Release 4B Snapshot 3: Connectathon 32 Base

This page is part of the Snapshot #3 for FHIR Specification (v4.3.0: R4B - STU ). The current version which supercedes this version is 5.0.0 R5 , released to support Connectathon 32 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

Goal.profile.xml

Example StructureDefinition/Goal (XML)

Patient Care Work Group Maturity Level : N/A Standards Status : Informative Compartments : Patient

Raw XML ( canonical form + also see XML Format Specification )

Jump past Narrative

StructureDefinition for goal

<?xml version="1.0" encoding="UTF-8"?>

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="Goal"/> 
  <meta> 
    

    <lastUpdated value="2022-12-14T07:12:54.019+11:00"/> 
  </meta> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      
        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            

      <table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align:
       top;">
        <tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align:

         top">
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="The logical name of the element">Name</a> 
          </th> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            

          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Information about the use of the element">Flags</a> 
          </th> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            

          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a> 
          </th> 
          <th class="hierarchy" style="width: 100px">
            

            <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Reference to the type of the element">Type</a> 
          </th> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            

          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Additional information about the element">Description &amp; Constraints</a> 
            <span style="float: right">
              

              <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format">
                <img alt="doco" src="help16.png" style="background-color: inherit"/> 
              </a> 
            </span> 
          </th> 
        </tr> 
        
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            ABJRU5ErkJggg== 
            Goal : Describes the intended objective(s) for a patient, group or organization care,
             for example, weight loss, restoring an activity of daily living, obtaining herd immunity
             via immunization, meeting a process improvement objective, etc.

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw

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            <span title="Goal : Describes the intended objective(s) for a patient, group or organization

             care, for example, weight loss, restoring an activity of daily living, obtaining
             herd immunity via immunization, meeting a process improvement objective, etc.">Goal</span> 

            <a name="Goal"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            padding-left: 3px; padding-right: 3px; border: 1px grey solid; font-weight: bold; color:
             black; background-color: #fff5e6

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="versions.html#std-process" style="padding-left: 3px; padding-right: 3px; border: 1px grey solid; font-weight: bold;

             color: black; background-color: #fff5e6" title="Standards Status = Trial Use">TU</a> 

          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">

            <a href="domainresource.html">DomainResource</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxDescribes the intended objective(s) for a patient, group or organization

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Describes the intended objective(s) for a patient, group or organization
            <br/>  
            <br/>  Elements defined in Ancestors: 
            The logical id of the resource, as used in the URL for the resource. Once assigned, this
             value never changes., 

            <a href="resource.html#Resource" title="The logical id of the resource, as used in the URL for the resource. Once assigned,
             this value never changes.">id</a> , 

            <a href="resource.html#Resource" title="The metadata about the resource. This is content that is maintained by the infrastructure.
             Changes to the content might not always be associated with version changes to the resource., 
            A reference to a set of rules that were followed when the resource was constructed, and
             which must be understood when processing the content. Often, this is a reference to an
             implementation guide that defines the special rules along with other profiles etc., 

             Changes to the content might not always be associated with version changes to the
             resource.">meta</a> , 
            <a href="resource.html#Resource" title="A reference to a set of rules that were followed when the resource was constructed,

             and which must be understood when processing the content. Often, this is a reference
             to an implementation guide that defines the special rules along with other profiles
             etc.">implicitRules</a> , 

            <a href="resource.html#Resource" title="The base language in which the resource is written.">language</a> , 
            A human-readable narrative that contains a summary of the resource and can be used to
             represent the content of the resource to a human. The narrative need not encode all the
             structured data, but is required to contain sufficient detail to make it &quot;clinically
             safe&quot; for a human to just read the narrative. Resource definitions may define what
             content should be represented in the narrative to ensure clinical safety., 
            These resources do not have an independent existence apart from the resource that contains
             them - they cannot be identified independently, and nor can they have their own independent
             transaction scope., 

            <a href="domainresource.html#DomainResource" title="A human-readable narrative that contains a summary of the resource and can be used
             to represent the content of the resource to a human. The narrative need not encode
             all the structured data, but is required to contain sufficient detail to make it
             &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions
             may define what content should be represented in the narrative to ensure clinical
             safety.">text</a> , 
            <a href="domainresource.html#DomainResource" title="These resources do not have an independent existence apart from the resource that

             contains them - they cannot be identified independently, nor can they have their
             own independent transaction scope. This is allowed to be a Parameters resource
             if and only if it is referenced by a resource that provides context/meaning.">contained</a> , 

            <a href="domainresource.html#DomainResource" title="May be used to represent additional information that is not part of the basic definition
             of the resource. To make the use of extensions safe and manageable, there is a strict
             set of governance  applied to the definition and use of extensions. Though any implementer
             can define an extension, there is a set of requirements that SHALL be met as part of the
             definition of the extension., 

             of the resource. To make the use of extensions safe and manageable, there is a
             strict set of governance  applied to the definition and use of extensions. Though
             any implementer can define an extension, there is a set of requirements that SHALL
             be met as part of the definition of the extension.">extension</a> , 

            <a href="domainresource.html#DomainResource" title="May be used to represent additional information that is not part of the basic definition
             of the resource and that modifies the understanding of the element that contains it and/or
             the understanding of the containing element's descendants. Usually modifier elements provide
             negation or qualification. To make the use of extensions safe and manageable, there is
             a strict set of governance applied to the definition and use of extensions. Though any
             implementer is allowed to define an extension, there is a set of requirements that SHALL
             be met as part of the definition of the extension. Applications processing a resource
             are required to check for modifier extensions.

             of the resource and that modifies the understanding of the element that contains
             it and/or the understanding of the containing element's descendants. Usually modifier
             elements provide negation or qualification. To make the use of extensions safe
             and manageable, there is a strict set of governance applied to the definition and
             use of extensions. Though any implementer is allowed to define an extension, there
             is a set of requirements that SHALL be met as part of the definition of the extension.
             Applications processing a resource are required to check for modifier extensions.


Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
             (including cannot change the meaning of modifierExtension itself).

Modifier extensions SHALL NOT change the meaning of any elements on Resource or
             DomainResource (including cannot change the meaning of modifierExtension itself).">modifierExtension</a> 

          </td> 
        </tr> 

        
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            Goal.identifier : Business identifiers assigned to this goal by the performer or other
             systems which remain constant as the resource is updated and propagates from server to
             server.

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            <span title="Goal.identifier : Business identifiers assigned to this goal by the performer or

             other systems which remain constant as the resource is updated and propagates from
             server to server.">identifier</span> 

            <a name="Goal.identifier"> </a> 
          </td> 
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           solid; padding:0px 4px 0px 4px
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">

            <a href="datatypes.html#Identifier">Identifier</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxExternal Ids for this goal

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <br/>  
            <br/>  
          </td> 
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            <span title="Goal.lifecycleStatus : The state of the goal throughout its lifecycle.">lifecycleStatus</span> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <a href="conformance-rules.html#isModifier" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is a modifier element">?!</a> 
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">

            <a href="datatypes.html#code">code</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxproposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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             | rejected
            <br/>  
            <a href="valueset-goal-status.html">GoalLifecycleStatus</a>  (
            )

            <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value
             set.">Required</a> )
            <br/>  
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            Goal.achievementStatus : Describes the progression, or lack thereof, towards the goal
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            <span title="Goal.achievementStatus : Describes the progression, or lack thereof, towards the

             goal against the target.">achievementStatus</span> 

            <a name="Goal.achievementStatus"> </a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
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             | no-progress | not-attainable
            <br/>  
            <a href="valueset-goal-achievement.html">GoalAchievementStatus</a>  (
            Instances are encouraged to draw from the specified codes for interoperability purposes
             but are not required to do so to be considered conformant.)

            <a href="terminologies.html#preferred" title="Instances are encouraged to draw from the specified codes for interoperability
             purposes but are not required to do so to be considered conformant.">Preferred</a> )
            <br/>  
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            <span title="Goal.category : Indicates a category the goal falls within.">category</span> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">

            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <br/>  
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            <br/>  
            <br/>  
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            Goal.priority : Identifies the mutually agreed level of importance associated with reaching/sustaini
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            <a href="datatypes.html#boolean">boolean</a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">After meeting the goal, ongoing activity is needed to sustain the goal objective
            <br/>  
          </td> 
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            <a name="Goal.priority"> </a> 
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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
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            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

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            <br/>  
            <a href="valueset-goal-priority.html">GoalPriority</a>  (
            Instances are encouraged to draw from the specified codes for interoperability purposes
             but are not required to do so to be considered conformant.)

            <a href="terminologies.html#preferred" title="Instances are encouraged to draw from the specified codes for interoperability
             purposes but are not required to do so to be considered conformant.">Preferred</a> )
            <br/>  
          </td> 
        </tr> 

        
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            <a name="Goal.description"> </a> 
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           padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
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           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
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            <br/>  
            <a href="valueset-clinical-findings.html">SNOMED CT Clinical Findings</a>  (
            Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.)

            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value
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            <br/>  
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            Goal.subject : Identifies the patient, group or organization for whom the goal is being
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            <span title="Goal.subject : Identifies the patient, group or organization for whom the goal

             is being established.">subject</span> 

            <a name="Goal.subject"> </a> 
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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
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            <a href="references.html#Reference">Reference</a> (
            <a href="patient.html">Patient</a>  | 
            <a href="group.html">Group</a>  | 
            <a href="organization.html">Organization</a> )
          </td> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Who this goal is intended for
            <br/>  
          </td> 
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            <span title="Goal.start[x] : The date or event after which the goal should begin being pursued.">start[x]</span> 
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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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            <br/>  
            <a href="valueset-goal-start-event.html">GoalStartEvent</a>  (
            Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.)

            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value
             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>  
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            A date or partial date (e.g. just year or year + month). There is no time zone. The format
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             or may be provided by text.">startCodeableConcept</span> 

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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
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           padding:0px 4px 0px 4px

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            <span title="Goal.target : Indicates what should be done by when.">target</span> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <a href="types.html#BackBoneElement">BackboneElement</a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <br/>  
            <span style="font-style: italic" title="gol-1">+ Rule: Goal.target.measure is required if Goal.target.detail is populated</span> 
            <br/>  
            <br/>  
          </td> 
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            Goal.target.measure : The parameter whose value is being tracked, e.g. body weight, blood
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            <span title="Goal.target.measure : The parameter whose value is being tracked, e.g. body weight,

             blood pressure, or hemoglobin A1c level.">measure</span> 

            <a name="Goal.target.measure"> </a> 
          </td> 
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           padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
            

            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;
             color: #301212; background-color: #fdf4f4;" title="This element has or is affected by some invariants">C</a> 

          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">

            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxThe parameter whose value is being tracked

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">The parameter whose value is being tracked

            <br/>  
            <a href="valueset-observation-codes.html">LOINC Codes</a>  (
            Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.)

            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value
             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>  
          </td> 
        </tr> 

        
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             can be specified. When a low value is missing, it indicates that the goal is achieved
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            <span title="Goal.target.detail[x] : The target value of the focus to be achieved to signify

             the fulfillment of the goal, e.g. 150 pounds, 7.0%. Either the high or low or both
             values of the range can be specified. When a low value is missing, it indicates
             that the goal is achieved at any focus value at or below the high value. Similarly,
             if the high value is missing, it indicates that the goal is achieved at any focus
             value at or above the low value.">detail[x]</span> 

            <a name="Goal.target.detail_x_"> </a> 
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           solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
            

            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;
             color: #301212; background-color: #fdf4f4;" title="This element has or is affected by some invariants">C</a> 

          </td> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px"/> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">The target value to be achieved
            <br/>  GoalTargetDetail (
            Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.)

            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value
             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>  
          </td> 
        </tr> 

        
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            <span title="A measured amount (or an amount that can potentially be measured). Note that measured
             amounts include amounts that are not precisely quantified, including amounts involving
             arbitrary units and floating currencies.">detailQuantity</span> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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            <a href="datatypes.html#Quantity">Quantity</a> 
          </td> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <span title="A relationship of two Quantity values - expressed as a numerator and a denominator.">detailRatio</span> 
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           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

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           #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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            <a href="datatypes.html#Ratio">Ratio</a> 
          </td> 
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            Goal.target.due[x] : Indicates either the date or the duration after start by which the
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            <span title="Goal.target.due[x] : Indicates either the date or the duration after start by which

             the goal should be met.">due[x]</span> 

            <a name="Goal.target.due_x_"> </a> 
          </td> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">0..1</td> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Reach goal on or before
            <br/>  
          </td> 
        </tr> 

        
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            A date or partial date (e.g. just year or year + month). There is no time zone. The format
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          </td> 
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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            <a href="datatypes.html#date">date</a> 
          </td> 
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           padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px"/> 

        </tr> 

        
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            <span title="A length of time.">dueDuration</span> 
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            <a href="datatypes.html#Duration">Duration</a> 
          </td> 
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            Goal.statusDate : Identifies when the current status.  I.e. When initially created, when
             achieved, when cancelled, etc.

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            <span title="Goal.statusDate : Identifies when the current status.  I.e. When initially created,

             when achieved, when cancelled, etc.">statusDate</span> 

            <a name="Goal.statusDate"> </a> 
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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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            <a href="datatypes.html#date">date</a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <br/>  
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            <span title="Goal.statusReason : Captures the reason for the current status.">statusReason</span> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <br/>  
          </td> 
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            <span title="Goal.source : Indicates whose goal this is - patient goal, practitioner goal, etc.">source</span> 
            <a name="Goal.source"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">

            <a href="references.html#Reference">Reference</a> (
            <a href="patient.html">Patient</a>  | 
            <a href="practitioner.html">Practitioner</a>  | 
            <a href="practitionerrole.html">PractitionerRole</a>  | 
            )

            <a href="relatedperson.html">RelatedPerson</a>  | 
            <a href="careteam.html">CareTeam</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">Who's responsible for creating Goal?
            <br/>  
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

        </tr> 

        
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            Goal.addresses : The identified conditions and other health record elements that are intended
             to be addressed by the goal.

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            <span title="Goal.addresses : The identified conditions and other health record elements that

             are intended to be addressed by the goal.">addresses</span> 

            <a name="Goal.addresses"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px"/> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (
            <a href="condition.html">Condition</a>  | 
            <a href="observation.html">Observation</a>  | 
             | 

            <a href="medicationusage.html">MedicationUsage</a>  | 
            <a href="medicationrequest.html">MedicationRequest</a>  | 
            <a href="nutritionorder.html">NutritionOrder</a>  | 
            <a href="servicerequest.html">ServiceRequest</a>  | 
            <a href="riskassessment.html">RiskAssessment</a> )
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Issues addressed by this goal
            <br/>  
            <br/>  
          </td> 
        </tr> 

        
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            <span title="Goal.note : Any comments related to the goal.">note</span> 
            <a name="Goal.note"> </a> 
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           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">

            <a href="datatypes.html#Annotation">Annotation</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxComments about the goal

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <br/>  
            <br/>  
          </td> 
        </tr> 

        
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            Goal.outcomeCode : Identifies the change (or lack of change) at the point when the status
             of the goal is assessed.
            

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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1

            BAACxjwv8YQUAAAAJcEhZcwAADsMAAA7DAcdvqGQAAAAadEVYdFNvZnR3YXJlAFBhaW50Lk5FVCB2My41LjEwMPRyoQAAA
            FxJREFUOE/NjEEOACEIA/0o/38GGw+agoXYeNnDJDCUDnd/gkoFKhWozJiZI3gLwY6rAgxhsPKTPUzycTl8lAryMyMsVQG
            6TFi6cHULyz8KOjC7OIQKlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>  
            <span title="Goal.outcome : Identifies the change (or lack of change) at the point when the

             status of the goal is assessed.">outcome</span> 
            <a name="Goal.outcome"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px"/> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">0..*</td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            

            <a href="references.html#CodeableReference">CodeableReference</a> (
            <a href="observation.html">Observation</a> )
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">What result was achieved regarding the goal?
            <br/>  
            <a href="valueset-clinical-findings.html">SNOMED CT Clinical Findings</a>  (
            Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.)

