Details
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Change Request
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Resolution: Persuasive
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Medium
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C-CDA Templates Clinical Notes (CDA)
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3.0.0-ballot
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Structured Documents
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STU
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Goal Observation
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Jean Duteau / Brett Marquard : 22-0-0
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Clarification
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Non-substantive
Description
Current:
This template represents a patient health goal. A Goal Observation template may have related components that are acts, encounters, observations, procedures, substance administrations, or supplies. A goal identifies a future desired condition or state. Goals are often related to physical or mental health conditions or diseases, but also may be related to a Social Determinant of Health (SDOH) risks or states. For example, to have adequate quality meals and snacks, gain transportation security - able to access health and social needs). SDOH data relate to conditions in which people live, learn, work, and play and their effects on health risks and outcomes. A Goal is established by the patient or provider.
A goal may be a patient or provider goal. If the author is set to the recordTarget (patient), this is a patient goal. If the author is set to a provider, this is a provider goal. If both patient and provider are set as authors, this is a negotiated goal.
A goal usually has a related health concern and/or risk.
A goal may have components consisting of other goals (milestones). These milestones are related to the overall goal through entryRelationships.
Proposed:
This template represents a patient health goal. A Goal Observation template may have related components that are acts, encounters, observations, procedures, substance administrations, or supplies. A goal identifies a future desired condition or state. Goals are often related to physical or mental health conditions or diseases, but also may be related to a Social Determinant of Health (SDOH) risks or states. For example, to have adequate quality meals and snacks, gain transportation security - able to access health and social needs). SDOH data relate to conditions in which people live, learn, work, and play and their effects on health risks and outcomes. A Goal is established by the patient or provider or both.
A goal may be a patient or provider goal. If the author is set to the recordTarget (patient), this is a patient goal. If the author is set to a provider, this is a provider goal. If both patient and provider are set as authors, this is called a negotiated or shared goal.
A goal usually has a related health concern and/or risk.
A goal may have components consisting of other goals (milestones). These milestones are related to the overall goal through entryRelationships.
Attachments
Issue Links
- is voted on by
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BALLOT-58057 Negative - Lisa R. Nelson : 2024-Jan-CDAR2 IG CCDA CLINNOTES E1 STU
- Withdrawn
- relates to
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FHIR-43543 Modify Profile Purpose Statement to match CDA Patient Goal template purpose statement
- Published