The ADI Person Authored Personal Goal represents the patient’s personal goals and values related to quality of life that are intended to inform the treatment being provided. This may be communicated as a statement of what is important to the patient to have a good quality of life, such as avoiding prolonged dependence on machines or being able to feed, bathe, and take care of themselves. They may want to be to be able to die at home or not be a financial burden to their family. Content creators or implementers may provide a list of things the patient can select that are personally important to them or the decisions may be captured in narrative form. Without any more specificity than what the personal goal of the patient is, a medical team may be able to narrow down a list of potential treatment interventions to just a few whose outcomes would enable meeting the patient’s documented personal goals and values.

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Goal	C	0..*	USCoreGoalProfile	Describes the intended objective(s) for a patient, group or organization Constraints: goal-subject-expressedby
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.text	S This element must be supported.	1..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.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.Slices for category	S This element must be supported. Σ This element is included in summaries.	1..*	CodeableConcept	E.g. Treatment, dietary, behavioral, etc. Slice: Unordered, Open by value:$this Binding: GoalCategory (example): Codes for grouping and sorting goals. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Goal.Slices for category.category:All Slices				Content/Rules for all slices
Goal.Slices for category.category:All Slices.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Goal.Slices for category.category:type	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	E.g. Treatment, dietary, behavioral, etc. Binding: Health Goals Grouping (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.description.Slices for extension				Content/Rules for all slices
Goal.description.Slices for extension.extension:EnclosedPreconditionExtension		0..1	CodeableConcept	Enclosed Precondition URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-enclosedPrecondition-extension
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. )	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.	1..1	Reference(US Core Patient 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.category	Base	example	Goal category	📍4.0.1	FHIR Std.
Goal.category:type	Base	required	Health Goals Grouping	⏿20200709	tx.fhir.org
Goal.description	Base	preferred	US Core Goal Codes	📦9.0.0	US Core v9.0
Goal.start[x]	Base	example	Goal start event	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Goal	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Goal	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	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()
dom-4	error	Goal	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Goal	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Goal	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
goal-subject-expressedby	error	Goal	subject and expressedBy refer to the same patient	subject = expressedBy
gol-1	error	Goal.target	Goal.target.measure is required if Goal.target.detail is populated	(detail.exists() and measure.exists()) or detail.exists().not()

This structure is derived from USCoreGoalProfile

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Goal	C	0..*	USCoreGoalProfile	Describes the intended objective(s) for a patient, group or organization Constraints: goal-subject-expressedby
Goal.text	S This element must be supported.	1..1	Narrative	Text summary of the resource, for human interpretation
Goal.Slices for category	S This element must be supported.	1..*	CodeableConcept	E.g. Treatment, dietary, behavioral, etc. Slice: Unordered, Open by value:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Goal.Slices for category.category:All Slices				Content/Rules for all slices
Goal.Slices for category.category:All Slices.text	S This element must be supported.	0..1	string	Plain text representation of the concept
Goal.Slices for category.category:type	S This element must be supported.	1..1	CodeableConcept	E.g. Treatment, dietary, behavioral, etc. Binding: Health Goals Grouping (required)
Goal.description
Goal.description.Slices for extension				Content/Rules for all slices
Goal.description.Slices for extension.extension:EnclosedPreconditionExtension		0..1	CodeableConcept	Enclosed Precondition URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-enclosedPrecondition-extension
Goal.subject		1..1	Reference(US Core Patient Profile)	Who this goal is intended for
Goal.expressedBy		1..1	Reference(US Core Patient Profile)	Who's responsible for creating Goal?
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Goal.category:type	Base	required	Health Goals Grouping	⏿20200709	tx.fhir.org

Constraints

Id	Grade	Path(s)	Description	Expression
goal-subject-expressedby	error	Goal	subject and expressedBy refer to the same patient	subject = expressedBy

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Goal	C	0..*	USCoreGoalProfile	Describes the intended objective(s) for a patient, group or organization Constraints: goal-subject-expressedby
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	S This element must be supported.	1..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.Slices for category	S This element must be supported. Σ This element is included in summaries.	1..*	CodeableConcept	E.g. Treatment, dietary, behavioral, etc. Slice: Unordered, Open by value:$this Binding: GoalCategory (example): Codes for grouping and sorting goals. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Goal.Slices for category.category:All Slices				Content/Rules for all slices
Goal.Slices for category.category:All Slices.id		0..1	string	Unique id for inter-element referencing
Goal.Slices for category.category:All Slices.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Goal.Slices for category.category:All Slices.coding	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system
Goal.Slices for category.category:All Slices.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Goal.Slices for category.category:type	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	E.g. Treatment, dietary, behavioral, etc. Binding: Health Goals Grouping (required)
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.description.id		0..1	string	Unique id for inter-element referencing
Goal.description.Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Goal.description.Slices for extension.extension:EnclosedPreconditionExtension		0..1	CodeableConcept	Enclosed Precondition URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-enclosedPrecondition-extension
Goal.description.coding	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system
Goal.description.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
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. )	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.	1..1	Reference(US Core Patient 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.category:type	Base	required	Health Goals Grouping	⏿20200709	tx.fhir.org
Goal.priority	Base	preferred	Goal priority	📍4.0.1	FHIR Std.
Goal.description	Base	preferred	US Core Goal Codes	📦9.0.0	US Core v9.0
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
dom-2	error	Goal	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Goal	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	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()
dom-4	error	Goal	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Goal	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Goal	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
goal-subject-expressedby	error	Goal	subject and expressedBy refer to the same patient	subject = expressedBy
gol-1	error	Goal.target	Goal.target.measure is required if Goal.target.detail is populated	(detail.exists() and measure.exists()) or detail.exists().not()

