us-quality-core-goal
type: StructureDefinition
node role: treeRoot
id:
  v: us-quality-core-goal
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: StructureDefinition us-quality-core-goal Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> Goal 0..* USCoreGoalProfile(6.1.0) Describes the intended objective(s) for a patient, group or organization #xD; description 1..1 CodeableConcept (USCDI+ Quality) (USCDI) Code or text describing goal #xD; subject 1..1 Reference(US Quality Core Patient) (USCDI) Who this goal is intended for #xD; start[x] Σ 0..1 (USCDI) When goal pursuit begins Binding: GoalStartEvent (preferred): Codes describing events that can trigger the initiation of a goal. #xD; startDate date #xD; startCodeableConcept CodeableConcept #xD; target 0..* BackboneElement (USCDI+ Quality) (USCDI) Target outcome for the goal #xD; <img src="[binary]" alt="doco" style="background-color: inherit"/> Documentation for this format
url:
  v: http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-goal
  l: us-quality-core-goal
version:
  v: 0.5.0
name:
  v: USQualityCoreGoal
title:
  v: US Quality Core Goal
status:
  v: active
experimental:
  v: false
date:
  v: 2026-06-05
publisher:
  v: Office of the National Coordinator for Health Information Technology (ONC)
contact:
  name:
    v: Office of the National Coordinator for Health Information Technology (ONC)
  telecom:
    system:
      v: url
    value:
      v: https://www.healthit.gov/feedback
description:
  v: Profile of Goal for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.
jurisdiction:
  coding:
    system:
      v: urn:iso:std:iso:3166
      l: 3166
    code:
      v: US
    display:
      v: United States of America
  text:
    v: USA
fhir version:
  v: 4.0.1
mapping:
  identity:
    v: v2
  uri:
    v: http://hl7.org/v2
    l: v2
  name:
    v: HL7 v2 Mapping
mapping:
  identity:
    v: rim
  uri:
    v: http://hl7.org/v3
    l: v3
  name:
    v: RIM Mapping
mapping:
  identity:
    v: w5
  uri:
    v: http://hl7.org/fhir/fivews
    l: fivews
  name:
    v: FiveWs Pattern Mapping
kind:
  v: resource
abstract:
  v: false
type:
  v: Goal
  l: Goal
base definition:
  v: http://hl7.org/fhir/us/core/StructureDefinition/us-core-goal|6.1.0
  l: http://hl7.org/fhir/us/core/StructureDefinition/us-core-goal
derivation:
  v: constraint
snapshot:
  extension:
    url:
      v: http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version
      l: snapshot-base-version
    value: String
      v: 6.1.0
  element:
    id:
      v: Goal
    path:
      v: Goal
    short:
      v: Describes the intended objective(s) for a patient, group or organization
    definition:
      v: \-
    comment:
      v: \-
    min:
      v: 0
    max:
      v: *
    base:
      path:
        v: Goal
      min:
        v: 0
      max:
        v: *
    constraint:
      key:
        v: dom-2
      severity:
        v: error
      human:
        v: If the resource is contained in another resource, it SHALL NOT contain nested Resources
      expression:
        v: contained.contained.empty()
      xpath:
        v: not(parent::f:contained and f:contained)
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-3
      severity:
        v: error
      human:
        v: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
      expression:
        v: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
      xpath:
        v: not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-4
      severity:
        v: error
      human:
        v: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
      expression:
        v: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
      xpath:
        v: not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-5
      severity:
        v: error
      human:
        v: If a resource is contained in another resource, it SHALL NOT have a security label
      expression:
        v: contained.meta.security.empty()
      xpath:
        v: not(exists(f:contained/*/f:meta/f:security))
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      extension:
        value: Boolean
      extension:
        value: Markdown
      key:
        v: dom-6
      severity:
        v: warning
      human:
        v: A resource should have narrative for robust management
      expression:
        v: text.`div`.exists()
      xpath:
        v: exists(f:text/h:div)
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    must support:
      v: false
    is modifier:
      v: false
    is summary:
      v: false
    mapping:
      identity:
        v: rim
      map:
        v: Entity. Role, or Act
    mapping:
      identity:
        v: v2
      map:
        v: GOL.1

Boolean
v: true

Markdown
v: When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time.

identity:
  v: rim
map:
  v: .outboundRelationship[typeCode<=OBJ].

