailCodeableConcept | |
Slice Name | detailCodeableConcept |
Definition | The target value of the focus to be achieved to signify the fulfillment of the goal, e.g. 150 pounds, 7.0%. Either the high or low or both values of the range can be specified. When a low value is missing, it indicates that the goal is achieved at any focus value at or below the high value. Similarly, if the high value is missing, it indicates that the goal is achieved at any focus value at or above the low value. |
Short | The target value to be achieved |
Comments | A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Goal.target.measure defines a coded value. |
Control | 0..1 This element is affected by the following invariants: gol-1 |
Binding | The codes SHALL be taken from For example codes, see KLMåltypekoderFFB |
Type | CodeableConcept, boolean, string, Quantity, Ratio, integer, Range |
[x] Note | See Choice of Data Types for further information about how to use [x] |
Is Modifier | false |
Must Support | true |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
50. Goal.statusDate | |
Definition | Identifies when the current status. I.e. When initially created, when achieved, when cancelled, etc. |
Short | When goal status took effect |
Comments | To see the date for past statuses, query history. |
Control | 0..01 |
Type | date |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
52. Goal.statusReason | |
Definition | Captures the reason for the current status. |
Short | Reason for current status |
Comments | This will typically be captured for statuses such as rejected, on-hold or cancelled, but could be present for others. |
Control | 0..01 |
Type | string |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
54. Goal.expressedBy | |
Definition | Indicates whose goal this is - patient goal, practitioner goal, etc. |
Short | [DK] målAnsvarligWho's responsible for creating Goal? |
Comments | This is the individual responsible for establishing the goal, not necessarily who recorded it. (For that, use the Provenance resource.). |
Control | 0..01 |
Type | Reference(Patient, Practitioner, PractitionerRole, RelatedPerson) |
Is Modifier | false |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
56. Goal.addresses | |
Definition | The identified conditions and other health record elements that are intended to be addressed by the goal. |
Short | [DK] målrelateretIssues addressed by this goal |
Control | 0..* |
Type | Reference(Condition, Condition, Observation, MedicationStatement, NutritionOrder, ServiceRequest, RiskAssessment) |
Is Modifier | false |
Must Support | true |
Summary | false |
Requirements | Allows specific goals to explicitly linked to the concerns they're dealing with - makes the goal more understandable. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
58. Goal.addresses.extension:conditionRank | |
Slice Name | conditionRank |
Definition | The rank of a condition. Used for event-resources that refer to conditions that are ranked. |
Short | [DK] målrelateretRang - 1 = primær, 2 = sekundær |
Control | 0..1 |
Type | Extension(ConditionRank) (Extension Type: positiveInt) |
Is Modifier | false |
Must Support | true |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
60. Goal.addresses.extension:conditionRank.extension | |
Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Short | ExtensionAdditional content defined by implementations |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..0* |
Type | Extension |
Is Modifier | false |
Summary | false |
Alternate Names | extensions, user content |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
Slicing | This element introduces a set of slices on Goal.addresses.extension.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: |
62. Goal.addresses.extension:conditionRank.url | |
Definition | Source of the definition for the extension code - a logical name or a URL. |
Short | identifies the meaning of the extension |
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
Control | 1..1 |
Type | uri |
Is Modifier | false |
XML Format | In the XML format, this property is represented as an attribute. |
Summary | false |
Fixed Value | http://fhir.kl.dk/core/StructureDefinition/ConditionRank |
64. Goal.addresses.extension:conditionRank.value[x] | |
Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
Short | Value of extension |
Control | 10..1 |
Type | positiveInt, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time |
[x] Note | See Choice of Data Types for further information about how to use [x] |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | false |
Max Value | 2 |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
66. Goal.note | |
Definition | Any comments related to the goal. |
Short | Comments about the goal |
Comments | May be used for progress notes, concerns or other related information that doesn't actually describe the goal itself. |
Control | 0..0* |
Type | Annotation |
Is Modifier | false |
Summary | false |
Requirements | There's a need to capture information about the goal that doesn't actually describe the goal. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
69. Goal.outcomeCode | |
Definition | Identifies the change (or lack of change) at the point when the status of the goal is assessed. |
Short | What result was achieved regarding the goal? |
Comments | Note that this should not duplicate the goal status. |
Control | 0..0* |
Binding | For example codes, see SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findings The result of the goal; e.g. "25% increase in shoulder mobility", "Anxiety reduced to moderate levels". "15 kg weight loss sustained over 6 months". |
Type | CodeableConcept |
Is Modifier | false |
Summary | false |
Requirements | Outcome tracking is a key aspect of care planning. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
