Stream: implementers
Topic: US Core Goal
Chetana Nayyar (Feb 23 2021 at 10:46):
Can we expect a stand alone Goal for a patient, or will it always will be accompanied with a CarePlan?
Lloyd McKenzie (Feb 23 2021 at 14:42):
Stand-alone goals are absolutely possible. Whether you can expect them or not depends on who your implementation partners are :)
Chetana Nayyar (Feb 23 2021 at 16:10):
@Lloyd McKenzie we are trying to implement FHIR Server so as to comply with the CMS 9115-F. So in this regards can we still expect stand alone goals? If so then any reason why the goal identifier isnt marked as MUST Support?
Lloyd McKenzie (Feb 23 2021 at 16:17):
I'm not sure what CMS's rules are around Goals. Having them as stand-alone doesn't mean that business identifiers are essential. They would have a RESTful id. Business identifiers would primarily be useful if there was an expectation for goals to be managed across systems, and I'm not sure that would be widely supported.
Michele Mottini (Feb 23 2021 at 16:21):
We get stand-alone Goal resource - without any identifier - from Epic servers
Chetana Nayyar (Feb 23 2021 at 17:04):
Michele Mottini said:
We get stand-alone Goal resource - without any identifier - from Epic servers
With epic servers are we pointing to EMR systems?
Jenni Syed (Feb 23 2021 at 17:37):
Cerner servers also support standalone goals: http://fhir.cerner.com/millennium/overview/#supported-resources-between-versions (both DSTU 2 and R4 implementations)
Chetana Nayyar (Feb 23 2021 at 17:45):
@Jenni Syed @Michele Mottini
Can you help with any example on standalone Goals that are expected in terms of US healthcare?
Jenni Syed (Feb 23 2021 at 17:57):
They're literally allowed to be anything :) EG: I want to lose weight.
Jenni Syed (Feb 23 2021 at 17:57):
They may or may not be tied to a larger CarePlan. EG: Manage diabetes.
Jenni Syed (Feb 23 2021 at 17:58):
The regulations didn't give a ton of guidance or rules around this
Michele Mottini (Feb 23 2021 at 18:17):
Epic servers are EMR systems
Chetana Nayyar (Feb 23 2021 at 18:26):
@Jenni Syed In regards to the example shared isnt that more of a personal goal. How are we planning to receive this information as part of EMRs?
Are we saying the EMRs even capture this? Who generally will be updating this? Will that person be the primary care provider for the patient?
Michele Mottini (Feb 23 2021 at 18:59):
_we just do the plumbing_
Jenni Syed (Feb 23 2021 at 22:06):
Based on what I understand, these goals can be patient stated, provider stated (with or without a larger care plan - eg: your provider may say "you need to lose weight" without it being part of a larger plan), or something a family member has stated
Jenni Syed (Feb 23 2021 at 22:07):
I assume what Michele is pointing out is that we build in the capabilities to allow many different workflows. How systems use it may vary :)
Last updated: Apr 12 2022 at 19:14 UTC
