Example Usage Scenarios:

The following are example usage scenarios for this profile:

• Query for a Patient's Goals
• Record or update a Patient's Goals

Mandatory and Must Support Data Elements

The following data elements must always be present (Mandatory definition) or must be supported if the data is present in the sending system (Must Support definition). They are presented below in a simple human-readable explanation. Profile specific guidance and examples are provided as well. The Formal Views below provides the formal summary, definitions, and terminology requirements.

Each Goal Must Have:

1. a status
2. description of the goal¹
3. a patient

Each Goal Must Support:

1. start date²
2. target date(s)²
3. who established the goal³

^1,2,3 see guidance below

Profile Specific Implementation Guidance

This section provides detailed implementation guidance for the US Core Profile to support implementation and certification.

• ² Although both Goal.startDate and Goal.target.dueDate are marked as Must Support, the Server system is not required to support both, but SHALL support at least one of these elements.^§ The Client application SHALL support both elements.^§,§
• ¹ When exchanging Social Determinants of Health (SDOH) data, implementers SHOULD use the Social Determinants of Health Goals set which is curated by the Gravity Project to represent goals for all SDOH Domains.^§
• ¹ Goals are often captured as text and communicated in Goal.description.text.
• See the Screening and Assessments guidance page for more information when exchanging Social Determinants of Health (SDOH) Goals

• ³The profile element Goal.expressedBy communicates the individual level provenance author data corresponding to the U.S. Core Data for Interoperability (USCDI) Provenance Author Data Elements.

Changes since version 9.0.0:

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Goal		0..*	Goal	Describes the intended objective(s) for a patient, group or organization
Goal.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Goal.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Goal.lifecycleStatus	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required)
Goal.description	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Code or text describing goal Binding: US Core Goal Codes (preferred): Value set to describe the Goal
Goal.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(US Core Patient Profile S This type must be supported. | Group | Organization)	Who this goal is intended for
Goal.start[x]	S This element must be supported. Σ This element is included in summaries.	0..1		When goal pursuit begins Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal.
Goal.start[x].startDate			date S This target must be supported.
Goal.start[x].startCodeableConcept			CodeableConcept
Goal.target	S This element must be supported. C	0..*	BackboneElement	Target outcome for the goal Constraints: gol-1
Goal.target.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Goal.target.due[x]	S This element must be supported. Σ This element is included in summaries.	0..1		Reach goal on or before
Goal.target.due[x].dueDate			date S This target must be supported.
Goal.target.due[x].dueDuration			Duration
Goal.expressedBy	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(US Core Practitioner Profile S This type must be supported. | US Core Patient Profile | PractitionerRole | US Core RelatedPerson Profile)	Who's responsible for creating Goal?
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Goal.lifecycleStatus	Base	required	GoalLifecycleStatus	📦4.0.1	FHIR Std.
Goal.description	Base	preferred	US Core Goal Codes	📦10.0.0-ballot	This IG
Goal.start[x]	Base	example	Goal start event	📍4.0.1	FHIR Std.

Constraints

Id

Grade

Path(s)

