Name	Flags	Card.	Type	Description & Constraints
Goal	C	0..*	USCoreGoalProfile	Describes the intended objective(s) for a patient, group or organization pa-goal-1: Either a description or a target SHALL be provided (or both)
implicitRules		0..0
modifierExtension		0..0
achievementStatus	S	0..1	CodeableConcept	in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable
Slices for category		1..*	CodeableConcept	E.g. Treatment, dietary, behavioral, etc. Slice: Unordered, Open by pattern:$this
category:PA	S	1..1	CodeableConcept	E.g. Treatment, dietary, behavioral, etc. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/physical-activity/CodeSystem/pa-temporary-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PhysicalActivity
description
text	S	0..1	string	Plain text representation of the concept
target
modifierExtension		0..0
measure	S	0..1	CodeableConcept	The parameter whose value is being tracked Binding: PA Goal Target Measure Codes (extensible)
Slices for detail[x]		1..1	Quantity	The target value to be achieved Slice: Unordered, Open by type:$this
detail[x]:detailQuantity	S	1..1	Quantity	The target value to be achieved
value	S	0..1	decimal	Numerical value (with implicit precision)
system	S	0..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	S	0..1	code	Coded form of the unit
Slices for addresses	S	0..*	Reference(Condition | Observation | MedicationStatement | NutritionOrder | ServiceRequest | RiskAssessment)	Issues addressed by this goal Slice: Unordered, Open by profile:$this.resolve()
addresses:PAIssues	S	0..*	ReferenceRest(PA Condition - Low Physical Activity S | PA Observation - EVS, Minutes/Week S | PA Observation - EVS, Strength Days/Week S)	Issues addressed by this goal
note	S	0..*	Annotation	Comments about the goal
author[x]	S	1..1	ReferenceRestOrLogical(US Core Practitioner Profile S | US Core Organization Profile S | US Core Patient Profile S | PA Related Person)	Individual responsible for the annotation
time	S	1..1	dateTime	When the annotation was made
text	S	1..1	markdown	The annotation - text content (as markdown)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Goal.target.measure	extensible	PAGoalMeasurement http://hl7.org/fhir/us/physical-activity/ValueSet/pa-goal-target-measure from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
pa-goal-1	error	Goal	Either a description or a target SHALL be provided (or both) : description.exists() or target.exists()

Name	Flags	Card.	Type	Description & Constraints
Goal	C	0..*	USCoreGoalProfile	Describes the intended objective(s) for a patient, group or organization pa-goal-1: Either a description or a target SHALL be provided (or both)
lifecycleStatus	?!SΣ	1..1	code	proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required)
achievementStatus	SΣ	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	Σ	1..*	CodeableConcept	E.g. Treatment, dietary, behavioral, etc. Slice: Unordered, Open by pattern:$this Binding: GoalCategory (example): Codes for grouping and sorting goals.
category:PA	SΣ	1..1	CodeableConcept	E.g. Treatment, dietary, behavioral, etc. Binding: GoalCategory (example): Codes for grouping and sorting goals. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/physical-activity/CodeSystem/pa-temporary-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PhysicalActivity
description	SΣ	1..1	CodeableConcept	Code or text describing goal Binding: SNOMEDCTClinicalFindings (example): Codes providing the details of a particular goal. This will generally be system or implementation guide-specific. In many systems, only the text element will be used.
text	SΣ	0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(US Core Patient Profile)	Who this goal is intended for
target	SC	0..*	BackboneElement	Target outcome for the goal gol-1: Goal.target.measure is required if Goal.target.detail is populated
measure	SΣC	0..1	CodeableConcept	The parameter whose value is being tracked Binding: PA Goal Target Measure Codes (extensible)
Slices for detail[x]	ΣC	1..1	Quantity	The target value to be achieved Slice: Unordered, Closed by type:$this Binding: (unbound) (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	The target value to be achieved Binding: (unbound) (example): Codes to identify the target value of the focus to be achieved to signify the fulfillment of the goal.
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
system	SΣC	0..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	SΣ	0..1	code	Coded form of the unit
Slices for due[x]	Σ	0..1	date	Reach goal on or before Slice: Unordered, Closed by type:$this
due[x]:dueDate	SΣ	0..1	date	Reach goal on or before
Slices for addresses	S	0..*	Reference(Condition | Observation | MedicationStatement | NutritionOrder | ServiceRequest | RiskAssessment)	Issues addressed by this goal Slice: Unordered, Open by profile:$this.resolve()
addresses:PAIssues	S	0..*	ReferenceRest(PA Condition - Low Physical Activity | PA Observation - EVS, Minutes/Week | PA Observation - EVS, Strength Days/Week)	Issues addressed by this goal
note	S	0..*	Annotation	Comments about the goal
author[x]	SΣ	1..1	ReferenceRestOrLogical(US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile)	Individual responsible for the annotation
time	SΣ	1..1	dateTime	When the annotation was made
text	SΣ	1..1	markdown	The annotation - text content (as markdown)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
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:PA	example	Pattern: PhysicalActivity http://hl7.org/fhir/ValueSet/goal-category from the FHIR Standard
Goal.description	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard
Goal.target.measure	extensible	PAGoalMeasurement http://hl7.org/fhir/us/physical-activity/ValueSet/pa-goal-target-measure from this IG
Goal.target.detail[x]	example
Goal.target.detail[x]:detailQuantity	example
Goal.target.detail[x]:detailQuantity.comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 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())
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()
pa-goal-1	error	Goal	Either a description or a target SHALL be provided (or both) : description.exists() or target.exists()

