## Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-goal vs http://hl7.org/fhir/us/core/StructureDefinition/us-core-goal

Left: | US Core Goal Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-goal)
Right: | US Core Goal Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-goal)

### Messages

Error | StructureDefinition.version | Values for version differ: '6.1.0' vs '8.0.1'
Information | StructureDefinition.date | Values for date differ: '2022-04-20' vs '2023-10-17'
Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 International - Cross-Group Projects' vs 'HL7 International / Cross-Group Projects'
Information | StructureDefinition.definition | Values for definition differ: '\-' vs 'Describes the intended objective(s) for a patient, group or organization care, for example, weight loss, restoring an activity of daily living, obtaining herd immunity via immunization, meeting a process improvement objective, etc.'
Information | StructureDefinition.comment | Values for comment differ: '\-' vs 'Goal can be achieving a particular change or merely maintaining a current state or even slowing a decline.'
Information | Goal.language | Example/preferred bindings differ at Goal.language using binding from USCoreGoalProfile
Information | StructureDefinition.short | Values for short differ: '(USCDI) proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected' vs 'proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected'
Information | Goal.achievementStatus | Example/preferred bindings differ at Goal.achievementStatus using binding from USCoreGoalProfile
Information | Goal.priority | Example/preferred bindings differ at Goal.priority using binding from USCoreGoalProfile
Information | StructureDefinition.short | Values for short differ: '(USCDI) Code or text describing goal' vs 'Code or text describing goal'
Information | StructureDefinition.short | Values for short differ: '(USCDI) Who this goal is intended for' vs 'Who this goal is intended for'
Information | StructureDefinition.short | Values for short differ: '(USCDI) When goal pursuit begins' vs 'When goal pursuit begins'
Information | StructureDefinition.short | Values for short differ: '(USCDI) Target outcome for the goal' vs 'Target outcome for the goal'
Information | StructureDefinition.short | Values for short differ: '(USCDI) Reach goal on or before' vs 'Reach goal on or before'
Warning | Goal.expressedBy | Elements differ in definition for mustSupport: 'false' vs 'true'
Error | Goal.expressedBy | Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner], CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson]])

### Metadata

Name | Value | Comments
--- | --- | ---
abstract | false |
baseDefinition | http://hl7.org/fhir/StructureDefinition/Goal |
copyright | Used by permission of HL7 International, all rights reserved Creative Commons License |
date | 2022-04-20 | 2023-10-17 | Values Differ
description | This profile sets minimum expectations for the Goal resource to record, search, and fetch Goal information associated with a patient to promote interoperability and adoption through common implementation. It identifies which core elements, extensions, vocabularies, and value sets **SHALL** be present in the resource and constrains the way the elements are used when using this profile. It provides the floor for standards development for specific use cases | The US Core Goal Profile inherits from the FHIR [Goal](https://hl7.org/fhir/R4/goal.html) resource; refer to it for scope and usage definitions. This profile sets minimum expectations for the Goal resource to record, search, and fetch Goal information associated with a patient. It specifies which core elements, extensions, vocabularies, and value sets **SHALL** be present and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption. | Values Differ
experimental | false |
fhirVersion | 4.0.1 |
jurisdiction |  |
jurisdiction[0] | urn:iso:std:iso:3166#US |
kind | resource |
name | USCoreGoalProfile |
publisher | HL7 International - Cross-Group Projects | HL7 International / Cross-Group Projects | Values Differ
purpose |  |
status | active |
title | US Core Goal Profile |
type | Goal |
url | http://hl7.org/fhir/us/core/StructureDefinition/us-core-goal |
version | 6.1.0 | 8.0.1 | Values Differ