identity:
  v: argonaut-dq-dstu2
map:
  v: Goal

id:
  v: Goal.id
path:
  v: Goal.id
short:
  v: Logical id of this artifact
definition:
  v: The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
comment:
  v: The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: id
      l: id
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: true

id:
  v: Goal.meta
path:
  v: Goal.meta
short:
  v: Metadata about the resource
definition:
  v: The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.meta
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Meta
    l: Meta
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true

id:
  v: Goal.implicitRules
path:
  v: Goal.implicitRules
short:
  v: A set of rules under which this content was created
definition:
  v: A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
comment:
  v: Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.implicitRules
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: true
is modifier reason:
  v: This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
is summary:
  v: true

id:
  v: Goal.language
path:
  v: Goal.language
short:
  v: Language of the resource content
definition:
  v: The base language in which the resource is written.
comment:
  v: Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.language
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet
      l: elementdefinition-maxValueSet
    value: Canonical
      v: http://hl7.org/fhir/ValueSet/all-languages
      l: all-languages
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: Language
  strength:
    v: preferred
  description:
    v: A human language.
  value set:
    v: http://hl7.org/fhir/ValueSet/languages
    l: languages

id:
  v: Goal.text
path:
  v: Goal.text
short:
  v: Text summary of the resource, for human interpretation
definition:
  v: A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
comment:
  v: Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
alias:
  v: narrative
alias:
  v: html
alias:
  v: xhtml
alias:
  v: display
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Narrative
    l: Narrative
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: Act.text?

id:
  v: Goal.contained
path:
  v: Goal.contained
short:
  v: Contained, inline Resources
definition:
  v: These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
comment:
  v: This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
alias:
  v: inline resources
alias:
  v: anonymous resources
alias:
  v: contained resources
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.contained
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Resource
    l: Resource
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Goal.extension
path:
  v: Goal.extension
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Goal.modifierExtension
path:
  v: Goal.modifierExtension
short:
  v: Extensions that cannot be ignored
definition:
  v: May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Goal.identifier
path:
  v: Goal.identifier
short:
  v: External Ids for this goal
definition:
  v: Business identifiers assigned to this goal by the performer or other systems which remain constant as the resource is updated and propagates from server to server.
comment:
  v: This is a business identifier, not a resource identifier (see [discussion](http://hl7.org/fhir/R4/resource.html#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.
requirements:
  v: Allows identification of the goal as it is known by various participating systems and in a way that remains consistent across servers.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Goal.identifier
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Identifier
    l: Identifier
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.identifier
mapping:
  identity:
    v: rim
  map:
    v: .id

id:
  v: Goal.lifecycleStatus
extension:
  url:
    v: http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement
    l: uscdi-requirement
  value: Boolean
    v: true
path:
  v: Goal.lifecycleStatus
short:
  v: (USCDI) proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected
definition:
  v: The state of the goal throughout its lifecycle.
comment:
  v: This element is labeled as a modifier because the lifecycleStatus contains codes that mark the resource as not currently valid.
requirements:
  v: Allows knowing whether goal needs to be further tracked.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Goal.lifecycleStatus
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
    l: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: true
is modifier reason:
  v: This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
is summary:
  v: true
binding:
  strength:
    v: required
  value set:
    v: http://hl7.org/fhir/ValueSet/goal-status
    l: goal-status
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.status
mapping:
  identity:
    v: v2
  map:
    v: GOL-18-goal life cycle status
mapping:
  identity:
    v: rim
  map:
    v: .statusCode in-progress = active (classCode = OBJ) cancelled = aborted
mapping:
  identity:
    v: argonaut-dq-dstu2
  map:
    v: Goal.status

id:
  v: Goal.achievementStatus
path:
  v: Goal.achievementStatus
short:
  v: in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable
definition:
  v: Describes the progression, or lack thereof, towards the goal against the target.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Goal.achievementStatus
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: GoalAchievementStatus
  strength:
    v: preferred
  description:
    v: Indicates the progression, or lack thereof, towards the goal against the target.
  value set:
    v: http://hl7.org/fhir/ValueSet/goal-achievement
    l: goal-achievement
mapping:
  identity:
    v: rim
  map:
    v: .statusCode achieved = complete sustaining = active

id:
  v: Goal.category
path:
  v: Goal.category
short:
  v: E.g. Treatment, dietary, behavioral, etc.
definition:
  v: Indicates a category the goal falls within.
requirements:
  v: Allows goals to be filtered and sorted.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Goal.category
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: GoalCategory
  strength:
    v: example
  description:
    v: Codes for grouping and sorting goals.
  value set:
    v: http://hl7.org/fhir/ValueSet/goal-category
    l: goal-category
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.class

id:
  v: Goal.priority
path:
  v: Goal.priority
short:
  v: high-priority | medium-priority | low-priority
definition:
  v: Identifies the mutually agreed level of importance associated with reaching/sustaining the goal.
comment:
  v: Extensions are available to track priorities as established by each participant (i.e. Priority from the patient's perspective, different practitioners' perspectives, family member's perspectives) The ordinal extension on Coding can be used to convey a numerically comparable ranking to priority. (Keep in mind that different coding systems may use a "low value=important".
requirements:
  v: Used for sorting and presenting goals.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Goal.priority
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: GoalPriority
  strength:
    v: preferred
  description:
    v: The level of importance associated with a goal.
  value set:
    v: http://hl7.org/fhir/ValueSet/goal-priority
    l: goal-priority
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.grade
mapping:
  identity:
    v: rim
  map:
    v: .priorityCode

id:
  v: Goal.description
extension:
  url:
    v: http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement
    l: uscdi-requirement
  value: Boolean
    v: true
extension:
  url:
    v: http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement
    l: uscdi-requirement
  value: Boolean
    v: true
extension:
  url:
    v: http://fhir.org/guides/onc/us-quality-core/StructureDefinition/uscdiplusquality
    l: uscdiplusquality
  value: Boolean
    v: true
path:
  v: Goal.description
short:
  v: (USCDI+ Quality) (USCDI) Code or text describing goal
definition:
  v: 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".
comment:
  v: If no code is available, use CodeableConcept.text.
requirements:
  v: Without a description of what's trying to be achieved, element has no purpose.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Goal.description
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: true
binding:
  strength:
    v: extensible
  description:
    v: Value set to describe the Goal
  value set:
    v: http://hl7.org/fhir/us/core/ValueSet/us-core-goal-description
    l: us-core-goal-description
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.what[x]
mapping:
  identity:
    v: v2
  map:
    v: GOL-3.2-goal ID.text
mapping:
  identity:
    v: rim
  map:
    v: .text
mapping:
  identity:
    v: argonaut-dq-dstu2
  map:
    v: Goal.description

id:
  v: Goal.subject
extension:
  url:
    v: http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement
    l: uscdi-requirement
  value: Boolean
    v: true
extension:
  url:
    v: http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement
    l: uscdi-requirement
  value: Boolean
    v: true
path:
  v: Goal.subject
short:
  v: (USCDI) Who this goal is intended for
definition:
  v: Identifies the patient, group or organization for whom the goal is being established.
comment:
  v: Should include us-quality-core-organization, but the base profile only allows USCore-Patient derivatives.
requirements:
  v: Subject is optional to support annonymized reporting.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Goal.subject
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-patient
    l: us-quality-core-patient
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.subject[x]
mapping:
  identity:
    v: v2
  map:
    v: PID-3-patient ID list
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode=PAT].role[classCode=PAT]
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.subject
mapping:
  identity:
    v: argonaut-dq-dstu2
  map:
    v: Goal.subject

id:
  v: Goal.start[x]
extension:
  url:
    v: http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement
    l: uscdi-requirement
  value: Boolean
    v: true
extension:
  url:
    v: http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement
    l: uscdi-requirement
  value: Boolean
    v: true
path:
  v: Goal.start[x]
short:
  v: (USCDI) When goal pursuit begins
definition:
  v: The date or event after which the goal should begin being pursued.
requirements:
  v: Goals can be established prior to there being an intention to start pursuing them; e.g. Goals for post-surgical recovery established prior to surgery.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Goal.start[x]
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support
      l: elementdefinition-type-must-support
    value: Boolean
      v: true
  code:
    v: date
    l: date
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: GoalStartEvent
  strength:
    v: preferred
  description:
    v: Codes describing events that can trigger the initiation of a goal.
  value set:
    v: http://hl7.org/fhir/ValueSet/goal-start-event
    l: goal-start-event
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.planned

id:
  v: Goal.target
extension:
  url:
    v: http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement
    l: uscdi-requirement
  value: Boolean
    v: true
extension:
  url:
    v: http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement
    l: uscdi-requirement
  value: Boolean
    v: true
extension:
  url:
    v: http://fhir.org/guides/onc/us-quality-core/StructureDefinition/uscdiplusquality
    l: uscdiplusquality
  value: Boolean
    v: true
path:
  v: Goal.target
short:
  v: (USCDI+ Quality) (USCDI) Target outcome for the goal
definition:
  v: Indicates what should be done by when.
comment:
  v: When multiple targets are present for a single goal instance, all targets must be met for the overall goal to be met.
requirements:
  v: Allows the progress of the goal to be monitored against an observation or due date. Target is 0..* to support Observations with multiple components, such as blood pressure goals with both a systolic and diastolic target.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Goal.target
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
    l: BackboneElement
condition:
  v: gol-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: gol-1
  severity:
    v: error
  human:
    v: Goal.target.measure is required if Goal.target.detail is populated
  expression:
    v: (detail.exists() and measure.exists()) or detail.exists().not()
  xpath:
    v: (exists(f:*[starts-with(local-name(.), 'detail')]) and exists(f:measure)) or not(exists(f:*[starts-with(local-name(.), 'detail')]))
  source:
    v: http://hl7.org/fhir/StructureDefinition/Goal
    l: Goal
must support:
  v: true
is modifier:
  v: false
is summary:
  v: false