Name	Flags	Card.	Type	Description & Constraints
Goal	C	0..*	USCoreGoalProfile	Describes the intended objective(s) for a patient, group or organization pa-goal-1: Either a description or a target SHALL be provided (or both)
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
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
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
identifier		0..*	Identifier	External Ids for this goal
lifecycleStatus	?!SΣ	1..1	code	proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required)
achievementStatus	SΣ	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	Σ	1..*	CodeableConcept	E.g. Treatment, dietary, behavioral, etc. Slice: Unordered, Open by pattern:$this Binding: GoalCategory (example): Codes for grouping and sorting goals.
category:PA	SΣ	1..1	CodeableConcept	E.g. Treatment, dietary, behavioral, etc. Binding: GoalCategory (example): Codes for grouping and sorting goals. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/physical-activity/CodeSystem/pa-temporary-codes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PhysicalActivity
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
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	Code or text describing goal Binding: SNOMEDCTClinicalFindings (example): Codes providing the details of a particular goal. This will generally be system or implementation guide-specific. In many systems, only the text element will be used.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	SΣ	0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(US Core Patient Profile)	Who this goal is intended for
start[x]	Σ	0..1		When goal pursuit begins Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal.
startDate			date
startCodeableConcept			CodeableConcept
target	SC	0..*	BackboneElement	Target outcome for the goal gol-1: Goal.target.measure is required if Goal.target.detail is populated
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
measure	SΣC	0..1	CodeableConcept	The parameter whose value is being tracked Binding: PA Goal Target Measure Codes (extensible)
Slices for detail[x]	ΣC	1..1	Quantity	The target value to be achieved Slice: Unordered, Closed by type:$this Binding: (unbound) (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	The target value to be achieved Binding: (unbound) (example): Codes to identify the target value of the focus to be achieved to signify the fulfillment of the goal.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	SΣ	0..1	code	Coded form of the unit
Slices for due[x]	Σ	0..1	date	Reach goal on or before Slice: Unordered, Closed by type:$this
due[x]:dueDate	SΣ	0..1	date	Reach goal on or before
statusDate	Σ	0..1	date	When goal status took effect
statusReason		0..1	string	Reason for current status
expressedBy	Σ	0..1	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson)	Who's responsible for creating Goal?
Slices for addresses	S	0..*	Reference(Condition | Observation | MedicationStatement | NutritionOrder | ServiceRequest | RiskAssessment)	Issues addressed by this goal Slice: Unordered, Open by profile:$this.resolve()
addresses:PAIssues	S	0..*	ReferenceRest(PA Condition - Low Physical Activity S | PA Observation - EVS, Minutes/Week S | PA Observation - EVS, Strength Days/Week S)	Issues addressed by this goal
note	S	0..*	Annotation	Comments about the goal
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
author[x]	SΣ	1..1	ReferenceRestOrLogical(US Core Practitioner Profile S | US Core Organization Profile S | US Core Patient Profile S | PA Related Person)	Individual responsible for the annotation
time	SΣ	1..1	dateTime	When the annotation was made
text	SΣ	1..1	markdown	The annotation - text content (as markdown)
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 / Code	URI
Goal.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
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:PA	example	Pattern: PhysicalActivity http://hl7.org/fhir/ValueSet/goal-category from the FHIR Standard
Goal.priority	preferred	GoalPriority http://hl7.org/fhir/ValueSet/goal-priority from the FHIR Standard
Goal.description	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard
Goal.start[x]	example	GoalStartEvent http://hl7.org/fhir/ValueSet/goal-start-event from the FHIR Standard
Goal.target.measure	extensible	PAGoalMeasurement http://hl7.org/fhir/us/physical-activity/ValueSet/pa-goal-target-measure from this IG
Goal.target.detail[x]	example
Goal.target.detail[x]:detailQuantity	example
Goal.target.detail[x]:detailQuantity.comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard
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()
pa-goal-1	error	Goal	Either a description or a target SHALL be provided (or both) : description.exists() or target.exists()