### Structure

Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments
--- | --- | --- | --- | --- | --- | --- | --- | --- | ---
Goal |  | 0..* | Goal | Describes the intended objective(s) for a patient, group or organization |  | 0..* | Goal | Describes the intended objective(s) for a patient, group or organization |
id | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact |
meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
language |  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
|  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
| Example/preferred bindings differ at Goal.language using binding from USCoreGoalProfile
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 |  | 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 |
contained |  | 0..* | Resource | Contained, inline Resources |  | 0..* | Resource | Contained, inline Resources |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier |  | 0..* | Identifier | External Ids for this goal |  | 0..* | Identifier | External Ids for this goal |
lifecycleStatus | ?!S Σ | 1..1 | code | (USCDI) proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: ?? (required) | ?!S Σ | 1..1 | code | proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: ?? (required) |
achievementStatus | Σ | 0..1 | CodeableConcept | in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable Binding: ?? (preferred): Indicates the progression, or lack thereof, towards the goal against the target. | Σ | 0..1 | CodeableConcept | in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable Binding: ?? (preferred): Indicates the progression, or lack thereof, towards the goal against the target. | Example/preferred bindings differ at Goal.achievementStatus using binding from USCoreGoalProfile
category | Σ | 0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Binding: ?? (example): Codes for grouping and sorting goals. | Σ | 0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Binding: ?? (example): Codes for grouping and sorting goals. |
priority | Σ | 0..1 | CodeableConcept | high-priority | medium-priority | low-priority Binding: ?? (preferred): The level of importance associated with a goal. | Σ | 0..1 | CodeableConcept | high-priority | medium-priority | low-priority Binding: ?? (preferred): The level of importance associated with a goal. | Example/preferred bindings differ at Goal.priority using binding from USCoreGoalProfile
description | S Σ | 1..1 | CodeableConcept | (USCDI) Code or text describing goal Binding: ?? (extensible): Value set to describe the Goal | S Σ | 1..1 | CodeableConcept | Code or text describing goal Binding: ?? (preferred): Value set to describe the Goal
Additional Bindings | Purpose
?? | Preferred
subject | S Σ | 1..1 | Reference(US Core Patient Profile) | (USCDI) Who this goal is intended for | S Σ | 1..1 | Reference(US Core Patient Profile S | Group | Organization) | Who this goal is intended for |
start[x] | S Σ | 0..1 | date S, CodeableConcept | (USCDI) When goal pursuit begins Binding: ?? (example): Codes describing events that can trigger the initiation of a goal. | S Σ | 0..1 | date S, CodeableConcept | When goal pursuit begins Binding: ?? (example): Codes describing events that can trigger the initiation of a goal. |
target | S C | 0..* | BackboneElement | (USCDI) Target outcome for the goal | S C | 0..* | BackboneElement | Target outcome for the goal |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
measure | Σ C | 0..1 | CodeableConcept | The parameter whose value is being tracked Binding: ?? (example): Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level. | Σ C | 0..1 | CodeableConcept | The parameter whose value is being tracked Binding: ?? (example): Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level. |
detail[x] | Σ C | 0..1 | Quantity, Range, CodeableConcept, string, boolean, integer, Ratio | 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. | Σ C | 0..1 | Quantity, Range, CodeableConcept, string, boolean, integer, Ratio | 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. |
due[x] | S Σ | 0..1 | date S, Duration | (USCDI) Reach goal on or before | S Σ | 0..1 | date S, Duration | Reach goal on or before |
statusDate | Σ | 0..1 | date | When goal status took effect | Σ | 0..1 | date | When goal status took effect |
statusReason |  | 0..1 | string | Reason for current status |  | 0..1 | string | Reason for current status |
expressedBy | Σ | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) | Who's responsible for creating Goal? | S Σ | 0..1 | Reference(US Core Practitioner Profile S | US Core Patient Profile | PractitionerRole | US Core RelatedPerson Profile) | Who's responsible for creating Goal? | Elements differ in definition for mustSupport: 'false' vs 'true' Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner], CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole], CanonicalType[http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson]])
addresses |  | 0..* | Reference(Condition | Observation | MedicationStatement | NutritionOrder | ServiceRequest | RiskAssessment) | Issues addressed by this goal |  | 0..* | Reference(Condition | Observation | MedicationStatement | NutritionOrder | ServiceRequest | RiskAssessment) | Issues addressed by this goal |
note |  | 0..* | Annotation | Comments about the goal |  | 0..* | Annotation | Comments about the goal |
outcomeCode |  | 0..* | CodeableConcept | What result was achieved regarding the goal? Binding: ?? (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". |  | 0..* | CodeableConcept | What result was achieved regarding the goal? Binding: ?? (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". |
outcomeReference |  | 0..* | Reference(Observation) | Observation that resulted from goal |  | 0..* | Reference(Observation) | Observation that resulted from goal |
Documentation for this format