Description

Expression

This structure is derived from Goal

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Goal		0..*	Goal	Describes the intended objective(s) for a patient, group or organization
Goal.lifecycleStatus	S This element must be supported.	1..1	code	proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required)
Goal.description	S This element must be supported.	1..1	CodeableConcept	Code or text describing goal Binding: US Core Goal Codes (preferred): Value set to describe the Goal
Goal.subject	S This element must be supported.	1..1	Reference(US Core Patient Profile S This type must be supported. | Group | Organization)	Who this goal is intended for
Goal.start[x]	S This element must be supported.	0..1		When goal pursuit begins
Goal.start[x].startDate			date S This target must be supported.
Goal.start[x].startCodeableConcept			CodeableConcept
Goal.target	S This element must be supported.	0..*	BackboneElement	Target outcome for the goal
Goal.target.due[x]	S This element must be supported.	0..1		Reach goal on or before
Goal.target.due[x].dueDate			date S This target must be supported.
Goal.target.due[x].dueDuration			Duration
Goal.expressedBy	S This element must be supported.	0..1	Reference(US Core Practitioner Profile S This type must be supported. | US Core Patient Profile | PractitionerRole | US Core RelatedPerson Profile)	Who's responsible for creating Goal?
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Goal.lifecycleStatus	Base	required	GoalLifecycleStatus	📦4.0.1	FHIR Std.
Goal.description	Base	preferred	US Core Goal Codes	📦10.0.0-ballot	This IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Goal		0..*	Goal	Describes the intended objective(s) for a patient, group or organization
Goal.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
Goal.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Goal.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Goal.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Goal.text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Goal.contained		0..*	Resource	Contained, inline Resources
Goal.extension		0..*	Extension	Additional content defined by implementations
Goal.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Goal.identifier		0..*	Identifier	External Ids for this goal
Goal.lifecycleStatus	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required)
Goal.achievementStatus	Σ This element is included in summaries.	0..1	CodeableConcept	in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable Binding: GoalAchievementStatus (preferred): Indicates the progression, or lack thereof, towards the goal against the target.
Goal.category	Σ This element is included in summaries.	0..*	CodeableConcept	E.g. Treatment, dietary, behavioral, etc. Binding: GoalCategory (example): Codes for grouping and sorting goals.
Goal.priority	Σ This element is included in summaries.	0..1	CodeableConcept	high-priority | medium-priority | low-priority Binding: GoalPriority (preferred): The level of importance associated with a goal.
Goal.description	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Code or text describing goal Binding: US Core Goal Codes (preferred): Value set to describe the Goal
Goal.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(US Core Patient Profile S This type must be supported. | Group | Organization)	Who this goal is intended for
Goal.start[x]	S This element must be supported. Σ This element is included in summaries.	0..1		When goal pursuit begins Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal.
Goal.start[x].startDate			date S This target must be supported.
Goal.start[x].startCodeableConcept			CodeableConcept
Goal.target	S This element must be supported. C	0..*	BackboneElement	Target outcome for the goal Constraints: gol-1
Goal.target.id		0..1	string	Unique id for inter-element referencing
Goal.target.extension		0..*	Extension	Additional content defined by implementations
Goal.target.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Goal.target.measure	Σ This element is included in summaries. C	0..1	CodeableConcept	The parameter whose value is being tracked Binding: LOINCCodes (example): Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level.
Goal.target.detail[x]	Σ This element is included in summaries. C	0..1		The target value to be achieved Binding Description: (example): Codes to identify the target value of the focus to be achieved to signify the fulfillment of the goal.
Goal.target.detail[x].detailQuantity			Quantity
Goal.target.detail[x].detailRange			Range
Goal.target.detail[x].detailCodeableConcept			CodeableConcept
Goal.target.detail[x].detailString			string
Goal.target.detail[x].detailBoolean			boolean
Goal.target.detail[x].detailInteger			integer
Goal.target.detail[x].detailRatio			Ratio
Goal.target.due[x]	S This element must be supported. Σ This element is included in summaries.	0..1		Reach goal on or before
Goal.target.due[x].dueDate			date S This target must be supported.
Goal.target.due[x].dueDuration			Duration
Goal.statusDate	Σ This element is included in summaries.	0..1	date	When goal status took effect
Goal.statusReason		0..1	string	Reason for current status
Goal.expressedBy	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(US Core Practitioner Profile S This type must be supported. | US Core Patient Profile | PractitionerRole | US Core RelatedPerson Profile)	Who's responsible for creating Goal?
Goal.addresses		0..*	Reference(Condition | Observation | MedicationStatement | NutritionOrder | ServiceRequest | RiskAssessment)	Issues addressed by this goal
Goal.note		0..*	Annotation	Comments about the goal
Goal.outcomeCode		0..*	CodeableConcept	What result was achieved regarding the goal? Binding: SNOMEDCTClinicalFindings (example): 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".
Goal.outcomeReference		0..*	Reference(Observation)	Observation that resulted from goal
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Goal.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Goal.lifecycleStatus	Base	required	GoalLifecycleStatus	📦4.0.1	FHIR Std.
Goal.achievementStatus	Base	preferred	Goal achievement status	📍4.0.1	FHIR Std.
Goal.category	Base	example	Goal category	📍4.0.1	FHIR Std.
Goal.priority	Base	preferred	Goal priority	📍4.0.1	FHIR Std.
Goal.description	Base	preferred	US Core Goal Codes	📦10.0.0-ballot	This IG
Goal.start[x]	Base	example	Goal start event	📍4.0.1	FHIR Std.
Goal.target.measure	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Goal.target.detail[x]	Base	example		Not State	Unknown
Goal.outcomeCode	Base	example	SNOMED CT Clinical Findings	📍4.0.1	FHIR Std.