Summary

Mandatory: 2 elements (4 nested mandatory elements)
Must-Support: 14 elements
Fixed Value: 1 element
Prohibited: 3 elements

Structures

This structure refers to these other structures:

• Reference - RESTful (http://hl7.org/fhir/us/physical-activity/StructureDefinition/reference-rest)
• PA Condition - Low Physical Activity (http://hl7.org/fhir/us/physical-activity/StructureDefinition/pa-condition-low-pa)
• PA Observation - EVS, Minutes/Week (http://hl7.org/fhir/us/physical-activity/StructureDefinition/pa-observation-evs-min-per-week)
• PA Observation - EVS, Strength Days/Week (http://hl7.org/fhir/us/physical-activity/StructureDefinition/pa-observation-strength-days-per-week)
• Reference - RESTful or Logical (http://hl7.org/fhir/us/physical-activity/StructureDefinition/reference-rest-or-logical)
• US Core Practitioner Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner)
• US Core Organization Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization)
• US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)
• PA Related Person (http://hl7.org/fhir/us/physical-activity/StructureDefinition/pa-relatedperson)

Slices

This structure defines the following Slices:

• The element Goal.category is sliced based on the value of pattern:$this
• The element Goal.target.detail[x] is sliced based on the value of type:$this
• The element Goal.addresses is sliced based on the value of profile:$this.resolve()

Maturity: 2

Name	Flags	Card.	Type	Description & Constraints
Goal	C	0..*	USCoreGoalProfile	Describes the intended objective(s) for a patient, group or organization pa-goal-1: Either a description or a target SHALL be provided (or both)
implicitRules		0..0
modifierExtension		0..0
achievementStatus	S	0..1	CodeableConcept	in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable
Slices for category		1..*	CodeableConcept	E.g. Treatment, dietary, behavioral, etc. Slice: Unordered, Open by pattern:$this
category:PA	S	1..1	CodeableConcept	E.g. Treatment, dietary, behavioral, etc. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/physical-activity/CodeSystem/pa-temporary-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PhysicalActivity
description
text	S	0..1	string	Plain text representation of the concept
target
modifierExtension		0..0
measure	S	0..1	CodeableConcept	The parameter whose value is being tracked Binding: PA Goal Target Measure Codes (extensible)
Slices for detail[x]		1..1	Quantity	The target value to be achieved Slice: Unordered, Open by type:$this
detail[x]:detailQuantity	S	1..1	Quantity	The target value to be achieved
value	S	0..1	decimal	Numerical value (with implicit precision)
system	S	0..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	S	0..1	code	Coded form of the unit
Slices for addresses	S	0..*	Reference(Condition | Observation | MedicationStatement | NutritionOrder | ServiceRequest | RiskAssessment)	Issues addressed by this goal Slice: Unordered, Open by profile:$this.resolve()
addresses:PAIssues	S	0..*	ReferenceRest(PA Condition - Low Physical Activity S | PA Observation - EVS, Minutes/Week S | PA Observation - EVS, Strength Days/Week S)	Issues addressed by this goal
note	S	0..*	Annotation	Comments about the goal
author[x]	S	1..1	ReferenceRestOrLogical(US Core Practitioner Profile S | US Core Organization Profile S | US Core Patient Profile S | PA Related Person)	Individual responsible for the annotation
time	S	1..1	dateTime	When the annotation was made
text	S	1..1	markdown	The annotation - text content (as markdown)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Goal.target.measure	extensible	PAGoalMeasurement http://hl7.org/fhir/us/physical-activity/ValueSet/pa-goal-target-measure from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
pa-goal-1	error	Goal	Either a description or a target SHALL be provided (or both) : description.exists() or target.exists()