id:
  v: Goal.target.id
path:
  v: Goal.target.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
      l: structuredefinition-fhir-type
    value: Url
      v: string
      l: string
  code:
    v: http://hl7.org/fhirpath/System.String
    l: System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Goal.target.extension
path:
  v: Goal.target.extension
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: Goal.target.modifierExtension
path:
  v: Goal.target.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: Goal.target.measure
path:
  v: Goal.target.measure
short:
  v: The parameter whose value is being tracked
definition:
  v: The parameter whose value is being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Goal.target.measure
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
condition:
  v: gol-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: GoalTargetMeasure
  strength:
    v: example
  description:
    v: Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level.
  value set:
    v: http://hl7.org/fhir/ValueSet/observation-codes
    l: observation-codes

id:
  v: Goal.target.detail[x]
path:
  v: Goal.target.detail[x]
short:
  v: The target value to be achieved
definition:
  v: The target value of the focus to be achieved to signify the fulfillment of the goal, e.g. 150 pounds, 7.0%. Either the high or low or both values of the range can be specified. When a low value is missing, it indicates that the goal is achieved at any focus value at or below the high value. Similarly, if the high value is missing, it indicates that the goal is achieved at any focus value at or above the low value.
comment:
  v: A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Goal.target.measure defines a coded value.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Goal.target.detail[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Quantity
    l: Quantity
type:
  code:
    v: Range
    l: Range
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
type:
  code:
    v: string
    l: string
type:
  code:
    v: boolean
    l: boolean
type:
  code:
    v: integer
    l: integer
type:
  code:
    v: Ratio
    l: Ratio
condition:
  v: gol-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: GoalTargetDetail
  strength:
    v: example
  description:
    v: Codes to identify the target value of the focus to be achieved to signify the fulfillment of the goal.

id:
  v: Goal.target.due[x]
extension:
  url:
    v: http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement
    l: uscdi-requirement
  value: Boolean
    v: true
path:
  v: Goal.target.due[x]
short:
  v: (USCDI) Reach goal on or before
definition:
  v: Indicates either the date or the duration after start by which the goal should be met.
requirements:
  v: Identifies when the goal should be evaluated.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Goal.target.due[x]
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-type-must-support
      l: elementdefinition-type-must-support
    value: Boolean
      v: true
  code:
    v: date
    l: date
type:
  code:
    v: Duration
    l: Duration
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.done[x]

id:
  v: Goal.statusDate
path:
  v: Goal.statusDate
short:
  v: When goal status took effect
definition:
  v: Identifies when the current status. I.e. When initially created, when achieved, when cancelled, etc.
comment:
  v: To see the date for past statuses, query history.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Goal.statusDate
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: date
    l: date
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.recorded

id:
  v: Goal.statusReason
path:
  v: Goal.statusReason
short:
  v: Reason for current status
definition:
  v: Captures the reason for the current status.
comment:
  v: This will typically be captured for statuses such as rejected, on-hold or cancelled, but could be present for others.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Goal.statusReason
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false

id:
  v: Goal.expressedBy
path:
  v: Goal.expressedBy
short:
  v: Who's responsible for creating Goal?
definition:
  v: Indicates whose goal this is - patient goal, practitioner goal, etc.
comment:
  v: This is the individual responsible for establishing the goal, not necessarily who recorded it. (For that, use the Provenance resource.).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Goal.expressedBy
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Patient
    l: Patient
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Practitioner
    l: Practitioner
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/PractitionerRole
    l: PractitionerRole
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/RelatedPerson
    l: RelatedPerson
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.source

id:
  v: Goal.addresses
path:
  v: Goal.addresses
short:
  v: Issues addressed by this goal
definition:
  v: The identified conditions and other health record elements that are intended to be addressed by the goal.
requirements:
  v: Allows specific goals to explicitly linked to the concerns they're dealing with - makes the goal more understandable.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Goal.addresses
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Condition
    l: Condition
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Observation
    l: Observation
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/MedicationStatement
    l: MedicationStatement
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/NutritionOrder
    l: NutritionOrder
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/ServiceRequest
    l: ServiceRequest
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/RiskAssessment
    l: RiskAssessment
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.why[x]
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=SUBJ].target[classCode=CONC]