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Goal	C	0..*	USCoreGoalProfile	Describes the intended objective(s) for a patient, group or organization Constraints: goal-subject-expressedby
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.text	S This element must be supported.	1..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.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.Slices for category	S This element must be supported. Σ This element is included in summaries.	1..*	CodeableConcept	E.g. Treatment, dietary, behavioral, etc. Slice: Unordered, Open by value:$this Binding: GoalCategory (example): Codes for grouping and sorting goals. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Goal.Slices for category.category:All Slices				Content/Rules for all slices
Goal.Slices for category.category:All Slices.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Goal.Slices for category.category:type	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	E.g. Treatment, dietary, behavioral, etc. Binding: Health Goals Grouping (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.description.Slices for extension				Content/Rules for all slices
Goal.description.Slices for extension.extension:EnclosedPreconditionExtension		0..1	CodeableConcept	Enclosed Precondition URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-enclosedPrecondition-extension
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. )	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.	1..1	Reference(US Core Patient 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.category	Base	example	Goal category	📍4.0.1	FHIR Std.
Goal.category:type	Base	required	Health Goals Grouping	⏿20200709	tx.fhir.org
Goal.description	Base	preferred	US Core Goal Codes	📦9.0.0	US Core v9.0
Goal.start[x]	Base	example	Goal start event	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Goal	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Goal	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	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()
dom-4	error	Goal	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Goal	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Goal	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
goal-subject-expressedby	error	Goal	subject and expressedBy refer to the same patient	subject = expressedBy
gol-1	error	Goal.target	Goal.target.measure is required if Goal.target.detail is populated	(detail.exists() and measure.exists()) or detail.exists().not()

Differential View

This structure is derived from USCoreGoalProfile

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Goal	C	0..*	USCoreGoalProfile	Describes the intended objective(s) for a patient, group or organization Constraints: goal-subject-expressedby
Goal.text	S This element must be supported.	1..1	Narrative	Text summary of the resource, for human interpretation
Goal.Slices for category	S This element must be supported.	1..*	CodeableConcept	E.g. Treatment, dietary, behavioral, etc. Slice: Unordered, Open by value:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Goal.Slices for category.category:All Slices				Content/Rules for all slices
Goal.Slices for category.category:All Slices.text	S This element must be supported.	0..1	string	Plain text representation of the concept
Goal.Slices for category.category:type	S This element must be supported.	1..1	CodeableConcept	E.g. Treatment, dietary, behavioral, etc. Binding: Health Goals Grouping (required)
Goal.description
Goal.description.Slices for extension				Content/Rules for all slices
Goal.description.Slices for extension.extension:EnclosedPreconditionExtension		0..1	CodeableConcept	Enclosed Precondition URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-enclosedPrecondition-extension
Goal.subject		1..1	Reference(US Core Patient Profile)	Who this goal is intended for
Goal.expressedBy		1..1	Reference(US Core Patient Profile)	Who's responsible for creating Goal?
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Goal.category:type	Base	required	Health Goals Grouping	⏿20200709	tx.fhir.org

Constraints

Id	Grade	Path(s)	Description	Expression
goal-subject-expressedby	error	Goal	subject and expressedBy refer to the same patient	subject = expressedBy

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Goal	C	0..*	USCoreGoalProfile	Describes the intended objective(s) for a patient, group or organization Constraints: goal-subject-expressedby
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	S This element must be supported.	1..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.Slices for category	S This element must be supported. Σ This element is included in summaries.	1..*	CodeableConcept	E.g. Treatment, dietary, behavioral, etc. Slice: Unordered, Open by value:$this Binding: GoalCategory (example): Codes for grouping and sorting goals. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Goal.Slices for category.category:All Slices				Content/Rules for all slices
Goal.Slices for category.category:All Slices.id		0..1	string	Unique id for inter-element referencing
Goal.Slices for category.category:All Slices.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Goal.Slices for category.category:All Slices.coding	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system
Goal.Slices for category.category:All Slices.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Goal.Slices for category.category:type	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	E.g. Treatment, dietary, behavioral, etc. Binding: Health Goals Grouping (required)
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.description.id		0..1	string	Unique id for inter-element referencing
Goal.description.Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Goal.description.Slices for extension.extension:EnclosedPreconditionExtension		0..1	CodeableConcept	Enclosed Precondition URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-enclosedPrecondition-extension
Goal.description.coding	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system
Goal.description.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
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. )	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.	1..1	Reference(US Core Patient 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.category:type	Base	required	Health Goals Grouping	⏿20200709	tx.fhir.org
Goal.priority	Base	preferred	Goal priority	📍4.0.1	FHIR Std.
Goal.description	Base	preferred	US Core Goal Codes	📦9.0.0	US Core v9.0
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
dom-2	error	Goal	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Goal	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	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()
dom-4	error	Goal	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Goal	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Goal	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
goal-subject-expressedby	error	Goal	subject and expressedBy refer to the same patient	subject = expressedBy
gol-1	error	Goal.target	Goal.target.measure is required if Goal.target.detail is populated	(detail.exists() and measure.exists()) or detail.exists().not()

This structure is derived from USCoreGoalProfile

Summary

Mandatory: 4 elements
Must-Support: 4 elements

Structures

This structure refers to these other structures:

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

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-enclosedPrecondition-extension

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Goal.category