Constraints

Id

Grade

Path(s)

Description

Expression

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Goal		0..*	Goal	Describes the intended objective(s) for a patient, group or organization
Goal.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Goal.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Goal.lifecycleStatus	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required)
Goal.description	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Code or text describing goal Binding: US Core Goal Codes (preferred): Value set to describe the Goal
Goal.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(US Core Patient Profile S This type must be supported. | Group | Organization)	Who this goal is intended for
Goal.start[x]	S This element must be supported. Σ This element is included in summaries.	0..1		When goal pursuit begins Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal.
Goal.start[x].startDate			date S This target must be supported.
Goal.start[x].startCodeableConcept			CodeableConcept
Goal.target	S This element must be supported. C	0..*	BackboneElement	Target outcome for the goal Constraints: gol-1
Goal.target.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Goal.target.due[x]	S This element must be supported. Σ This element is included in summaries.	0..1		Reach goal on or before
Goal.target.due[x].dueDate			date S This target must be supported.
Goal.target.due[x].dueDuration			Duration
Goal.expressedBy	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(US Core Practitioner Profile S This type must be supported. | US Core Patient Profile | PractitionerRole | US Core RelatedPerson Profile)	Who's responsible for creating Goal?
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Goal.lifecycleStatus	Base	required	GoalLifecycleStatus	📦4.0.1	FHIR Std.
Goal.description	Base	preferred	US Core Goal Codes	📦10.0.0-ballot	This IG
Goal.start[x]	Base	example	Goal start event	📍4.0.1	FHIR Std.

Constraints

Id

Grade

Path(s)

