The PCO Goal Profile inherits from the US Core Goal Profile; refer to it for scope and usage guidance. It 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.

Example Usage Scenarios:

The following are example usage scenarios for this Profile:

• Record or update a person's goals.
• Query for a patient's person-centered goals.
• Query for a patient's goals in a specified goal domain category.
• Query for a patient's goals that address a specified assessment observation.

Mandatory and Must Support Data Elements

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

Each Goal must have:

1. a status
2. text description of the goal
3. a patient
4. a start date

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)

*see guidance below that clarifies use of multiple categories

Profile Specific Implementation Guidance:

• Although Goal 'pco' and 'goal-domain' categories are both marked as Must Support, the server system is not required to support both, but SHALL support at least one of these elements. A client application SHALL support both elements. These categories enable quality measures and other applications to determine which patient goals are person-centered.

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Goal		0..*	USCoreGoalProfile	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	0..*	BackboneElement	(USCDI) Target outcome for the goal Constraints: gol-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
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	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:pco	Base	required	Person-Centered Categories	📦1.0.0	This IG
Goal.category:goal-domain	Base	required	PCO Goal Domain Categories	📦1.0.0	This IG
Goal.description	Base	extensible	US Core Goal Codes	📦6.1.0	US Core v6.1

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()
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()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Goal		0..*	USCoreGoalProfile	Describes the intended objective(s) for a patient, group or organization
Slices for category	S	0..*	CodeableConcept	E.g. Treatment, dietary, behavioral, etc. Slice: Unordered, Open by value:$this
category:pco	S	0..1	CodeableConcept	Person-Centered resource category Binding: Person-Centered Categories (required)
category:goal-domain	S	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
start[x]		1..1	date	(USCDI) When goal pursuit begins
expressedBy	S	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 (Differential)

Path	Status	Usage	ValueSet	Version	Source
Goal.category:pco	Base	required	Person-Centered Categories	📦1.0.0	This IG
Goal.category:goal-domain	Base	required	PCO Goal Domain Categories	📦1.0.0	This IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Goal		0..*	USCoreGoalProfile	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	0..*	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	ΣC	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.
detail[x]	ΣC	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.
detailQuantity			Quantity
detailRange			Range
detailCodeableConcept			CodeableConcept
detailString			string
detailBoolean			boolean
detailInteger			integer
detailRatio			Ratio
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	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:pco	Base	required	Person-Centered Categories	📦1.0.0	This IG
Goal.category:goal-domain	Base	required	PCO Goal Domain Categories	📦1.0.0	This IG
Goal.priority	Base	preferred	Goal priority	📦4.0.1	FHIR Std.
Goal.description	Base	extensible	US Core Goal Codes	📦6.1.0	US Core v6.1
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()
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..*	USCoreGoalProfile	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	0..*	BackboneElement	(USCDI) Target outcome for the goal Constraints: gol-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
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	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:pco	Base	required	Person-Centered Categories	📦1.0.0	This IG
Goal.category:goal-domain	Base	required	PCO Goal Domain Categories	📦1.0.0	This IG
Goal.description	Base	extensible	US Core Goal Codes	📦6.1.0	US Core v6.1

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()
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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Goal		0..*	USCoreGoalProfile	Describes the intended objective(s) for a patient, group or organization
Slices for category	S	0..*	CodeableConcept	E.g. Treatment, dietary, behavioral, etc. Slice: Unordered, Open by value:$this
category:pco	S	0..1	CodeableConcept	Person-Centered resource category Binding: Person-Centered Categories (required)
category:goal-domain	S	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
start[x]		1..1	date	(USCDI) When goal pursuit begins
expressedBy	S	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 (Differential)

Path	Status	Usage	ValueSet	Version	Source
Goal.category:pco	Base	required	Person-Centered Categories	📦1.0.0	This IG
Goal.category:goal-domain	Base	required	PCO Goal Domain Categories	📦1.0.0	This IG

Snapshot ViewView

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Goal		0..*	USCoreGoalProfile	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	0..*	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	ΣC	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.
detail[x]	ΣC	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.
detailQuantity			Quantity
detailRange			Range
detailCodeableConcept			CodeableConcept
detailString			string
detailBoolean			boolean
detailInteger			integer
detailRatio			Ratio
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	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:pco	Base	required	Person-Centered Categories	📦1.0.0	This IG
Goal.category:goal-domain	Base	required	PCO Goal Domain Categories	📦1.0.0	This IG
Goal.priority	Base	preferred	Goal priority	📦4.0.1	FHIR Std.
Goal.description	Base	extensible	US Core Goal Codes	📦6.1.0	US Core v6.1
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()
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()

Summary

Mandatory: 1 element
Must-Support: 5 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)
• What Matters Assessment (http://hl7.org/fhir/us/pco/StructureDefinition/pco-what-matters-assessment)

Slices

This structure defines the following Slices:

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

Maturity: 2