Name	Flags	Card.	Type	Description & Constraints
Goal	C	0..*	USCoreGoalProfile	Describes the intended objective(s) for a patient, group or organization pa-goal-1: Either a description or a target SHALL be provided (or both)
lifecycleStatus	?!SΣ	1..1	code	proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required)
achievementStatus	SΣ	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	Σ	1..*	CodeableConcept	E.g. Treatment, dietary, behavioral, etc. Slice: Unordered, Open by pattern:$this Binding: GoalCategory (example): Codes for grouping and sorting goals.
category:PA	SΣ	1..1	CodeableConcept	E.g. Treatment, dietary, behavioral, etc. Binding: GoalCategory (example): Codes for grouping and sorting goals. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/physical-activity/CodeSystem/pa-temporary-codes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PhysicalActivity
description	SΣ	1..1	CodeableConcept	Code or text describing goal Binding: SNOMEDCTClinicalFindings (example): Codes providing the details of a particular goal. This will generally be system or implementation guide-specific. In many systems, only the text element will be used.
text	SΣ	0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(US Core Patient Profile)	Who this goal is intended for
target	SC	0..*	BackboneElement	Target outcome for the goal gol-1: Goal.target.measure is required if Goal.target.detail is populated
measure	SΣC	0..1	CodeableConcept	The parameter whose value is being tracked Binding: PA Goal Target Measure Codes (extensible)
Slices for detail[x]	ΣC	1..1	Quantity	The target value to be achieved Slice: Unordered, Closed by type:$this Binding: (unbound) (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	The target value to be achieved Binding: (unbound) (example): Codes to identify the target value of the focus to be achieved to signify the fulfillment of the goal.
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
system	SΣC	0..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	SΣ	0..1	code	Coded form of the unit
Slices for due[x]	Σ	0..1	date	Reach goal on or before Slice: Unordered, Closed by type:$this
due[x]:dueDate	SΣ	0..1	date	Reach goal on or before
Slices for addresses	S	0..*	Reference(Condition | Observation | MedicationStatement | NutritionOrder | ServiceRequest | RiskAssessment)	Issues addressed by this goal Slice: Unordered, Open by profile:$this.resolve()
addresses:PAIssues	S	0..*	ReferenceRest(PA Condition - Low Physical Activity | PA Observation - EVS, Minutes/Week | PA Observation - EVS, Strength Days/Week)	Issues addressed by this goal
note	S	0..*	Annotation	Comments about the goal
author[x]	SΣ	1..1	ReferenceRestOrLogical(US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile)	Individual responsible for the annotation
time	SΣ	1..1	dateTime	When the annotation was made
text	SΣ	1..1	markdown	The annotation - text content (as markdown)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
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:PA	example	Pattern: PhysicalActivity http://hl7.org/fhir/ValueSet/goal-category from the FHIR Standard
Goal.description	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard
Goal.target.measure	extensible	PAGoalMeasurement http://hl7.org/fhir/us/physical-activity/ValueSet/pa-goal-target-measure from this IG
Goal.target.detail[x]	example
Goal.target.detail[x]:detailQuantity	example
Goal.target.detail[x]:detailQuantity.comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 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())
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()
pa-goal-1	error	Goal	Either a description or a target SHALL be provided (or both) : description.exists() or target.exists()