Description

Expression

Differential View

This structure is derived from Goal

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Goal		0..*	Goal	Describes the intended objective(s) for a patient, group or organization
Goal.lifecycleStatus	S This element must be supported.	1..1	code	proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required)
Goal.description	S This element must be supported.	1..1	CodeableConcept	Code or text describing goal Binding: US Core Goal Codes (preferred): Value set to describe the Goal
Goal.subject	S This element must be supported.	1..1	Reference(US Core Patient Profile S This type must be supported. | Group | Organization)	Who this goal is intended for
Goal.start[x]	S This element must be supported.	0..1		When goal pursuit begins
Goal.start[x].startDate			date S This target must be supported.
Goal.start[x].startCodeableConcept			CodeableConcept
Goal.target	S This element must be supported.	0..*	BackboneElement	Target outcome for the goal
Goal.target.due[x]	S This element must be supported.	0..1		Reach goal on or before
Goal.target.due[x].dueDate			date S This target must be supported.
Goal.target.due[x].dueDuration			Duration
Goal.expressedBy	S This element must be supported.	0..1	Reference(US Core Practitioner Profile S This type must be supported. | US Core Patient Profile | PractitionerRole | US Core RelatedPerson Profile)	Who's responsible for creating Goal?
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Goal.lifecycleStatus	Base	required	GoalLifecycleStatus	📦4.0.1	FHIR Std.
Goal.description	Base	preferred	US Core Goal Codes	📦10.0.0-ballot	This IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Goal		0..*	Goal	Describes the intended objective(s) for a patient, group or organization
Goal.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
Goal.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Goal.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Goal.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Goal.text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Goal.contained		0..*	Resource	Contained, inline Resources
Goal.extension		0..*	Extension	Additional content defined by implementations
Goal.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Goal.identifier		0..*	Identifier	External Ids for this goal
Goal.lifecycleStatus	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required)
Goal.achievementStatus	Σ This element is included in summaries.	0..1	CodeableConcept	in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable Binding: GoalAchievementStatus (preferred): Indicates the progression, or lack thereof, towards the goal against the target.
Goal.category	Σ This element is included in summaries.	0..*	CodeableConcept	E.g. Treatment, dietary, behavioral, etc. Binding: GoalCategory (example): Codes for grouping and sorting goals.
Goal.priority	Σ This element is included in summaries.	0..1	CodeableConcept	high-priority | medium-priority | low-priority Binding: GoalPriority (preferred): The level of importance associated with a goal.
Goal.description	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Code or text describing goal Binding: US Core Goal Codes (preferred): Value set to describe the Goal
Goal.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(US Core Patient Profile S This type must be supported. | Group | Organization)	Who this goal is intended for
Goal.start[x]	S This element must be supported. Σ This element is included in summaries.	0..1		When goal pursuit begins Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal.
Goal.start[x].startDate			date S This target must be supported.
Goal.start[x].startCodeableConcept			CodeableConcept
Goal.target	S This element must be supported. C	0..*	BackboneElement	Target outcome for the goal Constraints: gol-1
Goal.target.id		0..1	string	Unique id for inter-element referencing
Goal.target.extension		0..*	Extension	Additional content defined by implementations
Goal.target.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Goal.target.measure	Σ This element is included in summaries. C	0..1	CodeableConcept	The parameter whose value is being tracked Binding: LOINCCodes (example): Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level.
Goal.target.detail[x]	Σ This element is included in summaries. C	0..1		The target value to be achieved Binding Description: (example): Codes to identify the target value of the focus to be achieved to signify the fulfillment of the goal.
Goal.target.detail[x].detailQuantity			Quantity
Goal.target.detail[x].detailRange			Range
Goal.target.detail[x].detailCodeableConcept			CodeableConcept
Goal.target.detail[x].detailString			string
Goal.target.detail[x].detailBoolean			boolean
Goal.target.detail[x].detailInteger			integer
Goal.target.detail[x].detailRatio			Ratio
Goal.target.due[x]	S This element must be supported. Σ This element is included in summaries.	0..1		Reach goal on or before
Goal.target.due[x].dueDate			date S This target must be supported.
Goal.target.due[x].dueDuration			Duration
Goal.statusDate	Σ This element is included in summaries.	0..1	date	When goal status took effect
Goal.statusReason		0..1	string	Reason for current status
Goal.expressedBy	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(US Core Practitioner Profile S This type must be supported. | US Core Patient Profile | PractitionerRole | US Core RelatedPerson Profile)	Who's responsible for creating Goal?
Goal.addresses		0..*	Reference(Condition | Observation | MedicationStatement | NutritionOrder | ServiceRequest | RiskAssessment)	Issues addressed by this goal
Goal.note		0..*	Annotation	Comments about the goal
Goal.outcomeCode		0..*	CodeableConcept	What result was achieved regarding the goal? Binding: SNOMEDCTClinicalFindings (example): 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".
Goal.outcomeReference		0..*	Reference(Observation)	Observation that resulted from goal
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Goal.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Goal.lifecycleStatus	Base	required	GoalLifecycleStatus	📦4.0.1	FHIR Std.
Goal.achievementStatus	Base	preferred	Goal achievement status	📍4.0.1	FHIR Std.
Goal.category	Base	example	Goal category	📍4.0.1	FHIR Std.
Goal.priority	Base	preferred	Goal priority	📍4.0.1	FHIR Std.
Goal.description	Base	preferred	US Core Goal Codes	📦10.0.0-ballot	This IG
Goal.start[x]	Base	example	Goal start event	📍4.0.1	FHIR Std.
Goal.target.measure	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Goal.target.detail[x]	Base	example		Not State	Unknown
Goal.outcomeCode	Base	example	SNOMED CT Clinical Findings	📍4.0.1	FHIR Std.