72. Goal.outcomeReference | |
Definition | Details of what's changed (or not changed). |
Short | Observation that resulted from goal |
Comments | The goal outcome is independent of the outcome of the related activities. For example, if the Goal is to achieve a target body weight of 150 lb and a care plan activity is defined to diet, then the care plan’s activity outcome could be calories consumed whereas goal outcome is an observation for the actual body weight measured. |
Control | 0..0* |
Type | Reference(Observation) |
Is Modifier | false |
Summary | false |
Requirements | Outcome tracking is a key aspect of care planning. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
Guidance on how to interpret the contents of this table can be found here
0. Goal | |||||
Definition | Describes the intended objective(s) for a patient, group or organization care, for example, weight loss, restoring an activity of daily living, obtaining herd immunity via immunization, meeting a process improvement objective, etc. | ||||
Short | Describes the intended objective(s) for a patient, group or organization | ||||
Comments | Goal can be achieving a particular change or merely maintaining a current state or even slowing a decline. | ||||
Control | 0..* | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty() )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 ( 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label ( contained.meta.security.empty() )dom-6: A resource should have narrative for robust management ( text.`div`.exists() )kl-reporting-ffb-intervention-goal-1: Intervention goal shall only address conditions under 'Aktivitet og Deltagelse' ( addresses.all(reference.resolve().code.memberOf('http://fhir.kl.dk/term/ValueSet/KLConditionADCodesFFB')) )kl-reporting-ffb-intervention-goal-2: InterventionGoal shall address excactly one condition with rank 1 ( addresses.where(extension('http://fhir.kl.dk/term/StructureDefinition/ConditionRank').valuePositiveInt = '1').count() = 1 ) | ||||
2. Goal.id | |||||
Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. | ||||
Short | Logical id of this artifact | ||||
Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation. | ||||
Control | 0..1 | ||||
Type | id | ||||
Is Modifier | false | ||||
Summary | true | ||||
4. Goal.meta | |||||
Definition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. | ||||
Short | Metadata about the resource | ||||
Control | 0..1 | ||||
Type | Meta | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
6. Goal.implicitRules | |||||
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. | ||||
Short | A set of rules under which this content was created | ||||
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. | ||||
Control | 0..1 | ||||
Type | uri | ||||
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
8. Goal.language | |||||
Definition | The base language in which the resource is written. | ||||
Short | Language of the resource content | ||||
Comments | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). | ||||
Control | 0..1 | ||||
Binding | The codes SHOULD be taken from CommonLanguages: A human language.
| ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
10. Goal.text | |||||
Definition | A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. | ||||
Short | Text summary of the resource, for human interpretation | ||||
Comments | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. | ||||
Control | 0..1 | ||||
Type | Narrative | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | narrative, html, xhtml, display | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
12. Goal.contained | |||||
Definition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. | ||||
Short | Contained, inline Resources | ||||
Comments | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels. | ||||
Control | 0..* | ||||
Type | Resource | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | inline resources, anonymous resources, contained resources | ||||
14. Goal.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
16. Goal.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. | ||||
Short | Extensions that cannot be ignored | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them | ||||
Summary | false | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
18. Goal.identifier | |||||
Definition | Business identifiers assigned to this goal by the performer or other systems which remain constant as the resource is updated and propagates from server to server. | ||||
Short | External Ids for this goal | ||||
Comments | This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number. | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..0 | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Allows identification of the goal as it is known by various participating systems and in a way that remains consistent across servers. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
20. Goal.lifecycleStatus | |||||
Definition | The state of the goal throughout its lifecycle. | ||||
Short | proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected | ||||
Comments | This element is labeled as a modifier because the lifecycleStatus contains codes that mark the resource as not currently valid. | ||||
Control | 1..1 | ||||
Binding | The codes SHALL be taken from GoalLifecycleStatus: Codes that reflect the current state of a goal and whether the goal is still being targeted. | ||||
Type | code | ||||
Is Modifier | true because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | Allows knowing whether goal needs to be further tracked. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
22. Goal.achievementStatus | |||||
Definition | Describes the progression, or lack thereof, towards the goal against the target. | ||||
Short | in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable | ||||