            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value
             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )

            <br/>  
          
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVBORw0KGg
          oAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAI0lEQVR42u3QIQEAAAACIL/6/4MvTAQOkLYBAAB4kAAAANwMad9AqkRjgNAAAAA
          ASUVORK5CYII=)
            data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3
            RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwN
            dCABMPwMo2ctnoQAAAABJRU5ErkJggg==
            data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3
            RJTUUH3wYeFzME+lXFigAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+3OsRUAIAjEUOL
            +O8cJABttJM11/x1qZAGqRBEVcNIqdWj1efDqQbb3HwwwwEfABmQUHSPM9dtDAAAAAElFTkSuQmCC
            data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1BAACxjw
            v8YQUAAAAJcEhZcwAADsMAAA7DAcdvqGQAAAAadEVYdFNvZnR3YXJlAFBhaW50Lk5FVCB2My41LjEwMPRyoQAAAFxJREFUOE/NjEE
            OACEIA/0o/38GGw+agoXYeNnDJDCUDnd/gkoFKhWozJiZI3gLwY6rAgxhsPKTPUzycTl8lAryMyMsVQG6TFi6cHULyz8KOjC7OIQK
            lQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC 
            
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            (
            )
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxObservation that resulted from goal

            <br/>  
          </td> 
        </tr> 

        <tr> 
          <td class="hierarchy" colspan="5">
            <br/>  
            

            <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format">
              <img alt="doco" src="help16.png" style="background-color: inherit"/>  Documentation for this format
            </a> 
          </td> 
        </tr> 
      </table> 
    </div> 
  </text> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-category">
    <valueString value="Clinical.Care Provision"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="2"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category">
    <valueCode value="patient"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="pc"/> 
  </extension> 
  <url value="http://hl7.org/fhir/StructureDefinition/Goal"/> 
  

  <version value="5.0.0-snapshot3"/> 
  <name value="Goal"/> 
  <status value="draft"/> 
  <experimental value="false"/> 
  

  <date value="2022-12-14T07:12:54+11:00"/> 
  <publisher value="Health Level Seven International (Patient Care)"/> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://hl7.org/fhir"/> 
    </telecom> 
  </contact> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://www.hl7.org/Special/committees/patientcare/index.cfm"/> 
    </telecom> 
  </contact> 
  Describes the intended objective(s) for a patient, group or organization care, for example,
   weight loss, restoring an activity of daily living, obtaining herd immunity via immunization,
   meeting a process improvement objective, etc.
  

  <description value="Describes the intended objective(s) for a patient, group or organization care,
   for example, weight loss, restoring an activity of daily living, obtaining herd
   immunity via immunization, meeting a process improvement objective, etc."/> 
  <jurisdiction> 
    <coding> 
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/> 
      <code value="001"/> 
      <display value="World"/> 
    </coding> 
  </jurisdiction> 
  <fhirVersion value="5.0.0-snapshot3"/> 
  <mapping> 
    <identity value="v2"/> 
    <uri value="http://hl7.org/v2"/> 
    <name value="HL7 v2 Mapping"/> 
  </mapping> 
  <mapping> 
    <identity value="rim"/> 
    <uri value="http://hl7.org/v3"/> 
    <name value="RIM Mapping"/> 
  </mapping> 
  <mapping> 
    <identity value="w5"/> 
    <uri value="http://hl7.org/fhir/fivews"/> 
    <name value="FiveWs Pattern Mapping"/> 
  </mapping> 
  <kind value="resource"/> 
  <abstract value="false"/> 
  <type value="Goal"/> 
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> 
  <derivation value="specialization"/> 
  <snapshot> 
    <element id="Goal">
      <path value="Goal"/> 
      <short value="Describes the intended objective(s) for a patient, group or organization"/> 
      Describes the intended objective(s) for a patient, group or organization care, for example,
       weight loss, restoring an activity of daily living, obtaining herd immunity via immunization,
       meeting a process improvement objective, etc.
      Goal can be achieving a particular change or merely maintaining a current state or even
       slowing a decline.

      <definition value="Describes the intended objective(s) for a patient, group or organization care,
       for example, weight loss, restoring an activity of daily living, obtaining herd
       immunity via immunization, meeting a process improvement objective, etc."/> 
      <comment value="Goal can be achieving a particular change or merely maintaining a current state

       or even slowing a decline."/> 

      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Goal"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <constraint> 
        <key value="dom-2"/> 
        <severity value="error"/> 
        <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/> 
        <expression value="contained.contained.empty()"/> 
        

        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="dom-3"/> 
        <severity value="error"/> 
        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.exists() and ('#'+id in (%resource.descendants().reference | %resource.descenda
        nts().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))))

        <human value="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"/> 
        <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofTy

        pe(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url)))

         or descendants().where(reference = '#').exists() or descendants().where(as(canonical)
         = '#').exists() or descendants().where(as(uri) = '#').exists()).not()).trace('unmatched',
         id).empty()
        not(exists(for $contained in f:contained return $contained[not(exists(parent::*/descendant::f:refere
        nce/@value=concat('#', $contained/*/f:id/@value)) or exists(descendant::f:reference[@value='#']))]))

         = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched
        ', id).empty()"/> 

        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="dom-4"/> 
        <severity value="error"/> 
        If a resource is contained in another resource, it SHALL NOT have a meta.versionId or
         a meta.lastUpdated

        <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId
         or a meta.lastUpdated"/> 

        <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/> 
        

        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="dom-5"/> 
        <severity value="error"/> 
        <human value="If a resource is contained in another resource, it SHALL NOT have a security label"/> 
        <expression value="contained.meta.security.empty()"/> 
        

        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> 
      </constraint> 
      <constraint> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
          <valueBoolean value="true"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
          When a resource has no narrative, only systems that fully understand the data can display
           the resource to a human safely. Including a human readable representation in the resource
           makes for a much more robust eco-system and cheaper handling of resources by intermediary
           systems. Some ecosystems restrict distribution of resources to only those systems that
           do fully understand the resources, and as a consequence implementers may believe that
           the narrative is superfluous. However experience shows that such eco-systems often open
           up to new participants over time.

          <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can
           display the resource to a human safely. Including a human readable representation
           in the resource makes for a much more robust eco-system and cheaper handling of
           resources by intermediary systems. Some ecosystems restrict distribution of resources
           to only those systems that do fully understand the resources, and as a consequence
           implementers may believe that the narrative is superfluous. However experience
           shows that such eco-systems often open up to new participants over time."/> 

        </extension> 
        <key value="dom-6"/> 
        <severity value="warning"/> 
        <human value="A resource should have narrative for robust management"/> 
        <expression value="text.`div`.exists()"/> 
        

        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Entity. Role, or Act"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="GOL.1"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".outboundRelationship[typeCode&lt;=OBJ]."/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="clinical.careprovision"/> 
      </mapping> 
    </element> 
    <element id="Goal.id">
      <path value="Goal.id"/> 
      <short value="Logical id of this artifact"/> 
      The logical id of the resource, as used in the URL for the resource. Once assigned, this
       value never changes.
      The only time that a resource does not have an id is when it is being submitted to the
       server using a create operation.

      <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned,
       this value never changes."/> 
      <comment value="Within the context of the FHIR RESTful interactions, the resource has an id except

       for cases like the create and conditional update. Otherwise, the use of the resouce
       id depends on the given use case."/> 

      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler
       magic (j)  -->

      <type> 
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="id"/> 
        </extension> 
        <code value="http://hl7.org/fhirpath/System.String"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="Goal.meta">
      <path value="Goal.meta"/> 
      <short value="Metadata about the resource"/> 
      <definition value="The metadata about the resource. This is content that is maintained by the infrastructure.
       Changes to the content might not always be associated with version changes to the resource.

       Changes to the content might not always be associated with version changes to the
       resource."/> 

      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.meta"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Meta"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        

        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="Goal.implicitRules">
      <path value="Goal.implicitRules"/> 
      <short value="A set of rules under which this content was created"/> 
      A reference to a set of rules that were followed when the resource was constructed, and
       which must be understood when processing the content. Often, this is a reference to an
       implementation guide that defines the special rules along with other profiles etc.
      Asserting this rule set restricts the content to be only understood by a limited set of
       trading partners. This inherently limits the usefulness of the data in the long term.
       However, the existing health eco-system is highly fractured, and not yet ready to define,
       collect, and exchange data in a generally computable sense. Wherever possible, implementers
       and/or specification writers should avoid using this element. Often, when used, the URL
       is a reference to an implementation guide that defines these special rules as part of
       it's narrative along with other profiles, value sets, etc.

      <definition value="A reference to a set of rules that were followed when the resource was constructed,
       and which must be understood when processing the content. Often, this is a reference
       to an implementation guide that defines the special rules along with other profiles
       etc."/> 
      <comment value="Asserting this rule set restricts the content to be only understood by a limited

       set of trading partners. This inherently limits the usefulness of the data in the
       long term. However, the existing health eco-system is highly fractured, and not
       yet ready to define, collect, and exchange data in a generally computable sense.
       Wherever possible, implementers and/or specification writers should avoid using
       this element. Often, when used, the URL is a reference to an implementation guide
       that defines these special rules as part of it's narrative along with other profiles,
       value sets, etc."/> 

      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.implicitRules"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="uri"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        

        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="true"/> 
      <isModifierReason value="This element is labeled as a modifier because the implicit rules may provide additional
       knowledge about the resource that modifies it's meaning or interpretation"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="Goal.language">
      <path value="Goal.language"/> 
      <short value="Language of the resource content"/> 
      <definition value="The base language in which the resource is written."/> 
      Language is provided to support indexing and accessibility (typically, services such as
       text to speech use the language tag). The html language tag in the narrative applies 
       to the narrative. The language tag on the resource may be used to specify the language
       of other presentations generated from the data in the resource. Not all the content has
       to be in the base language. The Resource.language should not be assumed to apply to the
       narrative automatically. If a language is specified, it should it also be specified on
       the div element in the html (see rules in HTML5 for information about the relationship
       between xml:lang and the html lang attribute).

      <comment value="Language is provided to support indexing and accessibility (typically, services
       such as text to speech use the language tag). The html language tag in the narrative
       applies  to the narrative. The language tag on the resource may be used to specify
       the language of other presentations generated from the data in the resource. Not
       all the content has to be in the base language. The Resource.language should not
       be assumed to apply to the narrative automatically. If a language is specified,
       it should it also be specified on the div element in the html (see rules in HTML5
       for information about the relationship between xml:lang and the html lang attribute)."/> 

      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.language"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        

        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
          <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Language"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/> 
        </extension> 
        <strength value="preferred"/> 
        <description value="IETF language tag"/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/languages"/> 
      </binding> 
    </element> 
    <element id="Goal.text">
      <path value="Goal.text"/> 
      <short value="Text summary of the resource, for human interpretation"/> 
      A human-readable narrative that contains a summary of the resource and can be used to
       represent the content of the resource to a human. The narrative need not encode all the
       structured data, but is required to contain sufficient detail to make it &quot;clinically
       safe&quot; for a human to just read the narrative. Resource definitions may define what
       content should be represented in the narrative to ensure clinical safety.
      Contained resources do not have narrative. Resources that are not contained SHOULD have
       a narrative. In some cases, a resource may only have text with little or no additional
       discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary
       for data from legacy systems where information is captured as a &quot;text blob&quot;
       or where text is additionally entered raw or narrated and encoded information is added
       later.

      <definition value="A human-readable narrative that contains a summary of the resource and can be used
       to represent the content of the resource to a human. The narrative need not encode
       all the structured data, but is required to contain sufficient detail to make it
       &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions
       may define what content should be represented in the narrative to ensure clinical
       safety."/> 
      <comment value="Contained resources do not have a narrative. Resources that are not contained SHOULD

       have a narrative. In some cases, a resource may only have text with little or no
       additional discrete data (as long as all minOccurs=1 elements are satisfied). 
       This may be necessary for data from legacy systems where information is captured
       as a &quot;text blob&quot; or where text is additionally entered raw or narrated
       and encoded information is added later."/> 

      <alias value="narrative"/> 
      <alias value="html"/> 
      <alias value="xhtml"/> 
      <alias value="display"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="DomainResource.text"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Narrative"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        

        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Act.text?"/> 
      </mapping> 
    </element> 
    <element id="Goal.contained">
      <path value="Goal.contained"/> 
      <short value="Contained, inline Resources"/> 
      These resources do not have an independent existence apart from the resource that contains
       them - they cannot be identified independently, and nor can they have their own independent
       transaction scope.
      This should never be done when the content can be identified properly, as once identification
       is lost, it is extremely difficult (and context dependent) to restore it again. Contained
       resources may have profiles and tags In their meta elements, but SHALL NOT have security
       labels.

      <definition value="These resources do not have an independent existence apart from the resource that
       contains them - they cannot be identified independently, nor can they have their
       own independent transaction scope. This is allowed to be a Parameters resource
       if and only if it is referenced by a resource that provides context/meaning."/> 
      <comment value="This should never be done when the content can be identified properly, as once

       identification is lost, it is extremely difficult (and context dependent) to restore
       it again. Contained resources may have profiles and tags in their meta elements,
       but SHALL NOT have security labels."/> 

      <alias value="inline resources"/> 
      <alias value="anonymous resources"/> 
      <alias value="contained resources"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.contained"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Resource"/> 
      </type> 
      
        
        
        Containing new R4B resources within R4 resources may cause interoperability issues if
         instances are shared with R4 systems
        ($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable
         or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this
         is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition
         or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus
         or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence
         or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefi
        nition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition
         or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorizat
        ion or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource
         is SubscriptionTopic)
        not(f:Citation|f:Evidence|f:EvidenceReport|f:EvidenceVariable|f:MedicinalProductDefinition|f:Package
        dProductDefinition|f:AdministrableProductDefinition|f:Ingredient|f:ClinicalUseDefinition|f:RegulatedA
        uthorization|f:SubstanceDefinition|f:SubscriptionStatus|f:SubscriptionTopic) or not(parent::f:Citatio
        n|parent::f:Evidence|parent::f:EvidenceReport|parent::f:EvidenceVariable|parent::f:MedicinalProductDe
        finition|parent::f:PackagedProductDefinition|parent::f:AdministrableProductDefinition|parent::f:Ingre
        dient|parent::f:ClinicalUseDefinition|parent::f:RegulatedAuthorization|parent::f:SubstanceDefinition|
        f:SubscriptionStatus|f:SubscriptionTopic)
        
      

      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="Goal.extension">
      <path value="Goal.extension"/> 
      <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the resource. To make the use of extensions safe and manageable, there is a strict
       set of governance  applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part of the
       definition of the extension.
      There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone.

       of the resource. To make the use of extensions safe and manageable, there is a
       strict set of governance  applied to the definition and use of extensions. Though
       any implementer can define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 

      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        

        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        

        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="Goal.modifierExtension">
      <path value="Goal.modifierExtension"/> 
      <short value="Extensions that cannot be ignored"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the resource and that modifies the understanding of the element that contains it and/or
       the understanding of the containing element's descendants. Usually modifier elements provide
       negation or qualification. To make the use of extensions safe and manageable, there is
       a strict set of governance applied to the definition and use of extensions. Though any
       implementer is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension. Applications processing a resource
       are required to check for modifier extensions.

       of the resource and that modifies the understanding of the element that contains
       it and/or the understanding of the containing element's descendants. Usually modifier
       elements provide negation or qualification. To make the use of extensions safe
       and manageable, there is a strict set of governance applied to the definition and
       use of extensions. Though any implementer is allowed to define an extension, there
       is a set of requirements that SHALL be met as part of the definition of the extension.
       Applications processing a resource are required to check for modifier extensions.


Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
       (including cannot change the meaning of modifierExtension itself).
      There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone.
      Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly
       distinguished from the vast majority of extensions which can be safely ignored.  This
       promotes interoperability by eliminating the need for implementers to prohibit the presence
       of extensions. For further information, see the [definition of modifier extensions](extensibility.ht
      ml#modifierExtension).

Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be

       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](extensibility.html#modifierExtension)."/> 

      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        

        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        

        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="true"/> 
      Modifier extensions are expected to modify the meaning or interpretation of the resource
       that contains them
      

      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the
       resource that contains them"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="Goal.identifier">
      <path value="Goal.identifier"/> 
      <short value="External Ids for this goal"/> 
      Business identifiers assigned to this goal by the performer or other systems which remain
       constant as the resource is updated and propagates from server to server.
      This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers
      )).  It is best practice for the identifier to only appear on a single resource instance,
       however business practices may occasionally dictate that multiple resource instances with
       the same identifier can exist - possibly even with different resource types.  For example,
       multiple Patient and a Person resource instance might share the same social insurance
       number.
      Allows identification of the goal as it is known by various participating systems and
       in a way that remains consistent across servers.

      <definition value="Business identifiers assigned to this goal by the performer or other systems which
       remain constant as the resource is updated and propagates from server to server."/> 
      <comment value="This is a business identifier, not a resource identifier (see [discussion](resource.html#iden

      tifiers)).  It is best practice for the identifier to only appear on a single resource
       instance, however business practices may occasionally dictate that multiple resource
       instances with the same identifier can exist - possibly even with different resource
       types.  For example, multiple Patient and a Person resource instance might share
       the same social insurance number."/> 
      <requirements value="Allows identification of the goal as it is known by various participating systems

       and in a way that remains consistent across servers."/> 

      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Goal.identifier"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Identifier"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        

        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.identifier"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".id"/> 
      </mapping> 
    </element> 
    <element id="Goal.lifecycleStatus">
      <path value="Goal.lifecycleStatus"/> 
      <short value="proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error
       | rejected"/> 
      <definition value="The state of the goal throughout its lifecycle."/> 
      This element is labeled as a modifier because the lifecycleStatus contains codes that
       mark the resource as not currently valid.

      <comment value="This element is labeled as a modifier because the lifecycleStatus contains codes
       that mark the resource as not currently valid."/> 

      <requirements value="Allows knowing whether goal needs to be further tracked."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="Goal.lifecycleStatus"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        

        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="true"/> 
      This element is labelled as a modifier because it is a status element that contains status
       entered-in-error which means that the resource should not be treated as valid

      <isModifierReason value="This element is labelled as a modifier because it is a status element that contains
       status entered-in-error which means that the resource should not be treated as
       valid"/> 

      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="GoalLifecycleStatus"/> 
        </extension> 
        <strength value="required"/> 
        
        

        <description value="Codes that reflect the current state of a goal and whether the goal is still being
         targeted."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/goal-status|5.0.0-snapshot3"/> 
      </binding> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.status"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="GOL-18-goal life cycle status"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".statusCode in-progress = active (classCode = OBJ) cancelled = aborted"/> 
      </mapping> 
    </element> 
    <element id="Goal.achievementStatus">
      <path value="Goal.achievementStatus"/> 
      <short value="in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved
       | no-progress | not-attainable"/> 
      <definition value="Describes the progression, or lack thereof, towards the goal against the target."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Goal.achievementStatus"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        

        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="GoalAchievementStatus"/> 
        </extension> 
        <strength value="preferred"/> 
        <description value="Indicates the progression, or lack thereof, towards the goal against the target."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/goal-achievement"/> 
      </binding> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".statusCode achieved = complete sustaining = active"/> 
      </mapping> 
    </element> 
    <element id="Goal.category">
      <path value="Goal.category"/> 
      <short value="E.g. Treatment, dietary, behavioral, etc."/> 
      <definition value="Indicates a category the goal falls within."/> 
      <requirements value="Allows goals to be filtered and sorted."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Goal.category"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        

        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="GoalCategory"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Codes for grouping and sorting goals."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/goal-category"/> 
      </binding> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.class"/> 
      </mapping> 
    </element> 
    <element id="Goal.continuous">
      <path value="Goal.continuous"/> 
      <short value="After meeting the goal, ongoing activity is needed to sustain the goal objective"/> 
      <definition value="After meeting the goal, ongoing activity is needed to sustain the goal objective."/> 
      <comment value="For example, getting a yellow fever vaccination for a planned trip is a goal that
       is designed to be completed (continuous = false).  A goal to sustain HbA1c levels
       would not be a one-time goal (continuous = true)."/> 
      <requirements value="Allows for a system to programmatically update achievementStatus upon finding evidence

       the goal has been met."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Goal.continuous"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="boolean"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="Goal.priority">
      <path value="Goal.priority"/> 
      <short value="high-priority | medium-priority | low-priority"/> 
      <definition value="Identifies the mutually agreed level of importance associated with reaching/sustaining
       the goal."/> 
      Extensions are available to track priorities as established by each participant (i.e.
       Priority from the patient's perspective, different practitioners' perspectives, family
       member's perspectives)

      <comment value="Extensions are available to track priorities as established by each participant
       (i.e. Priority from the patient's perspective, different practitioners' perspectives,
       family member's perspectives)


The ordinal extension on Coding can be used to convey a numerically comparable ranking
       to priority.  (Keep in mind that different coding systems may use a &quot;low value=important&quot;.

The ordinal extension on Coding can be used to convey a numerically comparable
       ranking to priority.  (Keep in mind that different coding systems may use a &quot;low
       value=important&quot;."/> 

      <requirements value="Used for sorting and presenting goals."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Goal.priority"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        

        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="GoalPriority"/> 
        </extension> 
        <strength value="preferred"/> 
        <description value="The level of importance associated with a goal."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/goal-priority"/> 
      </binding> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.grade"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".priorityCode"/> 
      </mapping> 
    </element> 
    <element id="Goal.description">
      <path value="Goal.description"/> 
      <short value="Code or text describing goal"/> 
      Human-readable and/or coded description of a specific desired objective of care, such
       as &quot;control blood pressure&quot; or &quot;negotiate an obstacle course&quot; or &quot;dance
       with child at wedding&quot;.

      <definition value="Human-readable and/or coded description of a specific desired objective of care,
       such as &quot;control blood pressure&quot; or &quot;negotiate an obstacle course&quot;
       or &quot;dance with child at wedding&quot;."/> 

      <comment value="If no code is available, use CodeableConcept.text."/> 
      <requirements value="Without a description of what's trying to be achieved, element has no purpose."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="Goal.description"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        

        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="GoalDescription"/> 
        </extension> 
        <strength value="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.

        <description value="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."/> 

        <valueSet value="http://hl7.org/fhir/ValueSet/clinical-findings"/> 
      </binding> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.what[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="GOL-3.2-goal ID.text"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".text"/> 
      </mapping> 
    </element> 
    <element id="Goal.subject">
      <path value="Goal.subject"/> 
      <short value="Who this goal is intended for"/> 
      <definition value="Identifies the patient, group or organization for whom the goal is being established."/> 
      <requirements value="Subject is optional to support annonymized reporting."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="Goal.subject"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        

        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.subject[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="PID-3-patient ID list"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=PAT].role[classCode=PAT]"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.subject"/> 
      </mapping> 
    </element> 
    <element id="Goal.start[x]">
      <path value="Goal.start[x]"/> 
      <short value="When goal pursuit begins"/> 
      <definition value="The date or event after which the goal should begin being pursued."/> 
      Goals can be established prior to there being an intention to start pursuing them; e.g.
       Goals for post-surgical recovery established prior to surgery.

      <requirements value="Goals can be established prior to there being an intention to start pursuing them;
       e.g. Goals for post-surgical recovery established prior to surgery."/> 

      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Goal.start[x]"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="date"/> 
      </type> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        

        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="GoalStartEvent"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Codes describing events that can trigger the initiation of a goal."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/goal-start-event"/> 
      </binding> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.planned"/> 
      </mapping> 
    </element> 
    <element id="Goal.target">
      <path value="Goal.target"/> 
      <short value="Target outcome for the goal"/> 
      <definition value="Indicates what should be done by when."/> 
      When multiple targets are present for a single goal instance, all targets must be met
       for the overall goal to be met.
      Allows the progress of the goal to be monitored against an observation or due date.  Target
       is 0..* to support Observations with multiple components, such as blood pressure goals
       with both a systolic and diastolic target.

      <comment value="When multiple targets are present for a single goal instance, all targets must
       be met for the overall goal to be met."/> 
      <requirements value="Allows the progress of the goal to be monitored against an observation or due date.

        Target is 0..* to support Observations with multiple components, such as blood
       pressure goals with both a systolic and diastolic target."/> 

      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Goal.target"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <condition value="gol-1"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        
        
        

        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="gol-1"/> 
        <severity value="error"/> 
        <human value="Goal.target.measure is required if Goal.target.detail is populated"/> 
        <expression value="(detail.exists() and measure.exists()) or detail.exists().not()"/> 
        (exists(f:*[starts-with(local-name(.), 'detail')]) and exists(f:measure)) or not(exists(f:*[starts-w
        ith(local-name(.), 'detail')]))

        <source value="http://hl7.org/fhir/StructureDefinition/Goal"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="Goal.target.id">
      <path value="Goal.target.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces.

      <definition value="Unique id for the element within a resource (for internal references). This may
       be any string value that does not contain spaces."/> 

      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler
       magic (j)  -->

      <type> 
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/> 
        </extension> 
        <code value="http://hl7.org/fhirpath/System.String"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="Goal.target.extension">
      <path value="Goal.target.extension"/> 
      <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and manageable, there is a strict set
       of governance  applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part of the
       definition of the extension.
      There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone.

       of the element. To make the use of extensions safe and manageable, there is a strict
       set of governance  applied to the definition and use of extensions. Though any
       implementer can define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 

      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        

        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        

        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="Goal.target.modifierExtension">
      <path value="Goal.target.modifierExtension"/> 
      <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is contained
       and/or the understanding of the containing element's descendants. Usually modifier elements
       provide negation or qualification. To make the use of extensions safe and manageable,
       there is a strict set of governance applied to the definition and use of extensions. Though
       any implementer can define an extension, there is a set of requirements that SHALL be
       met as part of the definition of the extension. Applications processing a resource are
       required to check for modifier extensions.

       of the element and that modifies the understanding of the element in which it is
       contained and/or the understanding of the containing element's descendants. Usually
       modifier elements provide negation or qualification. To make the use of extensions
       safe and manageable, there is a strict set of governance applied to the definition
       and use of extensions. Though any implementer can define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension.
       Applications processing a resource are required to check for modifier extensions.


Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
       (including cannot change the meaning of modifierExtension itself).
      There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone.
      Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly
       distinguished from the vast majority of extensions which can be safely ignored.  This
       promotes interoperability by eliminating the need for implementers to prohibit the presence
       of extensions. For further information, see the [definition of modifier extensions](extensibility.ht
      ml#modifierExtension).

Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be

       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](extensibility.html#modifierExtension)."/> 

      <alias value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        

        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        

        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="true"/> 
      Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them

      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the
       element that contains them"/> 

      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="Goal.target.measure">
      <path value="Goal.target.measure"/> 
      <short value="The parameter whose value is being tracked"/> 
      The parameter whose value is being tracked, e.g. body weight, blood pressure, or hemoglobin
       A1c level.

      <definition value="The parameter whose value is being tracked, e.g. body weight, blood pressure, or
       hemoglobin A1c level."/> 

      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Goal.target.measure"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <condition value="gol-1"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        

        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="GoalTargetMeasure"/> 
        </extension> 
        <strength value="example"/> 
        Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin
         A1c level.

        <description value="Codes to identify the value being tracked, e.g. body weight, blood pressure, or
         hemoglobin A1c level."/> 

        <valueSet value="http://hl7.org/fhir/ValueSet/observation-codes"/> 
      </binding> 
    </element> 
    <element id="Goal.target.detail[x]">
      <path value="Goal.target.detail[x]"/> 
      <short value="The target value to be achieved"/> 
      The target value of the focus to be achieved to signify the fulfillment of the goal, e.g.
       150 pounds, 7.0%. Either the high or low or both values of the range can be specified.
       When a low value is missing, it indicates that the goal is achieved at any focus value
       at or below the high value. Similarly, if the high value is missing, it indicates that
       the goal is achieved at any focus value at or above the low value.
      A CodeableConcept with just a text would be used instead of a string if the field was
       usually coded, or if the type associated with the Goal.target.measure defines a coded
       value.

      <definition value="The target value of the focus to be achieved to signify the fulfillment of the
       goal, e.g. 150 pounds, 7.0%. Either the high or low or both values of the range
       can be specified. When a low value is missing, it indicates that the goal is achieved
       at any focus value at or below the high value. Similarly, if the high value is
       missing, it indicates that the goal is achieved at any focus value at or above
       the low value."/> 
      <comment value="A CodeableConcept with just a text would be used instead of a string if the field

       was usually coded, or if the type associated with the Goal.target.measure defines
       a coded value."/> 

      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Goal.target.detail[x]"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Quantity"/> 
      </type> 
      <type> 
        <code value="Range"/> 
      </type> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <type> 
        <code value="string"/> 
      </type> 
      <type> 
        <code value="boolean"/> 
      </type> 
      <type> 
        <code value="integer"/> 
      </type> 
      <type> 
        <code value="Ratio"/> 
      </type> 
      <condition value="gol-1"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        

        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="GoalTargetDetail"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Codes to identify the target value of the focus to be achieved to signify the fulfillment
         of the goal."/> 
      </binding> 
    </element> 
    <element id="Goal.target.due[x]">
      <path value="Goal.target.due[x]"/> 
      <short value="Reach goal on or before"/> 
      

      <definition value="Indicates either the date or the duration after start by which the goal should
       be met."/> 

      <requirements value="Identifies when the goal should be evaluated."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Goal.target.due[x]"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="date"/> 
      </type> 
      <type> 
        <code value="Duration"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        

        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.done[x]"/> 
      </mapping> 
    </element> 
    <element id="Goal.statusDate">
      <path value="Goal.statusDate"/> 
      <short value="When goal status took effect"/> 
      Identifies when the current status.  I.e. When initially created, when achieved, when
       cancelled, etc.

      <definition value="Identifies when the current status.  I.e. When initially created, when achieved,
       when cancelled, etc."/> 

      <comment value="To see the date for past statuses, query history."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Goal.statusDate"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="date"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        

        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.recorded"/> 
      </mapping> 
    </element> 
    <element id="Goal.statusReason">
      <path value="Goal.statusReason"/> 
      <short value="Reason for current status"/> 
      <definition value="Captures the reason for the current status."/> 
      This will typically be captured for statuses such as rejected, on-hold or cancelled, but
       could be present for others.

      <comment value="This will typically be captured for statuses such as rejected, on-hold or cancelled,
       but could be present for others."/> 

      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Goal.statusReason"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        

        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    
      

    <element id="Goal.source">
      <path value="Goal.source"/> 
      <short value="Who's responsible for creating Goal?"/> 
      <definition value="Indicates whose goal this is - patient goal, practitioner goal, etc."/> 
      This is the individual responsible for establishing the goal, not necessarily who recorded
       it.  (For that, use the Provenance resource.).

      <comment value="This is the individual or team responsible for establishing the goal, not necessarily
       who recorded it.  (For that, use the Provenance resource.)."/> 

      <min value="0"/> 
      <max value="1"/> 
      <base> 
        

        <path value="Goal.source"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/CareTeam"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        

        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.source"/> 
      </mapping> 
    </element> 
    <element id="Goal.addresses">
      <path value="Goal.addresses"/> 
      <short value="Issues addressed by this goal"/> 
      The identified conditions and other health record elements that are intended to be addressed
       by the goal.
      Allows specific goals to explicitly linked to the concerns they're dealing with - makes
       the goal more understandable.

      <definition value="The identified conditions and other health record elements that are intended to
       be addressed by the goal."/> 
      <requirements value="Allows specific goals to explicitly linked to the concerns they're dealing with

       - makes the goal more understandable."/> 

      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Goal.addresses"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/> 
        

        <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationUsage"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/NutritionOrder"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RiskAssessment"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        

        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.why[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".outboundRelationship[typeCode=SUBJ].target[classCode=CONC]"/> 
      </mapping> 
    </element> 
    <element id="Goal.note">
      <path value="Goal.note"/> 
      <short value="Comments about the goal"/> 
      <definition value="Any comments related to the goal."/> 
      May be used for progress notes, concerns or other related information that doesn't actually
       describe the goal itself.
      There's a need to capture information about the goal that doesn't actually describe the
       goal.

      <comment value="May be used for progress notes, concerns or other related information that doesn't
       actually describe the goal itself."/> 
      <requirements value="There's a need to capture information about the goal that doesn't actually describe

       the goal."/> 

      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Goal.note"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Annotation"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        

        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="v2"/> 
        <map value="GOL-16-goal evaluation + NTE?"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=&quot;annotation&quot;]
        .value

        <map value=".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=&quot;annotation
        &quot;].value"/> 

      </mapping> 
    </element> 
    
      

    <element id="Goal.outcome">
      <path value="Goal.outcome"/> 
      <short value="What result was achieved regarding the goal?"/> 
      Identifies the change (or lack of change) at the point when the status of the goal is
       assessed.
      

      <definition value="Identifies the change (or lack of change) at the point when the status of the goal
       is assessed."/> 
      <comment value="Note that this should not duplicate the goal status; The goal outcome is independent

       of the outcome of the related activities.  For example, if the Goal is to achieve
       a target body weight of 150 lb and a care plan activity is defined to diet, then
       the care plan’s activity outcome could be calories consumed whereas goal outcome
       is an observation for the actual body weight measured."/> 

      <requirements value="Outcome tracking is a key aspect of care planning."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        

        <path value="Goal.outcome"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        

        <code value="CodeableReference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        

        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="GoalOutcome"/> 
        </extension> 
        <strength value="example"/> 
        <description value="The result of the goal; e.g. &quot;25% increase in shoulder mobility&quot;, &quot;Anxiety
         reduced to moderate levels&quot;.  &quot;15 kg weight loss sustained over 6 months&quot;."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/clinical-findings"/> 
      </binding> 
    </element> 
    
      
      
      
      The goal outcome is independent of the outcome of the related activities.  For example,
       if the Goal is to achieve a target body weight of 150 lb and a care plan activity is defined
       to diet, then the care plan’s activity outcome could be calories consumed whereas goal
       outcome is an observation for the actual body weight measured.
      
      
      
      
        
        
        
      
      
        
        
      
      
        
        
        
        
        
        
      
      
      
      
    

  </snapshot> 
  <differential> 
    <element id="Goal">
      <path value="Goal"/> 
      <short value="Describes the intended objective(s) for a patient, group or organization"/> 
      Describes the intended objective(s) for a patient, group or organization care, for example,
       weight loss, restoring an activity of daily living, obtaining herd immunity via immunization,
       meeting a process improvement objective, etc.
      Goal can be achieving a particular change or merely maintaining a current state or even
       slowing a decline.

      <definition value="Describes the intended objective(s) for a patient, group or organization care,
       for example, weight loss, restoring an activity of daily living, obtaining herd
       immunity via immunization, meeting a process improvement objective, etc."/> 
      <comment value="Goal can be achieving a particular change or merely maintaining a current state

       or even slowing a decline."/> 

      <min value="0"/> 
      <max value="*"/> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <mapping> 
        <identity value="v2"/> 
        <map value="GOL.1"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".outboundRelationship[typeCode&lt;=OBJ]."/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="clinical.careprovision"/> 
      </mapping> 
    </element> 
    <element id="Goal.identifier">
      <path value="Goal.identifier"/> 
      <short value="External Ids for this goal"/> 
      Business identifiers assigned to this goal by the performer or other systems which remain
       constant as the resource is updated and propagates from server to server.
      This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers
      )).  It is best practice for the identifier to only appear on a single resource instance,
       however business practices may occasionally dictate that multiple resource instances with
       the same identifier can exist - possibly even with different resource types.  For example,
       multiple Patient and a Person resource instance might share the same social insurance
       number.
      Allows identification of the goal as it is known by various participating systems and
       in a way that remains consistent across servers.

      <definition value="Business identifiers assigned to this goal by the performer or other systems which
       remain constant as the resource is updated and propagates from server to server."/> 
      <comment value="This is a business identifier, not a resource identifier (see [discussion](resource.html#iden

      tifiers)).  It is best practice for the identifier to only appear on a single resource
       instance, however business practices may occasionally dictate that multiple resource
       instances with the same identifier can exist - possibly even with different resource
       types.  For example, multiple Patient and a Person resource instance might share
       the same social insurance number."/> 
      <requirements value="Allows identification of the goal as it is known by various participating systems

       and in a way that remains consistent across servers."/> 

      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Identifier"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.identifier"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".id"/> 
      </mapping> 
    </element> 
    <element id="Goal.lifecycleStatus">
      <path value="Goal.lifecycleStatus"/> 
      <short value="proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error
       | rejected"/> 
      <definition value="The state of the goal throughout its lifecycle."/> 
      This element is labeled as a modifier because the lifecycleStatus contains codes that
       mark the resource as not currently valid.

      <comment value="This element is labeled as a modifier because the lifecycleStatus contains codes
       that mark the resource as not currently valid."/> 

      <requirements value="Allows knowing whether goal needs to be further tracked."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="code"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="true"/> 
      This element is labelled as a modifier because it is a status element that contains status
       entered-in-error which means that the resource should not be treated as valid

      <isModifierReason value="This element is labelled as a modifier because it is a status element that contains
       status entered-in-error which means that the resource should not be treated as
       valid"/> 

      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="GoalLifecycleStatus"/> 
        </extension> 
        <strength value="required"/> 
        
        

        <description value="Codes that reflect the current state of a goal and whether the goal is still being
         targeted."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/goal-status|5.0.0-snapshot3"/> 
      </binding> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.status"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="GOL-18-goal life cycle status"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".statusCode in-progress = active (classCode = OBJ) cancelled = aborted"/> 
      </mapping> 
    </element> 
    <element id="Goal.achievementStatus">
      <path value="Goal.achievementStatus"/> 
      <short value="in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved
       | no-progress | not-attainable"/> 
      <definition value="Describes the progression, or lack thereof, towards the goal against the target."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="GoalAchievementStatus"/> 
        </extension> 
        <strength value="preferred"/> 
        <description value="Indicates the progression, or lack thereof, towards the goal against the target."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/goal-achievement"/> 
      </binding> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".statusCode achieved = complete sustaining = active"/> 
      </mapping> 
    </element> 
    <element id="Goal.category">
      <path value="Goal.category"/> 
      <short value="E.g. Treatment, dietary, behavioral, etc."/> 
      <definition value="Indicates a category the goal falls within."/> 
      <requirements value="Allows goals to be filtered and sorted."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="GoalCategory"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Codes for grouping and sorting goals."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/goal-category"/> 
      </binding> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.class"/> 
      </mapping> 
    </element> 
    <element id="Goal.continuous">
      <path value="Goal.continuous"/> 
      <short value="After meeting the goal, ongoing activity is needed to sustain the goal objective"/> 
      <definition value="After meeting the goal, ongoing activity is needed to sustain the goal objective."/> 
      <comment value="For example, getting a yellow fever vaccination for a planned trip is a goal that
       is designed to be completed (continuous = false).  A goal to sustain HbA1c levels
       would not be a one-time goal (continuous = true)."/> 
      <requirements value="Allows for a system to programmatically update achievementStatus upon finding evidence

       the goal has been met."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="boolean"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="Goal.priority">
      <path value="Goal.priority"/> 
      <short value="high-priority | medium-priority | low-priority"/> 
      <definition value="Identifies the mutually agreed level of importance associated with reaching/sustaining
       the goal."/> 
      Extensions are available to track priorities as established by each participant (i.e.
       Priority from the patient's perspective, different practitioners' perspectives, family
       member's perspectives)

      <comment value="Extensions are available to track priorities as established by each participant
       (i.e. Priority from the patient's perspective, different practitioners' perspectives,
       family member's perspectives)


The ordinal extension on Coding can be used to convey a numerically comparable ranking
       to priority.  (Keep in mind that different coding systems may use a &quot;low value=important&quot;.

The ordinal extension on Coding can be used to convey a numerically comparable
       ranking to priority.  (Keep in mind that different coding systems may use a &quot;low
       value=important&quot;."/> 

      <requirements value="Used for sorting and presenting goals."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="GoalPriority"/> 
        </extension> 
        <strength value="preferred"/> 
        <description value="The level of importance associated with a goal."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/goal-priority"/> 
      </binding> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.grade"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".priorityCode"/> 
      </mapping> 
    </element> 
    <element id="Goal.description">
      <path value="Goal.description"/> 
      <short value="Code or text describing goal"/> 
      Human-readable and/or coded description of a specific desired objective of care, such
       as &quot;control blood pressure&quot; or &quot;negotiate an obstacle course&quot; or &quot;dance
       with child at wedding&quot;.

      <definition value="Human-readable and/or coded description of a specific desired objective of care,
       such as &quot;control blood pressure&quot; or &quot;negotiate an obstacle course&quot;
       or &quot;dance with child at wedding&quot;."/> 

      <comment value="If no code is available, use CodeableConcept.text."/> 
      <requirements value="Without a description of what's trying to be achieved, element has no purpose."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="GoalDescription"/> 
        </extension> 
        <strength value="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.

        <description value="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."/> 

        <valueSet value="http://hl7.org/fhir/ValueSet/clinical-findings"/> 
      </binding> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.what[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="GOL-3.2-goal ID.text"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".text"/> 
      </mapping> 
    </element> 
    <element id="Goal.subject">
      <path value="Goal.subject"/> 
      <short value="Who this goal is intended for"/> 
      <definition value="Identifies the patient, group or organization for whom the goal is being established."/> 
      <requirements value="Subject is optional to support annonymized reporting."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.subject[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="PID-3-patient ID list"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=PAT].role[classCode=PAT]"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.subject"/> 
      </mapping> 
    </element> 
    <element id="Goal.start[x]">
      <path value="Goal.start[x]"/> 
      <short value="When goal pursuit begins"/> 
      <definition value="The date or event after which the goal should begin being pursued."/> 
      Goals can be established prior to there being an intention to start pursuing them; e.g.
       Goals for post-surgical recovery established prior to surgery.

      <requirements value="Goals can be established prior to there being an intention to start pursuing them;
       e.g. Goals for post-surgical recovery established prior to surgery."/> 

      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="date"/> 
      </type> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="GoalStartEvent"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Codes describing events that can trigger the initiation of a goal."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/goal-start-event"/> 
      </binding> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.planned"/> 
      </mapping> 
    </element> 
    <element id="Goal.target">
      <path value="Goal.target"/> 
      <short value="Target outcome for the goal"/> 
      <definition value="Indicates what should be done by when."/> 
      When multiple targets are present for a single goal instance, all targets must be met
       for the overall goal to be met.
      Allows the progress of the goal to be monitored against an observation or due date.  Target
       is 0..* to support Observations with multiple components, such as blood pressure goals
       with both a systolic and diastolic target.

      <comment value="When multiple targets are present for a single goal instance, all targets must
       be met for the overall goal to be met."/> 
      <requirements value="Allows the progress of the goal to be monitored against an observation or due date.

        Target is 0..* to support Observations with multiple components, such as blood
       pressure goals with both a systolic and diastolic target."/> 

      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <condition value="gol-1"/> 
      <constraint> 
        <key value="gol-1"/> 
        <severity value="error"/> 
        <human value="Goal.target.measure is required if Goal.target.detail is populated"/> 
        <expression value="(detail.exists() and measure.exists()) or detail.exists().not()"/> 
        (exists(f:*[starts-with(local-name(.), 'detail')]) and exists(f:measure)) or not(exists(f:*[starts-w
        ith(local-name(.), 'detail')]))

        <source value="http://hl7.org/fhir/StructureDefinition/Goal"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    <element id="Goal.target.measure">
      <path value="Goal.target.measure"/> 
      <short value="The parameter whose value is being tracked"/> 
      The parameter whose value is being tracked, e.g. body weight, blood pressure, or hemoglobin
       A1c level.

      <definition value="The parameter whose value is being tracked, e.g. body weight, blood pressure, or
       hemoglobin A1c level."/> 

      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <condition value="gol-1"/> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="GoalTargetMeasure"/> 
        </extension> 
        <strength value="example"/> 
        Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin
         A1c level.

        <description value="Codes to identify the value being tracked, e.g. body weight, blood pressure, or
         hemoglobin A1c level."/> 

        <valueSet value="http://hl7.org/fhir/ValueSet/observation-codes"/> 
      </binding> 
    </element> 
    <element id="Goal.target.detail[x]">
      <path value="Goal.target.detail[x]"/> 
      <short value="The target value to be achieved"/> 
      The target value of the focus to be achieved to signify the fulfillment of the goal, e.g.
       150 pounds, 7.0%. Either the high or low or both values of the range can be specified.
       When a low value is missing, it indicates that the goal is achieved at any focus value
       at or below the high value. Similarly, if the high value is missing, it indicates that
       the goal is achieved at any focus value at or above the low value.
      A CodeableConcept with just a text would be used instead of a string if the field was
       usually coded, or if the type associated with the Goal.target.measure defines a coded
       value.

      <definition value="The target value of the focus to be achieved to signify the fulfillment of the
       goal, e.g. 150 pounds, 7.0%. Either the high or low or both values of the range
       can be specified. When a low value is missing, it indicates that the goal is achieved
       at any focus value at or below the high value. Similarly, if the high value is
       missing, it indicates that the goal is achieved at any focus value at or above
       the low value."/> 
      <comment value="A CodeableConcept with just a text would be used instead of a string if the field

       was usually coded, or if the type associated with the Goal.target.measure defines
       a coded value."/> 

      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Quantity"/> 
      </type> 
      <type> 
        <code value="Range"/> 
      </type> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <type> 
        <code value="string"/> 
      </type> 
      <type> 
        <code value="boolean"/> 
      </type> 
      <type> 
        <code value="integer"/> 
      </type> 
      <type> 
        <code value="Ratio"/> 
      </type> 
      <condition value="gol-1"/> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="GoalTargetDetail"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Codes to identify the target value of the focus to be achieved to signify the fulfillment
         of the goal."/> 
      </binding> 
    </element> 
    <element id="Goal.target.due[x]">
      <path value="Goal.target.due[x]"/> 
      <short value="Reach goal on or before"/> 
      

      <definition value="Indicates either the date or the duration after start by which the goal should
       be met."/> 

      <requirements value="Identifies when the goal should be evaluated."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="date"/> 
      </type> 
      <type> 
        <code value="Duration"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.done[x]"/> 
      </mapping> 
    </element> 
    <element id="Goal.statusDate">
      <path value="Goal.statusDate"/> 
      <short value="When goal status took effect"/> 
      Identifies when the current status.  I.e. When initially created, when achieved, when
       cancelled, etc.

      <definition value="Identifies when the current status.  I.e. When initially created, when achieved,
       when cancelled, etc."/> 

      <comment value="To see the date for past statuses, query history."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="date"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.recorded"/> 
      </mapping> 
    </element> 
    <element id="Goal.statusReason">
      <path value="Goal.statusReason"/> 
      <short value="Reason for current status"/> 
      <definition value="Captures the reason for the current status."/> 
      This will typically be captured for statuses such as rejected, on-hold or cancelled, but
       could be present for others.

      <comment value="This will typically be captured for statuses such as rejected, on-hold or cancelled,
       but could be present for others."/> 

      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="string"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
    </element> 
    
      

    <element id="Goal.source">
      <path value="Goal.source"/> 
      <short value="Who's responsible for creating Goal?"/> 
      <definition value="Indicates whose goal this is - patient goal, practitioner goal, etc."/> 
      This is the individual responsible for establishing the goal, not necessarily who recorded
       it.  (For that, use the Provenance resource.).

      <comment value="This is the individual or team responsible for establishing the goal, not necessarily
       who recorded it.  (For that, use the Provenance resource.)."/> 

      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/CareTeam"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.source"/> 
      </mapping> 
    </element> 
    <element id="Goal.addresses">
      <path value="Goal.addresses"/> 
      <short value="Issues addressed by this goal"/> 
      The identified conditions and other health record elements that are intended to be addressed
       by the goal.
      Allows specific goals to explicitly linked to the concerns they're dealing with - makes
       the goal more understandable.

      <definition value="The identified conditions and other health record elements that are intended to
       be addressed by the goal."/> 
      <requirements value="Allows specific goals to explicitly linked to the concerns they're dealing with

       - makes the goal more understandable."/> 

      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/> 
        

        <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationUsage"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/NutritionOrder"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RiskAssessment"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.why[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".outboundRelationship[typeCode=SUBJ].target[classCode=CONC]"/> 
      </mapping> 
    </element> 
    <element id="Goal.note">
      <path value="Goal.note"/> 
      <short value="Comments about the goal"/> 
      <definition value="Any comments related to the goal."/> 
      May be used for progress notes, concerns or other related information that doesn't actually
       describe the goal itself.
      There's a need to capture information about the goal that doesn't actually describe the
       goal.

      <comment value="May be used for progress notes, concerns or other related information that doesn't
       actually describe the goal itself."/> 
      <requirements value="There's a need to capture information about the goal that doesn't actually describe

       the goal."/> 

      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Annotation"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="v2"/> 
        <map value="GOL-16-goal evaluation + NTE?"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=&quot;annotation&quot;]
        .value

        <map value=".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=&quot;annotation
        &quot;].value"/> 

      </mapping> 
    </element> 
    
      

    <element id="Goal.outcome">
      <path value="Goal.outcome"/> 
      <short value="What result was achieved regarding the goal?"/> 
      Identifies the change (or lack of change) at the point when the status of the goal is
       assessed.
      

      <definition value="Identifies the change (or lack of change) at the point when the status of the goal
       is assessed."/> 
      <comment value="Note that this should not duplicate the goal status; The goal outcome is independent

       of the outcome of the related activities.  For example, if the Goal is to achieve
       a target body weight of 150 lb and a care plan activity is defined to diet, then
       the care plan’s activity outcome could be calories consumed whereas goal outcome
       is an observation for the actual body weight measured."/> 

      <requirements value="Outcome tracking is a key aspect of care planning."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        

        <code value="CodeableReference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="GoalOutcome"/> 
        </extension> 
        <strength value="example"/> 
        <description value="The result of the goal; e.g. &quot;25% increase in shoulder mobility&quot;, &quot;Anxiety
         reduced to moderate levels&quot;.  &quot;15 kg weight loss sustained over 6 months&quot;."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/clinical-findings"/> 
      </binding> 
    </element> 
    
      
      
      
      The goal outcome is independent of the outcome of the related activities.  For example,
       if the Goal is to achieve a target body weight of 150 lb and a care plan activity is defined
       to diet, then the care plan’s activity outcome could be calories consumed whereas goal
       outcome is an observation for the actual body weight measured.
      
      
      
      
        
        
      
      
      
      
    

  </differential> 


</

StructureDefinition

>



Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.