Constraints

Id

Grade

Path(s)

Description

Expression

This structure is derived from Goal

Summary

Must-Support: 7 elements

Structures

This structure refers to these other structures:

• US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)
• US Core Practitioner Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner)
• US Core RelatedPerson Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson)

Maturity: 5

Quick Start

Below is an overview of the required Server RESTful FHIR interactions for this profile - for example, search and read operations - when supporting the US Core interactions to access this profile's information (Profile Support + Interaction Support). Note that systems that support only US Core Profiles (Profile Only Support) are not required to support these interactions. See the US Core Server CapabilityStatement for a complete list of supported RESTful interactions for this IG.

• See the Scopes Format section for a description of the SMART scopes syntax.
• See the Search Syntax section for a description of the US Core search syntax.
• See the General Requirements section for additional rules and expectations when a Server requires status parameters.
• See the General Guidance section for additional guidance on searching for multiple patients.

US Core Scopes

Servers providing access to goal data SHALL support these US Core SMART Scopes:

• resource level scopes: <patient|user|system>/Goal.rs ^§

Mandatory Search Parameters:

The following search parameters and search parameter combinations SHALL be supported:

1. SHALL support searching for all goals for a patient using the patient search parameter

   GET [base]/Goal?patient={Patient/}[id]

   Example:

   1. GET [base]/Goal?patient=Patient/1137192

   Implementation Notes: Fetches a bundle of all US Core Goal Profile resources for the specified patient ( see how to search by reference).

Optional Search Parameters:

The following search parameters and search parameter combinations SHOULD be supported

1. SHOULD support searching for all goals for a patient for a given status (for example active goals) using the combination of the patient and lifecycle-status search parameters

   GET [base]/Goal?patient={Patient/}[id]&lifecycle-status={system|}[search_code]

   Example:

   1. GET [base]/Goal?patient=Patient/1137192&lifecycle-status=active

   Implementation Notes: Fetches a bundle of all US Core Goal Profile resources for the specified patient and lifecycle-status ( see how to search by reference and how to search by token).

2. SHOULD support searching for all goals for a patient by date using the combination of the patient and target-date search parameters

   • Including optional support for AND search on target-date (e.g.target-date=[date]&target-date=[date]&...)

   • Including support for these target-date comparators: "gt", "lt", "ge", "le"

   GET [base]/Goal?patient={Patient/}[id]&target-date={gt|lt|ge|le}[dateTime]{&date={gt|lt|ge|le}[dateTime]&...}

   Example:

   1. GET [base]/Goal?patient=Patient/1137192&target-date=ge2015-01-14&target-date=le2019-01-14

   Implementation Notes: Fetches a bundle of all US Core Goal Profile resources for the specified patient and target-date ( see how to search by reference and how to search by date).

3. SHOULD support searching for all goals for a patient by date using the combination of the patient and description search parameters

   GET [base]/Goal?patient={Patient/}[id]&description={system|}[search_code]

   Example:

   1. GET [base]/Goal?patient=Patient/1137192&description=http://snomed.info/sct|1078229009

   Implementation Notes: Fetches a bundle of all US Core Goal Profile resources for the specified patient and description ( see how to search by reference and how to search by token).