# US Quality Core Goal - 2026 US Quality Core Implementation Guide v0.5.0

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **US Quality Core Goal**

## Resource Profile: US Quality Core Goal 

| | |
| :--- | :--- |
| *Official URL*:http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-goal | *Version*:0.5.0 |
| Active as of 2026-05-15 | *Computable Name*:USQualityCoreGoal |

 
Profile of Goal for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors. 

**Usage**
  See the [patterns](patterns.md) page for implementation and usage patterns.  

### Examples

 

| |
| :--- |
| [Weight Loss Example](Goal-example.md) |

 

**USCDI+ Quality Elements:**

* description: (USCDI+ Quality) (USCDI) Code or text describing goal
* target: (USCDI+ Quality) (USCDI) Target outcome for the goal

**Usages:**

* Examples for this Profile: [Goal/example](Goal-example.md)
* CapabilityStatements using this Profile: [US Quality Core Client CapabilityStatement](CapabilityStatement-us-quality-core-client.md) and [US Quality Core Server CapabilityStatement](CapabilityStatement-us-quality-core-server.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/resource/fhir.onc.us-quality-core|current/StructureDefinition/StructureDefinition-us-quality-core-goal.json)

### Formal Views of Profile Content

 [Description of Profiles, Differentials, Snapshots and how the different presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-us-quality-core-goal.csv), [Excel](StructureDefinition-us-quality-core-goal.xlsx), [Schematron](StructureDefinition-us-quality-core-goal.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "us-quality-core-goal",
  "url" : "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-goal",
  "version" : "0.5.0",
  "name" : "USQualityCoreGoal",
  "title" : "US Quality Core Goal",
  "status" : "active",
  "experimental" : false,
  "date" : "2026-05-15",
  "publisher" : "Office of the National Coordinator for Health Information Technology (ONC)",
  "contact" : [{
    "name" : "Office of the National Coordinator for Health Information Technology (ONC)",
    "telecom" : [{
      "system" : "url",
      "value" : "https://www.healthit.gov/feedback"
    }]
  }],
  "description" : "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" : "urn:iso:std:iso:3166",
      "code" : "US",
      "display" : "United States of America"
    }],
    "text" : "USA"
  }],
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "v2",
    "uri" : "http://hl7.org/v2",
    "name" : "HL7 v2 Mapping"
  },
  {
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  },
  {
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern Mapping"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "Goal",
  "baseDefinition" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-goal|6.1.0",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "Goal",
      "path" : "Goal"
    },
    {
      "id" : "Goal.description",
      "extension" : [{
        "url" : "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement",
        "valueBoolean" : true
      },
      {
        "url" : "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/uscdiplusquality",
        "valueBoolean" : true
      }],
      "path" : "Goal.description",
      "short" : "(USCDI+ Quality) (USCDI) Code or text describing goal"
    },
    {
      "id" : "Goal.subject",
      "extension" : [{
        "url" : "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement",
        "valueBoolean" : true
      }],
      "path" : "Goal.subject",
      "short" : "(USCDI) Who this goal is intended for",
      "comment" : "Should include us-quality-core-organization, but the base profile only allows USCore-Patient derivatives.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-patient"]
      }]
    },
    {
      "id" : "Goal.start[x]",
      "extension" : [{
        "url" : "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement",
        "valueBoolean" : true
      }],
      "path" : "Goal.start[x]",
      "short" : "(USCDI) When goal pursuit begins",
      "definition" : "The date or event after which the goal should begin being pursued.",
      "requirements" : "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" : 0,
      "max" : "1",
      "base" : {
        "path" : "Goal.start[x]",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "date"
      },
      {
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "GoalStartEvent"
        }],
        "strength" : "preferred",
        "description" : "Codes describing events that can trigger the initiation of a goal.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/goal-start-event"
      }
    },
    {
      "id" : "Goal.target",
      "extension" : [{
        "url" : "http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement",
        "valueBoolean" : true
      },
      {
        "url" : "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/uscdiplusquality",
        "valueBoolean" : true
      }],
      "path" : "Goal.target",
      "short" : "(USCDI+ Quality) (USCDI) Target outcome for the goal"
    }]
  }
}

```
