RLGoalObiettiviSalute

RLGoalObiettiviSalute

Descrizione

Il profilo RLGoalObiettiviSaluteè stato strutturato a partire dalla risorsa generica FHIR Goal per descrivere gli obiettivi di salute che il paziente deve traguardare sulla base delle attività previste dal progetto individuale.

Di seguito è presentato il contenuto del profilo in diversi formati. La corrispondente definizione è consultabile al seguente link: RLGoalObiettiviSalute.

Snapshot View

Goal	I		Goal	There are no (further) constraints on this element Element Id Goal Short description Describes the intended objective(s) for a patient, group or organization 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. Comments Goal can be achieving a particular change or merely maintaining a current state or even slowing a decline. Data Type Goal Constraints dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.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-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-6:A resource should have narrative for robust management text.`div`.exists() dom-5:If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` Mappings rim:Entity. Role, or Act v2:GOL.1 rim:.outboundRelationship[typeCode<=OBJ].
identifier		0..*	Identifier	There are no (further) constraints on this element Element Id Goal.identifier Short description External Ids for this goal 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. Requirements Allows identification of the goal as it is known by various participating systems and in a way that remains consistent across servers. 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. Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier w5:FiveWs.identifier rim:.id
lifecycleStatus	Σ ?!	1..1	codeBindingFixed Value	Element Id Goal.lifecycleStatus Short description Stato dell'obbiettivo di salute Definition Valore fisso su "planned" Requirements Allows knowing whether goal needs to be further tracked. Comments Il dato è detenuto dal SGDT Data Type code Binding Codes that reflect the current state of a goal and whether the goal is still being targeted. GoalLifecycleStatus (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value planned Mappings rim:n/a w5:FiveWs.status v2:GOL-18-goal life cycle status rim:.statusCode in-progress = active (classCode = OBJ) cancelled = aborted
achievementStatus	Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id Goal.achievementStatus Short description in-progress \| improving \| worsening \| no-change \| achieved \| sustaining \| not-achieved \| no-progress \| not-attainable Definition Describes the progression, or lack thereof, towards the goal against the target. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data Type CodeableConcept Binding Indicates the progression, or lack thereof, towards the goal against the target. GoalAchievementStatus (preferred) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD rim:.statusCode achieved = complete sustaining = active
category	Σ	0..*	CodeableConcept	There are no (further) constraints on this element Element Id Goal.category Short description E.g. Treatment, dietary, behavioral, etc. Definition Indicates a category the goal falls within. Requirements Allows goals to be filtered and sorted. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data Type CodeableConcept Binding Codes for grouping and sorting goals. GoalCategory (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD w5:FiveWs.class
priority	Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id Goal.priority Short description high-priority \| medium-priority \| low-priority Definition Identifies the mutually agreed level of importance associated with reaching/sustaining the goal. Requirements Used for sorting and presenting goals. 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". Data Type CodeableConcept Binding The level of importance associated with a goal. GoalPriority (preferred) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD w5:FiveWs.grade rim:.priorityCode
description	Σ	1..1	CodeableConcept	Element Id Goal.description Short description Codifica e descrizione dell' obbiettivo di salute definito per il paziente 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". Requirements Without a description of what's trying to be achieved, element has no purpose. Comments If no code is available, use CodeableConcept.text. Data Type CodeableConcept Binding 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. SNOMEDCTClinicalFindings (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD w5:FiveWs.what[x] v2:GOL-3.2-goal ID.text rim:.text
coding	Σ	0..*	Coding	Element Id Goal.description.coding Short description Codifica e descrizione dell'obiettivo di salute definito per il paziente Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Per il dettaglio esaustivo della codifica consultare l'apposita sezione dei value-set del profilo presente nell'Implementation Guide Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	0..1	uri	There are no (further) constraints on this element Element Id Goal.description.coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id Goal.description.coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	0..1	codeBinding	Element Id Goal.description.coding.code Short description Codice dell'obiettivo di salute Definition Codice numerico di 2 cifre Requirements Need to refer to a particular code in the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type code Binding ValueSet relativo agli obiettivi salute SGDT Obiettivi Salute (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	Element Id Goal.description.coding.display Short description Descrizione dell'obiettivo di salute Definition Stringa alfanumerica al più di 200 caratteri Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Il dato è detenuto dal SGDT Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id Goal.description.coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id Goal.description.text Short description Plain text representation of the concept 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. 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. Comments Very often the text is the same as a displayName of one of the codings. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
subject	Σ I	1..1	Reference(RLPatientCittadino)	Element Id Goal.subject Short description Paziente al quale deve essere fornito l'intervento educazionale Definition Reference alla risorsa RLPatientCittadino contenente i dettagli anagrafici del paziente Requirements Subject is optional to support annonymized reporting. Comments Il dato è detenuto dal SGDT Data Type Reference(RLPatientCittadino) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.subject[x] v2:PID-3-patient ID list rim:.participation[typeCode=PAT].role[classCode=PAT] w5:FiveWs.subject
start[x]	Σ	0..1		There are no (further) constraints on this element Element Id Goal.start[x] Short description When goal pursuit begins Definition The date or event after which the goal should begin being pursued. 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. Binding Codes describing events that can trigger the initiation of a goal. GoalStartEvent (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a w5:FiveWs.planned
startDate			date	There are no (further) constraints on this element Data Type date
startCodeableConcept			CodeableConcept	There are no (further) constraints on this element Data Type CodeableConcept
target	I	0..*	BackboneElement	There are no (further) constraints on this element Element Id Goal.target Short description Target outcome for the goal Definition Indicates what should be done by when. 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. Comments When multiple targets are present for a single goal instance, all targets must be met for the overall goal to be met. Data Type BackboneElement Constraints 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()` Mappings rim:n/a
measure	Σ I	0..1	CodeableConcept	There are no (further) constraints on this element Element Id Goal.target.measure Short description The parameter whose value is being tracked Definition The parameter whose value is being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data Type CodeableConcept Binding Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level. LOINCCodes (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD
detail[x]	Σ I	0..1		There are no (further) constraints on this element Element Id Goal.target.detail[x] Short description The target value to be achieved 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. 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. Binding Codes to identify the target value of the focus to be achieved to signify the fulfillment of the goal. (unbound) (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a
detailQuantity			Quantity	There are no (further) constraints on this element Data Type Quantity
detailRange			Range	There are no (further) constraints on this element Data Type Range
detailCodeableConcept			CodeableConcept	There are no (further) constraints on this element Data Type CodeableConcept
detailString			string	There are no (further) constraints on this element Data Type string
detailBoolean			boolean	There are no (further) constraints on this element Data Type boolean
detailInteger			integer	There are no (further) constraints on this element Data Type integer
detailRatio			Ratio	There are no (further) constraints on this element Data Type Ratio
due[x]	Σ	0..1		There are no (further) constraints on this element Element Id Goal.target.due[x] Short description Reach goal on or before Definition Indicates either the date or the duration after start by which the goal should be met. Requirements Identifies when the goal should be evaluated. Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a w5:FiveWs.done[x]
dueDate			date	There are no (further) constraints on this element Data Type date
dueDuration			Duration	There are no (further) constraints on this element Data Type Duration
statusDate	Σ	0..1	date	There are no (further) constraints on this element Element Id Goal.statusDate Short description When goal status took effect Definition Identifies when the current status. I.e. When initially created, when achieved, when cancelled, etc. Comments To see the date for past statuses, query history. Data Type date Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a w5:FiveWs.recorded
statusReason		0..1	string	There are no (further) constraints on this element Element Id Goal.statusReason Short description Reason for current status Definition Captures the reason for the current status. Comments This will typically be captured for statuses such as rejected, on-hold or cancelled, but could be present for others. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a
expressedBy	Σ I	0..1	Reference(Patient \| Practitioner \| PractitionerRole \| RelatedPerson)	There are no (further) constraints on this element Element Id Goal.expressedBy Short description Who's responsible for creating Goal? Definition Indicates whose goal this is - patient goal, practitioner goal, etc. Comments This is the individual responsible for establishing the goal, not necessarily who recorded it. (For that, use the Provenance resource.). Data Type Reference(Patient \| Practitioner \| PractitionerRole \| RelatedPerson) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.source
addresses	I	0..*	Reference(Condition \| Observation \| MedicationStatement \| NutritionOrder \| ServiceRequest \| RiskAssessment)	There are no (further) constraints on this element Element Id Goal.addresses Short description Issues addressed by this goal Definition The identified conditions and other health record elements that are intended to be addressed by the goal. Requirements Allows specific goals to explicitly linked to the concerns they're dealing with - makes the goal more understandable. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Condition \| Observation \| MedicationStatement \| NutritionOrder \| ServiceRequest \| RiskAssessment) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.why[x] rim:.outboundRelationship[typeCode=SUBJ].target[classCode=CONC]
note		0..*	Annotation	Element Id Goal.note Short description Nota contenente l'obiettivo di salute nel caso non fosse selezionato tra le voci codificate Definition Any comments related to the goal. Requirements There's a need to capture information about the goal that doesn't actually describe the goal. Comments Il dato è detenuto dal SGDT Data Type Annotation Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:N/A rim:Act v2:GOL-16-goal evaluation + NTE? rim:.inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation"].value
outcomeCode		0..*	CodeableConcept	There are no (further) constraints on this element Element Id Goal.outcomeCode Short description What result was achieved regarding the goal? Definition Identifies the change (or lack of change) at the point when the status of the goal is assessed. Requirements Outcome tracking is a key aspect of care planning. Comments Note that this should not duplicate the goal status. Data Type CodeableConcept Binding 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". SNOMEDCTClinicalFindings (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD
outcomeReference	I	0..*	Reference(Observation)	There are no (further) constraints on this element Element Id Goal.outcomeReference Short description Observation that resulted from goal Definition Details of what's changed (or not changed). Requirements Outcome tracking is a key aspect of care planning. 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. Data Type Reference(Observation) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity)

Differential View

Goal	I		Goal	There are no (further) constraints on this element Element Id Goal Short description Describes the intended objective(s) for a patient, group or organization 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. Comments Goal can be achieving a particular change or merely maintaining a current state or even slowing a decline. Data Type Goal Constraints dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.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-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-6:A resource should have narrative for robust management text.`div`.exists() dom-5:If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` Mappings rim:Entity. Role, or Act v2:GOL.1 rim:.outboundRelationship[typeCode<=OBJ].
identifier		0..*	Identifier	There are no (further) constraints on this element Element Id Goal.identifier Short description External Ids for this goal 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. Requirements Allows identification of the goal as it is known by various participating systems and in a way that remains consistent across servers. 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. Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier w5:FiveWs.identifier rim:.id
lifecycleStatus	Σ ?!	1..1	codeBindingFixed Value	Element Id Goal.lifecycleStatus Short description Stato dell'obbiettivo di salute Definition Valore fisso su "planned" Requirements Allows knowing whether goal needs to be further tracked. Comments Il dato è detenuto dal SGDT Data Type code Binding Codes that reflect the current state of a goal and whether the goal is still being targeted. GoalLifecycleStatus (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value planned Mappings rim:n/a w5:FiveWs.status v2:GOL-18-goal life cycle status rim:.statusCode in-progress = active (classCode = OBJ) cancelled = aborted
achievementStatus	Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id Goal.achievementStatus Short description in-progress \| improving \| worsening \| no-change \| achieved \| sustaining \| not-achieved \| no-progress \| not-attainable Definition Describes the progression, or lack thereof, towards the goal against the target. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data Type CodeableConcept Binding Indicates the progression, or lack thereof, towards the goal against the target. GoalAchievementStatus (preferred) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD rim:.statusCode achieved = complete sustaining = active
category	Σ	0..*	CodeableConcept	There are no (further) constraints on this element Element Id Goal.category Short description E.g. Treatment, dietary, behavioral, etc. Definition Indicates a category the goal falls within. Requirements Allows goals to be filtered and sorted. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data Type CodeableConcept Binding Codes for grouping and sorting goals. GoalCategory (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD w5:FiveWs.class
priority	Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id Goal.priority Short description high-priority \| medium-priority \| low-priority Definition Identifies the mutually agreed level of importance associated with reaching/sustaining the goal. Requirements Used for sorting and presenting goals. 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". Data Type CodeableConcept Binding The level of importance associated with a goal. GoalPriority (preferred) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD w5:FiveWs.grade rim:.priorityCode
description	Σ	1..1	CodeableConcept	Element Id Goal.description Short description Codifica e descrizione dell' obbiettivo di salute definito per il paziente 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". Requirements Without a description of what's trying to be achieved, element has no purpose. Comments If no code is available, use CodeableConcept.text. Data Type CodeableConcept Binding 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. SNOMEDCTClinicalFindings (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD w5:FiveWs.what[x] v2:GOL-3.2-goal ID.text rim:.text
coding	Σ	0..*	Coding	Element Id Goal.description.coding Short description Codifica e descrizione dell'obiettivo di salute definito per il paziente Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Per il dettaglio esaustivo della codifica consultare l'apposita sezione dei value-set del profilo presente nell'Implementation Guide Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	0..1	uri	There are no (further) constraints on this element Element Id Goal.description.coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id Goal.description.coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	0..1	codeBinding	Element Id Goal.description.coding.code Short description Codice dell'obiettivo di salute Definition Codice numerico di 2 cifre Requirements Need to refer to a particular code in the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type code Binding ValueSet relativo agli obiettivi salute SGDT Obiettivi Salute (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	Element Id Goal.description.coding.display Short description Descrizione dell'obiettivo di salute Definition Stringa alfanumerica al più di 200 caratteri Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Il dato è detenuto dal SGDT Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id Goal.description.coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id Goal.description.text Short description Plain text representation of the concept 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. 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. Comments Very often the text is the same as a displayName of one of the codings. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
subject	Σ I	1..1	Reference(RLPatientCittadino)	Element Id Goal.subject Short description Paziente al quale deve essere fornito l'intervento educazionale Definition Reference alla risorsa RLPatientCittadino contenente i dettagli anagrafici del paziente Requirements Subject is optional to support annonymized reporting. Comments Il dato è detenuto dal SGDT Data Type Reference(RLPatientCittadino) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.subject[x] v2:PID-3-patient ID list rim:.participation[typeCode=PAT].role[classCode=PAT] w5:FiveWs.subject
start[x]	Σ	0..1		There are no (further) constraints on this element Element Id Goal.start[x] Short description When goal pursuit begins Definition The date or event after which the goal should begin being pursued. 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. Binding Codes describing events that can trigger the initiation of a goal. GoalStartEvent (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a w5:FiveWs.planned
startDate			date	There are no (further) constraints on this element Data Type date
startCodeableConcept			CodeableConcept	There are no (further) constraints on this element Data Type CodeableConcept
target	I	0..*	BackboneElement	There are no (further) constraints on this element Element Id Goal.target Short description Target outcome for the goal Definition Indicates what should be done by when. 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. Comments When multiple targets are present for a single goal instance, all targets must be met for the overall goal to be met. Data Type BackboneElement Constraints 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()` Mappings rim:n/a
measure	Σ I	0..1	CodeableConcept	There are no (further) constraints on this element Element Id Goal.target.measure Short description The parameter whose value is being tracked Definition The parameter whose value is being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data Type CodeableConcept Binding Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level. LOINCCodes (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD
detail[x]	Σ I	0..1		There are no (further) constraints on this element Element Id Goal.target.detail[x] Short description The target value to be achieved 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. 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. Binding Codes to identify the target value of the focus to be achieved to signify the fulfillment of the goal. (unbound) (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a
detailQuantity			Quantity	There are no (further) constraints on this element Data Type Quantity
detailRange			Range	There are no (further) constraints on this element Data Type Range
detailCodeableConcept			CodeableConcept	There are no (further) constraints on this element Data Type CodeableConcept
detailString			string	There are no (further) constraints on this element Data Type string
detailBoolean			boolean	There are no (further) constraints on this element Data Type boolean
detailInteger			integer	There are no (further) constraints on this element Data Type integer
detailRatio			Ratio	There are no (further) constraints on this element Data Type Ratio
due[x]	Σ	0..1		There are no (further) constraints on this element Element Id Goal.target.due[x] Short description Reach goal on or before Definition Indicates either the date or the duration after start by which the goal should be met. Requirements Identifies when the goal should be evaluated. Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a w5:FiveWs.done[x]
dueDate			date	There are no (further) constraints on this element Data Type date
dueDuration			Duration	There are no (further) constraints on this element Data Type Duration
statusDate	Σ	0..1	date	There are no (further) constraints on this element Element Id Goal.statusDate Short description When goal status took effect Definition Identifies when the current status. I.e. When initially created, when achieved, when cancelled, etc. Comments To see the date for past statuses, query history. Data Type date Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a w5:FiveWs.recorded
statusReason		0..1	string	There are no (further) constraints on this element Element Id Goal.statusReason Short description Reason for current status Definition Captures the reason for the current status. Comments This will typically be captured for statuses such as rejected, on-hold or cancelled, but could be present for others. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a
expressedBy	Σ I	0..1	Reference(Patient \| Practitioner \| PractitionerRole \| RelatedPerson)	There are no (further) constraints on this element Element Id Goal.expressedBy Short description Who's responsible for creating Goal? Definition Indicates whose goal this is - patient goal, practitioner goal, etc. Comments This is the individual responsible for establishing the goal, not necessarily who recorded it. (For that, use the Provenance resource.). Data Type Reference(Patient \| Practitioner \| PractitionerRole \| RelatedPerson) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.source
addresses	I	0..*	Reference(Condition \| Observation \| MedicationStatement \| NutritionOrder \| ServiceRequest \| RiskAssessment)	There are no (further) constraints on this element Element Id Goal.addresses Short description Issues addressed by this goal Definition The identified conditions and other health record elements that are intended to be addressed by the goal. Requirements Allows specific goals to explicitly linked to the concerns they're dealing with - makes the goal more understandable. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Condition \| Observation \| MedicationStatement \| NutritionOrder \| ServiceRequest \| RiskAssessment) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.why[x] rim:.outboundRelationship[typeCode=SUBJ].target[classCode=CONC]
note		0..*	Annotation	Element Id Goal.note Short description Nota contenente l'obiettivo di salute nel caso non fosse selezionato tra le voci codificate Definition Any comments related to the goal. Requirements There's a need to capture information about the goal that doesn't actually describe the goal. Comments Il dato è detenuto dal SGDT Data Type Annotation Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:N/A rim:Act v2:GOL-16-goal evaluation + NTE? rim:.inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation"].value
outcomeCode		0..*	CodeableConcept	There are no (further) constraints on this element Element Id Goal.outcomeCode Short description What result was achieved regarding the goal? Definition Identifies the change (or lack of change) at the point when the status of the goal is assessed. Requirements Outcome tracking is a key aspect of care planning. Comments Note that this should not duplicate the goal status. Data Type CodeableConcept Binding 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". SNOMEDCTClinicalFindings (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD
outcomeReference	I	0..*	Reference(Observation)	There are no (further) constraints on this element Element Id Goal.outcomeReference Short description Observation that resulted from goal Definition Details of what's changed (or not changed). Requirements Outcome tracking is a key aspect of care planning. 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. Data Type Reference(Observation) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity)

Hybrid View

Goal	I		Goal	There are no (further) constraints on this element Element Id Goal Short description Describes the intended objective(s) for a patient, group or organization 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. Comments Goal can be achieving a particular change or merely maintaining a current state or even slowing a decline. Data Type Goal Constraints dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.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-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-6:A resource should have narrative for robust management text.`div`.exists() dom-5:If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` Mappings rim:Entity. Role, or Act v2:GOL.1 rim:.outboundRelationship[typeCode<=OBJ].
identifier		0..*	Identifier	There are no (further) constraints on this element Element Id Goal.identifier Short description External Ids for this goal 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. Requirements Allows identification of the goal as it is known by various participating systems and in a way that remains consistent across servers. 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. Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier w5:FiveWs.identifier rim:.id
lifecycleStatus	Σ ?!	1..1	codeBindingFixed Value	Element Id Goal.lifecycleStatus Short description Stato dell'obbiettivo di salute Definition Valore fisso su "planned" Requirements Allows knowing whether goal needs to be further tracked. Comments Il dato è detenuto dal SGDT Data Type code Binding Codes that reflect the current state of a goal and whether the goal is still being targeted. GoalLifecycleStatus (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value planned Mappings rim:n/a w5:FiveWs.status v2:GOL-18-goal life cycle status rim:.statusCode in-progress = active (classCode = OBJ) cancelled = aborted
achievementStatus	Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id Goal.achievementStatus Short description in-progress \| improving \| worsening \| no-change \| achieved \| sustaining \| not-achieved \| no-progress \| not-attainable Definition Describes the progression, or lack thereof, towards the goal against the target. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data Type CodeableConcept Binding Indicates the progression, or lack thereof, towards the goal against the target. GoalAchievementStatus (preferred) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD rim:.statusCode achieved = complete sustaining = active
category	Σ	0..*	CodeableConcept	There are no (further) constraints on this element Element Id Goal.category Short description E.g. Treatment, dietary, behavioral, etc. Definition Indicates a category the goal falls within. Requirements Allows goals to be filtered and sorted. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data Type CodeableConcept Binding Codes for grouping and sorting goals. GoalCategory (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD w5:FiveWs.class
priority	Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id Goal.priority Short description high-priority \| medium-priority \| low-priority Definition Identifies the mutually agreed level of importance associated with reaching/sustaining the goal. Requirements Used for sorting and presenting goals. 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". Data Type CodeableConcept Binding The level of importance associated with a goal. GoalPriority (preferred) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD w5:FiveWs.grade rim:.priorityCode
description	Σ	1..1	CodeableConcept	Element Id Goal.description Short description Codifica e descrizione dell' obbiettivo di salute definito per il paziente 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". Requirements Without a description of what's trying to be achieved, element has no purpose. Comments If no code is available, use CodeableConcept.text. Data Type CodeableConcept Binding 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. SNOMEDCTClinicalFindings (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD w5:FiveWs.what[x] v2:GOL-3.2-goal ID.text rim:.text
coding	Σ	0..*	Coding	Element Id Goal.description.coding Short description Codifica e descrizione dell'obiettivo di salute definito per il paziente Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Per il dettaglio esaustivo della codifica consultare l'apposita sezione dei value-set del profilo presente nell'Implementation Guide Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	Σ	0..1	uri	There are no (further) constraints on this element Element Id Goal.description.coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id Goal.description.coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	0..1	codeBinding	Element Id Goal.description.coding.code Short description Codice dell'obiettivo di salute Definition Codice numerico di 2 cifre Requirements Need to refer to a particular code in the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type code Binding ValueSet relativo agli obiettivi salute SGDT Obiettivi Salute (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	Element Id Goal.description.coding.display Short description Descrizione dell'obiettivo di salute Definition Stringa alfanumerica al più di 200 caratteri Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Il dato è detenuto dal SGDT Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id Goal.description.coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id Goal.description.text Short description Plain text representation of the concept 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. 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. Comments Very often the text is the same as a displayName of one of the codings. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
subject	Σ I	1..1	Reference(RLPatientCittadino)	Element Id Goal.subject Short description Paziente al quale deve essere fornito l'intervento educazionale Definition Reference alla risorsa RLPatientCittadino contenente i dettagli anagrafici del paziente Requirements Subject is optional to support annonymized reporting. Comments Il dato è detenuto dal SGDT Data Type Reference(RLPatientCittadino) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.subject[x] v2:PID-3-patient ID list rim:.participation[typeCode=PAT].role[classCode=PAT] w5:FiveWs.subject
start[x]	Σ	0..1		There are no (further) constraints on this element Element Id Goal.start[x] Short description When goal pursuit begins Definition The date or event after which the goal should begin being pursued. 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. Binding Codes describing events that can trigger the initiation of a goal. GoalStartEvent (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a w5:FiveWs.planned
startDate			date	There are no (further) constraints on this element Data Type date
startCodeableConcept			CodeableConcept	There are no (further) constraints on this element Data Type CodeableConcept
target	I	0..*	BackboneElement	There are no (further) constraints on this element Element Id Goal.target Short description Target outcome for the goal Definition Indicates what should be done by when. 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. Comments When multiple targets are present for a single goal instance, all targets must be met for the overall goal to be met. Data Type BackboneElement Constraints 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()` Mappings rim:n/a
measure	Σ I	0..1	CodeableConcept	There are no (further) constraints on this element Element Id Goal.target.measure Short description The parameter whose value is being tracked Definition The parameter whose value is being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data Type CodeableConcept Binding Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level. LOINCCodes (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD
detail[x]	Σ I	0..1		There are no (further) constraints on this element Element Id Goal.target.detail[x] Short description The target value to be achieved 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. 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. Binding Codes to identify the target value of the focus to be achieved to signify the fulfillment of the goal. (unbound) (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a
detailQuantity			Quantity	There are no (further) constraints on this element Data Type Quantity
detailRange			Range	There are no (further) constraints on this element Data Type Range
detailCodeableConcept			CodeableConcept	There are no (further) constraints on this element Data Type CodeableConcept
detailString			string	There are no (further) constraints on this element Data Type string
detailBoolean			boolean	There are no (further) constraints on this element Data Type boolean
detailInteger			integer	There are no (further) constraints on this element Data Type integer
detailRatio			Ratio	There are no (further) constraints on this element Data Type Ratio
due[x]	Σ	0..1		There are no (further) constraints on this element Element Id Goal.target.due[x] Short description Reach goal on or before Definition Indicates either the date or the duration after start by which the goal should be met. Requirements Identifies when the goal should be evaluated. Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a w5:FiveWs.done[x]
dueDate			date	There are no (further) constraints on this element Data Type date
dueDuration			Duration	There are no (further) constraints on this element Data Type Duration
statusDate	Σ	0..1	date	There are no (further) constraints on this element Element Id Goal.statusDate Short description When goal status took effect Definition Identifies when the current status. I.e. When initially created, when achieved, when cancelled, etc. Comments To see the date for past statuses, query history. Data Type date Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a w5:FiveWs.recorded
statusReason		0..1	string	There are no (further) constraints on this element Element Id Goal.statusReason Short description Reason for current status Definition Captures the reason for the current status. Comments This will typically be captured for statuses such as rejected, on-hold or cancelled, but could be present for others. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a
expressedBy	Σ I	0..1	Reference(Patient \| Practitioner \| PractitionerRole \| RelatedPerson)	There are no (further) constraints on this element Element Id Goal.expressedBy Short description Who's responsible for creating Goal? Definition Indicates whose goal this is - patient goal, practitioner goal, etc. Comments This is the individual responsible for establishing the goal, not necessarily who recorded it. (For that, use the Provenance resource.). Data Type Reference(Patient \| Practitioner \| PractitionerRole \| RelatedPerson) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.source
addresses	I	0..*	Reference(Condition \| Observation \| MedicationStatement \| NutritionOrder \| ServiceRequest \| RiskAssessment)	There are no (further) constraints on this element Element Id Goal.addresses Short description Issues addressed by this goal Definition The identified conditions and other health record elements that are intended to be addressed by the goal. Requirements Allows specific goals to explicitly linked to the concerns they're dealing with - makes the goal more understandable. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Condition \| Observation \| MedicationStatement \| NutritionOrder \| ServiceRequest \| RiskAssessment) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.why[x] rim:.outboundRelationship[typeCode=SUBJ].target[classCode=CONC]
note		0..*	Annotation	Element Id Goal.note Short description Nota contenente l'obiettivo di salute nel caso non fosse selezionato tra le voci codificate Definition Any comments related to the goal. Requirements There's a need to capture information about the goal that doesn't actually describe the goal. Comments Il dato è detenuto dal SGDT Data Type Annotation Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:N/A rim:Act v2:GOL-16-goal evaluation + NTE? rim:.inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation"].value
outcomeCode		0..*	CodeableConcept	There are no (further) constraints on this element Element Id Goal.outcomeCode Short description What result was achieved regarding the goal? Definition Identifies the change (or lack of change) at the point when the status of the goal is assessed. Requirements Outcome tracking is a key aspect of care planning. Comments Note that this should not duplicate the goal status. Data Type CodeableConcept Binding 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". SNOMEDCTClinicalFindings (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD
outcomeReference	I	0..*	Reference(Observation)	There are no (further) constraints on this element Element Id Goal.outcomeReference Short description Observation that resulted from goal Definition Details of what's changed (or not changed). Requirements Outcome tracking is a key aspect of care planning. 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. Data Type Reference(Observation) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity)

Table View

Goal		..
Goal.lifecycleStatus		..
Goal.description		..
Goal.description.coding		..
Goal.description.coding.code		..
Goal.description.coding.display		..
Goal.subject	Reference(RLPatientCittadino)	..
Goal.note		..

XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="RLGoalObiettiviSalute" />
    <meta>
        <lastUpdated value="2023-01-23T14:41:33.0080341+00:00" />
    </meta>
    <url value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLGoalObiettiviSalute" />
    <name value="RLGoalObiettiviSalute" />
    <status value="draft" />
    <description value="Profilo volto a descrivere gli obbiettivi di salute che il paziente deve traguardare sulla base delle attivit&#224; previste dal progetto individuale (PI)." />
    <keyword>
        <system value="https://fhir.siss.regione.lombardia.it/CodeSystem/Tag" />
        <code value="PI" />
    </keyword>
    <fhirVersion value="4.0.1" />
    <kind value="resource" />
    <abstract value="false" />
    <type value="Goal" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Goal" />
    <derivation value="constraint" />
    <differential>
        <element id="Goal.lifecycleStatus">
            <path value="Goal.lifecycleStatus" />
            <short value="Stato dell&#39;obbiettivo di salute" />
            <definition value="Valore fisso su &quot;planned&quot;" />
            <comment value="Il dato &#232; detenuto dal SGDT" />
            <fixedCode value="planned" />
        </element>
        <element id="Goal.description">
            <path value="Goal.description" />
            <short value="Codifica e descrizione dell&#39; obbiettivo di salute definito per il paziente" />
        </element>
        <element id="Goal.description.coding">
            <path value="Goal.description.coding" />
            <short value="Codifica e descrizione dell&#39;obiettivo di salute definito per il paziente" />
            <comment value="Per il dettaglio esaustivo della codifica consultare l&#39;apposita sezione dei value-set del profilo presente nell&#39;Implementation Guide" />
        </element>
        <element id="Goal.description.coding.code">
            <path value="Goal.description.coding.code" />
            <short value="Codice dell&#39;obiettivo di salute" />
            <definition value="Codice numerico di 2 cifre" />
            <binding>
                <strength value="required" />
                <description value="ValueSet relativo agli obiettivi salute" />
                <valueSet value="https://fhir.siss.regione.lombardia.it/ValueSet/SGDT-ObiettiviSalute" />
            </binding>
        </element>
        <element id="Goal.description.coding.display">
            <path value="Goal.description.coding.display" />
            <short value="Descrizione dell&#39;obiettivo di salute" />
            <definition value="Stringa alfanumerica al pi&#249; di 200 caratteri" />
            <comment value="Il dato &#232; detenuto dal SGDT" />
        </element>
        <element id="Goal.subject">
            <path value="Goal.subject" />
            <short value="Paziente al quale deve essere fornito l&#39;intervento educazionale" />
            <definition value="Reference alla risorsa RLPatientCittadino contenente i dettagli anagrafici del paziente" />
            <comment value="Il dato &#232; detenuto dal SGDT" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPatientCittadino" />
            </type>
        </element>
        <element id="Goal.note">
            <path value="Goal.note" />
            <short value="Nota contenente l&#39;obiettivo di salute nel caso non fosse selezionato tra le voci codificate" />
            <comment value="Il dato &#232; detenuto dal SGDT" />
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "RLGoalObiettiviSalute",
    "meta": {
        "lastUpdated": "2023-01-23T14:41:33.0080341+00:00"
    },
    "url": "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLGoalObiettiviSalute",
    "name": "RLGoalObiettiviSalute",
    "status": "draft",
    "description": "Profilo volto a descrivere gli obbiettivi di salute che il paziente deve traguardare sulla base delle attività previste dal progetto individuale (PI).",
    "keyword":  [
        {
            "system": "https://fhir.siss.regione.lombardia.it/CodeSystem/Tag",
            "code": "PI"
        }
    ],
    "fhirVersion": "4.0.1",
    "kind": "resource",
    "abstract": false,
    "type": "Goal",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Goal",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Goal.lifecycleStatus",
                "path": "Goal.lifecycleStatus",
                "short": "Stato dell'obbiettivo di salute",
                "definition": "Valore fisso su \"planned\"",
                "comment": "Il dato è detenuto dal SGDT",
                "fixedCode": "planned"
            },
            {
                "id": "Goal.description",
                "path": "Goal.description",
                "short": "Codifica e descrizione dell' obbiettivo di salute definito per il paziente"
            },
            {
                "id": "Goal.description.coding",
                "path": "Goal.description.coding",
                "short": "Codifica e descrizione dell'obiettivo di salute definito per il paziente",
                "comment": "Per il dettaglio esaustivo della codifica consultare l'apposita sezione dei value-set del profilo presente nell'Implementation Guide"
            },
            {
                "id": "Goal.description.coding.code",
                "path": "Goal.description.coding.code",
                "short": "Codice dell'obiettivo di salute",
                "definition": "Codice numerico di 2 cifre",
                "binding": {
                    "strength": "required",
                    "description": "ValueSet relativo agli obiettivi salute",
                    "valueSet": "https://fhir.siss.regione.lombardia.it/ValueSet/SGDT-ObiettiviSalute"
                }
            },
            {
                "id": "Goal.description.coding.display",
                "path": "Goal.description.coding.display",
                "short": "Descrizione dell'obiettivo di salute",
                "definition": "Stringa alfanumerica al più di 200 caratteri",
                "comment": "Il dato è detenuto dal SGDT"
            },
            {
                "id": "Goal.subject",
                "path": "Goal.subject",
                "short": "Paziente al quale deve essere fornito l'intervento educazionale",
                "definition": "Reference alla risorsa RLPatientCittadino contenente i dettagli anagrafici del paziente",
                "comment": "Il dato è detenuto dal SGDT",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://fhir.siss.regione.lombardia.it/StructureDefinition/RLPatientCittadino"
                        ]
                    }
                ]
            },
            {
                "id": "Goal.note",
                "path": "Goal.note",
                "short": "Nota contenente l'obiettivo di salute nel caso non fosse selezionato tra le voci codificate",
                "comment": "Il dato è detenuto dal SGDT"
            }
        ]
    }
}

Esempi

Goal for Mario Rossi

Tipologie di ricerca

Attualmente non sono stati definiti criteri di ricerca.

Search parameter

Attualmente non sono definiti Search Parameters oltre quelli previsti dallo standard per la risorsa Goal.

ValueSet

Nella seguente tabella sono elencati i value set relativi al profilo RLGoalObiettiviSalute:

Nome	Descrizione	Riferimento al dettaglio della codifica
Description	Codice e descrizione dell’obiettivo di salute	La codifica esaustiva è definita dal ValueSet SGDT Obiettivi Salute