STU 3 Ballot

This page is part of the FHIR Specification (v1.6.0: STU 3 Ballot 4). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

Goal.profile.xml

Raw XML (canonical form)

StructureDefinition for goal

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="Goal"/>
  <meta>
    <lastUpdated value="2016-08-11T17:02:54.322+10:00"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
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          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="The logical name of the element">Name</a>
          </th>
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="Information about the use of the element">Flags</a>
          </th>
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="formats.html#table" 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="formats.html#table" title="Reference to the type of the element">Type</a>
          </th>
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="Additional information about the element">Description &amp; Constraints</a>
            <span style="float: right">
              <a href="formats.html#table" title="Legend for this format">
                <img alt="doco" src="help16.png" style="background-color: inherit"/>
              </a>
            </span>
          </th>
        </tr>
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            Nj6C+QmaxAek5tyAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Resource"/> 
            <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>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="domainresource.html">DomainResource</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Describes the intended objective(s) for a patient, group or organization</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
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            <span title="Goal.identifier : This records identifiers associated with this care plan that are defined
             by business processes 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).">identifier</span>
            <a name="Goal.identifier"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..*</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Identifier">Identifier</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">External Ids for this goal</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
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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>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a>(
            <a href="patient.html">Patient</a> | 
            <a href="group.html">Group</a> | 
            <a href="organization.html">Organization</a>)
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Who this goal is intended for</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
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            <span title="Goal.start[x] : The date or event after which the goal should begin being pursued.">start[x]</span>
            <a name="Goal.start_x_"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">When goal pursuit begins
            <br/>
            <a href="valueset-goal-start-event.html" title="Codes describing events that can trigger the initiation of a goal">GoalStartEvent</a> (
            <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>)
          </td>
        </tr>

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            <span title="A date or partial date (e.g. just year or year + month). There is no time zone. The format
             is a union of the schema types gYear, gYearMonth and date.  Dates SHALL be valid dates.">startDate</span>
          </td>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#date">date</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
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            <span title="A concept that may be defined by a formal reference to a terminology or ontology or may
             be provided by text.">startCodeableConcept</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
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            <span title="Goal.target[x] : Indicates either the date or the duration after start by which the goal
             should be met.">target[x]</span>
            <a name="Goal.target_x_"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Reach goal on or before</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
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            <span title="A date or partial date (e.g. just year or year + month). There is no time zone. The format
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#date">date</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
        </tr>

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            <span title="A length of time.">targetDuration</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Duration">Duration</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
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            <span title="Goal.category : Indicates a category the goal falls within.">category</span>
            <a name="Goal.category"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..*</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">E.g. Treatment, dietary, behavioral, etc.
            <br/>
            <a href="valueset-goal-category.html" title="Codes for grouping and sorting goals">GoalCategory</a> (
            <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>)
          </td>
        </tr>

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            <span title="Goal.description : Code and/or human-readable description of a specific desired objective
             of care.">description</span>
            <a name="Goal.description"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">1..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Code or text describing goal</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
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            <span title="Goal.status : Indicates whether the goal has been reached and is still considered relevant.">status</span>
            <a name="Goal.status"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element is a modifier element">?!</span>
            <span style="padding: 3px" title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">1..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#code">code</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">proposed | planned | accepted | rejected | in-progress | achieved | sustaining | on-hold
             | cancelled | on-target | ahead-of-target | behind-target
            <br/>
            <a href="valueset-goal-status.html" title="Indicates whether the goal has been met and is still being targeted">GoalStatus</a> (
            <a href="terminologies.html#required" title="To be conformant, instances of this element SHALL include a code from the specified value
             set.">Required</a>)
          </td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
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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>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#date">date</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">When goal status took effect</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
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            <span title="Goal.statusReason : Captures the reason for the current status.">statusReason</span>
            <a name="Goal.statusReason"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..*</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Reason for current status
            <br/>
            <a href="valueset-goal-status-reason.html" title="Codes to identify the reason for a goal's current status">GoalStatusReason</a> (
            <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>)
          </td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            <span title="Goal.expressedBy : Indicates whose goal this is - patient goal, practitioner goal, etc.">expressedBy</span>
            <a name="Goal.expressedBy"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a>(
            <a href="patient.html">Patient</a> | 
            <a href="practitioner.html">Practitioner</a> | 
            <a href="relatedperson.html">RelatedPerson</a>)
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Who's responsible for creating Goal?</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
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          CYII=)">
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            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7" style="background-color: white; background-color: inherit" title="Data Type"/> 
            <span title="Goal.priority : Identifies the mutually agreed level of importance associated with reaching/sustaini
            ng the goal.">priority</span>
            <a name="Goal.priority"> </a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..1</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">high | medium |low
            <br/>
            <a href="valueset-goal-priority.html" title="The level of importance associated with a goal">GoalPriority</a> (
            <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>)
          </td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB
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            KlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Reference to another Resource"/> 
            <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>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..*</td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a>(
            <a href="condition.html">Condition</a> | 
            <a href="observation.html">Observation</a> | 
            <a href="medicationstatement.html">MedicationStatement</a> | 
            <a href="nutritionrequest.html">NutritionRequest</a> | 
            <a href="procedurerequest.html">ProcedureRequest</a> | 
            <a href="riskassessment.html">RiskAssessment</a>)
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">Issues addressed by this goal</td>
        </tr>