Control | 0..0 | ||||
Binding | The codes SHOULD be taken from GoalAchievementStatus: Indicates the progression, or lack thereof, towards the goal against the target. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
24. Goal.category | |||||
Definition | Indicates a category the goal falls within. | ||||
Short | [DK] målkategori | ||||
Control | 1..1 | ||||
Binding | The codes SHALL be taken from KLMålKategoriKoder | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | Allows goals to be filtered and sorted. | ||||
Pattern Value | <valueCodeableConcept xmlns="http://hl7.org/fhir"><br/> <coding><br/> <system value="http://fhir.kl.dk/term/CodeSystem/CareSocialCodes"/><br/> <code value="0bb3daef-538d-45dc-b444-abdbcb63f6bc"/><br/> </coding><br/></valueCodeableConcept><br/> | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
26. Goal.priority | |||||
Definition | Identifies the mutually agreed level of importance associated with reaching/sustaining the goal. | ||||
Short | high-priority | medium-priority | low-priority | ||||
Comments | Extensions are available to track priorities as established by each participant (i.e. Priority from the patient's perspective, different practitioners' perspectives, family member's perspectives) | ||||
Control | 0..0 | ||||
Binding | The codes SHOULD be taken from GoalPriority: The level of importance associated with a goal. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Used for sorting and presenting goals. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
28. Goal.description | |||||
Definition | Human-readable and/or coded description of a specific desired objective of care, such as "control blood pressure" or "negotiate an obstacle course" or "dance with child at wedding". | ||||
Short | [DK] målbeskrivelse | ||||
Comments | If no code is available, use CodeableConcept.text. | ||||
Control | 1..1 | ||||
Binding | For example codes, see SNOMEDCTClinicalFindings: Codes providing the details of a particular goal. This will generally be system or implementation guide-specific. In many systems, only the text element will be used. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | Without a description of what's trying to be achieved, element has no purpose. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
30. Goal.description.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
32. Goal.description.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on Goal.description.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: | ||||
34. Goal.description.coding | |||||
Definition | A reference to a code defined by a terminology system. | ||||
Short | Code defined by a terminology system | ||||
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
Control | 1..1 | ||||
Type | Coding | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
Pattern Value | <valueCoding xmlns="http://hl7.org/fhir"><br/> <system value="http://snomed.info/sct"/><br/> <code value="410518001"/><br/></valueCoding><br/> | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
36. Goal.description.text | |||||
Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. | ||||
Short | Plain text representation of the concept | ||||
Comments | Very often the text is the same as a displayName of one of the codings. | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
38. Goal.subject | |||||
Definition | Identifies the patient, group or organization for whom the goal is being established. | ||||
Short | [DK] målSubjekt | ||||
Control | 1..1 | ||||
Type | Reference(Citizen) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Requirements | Subject is optional to support annonymized reporting. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
40. Goal.start[x] | |||||
Definition | The date or event after which the goal should begin being pursued. | ||||
Short | When goal pursuit begins | ||||
Control | 0..0 | ||||
Binding | For example codes, see GoalStartEvent: Codes describing events that can trigger the initiation of a goal. | ||||
Type | Choice of: date, CodeableConcept | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Goals can be established prior to there being an intention to start pursuing them; e.g. Goals for post-surgical recovery established prior to surgery. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
42. Goal.target | |||||
Definition | Indicates what should be done by when. | ||||
Short | Target outcome for the goal | ||||
Comments | When multiple targets are present for a single goal instance, all targets must be met for the overall goal to be met. | ||||
Control | 2..* This element is affected by the following invariants: gol-1 | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Requirements | Allows the progress of the goal to be monitored against an observation or due date. Target is 0..* to support Observations with multiple components, such as blood pressure goals with both a systolic and diastolic target. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )gol-1: Goal.target.measure is required if Goal.target.detail is populated ( (detail.exists() and measure.exists()) or detail.exists().not() ) | ||||
Slicing | This element introduces a set of slices on Goal.target . The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: | ||||
44. Goal.target.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
46. Goal.target.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
48. Goal.target.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
50. Goal.target.measure | |||||
Definition | The parameter whose value is being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level. | ||||
Short | [DK] målemetode | ||||
Control | 0..1 This element is affected by the following invariants: gol-1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from KLTypeAfObservationPåMål | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
52. Goal.target.detail[x] | |||||
Definition | The target value of the focus to be achieved to signify the fulfillment of the goal, e.g. 150 pounds, 7.0%. Either the high or low or both values of the range can be specified. When a low value is missing, it indicates that the goal is achieved at any focus value at or below the high value. Similarly, if the high value is missing, it indicates that the goal is achieved at any focus value at or above the low value. | ||||
Short | The target value to be achieved | ||||
Comments | A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Goal.target.measure defines a coded value. | ||||
Control | 0..1 This element is affected by the following invariants: gol-1 | ||||
Binding | Codes to identify the target value of the focus to be achieved to signify the fulfillment of the goal. | ||||
Type | Choice of: Quantity, Range, CodeableConcept, string, boolean, integer, Ratio | ||||
[x] Note | See Choice of Data Types for further information about how to use [x] | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
54. Goal.target.due[x] | |||||
Definition | Indicates either the date or the duration after start by which the goal should be met. | ||||
Short | Reach goal on or before | ||||
Control | 0..1 | ||||
Type | Choice of: date, Duration | ||||
[x] Note | See Choice of Data Types for further information about how to use [x] | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Identifies when the goal should be evaluated. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
56. Goal.target:severitySlice | |||||
Slice Name | severitySlice | ||||
Definition | Indicates what should be done by when. | ||||
Short | [DK] målSværhedsgrad | ||||
Comments | When multiple targets are present for a single goal instance, all targets must be met for the overall goal to be met. | ||||
Control | 1..1 This element is affected by the following invariants: gol-1 | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Requirements | Allows the progress of the goal to be monitored against an observation or due date. Target is 0..* to support Observations with multiple components, such as blood pressure goals with both a systolic and diastolic target. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )gol-1: Goal.target.measure is required if Goal.target.detail is populated ( (detail.exists() and measure.exists()) or detail.exists().not() ) | ||||
58. Goal.target:severitySlice.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
60. Goal.target:severitySlice.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
62. Goal.target:severitySlice.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
64. Goal.target:severitySlice.measure | |||||
Definition | The parameter whose value is being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level. | ||||
Short | The parameter whose value is being tracked | ||||
Control | 1..1 This element is affected by the following invariants: gol-1 | ||||
Binding | For example codes, see LOINCCodes: Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | true | ||||
Pattern Value | <valueCodeableConcept xmlns="http://hl7.org/fhir"><br/> <coding><br/> <system value="http://fhir.kl.dk/term/CodeSystem/CareSocialCodes"/><br/> <code value="66959f77-6e2a-4574-8423-3ff097f8b9fa"/><br/> </coding><br/></valueCodeableConcept><br/> | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
66. Goal.target:severitySlice.detail[x] | |||||
Definition | The target value of the focus to be achieved to signify the fulfillment of the goal, e.g. 150 pounds, 7.0%. Either the high or low or both values of the range can be specified. When a low value is missing, it indicates that the goal is achieved at any focus value at or below the high value. Similarly, if the high value is missing, it indicates that the goal is achieved at any focus value at or above the low value. | ||||
Short | The target value to be achieved | ||||
Comments | A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Goal.target.measure defines a coded value. | ||||
Control | 0..1 This element is affected by the following invariants: gol-1 | ||||
Binding | Codes to identify the target value of the focus to be achieved to signify the fulfillment of the goal. | ||||
Type | Choice of: Quantity, Range, CodeableConcept, string, boolean, integer, Ratio | ||||
[x] Note | See Choice of Data Types for further information about how to use [x] | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
Slicing | This element introduces a set of slices on Goal.target.detail[x] . The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: | ||||
68. Goal.target:severitySlice.detail[x]:detailCodeableConcept | |||||
Slice Name | detailCodeableConcept | ||||
Definition | The target value of the focus to be achieved to signify the fulfillment of the goal, e.g. 150 pounds, 7.0%. Either the high or low or both values of the range can be specified. When a low value is missing, it indicates that the goal is achieved at any focus value at or below the high value. Similarly, if the high value is missing, it indicates that the goal is achieved at any focus value at or above the low value. | ||||
Short | The target value to be achieved | ||||
Comments | A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Goal.target.measure defines a coded value. | ||||
Control | 0..1 This element is affected by the following invariants: gol-1 | ||||
Binding | The codes SHALL be taken from KLFunktionsevneniveauFFB | ||||
Type | CodeableConcept | ||||
[x] Note | See Choice of Data Types for further information about how to use [x] | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
70. Goal.target:severitySlice.due[x] | |||||
Definition | Indicates either the date or the duration after start by which the goal should be met. | ||||
Short | Reach goal on or before | ||||