id:
  v: Goal.note
path:
  v: Goal.note
short:
  v: Comments about the goal
definition:
  v: Any comments related to the goal.
comment:
  v: May be used for progress notes, concerns or other related information that doesn't actually describe the goal itself.
requirements:
  v: There's a need to capture information about the goal that doesn't actually describe the goal.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Goal.note
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Annotation
    l: Annotation
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: v2
  map:
    v: GOL-16-goal evaluation + NTE?
mapping:
  identity:
    v: rim
  map:
    v: .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation"].value

id:
  v: Goal.outcomeCode
path:
  v: Goal.outcomeCode
short:
  v: What result was achieved regarding the goal?
definition:
  v: Identifies the change (or lack of change) at the point when the status of the goal is assessed.
comment:
  v: Note that this should not duplicate the goal status.
requirements:
  v: Outcome tracking is a key aspect of care planning.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Goal.outcomeCode
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: GoalOutcome
  strength:
    v: example
  description:
    v: The result of the goal; e.g. "25% increase in shoulder mobility", "Anxiety reduced to moderate levels". "15 kg weight loss sustained over 6 months".
  value set:
    v: http://hl7.org/fhir/ValueSet/clinical-findings
    l: clinical-findings

id:
  v: Goal.outcomeReference
path:
  v: Goal.outcomeReference
short:
  v: Observation that resulted from goal
definition:
  v: Details of what's changed (or not changed).
comment:
  v: The goal outcome is independent of the outcome of the related activities. For example, if the Goal is to achieve a target body weight of 150 lb and a care plan activity is defined to diet, then the care plan’s activity outcome could be calories consumed whereas goal outcome is an observation for the actual body weight measured.
requirements:
  v: Outcome tracking is a key aspect of care planning.
min:
  v: 0
max:
  v: *
base:
  path:
    v: Goal.outcomeReference
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Observation
    l: Observation
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
is modifier:
  v: false
is summary:
  v: false

element:
  id:
    v: Goal
  path:
    v: Goal
element:
  id:
    v: Goal.description
  extension:
    url:
      v: http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement
      l: uscdi-requirement
    value: Boolean
      v: true
  extension:
    url:
      v: http://fhir.org/guides/onc/us-quality-core/StructureDefinition/uscdiplusquality
      l: uscdiplusquality
    value: Boolean
      v: true
  path:
    v: Goal.description
  short:
    v: (USCDI+ Quality) (USCDI) Code or text describing goal
element:
  id:
    v: Goal.subject
  extension:
    url:
      v: http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement
      l: uscdi-requirement
    value: Boolean
      v: true
  path:
    v: Goal.subject
  short:
    v: (USCDI) Who this goal is intended for
  comment:
    v: Should include us-quality-core-organization, but the base profile only allows USCore-Patient derivatives.
  min:
    v: 1
  max:
    v: 1
  type:
    code:
      v: Reference
      l: Reference
    target profile:
      v: http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-patient
      l: us-quality-core-patient
element:
  id:
    v: Goal.start[x]
  extension:
    url:
      v: http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement
      l: uscdi-requirement
    value: Boolean
      v: true
  path:
    v: Goal.start[x]
  short:
    v: (USCDI) When goal pursuit begins
  definition:
    v: The date or event after which the goal should begin being pursued.
  requirements:
    v: Goals can be established prior to there being an intention to start pursuing them; e.g. Goals for post-surgical recovery established prior to surgery.
  min:
    v: 0
  max:
    v: 1
  base:
    path:
      v: Goal.start[x]
    min:
      v: 0
    max:
      v: 1
  type:
    code:
      v: date
      l: date
  type:
    code:
      v: CodeableConcept
      l: CodeableConcept
  is modifier:
    v: false
  is summary:
    v: true
  binding:
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
        l: elementdefinition-bindingName
      value: String
        v: GoalStartEvent
    strength:
      v: preferred
    description:
      v: Codes describing events that can trigger the initiation of a goal.
    value set:
      v: http://hl7.org/fhir/ValueSet/goal-start-event
      l: goal-start-event
element:
  id:
    v: Goal.target
  extension:
    url:
      v: http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement
      l: uscdi-requirement
    value: Boolean
      v: true
  extension:
    url:
      v: http://fhir.org/guides/onc/us-quality-core/StructureDefinition/uscdiplusquality
      l: uscdiplusquality
    value: Boolean
      v: true
  path:
    v: Goal.target
  short:
    v: (USCDI+ Quality) (USCDI) Target outcome for the goal