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12.3.1 GOL - goal detail segment

The goal detail segment contains the data necessary to add, update, correct, and delete the goals for an individual.

Figure 12-2. GOL attributes

SEQ

LEN

DT

OPT

RP/#

TBL#

ITEM #

ELEMENT NAME

1

2

ID

R


0287

00816

Action Code

2

26

TS

R



00817

Action Date/Time

3

80

CE

R



00818

Goal ID

4

60

EI

R



00819

Goal Instance ID

5

60

EI

O



00820

Episode of Care ID

6

60

NM

O



00821

Master Goal List Number

7

26

TS

O



00822

Goal Established Date/Time

8

26

TS

O



00824

Expected Goal Achiev Date/Time

9

80

CE

O



00825

Goal Classification

10

80

CE

O



00826

Goal Management Discipline

11

80

CE

O



00827

Current Goal Review Status

12

26

TS

O



00828

Current Goal Review Date/Time

13

26

TS

O



00829

Next Goal Review Date/Time

14

26

TS

O



00830

Previous Goal Review Date/Time

15

200

TQ

O



00831

Goal Review Interval

16

80

CE

O



00832

Goal Evaluation

17

300

ST

O

Y


00833

Goal Evaluation Comment

18

80

CE

O



00834

Goal Life Cycle Status

19

26

TS

O



00835

Goal Life Cycle Status Date/Time

20

80

CE

O

Y


00836

Goal Target Type

21

80

XPN

O

Y


00837

Goal Target Name

12.3.1.0 GOL field definitions

The business and/or application must assume responsibility for maintaining knowledge about data ownership, versioning, and/or audit trail control (for purposes of data integrity). It is also their responsibility to represent the appropriate version of that data.

12.3.1.1 Action code (ID) 00816

Definition: The action code field gives the intent of the message. Refer to HL7 table 0287 - Action code for valid values.

Table 0287 - Action code

Value

Description

AD

ADD

CO

CORRECT

DE

DELETE

UC

UNCHANGED *

UN

UNLINK

UP

UPDATE

* The UNCHANGED action code is used to signify to the applications programs that this particular segment includes no information to be modified. It is supplied in order to identify the correct record for which the following modification is intended.

12.3.1.2 Action date/time (TS) 00817

Definition: This field contains the date/time that the operation represented by the action code was performed.

12.3.1.3 Goal ID (CE) 00818

Components: <identifier (ST)> ^ <text (ST)> ^ <name of coding system (ST)> ^ <alternate identifier (ST)> ^ <alternate text (ST)> ^ <name of alternate coding system (ST)>

Definition: This field identifies the goal.

12.3.1.4 Goal instance ID (EI) 00819

Components: <entity identifier (ST)> ^ <assigning authority (HD)>

Definition: This field contains the unique identifier assigned by an initiating system to this instance of the goal.

Note: It is required that the value in this field be unique over time.

12.3.1.5 Episode of care ID (EI) 00820

Components: <entity identifier (ST)> ^ <assigning authority (HD)>

Definition: This field uniquely identifies the episode of care to which this goal applies. See note under "Ongoing issues."

Note: Based on application use, this field is expected to be unique over time.

12.3.1.6 Master goal list number (NM) 00821

Definition: This field prioritizes this goal on a master list that is maintained for an individual.

12.3.1.7 Goal established date/time (TS) 00822

Definition: This field identifies the date/time when the stated goal was initially created.

12.3.1.8 Expected goal achievement date/time (TS) 00824

Definition: This field contains the projected date/time for achieving the stated goal.

12.3.1.9 Goal classification (CE) 00825

Components: <identifier (ST)> ^ <text (ST)> ^ <name of coding system (ST)> ^ <alternate identifier (ST)> ^ <alternate text (ST)> ^ <name of alternate coding system (ST)>

Definition: This field indicates the kind of goal. This field can be used to categorize goals so that they may be managed and viewed independently within different applications (e.g., admission, final, post-operative, pre-operative, outpatient, discharge, etc.).

Note: This field can be used to differentiate separate goal lists that may be managed independently within applications.

12.3.1.10 Goal management discipline (CE) 00826

Components: <identifier (ST)> ^ <text (ST)> ^ <name of coding system (ST)> ^ <alternate identifier (ST)> ^ <alternate text (ST)> ^ <name of alternate coding system (ST)>

Definition: This field indicates the category of caregiver with responsibility for managing this specific goal (e.g.,care team, nursing, medicine, respiratory therapy, occupational therapy, dietary etc.). This is a repeating field to allow identification of all disciplines who may have the responsibility for this goal.

12.3.1.11 Current goal review status (CE) 00827

Components: <identifier (ST)> ^ <text (ST)> ^ <name of coding system (ST)> ^ <alternate identifier (ST)> ^ <alternate text (ST)> ^ <name of alternate coding system (ST)>

Definition: This field contains the current point in the continuum of a goal review cycle (e.g., due, initiated, reviewed, overdue, verified, etc.).

12.3.1.12 Current goal review date/time (TS) 00828

Definition: This field contains the date/time of the current review of the goal.

12.3.1.13 Next goal review date/time (TS) 00829

Definition: This field contains the date/time of the next scheduled goal review.

12.3.1.14 Previous goal review date/time (TS) 00830

Definition: This field contains the date/time that the goal was reviewed prior to the current review.

12.3.1.15 Goal review interval (TQ) 00831

Components: <quantity (CQ)> ^ <interval (CM)> ^<duration> ^ <start date/time (TS)> ^ <end date/time (TS)> ^ <priority (ID)> ^ <condition (ST)> ^ <text (TX)> ^ <conjunction (ID)> ^ <order sequencing>

Definition: This field contains the interval used to calculate the next goal review date. (See Order Entry Section 4.4.2).

12.3.1.16 Goal evaluation (CE) 00832

Components: <identifier (ST)> ^ <text (ST)> ^ <name of coding system (ST)> ^ <alternate identifier (ST)> ^ <alternate text (ST)> ^ <name of alternate coding system (ST)>

Definition: This field provides an indicator of progress towards achievement of the goal (e.g., achieved, ahead of schedule, delayed, failed to achieve, etc.).

12.3.1.17 Goal evaluation comment (ST) 00833

Definition: This field contains the comments associated with the goal evaluation. Examples of comments that might be entered in this field include: a reason for delay in achieving goal, or a clinical footnote about progress made towards the goal, etc.

12.3.1.18 Goal life cycle status (CE) 00834

Components: <identifier (ST)> ^ <text (ST)> ^ <name of coding system (ST)> ^ <alternate identifier (ST)> ^ <alternate text (ST)> ^ <name of alternate coding system (ST)>

Definition: This field contains an indication of the state of the goal (e.g., Active, Canceled, Inactive, Suspended, etc.).

12.3.1.19 Goal life cycle status date/time (TS) 00835

Definition: This field contains the effective date/time of the current goal life cycle status.

12.3.1.20 Goal target type (CE) 00836

Components: <identifier (ST)> ^ <text (ST)> ^ <name of coding system (ST)> ^ <alternate identifier (ST)> ^ <alternate text (ST)> ^ <name of alternate coding system (ST)>

Definition: This field contains the individual/group for whom the goal has been established (e.g., family group, family member, patient, etc.).

Note: This field is focused on a specific person/group that is directly patient-related.

12.3.1.21 Goal target name (XPN) 00837

Components: <family name (ST)> ^ <given name (ST)> ^ <middle initial or name (ST)> ^ <suffix (e.g., JR or III) (ST)> ^ <prefix (e.g., DR) (ST)> ^ <degree (e.g., MD) (ST)>^ <name type code (ID) >

Definition: This field contains the identification of the person(s) on whom the goal is focused. This is a repeating field which allows for the identification of a group of individuals.

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