Name	Flags	Card.	Type	Description & Constraints
Goal	C	0..*	USCoreGoalProfile	Describes the intended objective(s) for a patient, group or organization pa-goal-1: Either a description or a target SHALL be provided (or both)
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
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
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
identifier		0..*	Identifier	External Ids for this goal
lifecycleStatus	?!SΣ	1..1	code	proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required)
achievementStatus	SΣ	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	Σ	1..*	CodeableConcept	E.g. Treatment, dietary, behavioral, etc. Slice: Unordered, Open by pattern:$this Binding: GoalCategory (example): Codes for grouping and sorting goals.
category:PA	SΣ	1..1	CodeableConcept	E.g. Treatment, dietary, behavioral, etc. Binding: GoalCategory (example): Codes for grouping and sorting goals. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/physical-activity/CodeSystem/pa-temporary-codes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PhysicalActivity
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
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	Code or text describing goal Binding: SNOMEDCTClinicalFindings (example): Codes providing the details of a particular goal. This will generally be system or implementation guide-specific. In many systems, only the text element will be used.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	SΣ	0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(US Core Patient Profile)	Who this goal is intended for
start[x]	Σ	0..1		When goal pursuit begins Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal.
startDate			date
startCodeableConcept			CodeableConcept
target	SC	0..*	BackboneElement	Target outcome for the goal gol-1: Goal.target.measure is required if Goal.target.detail is populated
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
measure	SΣC	0..1	CodeableConcept	The parameter whose value is being tracked Binding: PA Goal Target Measure Codes (extensible)
Slices for detail[x]	ΣC	1..1	Quantity	The target value to be achieved Slice: Unordered, Closed by type:$this Binding: (unbound) (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	The target value to be achieved Binding: (unbound) (example): Codes to identify the target value of the focus to be achieved to signify the fulfillment of the goal.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	SΣC	0..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	SΣ	0..1	code	Coded form of the unit
Slices for due[x]	Σ	0..1	date	Reach goal on or before Slice: Unordered, Closed by type:$this
due[x]:dueDate	SΣ	0..1	date	Reach goal on or before
statusDate	Σ	0..1	date	When goal status took effect
statusReason		0..1	string	Reason for current status
expressedBy	Σ	0..1	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson)	Who's responsible for creating Goal?
Slices for addresses	S	0..*	Reference(Condition | Observation | MedicationStatement | NutritionOrder | ServiceRequest | RiskAssessment)	Issues addressed by this goal Slice: Unordered, Open by profile:$this.resolve()
addresses:PAIssues	S	0..*	ReferenceRest(PA Condition - Low Physical Activity S | PA Observation - EVS, Minutes/Week S | PA Observation - EVS, Strength Days/Week S)	Issues addressed by this goal
note	S	0..*	Annotation	Comments about the goal
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
author[x]	SΣ	1..1	ReferenceRestOrLogical(US Core Practitioner Profile S | US Core Organization Profile S | US Core Patient Profile S | PA Related Person)	Individual responsible for the annotation
time	SΣ	1..1	dateTime	When the annotation was made
text	SΣ	1..1	markdown	The annotation - text content (as markdown)
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 / Code	URI
Goal.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
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:PA	example	Pattern: PhysicalActivity http://hl7.org/fhir/ValueSet/goal-category from the FHIR Standard
Goal.priority	preferred	GoalPriority http://hl7.org/fhir/ValueSet/goal-priority from the FHIR Standard
Goal.description	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard
Goal.start[x]	example	GoalStartEvent http://hl7.org/fhir/ValueSet/goal-start-event from the FHIR Standard
Goal.target.measure	extensible	PAGoalMeasurement http://hl7.org/fhir/us/physical-activity/ValueSet/pa-goal-target-measure from this IG
Goal.target.detail[x]	example
Goal.target.detail[x]:detailQuantity	example
Goal.target.detail[x]:detailQuantity.comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 from the FHIR Standard
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()
pa-goal-1	error	Goal	Either a description or a target SHALL be provided (or both) : description.exists() or target.exists()

Summary

Mandatory: 2 elements (4 nested mandatory elements)
Must-Support: 14 elements
Fixed Value: 1 element
Prohibited: 3 elements

Structures

This structure refers to these other structures:

• Reference - RESTful (http://hl7.org/fhir/us/physical-activity/StructureDefinition/reference-rest)
• PA Condition - Low Physical Activity (http://hl7.org/fhir/us/physical-activity/StructureDefinition/pa-condition-low-pa)
• PA Observation - EVS, Minutes/Week (http://hl7.org/fhir/us/physical-activity/StructureDefinition/pa-observation-evs-min-per-week)
• PA Observation - EVS, Strength Days/Week (http://hl7.org/fhir/us/physical-activity/StructureDefinition/pa-observation-strength-days-per-week)
• Reference - RESTful or Logical (http://hl7.org/fhir/us/physical-activity/StructureDefinition/reference-rest-or-logical)
• US Core Practitioner Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner)
• US Core Organization Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization)
• US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)
• PA Related Person (http://hl7.org/fhir/us/physical-activity/StructureDefinition/pa-relatedperson)

Slices

This structure defines the following Slices:

• The element Goal.category is sliced based on the value of pattern:$this
• The element Goal.target.detail[x] is sliced based on the value of type:$this
• The element Goal.addresses is sliced based on the value of profile:$this.resolve()

Maturity: 2