FHIR Chat · Goal.description

Stream: implementers

Topic: Goal.description

Jose Costa Teixeira (Mar 13 2020 at 13:22):

Hi.
Goal.Description says "Code or text describing goal" but the code set seems more of a condition set than a goal set.

Jose Costa Teixeira (Mar 13 2020 at 13:22):

(value set is actually SCT Clinical Findings)

Jose Costa Teixeira (Mar 13 2020 at 13:23):

I know it is an example binding, but is it correct?

Jose Costa Teixeira (Mar 13 2020 at 13:24):

We could clarify the text to be "Code or text describing goal or condition that is supposed to be addressed"

Jose Costa Teixeira (Mar 13 2020 at 13:24):

but that would possibly conflict with the long description of the element:
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"

Jose Costa Teixeira (Mar 13 2020 at 13:35):

I understand that this is a broad value set but these seem mostly undesirable conditions, not goals (well, 219006...)

Lloyd McKenzie (Mar 13 2020 at 16:31):

@Michelle (Moseman) Miller

Michelle (Moseman) Miller (Mar 13 2020 at 20:27):

See Dave's comment on J#10623, which influenced the binding to that value set. Examples from that value set that are relevant include:

Or, diet-related Goals using child concepts from SCTID: 449921000124105, Able to control portion size (finding) – US Extension
Or, a Goal to become a non-smoker using SCTID: 8392000, Non-smoker (finding)
This value set would also cover partial achievement of a goal, e.g. SCTID: 134406006, Smoking reduced (finding)

Jose Costa Teixeira (Mar 13 2020 at 20:30):

These terms are findings - some of which may actually coincide with goals but the concept is not the same.
For example 6 month pregnancy is a finding, but I don't think it is a "goal" concept

Jose Costa Teixeira (Mar 13 2020 at 20:31):

I fear some misuse. What would we put if the goal is "Diabetes management"? (I fear some people would put "diabetes" in there - confusing goals with the condition we want to manage is not good)

Jose Costa Teixeira (Mar 13 2020 at 20:34):

In short, while some findings may be goals in some circumstances, I don't think we should use that value set. we should clarify the definition or find a different value set - possibly just a sub-set of the one we have now. But current value set seems misleading

Michelle (Moseman) Miller (Mar 13 2020 at 20:36):

Feel free to log a change request for Patient Care to refine the value set to a smaller list of examples. It is just an example binding, so I don't think we need to list every possible goal -- just give a few examples like I listed earlier (or others if you have better suggested goal codes)