        <tr style="border: 0px; padding:0px; vertical-align: top; background-color: white;">
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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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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">0..*</td>
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            <a href="datatypes.html#Annotation">Annotation</a>
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            <span title="Goal.outcome : Identifies the change (or lack of change) at the point where the goal was
             deemed to be cancelled or achieved.">outcome</span>
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          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">What was end result of goal?</td>
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            <span title="Goal.outcome.result[x] : Details of what's changed (or not changed).">result[x]</span>
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          </td>
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            <span title="A concept that may be defined by a formal reference to a terminology or ontology or may
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          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>
          </td>
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px"/>
        </tr>

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

        <tr>
          <td class="hierarchy" colspan="5">
            <br/>
            <a href="formats.html#table" 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-fmm">
    <valueInteger value="1"/>
  </extension>
  <url value="http://hl7.org/fhir/StructureDefinition/Goal"/>
  <name value="Goal"/>
  <status value="draft"/>
  <publisher value="Health Level Seven International (Patient Care)"/>
  <contact>
    <telecom>
      <system value="other"/>
      <value value="http://hl7.org/fhir"/>
    </telecom>
  </contact>
  <contact>
    <telecom>
      <system value="other"/>
      <value value="http://www.hl7.org/Special/committees/patientcare/index.cfm"/>
    </telecom>
  </contact>
  <date value="2016-08-11T17:02:54+10:00"/>
  <description value="Base StructureDefinition for Goal Resource"/>
  <fhirVersion value="1.6.0"/>
  <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/w5"/>
    <name value="W5 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"/>
      <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."/>
      <comments value="Goal can be achieving a particular change or merely maintaining a current state or even
       slowing a decline."/>
      <min value="0"/>
      <max value="*"/>
      <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()"/>
        <xpath value="not(parent::f:contained and f:contained)"/>
      </constraint>
      <constraint>
        <key value="dom-1"/>
        <severity value="error"/>
        <human value="If the resource is contained in another resource, it SHALL NOT contain any narrative"/>
        <expression value="contained.text.empty()"/>
        <xpath value="not(parent::f:contained and f:text)"/>
      </constraint>
      <constraint>
        <key value="dom-4"/>
        <severity value="error"/>
        <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()"/>
        <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/>
      </constraint>
      <constraint>
        <key value="dom-3"/>
        <severity value="error"/>
        <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere
         in the resource"/>
        <expression value="contained.where(('#'+id in %resource.descendants().reference).not()).empty()"/>
        <xpath value="not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f
        :reference/@value=concat('#', $id))]))"/>
      </constraint>
      <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"/>
      <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this
       value never changes."/>
      <comments value="The only time that a resource does not have an id is when it is being submitted to the
       server using a create operation."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.id"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <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 may 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="*"/>
      </base>
      <type>
        <code value="Meta"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="Goal.implicitRules">
      <path value="Goal.implicitRules"/>
      <short value="A set of rules under which this content was created"/>
      <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."/>
      <comments 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 as much as possible."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.implicitRules"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <isModifier value="true"/>
      <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."/>
      <comments 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="*"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
          <valueReference>
            <reference value="http://hl7.org/fhir/ValueSet/all-languages"/>
          </valueReference>
        </extension>
        <strength value="extensible"/>
        <description value="A human language."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/languages"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="Goal.text">
      <path value="Goal.text"/>
      <short value="Text summary of the resource, for human interpretation"/>
      <definition value="A human-readable narrative that contains a summary of the resource, and may 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."/>
      <comments value="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 in formation 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="*"/>
      </base>
      <type>
        <code value="Narrative"/>
      </type>
      <condition value="dom-1"/>
      <mapping>
        <identity value="rim"/>
        <map value="Act.text?"/>
      </mapping>
    </element>
    <element id="Goal.contained">
      <path value="Goal.contained"/>
      <short value="Contained, inline Resources"/>
      <definition value="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."/>
      <comments 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."/>
      <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>
      <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. In order 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."/>
      <comments 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>
      <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.
       Usually modifier elements provide negation or qualification. In order 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."/>
      <comments 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.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier 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"/>
      <definition value="This records identifiers associated with this care plan that are defined by business processes
       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)."/>
      <requirements value="Need to allow connection to a wider workflow."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Identifier"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value=".id"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="id"/>
      </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="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Group"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
      </type>
      <isSummary value="true"/>
      <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="who.focus"/>
      </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."/>
      <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>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Codes describing events that can trigger the initiation of a goal"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/goal-start-event"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="Goal.target[x]">
      <path value="Goal.target[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>
      <isSummary value="true"/>
    </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>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Codes for grouping and sorting goals"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/goal-category"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="Goal.description">
      <path value="Goal.description"/>
      <short value="Code or text describing goal"/>
      <definition value="Code and/or human-readable description of a specific desired objective of care."/>
      <comments 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>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <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."/>
      </binding>
      <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.status">
      <path value="Goal.status"/>
      <short value="proposed | planned | accepted | rejected | in-progress | achieved | sustaining | on-hold
       | cancelled | on-target | ahead-of-target | behind-target"/>
      <definition value="Indicates whether the goal has been reached and is still considered relevant."/>
      <requirements value="Allows measuring outcome and whether goal needs to be further tracked."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description value="Indicates whether the goal has been met and is still being targeted"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/goal-status"/>
        </valueSetReference>
      </binding>
      <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) achieved = complete sustaining = active
         (classCode=OBJC) cancelled = aborted"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="status"/>
      </mapping>
    </element>
    <element id="Goal.statusDate">
      <path value="Goal.statusDate"/>
      <short value="When goal status took effect"/>
      <definition value="Identifies when the current status.  I.e. When initially created, when achieved, when
       cancelled, etc."/>
      <comments value="To see the date for past statuses, query history."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="date"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="w5"/>
        <map value="when.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."/>
      <comments 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="*"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <strength value="example"/>
        <description value="Codes to identify the reason for a goal's current status"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/goal-status-reason"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="Goal.expressedBy">
      <path value="Goal.expressedBy"/>
      <short value="Who's responsible for creating Goal?"/>
      <definition value="Indicates whose goal this is - patient goal, practitioner goal, etc."/>
      <comments value="This is the individual reponsible 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"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="w5"/>
        <map value="who.source"/>
      </mapping>
    </element>
    <element id="Goal.priority">
      <path value="Goal.priority"/>
      <short value="high | medium |low"/>
      <definition value="Identifies the mutually agreed level of importance associated with reaching/sustaining
       the goal."/>
      <comments 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;."/>
      <requirements value="Used for sorting and presenting goals."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="preferred"/>
        <description value="The level of importance associated with a goal"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/goal-priority"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value=".priorityCode"/>
      </mapping>
    </element>
    <element id="Goal.addresses">
      <path value="Goal.addresses"/>
      <short value="Issues addressed by this goal"/>
      <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"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Condition"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/MedicationStatement"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/NutritionRequest"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/ProcedureRequest"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/RiskAssessment"/>
      </type>
      <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."/>
      <comments 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>
      <mapping>
        <identity value="v2"/>
        <map value="GOL-16-goal evaluation + NTE?"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <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 was end result of goal?"/>
      <definition value="Identifies the change (or lack of change) at the point where the goal was deemed to be
       cancelled or achieved."/>
      <comments value="Note that this should not duplicate the goal status."/>
      <requirements value="Outcome tracking is a key aspect of care planning."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element id="Goal.outcome.id">
      <path value="Goal.outcome.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <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="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Goal.outcome.extension">
      <path value="Goal.outcome.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. In order 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."/>
      <comments 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>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Goal.outcome.modifierExtension">
      <path value="Goal.outcome.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 element, and that modifies the understanding of the element that contains it. Usually
       modifier elements provide negation or qualification. In order 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."/>
      <comments 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"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Goal.outcome.result[x]">
      <path value="Goal.outcome.result[x]"/>
      <short value="Code or observation that resulted from goal"/>
      <definition value="Details of what's changed (or not changed)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
      </type>
      <binding>
        <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;"/>
      </binding>
    </element>
