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  1. CDA Specification Feedback
  2. CDA-20894

Modify Profile Purpose Statement to support shared goals

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Details

    • Icon: Change Request Change Request
    • Resolution: Persuasive
    • Icon: Medium Medium
    • C-CDA Templates Clinical Notes (CDA)
    • 3.0.0-ballot
    • Structured Documents
    • STU
    • Goal Observation
    • Hide

      Update GoalObservation description with proposed text.

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      Update GoalObservation description with proposed text.
    • Jean Duteau / Brett Marquard : 22-0-0
    • Clarification
    • 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.

       

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            rosemaryh Rosemary Hofstede
            LisaRNelson Lisa R. Nelson
            Lisa R. Nelson
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              Created:
              Updated:
              Resolved: