Patient-Reported Outcome Measures (PROM) and Goal Attainment Scaling (GAS) are two alternative approaches for measuring goal outcomes, progress and achievement. A person-centered goal may use either of these approaches where the choice is based on practitioner or patient preferences, support by a provider's system, or availability of an appropriate PROM instrument. This profile supports goals using PROM measurement. One example PROM is the seven-question Generalized Anxiety Disorder (GAS-7) tool that assesses the presence and degree of a patient's anxiety.

Mandatory and Must Support Data Elements

This Person-Centered PROM Goal Profile inherits shared definitions from the PCO Goal Profile; refer to it for scope and usage guidance. It sets minimum expectations for all person-centered Goal resources. Only added constraints are listed here.

Each Goal must have:

1. a status
2. text description of the goal
3. a patient
4. a start date
5. target measure LOINC code for a PROM score
6. target detail quantity with a comparator and value, e.g. < 10

Each Goal must support:

1. additional categories that further specify the goal*
2. target date(s)
3. who established the goal
4. addresses What Matters Assessment observation(s)

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Goal		0..*	PCOGoalProfile	Describes the intended objective(s) for a patient, group or organization
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
lifecycleStatus	?!SΣ	1..1	code	(USCDI) proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required)
Slices for category	SΣ	0..*	CodeableConcept	E.g. Treatment, dietary, behavioral, etc. Slice: Unordered, Open by value:$this Binding: GoalCategory (example): Codes for grouping and sorting goals.
category:pco	SΣ	0..1	CodeableConcept	Person-Centered resource category Binding: Person-Centered Categories (required)
category:goal-domain	SΣ	0..*	CodeableConcept	Person-Centered Outcome goal domain category Binding: PCO Goal Domain Categories (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
description	SΣ	1..1	CodeableConcept	(USCDI) Code or text describing goal Binding: US Core Goal Codes (extensible): Value set to describe the Goal
subject	SΣ	1..1	Reference(US Core Patient Profile)	(USCDI) Who this goal is intended for
start[x]	SΣ	1..1	date S	(USCDI) When goal pursuit begins
target	SC	1..1	BackboneElement	(USCDI) Target outcome for the goal Constraints: gol-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
measure	SΣC	1..1	CodeableConcept	Target score for evaluating PCO Goal using PROMs Binding: PROM Target Measure Scores (extensible)
Slices for detail[x]	ΣC	1..1	Quantity	The target value to be achieved Slice: Unordered, Closed by type:$this Binding Description: (example): Codes to identify the target value of the focus to be achieved to signify the fulfillment of the goal.
detail[x]:detailQuantity	SΣC	1..1	Quantity	Target value for the PROM score Binding Description: (example): Codes to identify the target value of the focus to be achieved to signify the fulfillment of the goal.
due[x]	SΣ	0..1		(USCDI) Reach goal on or before
dueDate			date S
dueDuration			Duration
expressedBy	SΣ	0..1	Reference(US Core Patient Profile | US Core Practitioner Profile | US Core RelatedPerson Profile)	Who's responsible for creating Goal?
Slices for addresses		0..*	Reference(Condition | Observation | RiskAssessment)	Issues addressed by this goal Slice: Unordered, Open by profile:resolve()
addresses:SupportedAddresses	S	0..*	Reference(What Matters Assessment)	What Matters Assessment or Priority
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Goal.lifecycleStatus	required	GoalLifecycleStatus http://hl7.org/fhir/ValueSet/goal-status From the FHIR Standard
Goal.category	example	GoalCategory http://hl7.org/fhir/ValueSet/goal-category From the FHIR Standard
Goal.category:pco	required	PCOCategories http://hl7.org/fhir/us/pco/ValueSet/pco-categories From this IG
Goal.category:goal-domain	required	PCOGoalDomainCategories http://hl7.org/fhir/us/pco/ValueSet/pco-goal-domain-categories From this IG
Goal.description	extensible	USCoreGoalCodes http://hl7.org/fhir/us/core/ValueSet/us-core-goal-description
Goal.target.measure	extensible	PROMTargetMeasures http://hl7.org/fhir/us/pco/ValueSet/prom-target-measures From this IG
Goal.target.detail[x]	example
Goal.target.detail[x]:detailQuantity	example

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
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 PCOGoalProfile

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Goal		0..*	PCOGoalProfile	Describes the intended objective(s) for a patient, group or organization
target		1..1	BackboneElement	(USCDI) Target outcome for the goal
measure	S	1..1	CodeableConcept	Target score for evaluating PCO Goal using PROMs Binding: PROM Target Measure Scores (extensible)
Slices for detail[x]		1..1	Quantity	The target value to be achieved Slice: Unordered, Open by type:$this
detail[x]:detailQuantity	S	1..1	Quantity	Target value for the PROM score
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Goal.target.measure	extensible	PROMTargetMeasures http://hl7.org/fhir/us/pco/ValueSet/prom-target-measures From this IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Goal		0..*	PCOGoalProfile	Describes the intended objective(s) for a patient, group or organization
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	External Ids for this goal
lifecycleStatus	?!SΣ	1..1	code	(USCDI) proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required)
achievementStatus	Σ	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.
Slices for category	SΣ	0..*	CodeableConcept	E.g. Treatment, dietary, behavioral, etc. Slice: Unordered, Open by value:$this Binding: GoalCategory (example): Codes for grouping and sorting goals.
category:pco	SΣ	0..1	CodeableConcept	Person-Centered resource category Binding: Person-Centered Categories (required)
category:goal-domain	SΣ	0..*	CodeableConcept	Person-Centered Outcome goal domain category Binding: PCO Goal Domain Categories (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
priority	Σ	0..1	CodeableConcept	high-priority | medium-priority | low-priority Binding: GoalPriority (preferred): The level of importance associated with a goal.
description	SΣ	1..1	CodeableConcept	(USCDI) Code or text describing goal Binding: US Core Goal Codes (extensible): Value set to describe the Goal
subject	SΣ	1..1	Reference(US Core Patient Profile)	(USCDI) Who this goal is intended for
start[x]	SΣ	1..1	date S	(USCDI) When goal pursuit begins
target	SC	1..1	BackboneElement	(USCDI) Target outcome for the goal Constraints: gol-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
measure	SΣC	1..1	CodeableConcept	Target score for evaluating PCO Goal using PROMs Binding: PROM Target Measure Scores (extensible)
Slices for detail[x]	ΣC	1..1	Quantity	The target value to be achieved Slice: Unordered, Closed by type:$this Binding Description: (example): Codes to identify the target value of the focus to be achieved to signify the fulfillment of the goal.
detail[x]:detailQuantity	SΣC	1..1	Quantity	Target value for the PROM score Binding Description: (example): Codes to identify the target value of the focus to be achieved to signify the fulfillment of the goal.
due[x]	SΣ	0..1		(USCDI) Reach goal on or before
dueDate			date S
dueDuration			Duration
statusDate	Σ	0..1	date	When goal status took effect
statusReason		0..1	string	Reason for current status
expressedBy	SΣ	0..1	Reference(US Core Patient Profile | US Core Practitioner Profile | US Core RelatedPerson Profile)	Who's responsible for creating Goal?
Slices for addresses		0..*	Reference(Condition | Observation | RiskAssessment)	Issues addressed by this goal Slice: Unordered, Open by profile:resolve()
addresses:SupportedAddresses	S	0..*	Reference(What Matters Assessment)	What Matters Assessment or Priority
note		0..*	Annotation	Comments about the 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".
outcomeReference		0..*	Reference(Observation)	Observation that resulted from goal
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Goal.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Goal.lifecycleStatus	required	GoalLifecycleStatus http://hl7.org/fhir/ValueSet/goal-status From the FHIR Standard
Goal.achievementStatus	preferred	GoalAchievementStatus http://hl7.org/fhir/ValueSet/goal-achievement From the FHIR Standard
Goal.category	example	GoalCategory http://hl7.org/fhir/ValueSet/goal-category From the FHIR Standard
Goal.category:pco	required	PCOCategories http://hl7.org/fhir/us/pco/ValueSet/pco-categories From this IG
Goal.category:goal-domain	required	PCOGoalDomainCategories http://hl7.org/fhir/us/pco/ValueSet/pco-goal-domain-categories From this IG
Goal.priority	preferred	GoalPriority http://hl7.org/fhir/ValueSet/goal-priority From the FHIR Standard
Goal.description	extensible	USCoreGoalCodes http://hl7.org/fhir/us/core/ValueSet/us-core-goal-description
Goal.target.measure	extensible	PROMTargetMeasures http://hl7.org/fhir/us/pco/ValueSet/prom-target-measures From this IG
Goal.target.detail[x]	example
Goal.target.detail[x]:detailQuantity	example
Goal.outcomeCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
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		0..*	PCOGoalProfile	Describes the intended objective(s) for a patient, group or organization
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
lifecycleStatus	?!SΣ	1..1	code	(USCDI) proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required)
Slices for category	SΣ	0..*	CodeableConcept	E.g. Treatment, dietary, behavioral, etc. Slice: Unordered, Open by value:$this Binding: GoalCategory (example): Codes for grouping and sorting goals.
category:pco	SΣ	0..1	CodeableConcept	Person-Centered resource category Binding: Person-Centered Categories (required)
category:goal-domain	SΣ	0..*	CodeableConcept	Person-Centered Outcome goal domain category Binding: PCO Goal Domain Categories (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
description	SΣ	1..1	CodeableConcept	(USCDI) Code or text describing goal Binding: US Core Goal Codes (extensible): Value set to describe the Goal
subject	SΣ	1..1	Reference(US Core Patient Profile)	(USCDI) Who this goal is intended for
start[x]	SΣ	1..1	date S	(USCDI) When goal pursuit begins
target	SC	1..1	BackboneElement	(USCDI) Target outcome for the goal Constraints: gol-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
measure	SΣC	1..1	CodeableConcept	Target score for evaluating PCO Goal using PROMs Binding: PROM Target Measure Scores (extensible)
Slices for detail[x]	ΣC	1..1	Quantity	The target value to be achieved Slice: Unordered, Closed by type:$this Binding Description: (example): Codes to identify the target value of the focus to be achieved to signify the fulfillment of the goal.
detail[x]:detailQuantity	SΣC	1..1	Quantity	Target value for the PROM score Binding Description: (example): Codes to identify the target value of the focus to be achieved to signify the fulfillment of the goal.
due[x]	SΣ	0..1		(USCDI) Reach goal on or before
dueDate			date S
dueDuration			Duration
expressedBy	SΣ	0..1	Reference(US Core Patient Profile | US Core Practitioner Profile | US Core RelatedPerson Profile)	Who's responsible for creating Goal?
Slices for addresses		0..*	Reference(Condition | Observation | RiskAssessment)	Issues addressed by this goal Slice: Unordered, Open by profile:resolve()
addresses:SupportedAddresses	S	0..*	Reference(What Matters Assessment)	What Matters Assessment or Priority
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Goal.lifecycleStatus	required	GoalLifecycleStatus http://hl7.org/fhir/ValueSet/goal-status From the FHIR Standard
Goal.category	example	GoalCategory http://hl7.org/fhir/ValueSet/goal-category From the FHIR Standard
Goal.category:pco	required	PCOCategories http://hl7.org/fhir/us/pco/ValueSet/pco-categories From this IG
Goal.category:goal-domain	required	PCOGoalDomainCategories http://hl7.org/fhir/us/pco/ValueSet/pco-goal-domain-categories From this IG
Goal.description	extensible	USCoreGoalCodes http://hl7.org/fhir/us/core/ValueSet/us-core-goal-description
Goal.target.measure	extensible	PROMTargetMeasures http://hl7.org/fhir/us/pco/ValueSet/prom-target-measures From this IG
Goal.target.detail[x]	example
Goal.target.detail[x]:detailQuantity	example

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
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 PCOGoalProfile

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Goal		0..*	PCOGoalProfile	Describes the intended objective(s) for a patient, group or organization
target		1..1	BackboneElement	(USCDI) Target outcome for the goal
measure	S	1..1	CodeableConcept	Target score for evaluating PCO Goal using PROMs Binding: PROM Target Measure Scores (extensible)
Slices for detail[x]		1..1	Quantity	The target value to be achieved Slice: Unordered, Open by type:$this
detail[x]:detailQuantity	S	1..1	Quantity	Target value for the PROM score
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Goal.target.measure	extensible	PROMTargetMeasures http://hl7.org/fhir/us/pco/ValueSet/prom-target-measures From this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Goal		0..*	PCOGoalProfile	Describes the intended objective(s) for a patient, group or organization
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	External Ids for this goal
lifecycleStatus	?!SΣ	1..1	code	(USCDI) proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required)
achievementStatus	Σ	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.
Slices for category	SΣ	0..*	CodeableConcept	E.g. Treatment, dietary, behavioral, etc. Slice: Unordered, Open by value:$this Binding: GoalCategory (example): Codes for grouping and sorting goals.
category:pco	SΣ	0..1	CodeableConcept	Person-Centered resource category Binding: Person-Centered Categories (required)
category:goal-domain	SΣ	0..*	CodeableConcept	Person-Centered Outcome goal domain category Binding: PCO Goal Domain Categories (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
priority	Σ	0..1	CodeableConcept	high-priority | medium-priority | low-priority Binding: GoalPriority (preferred): The level of importance associated with a goal.
description	SΣ	1..1	CodeableConcept	(USCDI) Code or text describing goal Binding: US Core Goal Codes (extensible): Value set to describe the Goal
subject	SΣ	1..1	Reference(US Core Patient Profile)	(USCDI) Who this goal is intended for
start[x]	SΣ	1..1	date S	(USCDI) When goal pursuit begins
target	SC	1..1	BackboneElement	(USCDI) Target outcome for the goal Constraints: gol-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
measure	SΣC	1..1	CodeableConcept	Target score for evaluating PCO Goal using PROMs Binding: PROM Target Measure Scores (extensible)
Slices for detail[x]	ΣC	1..1	Quantity	The target value to be achieved Slice: Unordered, Closed by type:$this Binding Description: (example): Codes to identify the target value of the focus to be achieved to signify the fulfillment of the goal.
detail[x]:detailQuantity	SΣC	1..1	Quantity	Target value for the PROM score Binding Description: (example): Codes to identify the target value of the focus to be achieved to signify the fulfillment of the goal.
due[x]	SΣ	0..1		(USCDI) Reach goal on or before
dueDate			date S
dueDuration			Duration
statusDate	Σ	0..1	date	When goal status took effect
statusReason		0..1	string	Reason for current status
expressedBy	SΣ	0..1	Reference(US Core Patient Profile | US Core Practitioner Profile | US Core RelatedPerson Profile)	Who's responsible for creating Goal?
Slices for addresses		0..*	Reference(Condition | Observation | RiskAssessment)	Issues addressed by this goal Slice: Unordered, Open by profile:resolve()
addresses:SupportedAddresses	S	0..*	Reference(What Matters Assessment)	What Matters Assessment or Priority
note		0..*	Annotation	Comments about the 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".
outcomeReference		0..*	Reference(Observation)	Observation that resulted from goal
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Goal.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Goal.lifecycleStatus	required	GoalLifecycleStatus http://hl7.org/fhir/ValueSet/goal-status From the FHIR Standard
Goal.achievementStatus	preferred	GoalAchievementStatus http://hl7.org/fhir/ValueSet/goal-achievement From the FHIR Standard
Goal.category	example	GoalCategory http://hl7.org/fhir/ValueSet/goal-category From the FHIR Standard
Goal.category:pco	required	PCOCategories http://hl7.org/fhir/us/pco/ValueSet/pco-categories From this IG
Goal.category:goal-domain	required	PCOGoalDomainCategories http://hl7.org/fhir/us/pco/ValueSet/pco-goal-domain-categories From this IG
Goal.priority	preferred	GoalPriority http://hl7.org/fhir/ValueSet/goal-priority From the FHIR Standard
Goal.description	extensible	USCoreGoalCodes http://hl7.org/fhir/us/core/ValueSet/us-core-goal-description
Goal.target.measure	extensible	PROMTargetMeasures http://hl7.org/fhir/us/pco/ValueSet/prom-target-measures From this IG
Goal.target.detail[x]	example
Goal.target.detail[x]:detailQuantity	example
Goal.outcomeCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
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 PCOGoalProfile

Summary

Mandatory: 4 elements
Must-Support: 2 elements

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Goal.target.detail[x]

Maturity: 2