Control | 0..1 | ||||
Type | Choice of: date, Duration | ||||
[x] Note | See Choice of Data Types for further information about how to use [x] | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Identifies when the goal should be evaluated. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
72. Goal.target:changeValueSlice | |||||
Slice Name | changeValueSlice | ||||
Definition | Indicates what should be done by when. | ||||
Short | [DK] måltype | ||||
Comments | When multiple targets are present for a single goal instance, all targets must be met for the overall goal to be met. | ||||
Control | 1..1 This element is affected by the following invariants: gol-1 | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Requirements | Allows the progress of the goal to be monitored against an observation or due date. Target is 0..* to support Observations with multiple components, such as blood pressure goals with both a systolic and diastolic target. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )gol-1: Goal.target.measure is required if Goal.target.detail is populated ( (detail.exists() and measure.exists()) or detail.exists().not() ) | ||||
74. Goal.target:changeValueSlice.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
76. Goal.target:changeValueSlice.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
78. Goal.target:changeValueSlice.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. | ||||
Short | Extensions that cannot be ignored even if unrecognized | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
Alternate Names | extensions, user content, modifiers | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
80. Goal.target:changeValueSlice.measure | |||||
Definition | The parameter whose value is being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level. | ||||
Short | The parameter whose value is being tracked | ||||
Control | 1..1 This element is affected by the following invariants: gol-1 | ||||
Binding | For example codes, see LOINCCodes: Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | true | ||||
Pattern Value | <valueCodeableConcept xmlns="http://hl7.org/fhir"><br/> <coding><br/> <system value="http://fhir.kl.dk/term/CodeSystem/CareSocialCodes"/><br/> <code value="90c48f03-f194-4b2f-ad7d-6cba1069ae48"/><br/> </coding><br/></valueCodeableConcept><br/> | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
82. Goal.target:changeValueSlice.detail[x] | |||||
Definition | The target value of the focus to be achieved to signify the fulfillment of the goal, e.g. 150 pounds, 7.0%. Either the high or low or both values of the range can be specified. When a low value is missing, it indicates that the goal is achieved at any focus value at or below the high value. Similarly, if the high value is missing, it indicates that the goal is achieved at any focus value at or above the low value. | ||||
Short | The target value to be achieved | ||||
Comments | A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Goal.target.measure defines a coded value. | ||||
Control | 0..1 This element is affected by the following invariants: gol-1 | ||||
Binding | Codes to identify the target value of the focus to be achieved to signify the fulfillment of the goal. | ||||
Type | Choice of: Quantity, Range, CodeableConcept, string, boolean, integer, Ratio | ||||
[x] Note | See Choice of Data Types for further information about how to use [x] | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
Slicing | This element introduces a set of slices on Goal.target.detail[x] . The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: | ||||
84. Goal.target:changeValueSlice.detail[x]:detailCodeableConcept | |||||
Slice Name | detailCodeableConcept | ||||
Definition | The target value of the focus to be achieved to signify the fulfillment of the goal, e.g. 150 pounds, 7.0%. Either the high or low or both values of the range can be specified. When a low value is missing, it indicates that the goal is achieved at any focus value at or below the high value. Similarly, if the high value is missing, it indicates that the goal is achieved at any focus value at or above the low value. | ||||
Short | The target value to be achieved | ||||
Comments | A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Goal.target.measure defines a coded value. | ||||
Control | 0..1 This element is affected by the following invariants: gol-1 | ||||
Binding | The codes SHALL be taken from KLMåltypekoderFFB | ||||
Type | CodeableConcept | ||||
[x] Note | See Choice of Data Types for further information about how to use [x] | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
86. Goal.target:changeValueSlice.due[x] | |||||
Definition | Indicates either the date or the duration after start by which the goal should be met. | ||||
Short | Reach goal on or before | ||||
Control | 0..1 | ||||
Type | Choice of: date, Duration | ||||
[x] Note | See Choice of Data Types for further information about how to use [x] | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Identifies when the goal should be evaluated. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
88. Goal.statusDate | |||||
Definition | Identifies when the current status. I.e. When initially created, when achieved, when cancelled, etc. | ||||
Short | When goal status took effect | ||||
Comments | To see the date for past statuses, query history. | ||||
Control | 0..0 | ||||
Type | date | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
90. Goal.statusReason | |||||
Definition | Captures the reason for the current status. | ||||
Short | Reason for current status | ||||
Comments | This will typically be captured for statuses such as rejected, on-hold or cancelled, but could be present for others. | ||||
Control | 0..0 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
92. Goal.expressedBy | |||||