  </snapshot>
  <differential>
    <element id="Goal">
      <path value="Goal"/>
      <short value="Describes the intended objective(s) for a patient, group or organization"/>
      <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."/>
      <comments value="Goal can be achieving a particular change or merely maintaining a current state or even
       slowing a decline."/>
      <min value="0"/>
      <max value="*"/>
      <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"/>
      <definition value="This records identifiers associated with this care plan that are defined by business processes
       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)."/>
      <requirements value="Need to allow connection to a wider workflow."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Identifier"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value=".id"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="id"/>
      </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="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Group"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
      </type>
      <isSummary value="true"/>
      <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="who.focus"/>
      </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."/>
      <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>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Codes describing events that can trigger the initiation of a goal"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/goal-start-event"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="Goal.target[x]">
      <path value="Goal.target[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>
      <isSummary value="true"/>
    </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>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <description value="Codes for grouping and sorting goals"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/goal-category"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="Goal.description">
      <path value="Goal.description"/>
      <short value="Code or text describing goal"/>
      <definition value="Code and/or human-readable description of a specific desired objective of care."/>
      <comments 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>
      <isSummary value="true"/>
      <binding>
        <strength value="example"/>
        <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."/>
      </binding>
      <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.status">
      <path value="Goal.status"/>
      <short value="proposed | planned | accepted | rejected | in-progress | achieved | sustaining | on-hold
       | cancelled | on-target | ahead-of-target | behind-target"/>
      <definition value="Indicates whether the goal has been reached and is still considered relevant."/>
      <requirements value="Allows measuring outcome and whether goal needs to be further tracked."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <binding>
        <strength value="required"/>
        <description value="Indicates whether the goal has been met and is still being targeted"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/goal-status"/>
        </valueSetReference>
      </binding>
      <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) achieved = complete sustaining = active
         (classCode=OBJC) cancelled = aborted"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="status"/>
      </mapping>
    </element>
    <element id="Goal.statusDate">
      <path value="Goal.statusDate"/>
      <short value="When goal status took effect"/>
      <definition value="Identifies when the current status.  I.e. When initially created, when achieved, when
       cancelled, etc."/>
      <comments value="To see the date for past statuses, query history."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="date"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="w5"/>
        <map value="when.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."/>
      <comments 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="*"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <strength value="example"/>
        <description value="Codes to identify the reason for a goal's current status"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/goal-status-reason"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="Goal.expressedBy">
      <path value="Goal.expressedBy"/>
      <short value="Who's responsible for creating Goal?"/>
      <definition value="Indicates whose goal this is - patient goal, practitioner goal, etc."/>
      <comments value="This is the individual reponsible 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"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="w5"/>
        <map value="who.source"/>
      </mapping>
    </element>
    <element id="Goal.priority">
      <path value="Goal.priority"/>
      <short value="high | medium |low"/>
      <definition value="Identifies the mutually agreed level of importance associated with reaching/sustaining
       the goal."/>
      <comments 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;."/>
      <requirements value="Used for sorting and presenting goals."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <strength value="preferred"/>
        <description value="The level of importance associated with a goal"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/goal-priority"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value=".priorityCode"/>
      </mapping>
    </element>
    <element id="Goal.addresses">
      <path value="Goal.addresses"/>
      <short value="Issues addressed by this goal"/>
      <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"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Condition"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/MedicationStatement"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/NutritionRequest"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/ProcedureRequest"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/RiskAssessment"/>
      </type>
      <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."/>
      <comments 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>
      <mapping>
        <identity value="v2"/>
        <map value="GOL-16-goal evaluation + NTE?"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <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 was end result of goal?"/>
      <definition value="Identifies the change (or lack of change) at the point where the goal was deemed to be
       cancelled or achieved."/>
      <comments value="Note that this should not duplicate the goal status."/>
      <requirements value="Outcome tracking is a key aspect of care planning."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element id="Goal.outcome.result[x]">
      <path value="Goal.outcome.result[x]"/>
      <short value="Code or observation that resulted from goal"/>
      <definition value="Details of what's changed (or not changed)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
      </type>
      <binding>
        <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;"/>
      </binding>
    </element>
  </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.