"Care Goal"
Unlike other QDM datatypes, the "Care Goal" datatype does not indicate a specific context of use. Instead, to meet this criterion, there must be documentation of a care goal as defined by the Care Goal QDM category and its corresponding value set.
Timing:
- relevantPeriod
- startDate – when the goal pursuit begins.
- endDate (dueDate) – the target date for the goal outcome.
- statusDate - when a goal status took effect.
Notes:
- Care Goal references dates (i.e.,days) and not dateTimes.
- The performer attribute references the US Core and FHIR R4 concept expressedBy – the individual or organization responsible for creating the goal.
Care Goal
- Problem, which is managed by other QDM standard categories (condition/diagnosis/problem) and their related data elements.
- Procedure, which is managed by other standard categories and their related data elements.
- Note that procedures are a continuum of interventions ranging from actions patients can do for themselves to those that can be performed by others (caregivers or clinical professionals), including detailed complex surgical procedures requiring highly trained physicians, nurses, and state-of-the-art facilities.
- Goal, which is what is expected to happen.
- Outcome, which is what happened. An outcome can be shown by other QDM standard categories and their related data elements.
performer
relatedTo
relevantPeriod
Relevant Period addresses the time between the start of an action to the end of an action. Each datatype using relevant period defines specific definitions for the start and stop time for the action listed.
Note: negation rationale indicates a one-time documentation of a reason an activity is not performed. Negation of QDM datatyperelated actions for a reason always use the author dateTime attribute to reference timing and must not use relevantPeriod