Definition | Indicates whose goal this is - patient goal, practitioner goal, etc. | ||||
Short | [DK] målAnsvarlig | ||||
Comments | This is the individual responsible for establishing the goal, not necessarily who recorded it. (For that, use the Provenance resource.). | ||||
Control | 0..0 | ||||
Type | Reference(Patient, Practitioner, PractitionerRole, RelatedPerson) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
94. Goal.addresses | |||||
Definition | The identified conditions and other health record elements that are intended to be addressed by the goal. | ||||
Short | [DK] målrelateret | ||||
Control | 0..* | ||||
Type | Reference(Condition) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Requirements | Allows specific goals to explicitly linked to the concerns they're dealing with - makes the goal more understandable. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
96. Goal.addresses.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
98. Goal.addresses.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on Goal.addresses.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: | ||||
100. Goal.addresses.extension:conditionRank | |||||
Slice Name | conditionRank | ||||
Definition | The rank of a condition. Used for event-resources that refer to conditions that are ranked. | ||||
Short | [DK] målrelateretRang - 1 = primær, 2 = sekundær | ||||
Control | 0..1 | ||||
Type | Extension(ConditionRank) (Extension Type: positiveInt) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
102. Goal.addresses.extension:conditionRank.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
104. Goal.addresses.extension:conditionRank.extension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 0..0 | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on Goal.addresses.extension.extension . The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: | ||||
106. Goal.addresses.extension:conditionRank.url | |||||
Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
Short | identifies the meaning of the extension | ||||
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
Fixed Value | http://fhir.kl.dk/core/StructureDefinition/ConditionRank | ||||
108. Goal.addresses.extension:conditionRank.value[x] | |||||
Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
Short | Value of extension | ||||
Control | 1..1 | ||||
Type | positiveInt | ||||
[x] Note | See Choice of Data Types for further information about how to use [x] | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Max Value | 2 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
110. Goal.addresses.reference | |||||
Definition | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. | ||||
Short | Literal reference, Relative, internal or absolute URL | ||||
Comments | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. | ||||
Control | 0..1 This element is affected by the following invariants: ref-1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
112. Goal.addresses.type | |||||
Definition | The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. | ||||
Short | Type the reference refers to (e.g. "Patient") | ||||
Comments | This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified. | ||||
Control | 0..1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from ResourceType: Aa resource (or, for logical models, the URI of the logical model). | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
114. Goal.addresses.identifier | |||||
Definition | An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference. | ||||
Short | Logical reference, when literal reference is not known | ||||
Comments | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..1 | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
116. Goal.addresses.display | |||||
Definition | Plain text narrative that identifies the resource in addition to the resource reference. | ||||
Short | Text alternative for the resource | ||||
Comments | This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
118. Goal.note | |||||
Definition | Any comments related to the goal. | ||||
Short | Comments about the goal | ||||
Comments | May be used for progress notes, concerns or other related information that doesn't actually describe the goal itself. | ||||
Control | 0..0 | ||||
Type | Annotation | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | There's a need to capture information about the goal that doesn't actually describe the goal. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
125. Goal.outcomeCode | |||||
Definition | Identifies the change (or lack of change) at the point when the status of the goal is assessed. | ||||
Short | What result was achieved regarding the goal? | ||||
Comments | Note that this should not duplicate the goal status. | ||||
Control | 0..0 | ||||
Binding | For example codes, see SNOMEDCTClinicalFindings: The result of the goal; e.g. "25% increase in shoulder mobility", "Anxiety reduced to moderate levels". "15 kg weight loss sustained over 6 months". | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Outcome tracking is a key aspect of care planning. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
131. Goal.outcomeReference | |||||
Definition | Details of what's changed (or not changed). | ||||
Short | Observation that resulted from goal | ||||
Comments | The goal outcome is independent of the outcome of the related activities. For example, if the Goal is to achieve a target body weight of 150 lb and a care plan activity is defined to diet, then the care plan’s activity outcome could be calories consumed whereas goal outcome is an observation for the actual body weight measured. | ||||
Control | 0..0 | ||||
Type | Reference(Observation) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Outcome tracking is a key aspect of care planning. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |