Describes the intended objective(s) of patient care, for example, weight loss, restoring an activity of daily living, etc.

Goal can be achieving a particular change or merely maintaining a current state or even slowing a decline.

This records identifiers associated with this care plan that are defined by business processed and/ or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation).

Need to allow connection to a wider workflow.

Identifies the patient/subject whose intended care is described by the plan.

Goals are associated with a patient.

Human-readable description of a specific desired objective of care.

Without a description of what's trying to be achieved, element has no purpose.

Indicates whether the goal has been reached and is still considered relevant.

Allows measuring outcome and whether goal needs to be further tracked.

Any comments related to the goal.

There's a need to capture information about the goal that doesn't actually describe the goal.

May be used for progress notes, concerns or other related information that doesn't actually describe the goal itself.

The identified conditions that this goal relates to - the condition that caused it to be created, or that it is intended to address.

Allows specific goals to explicitly linked to conditions - makes the goal more understandable.