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  <id value="R4-goal-achievement-for-R3"/>
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    <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ValueSet R4-goal-achievement-for-R3</b></p><a name="R4-goal-achievement-for-R3"> </a><a name="hcR4-goal-achievement-for-R3"> </a><p>This value set expansion contains 9 concepts.</p><table class="codes"><tr><td><b>System</b></td><td><b>Version</b></td><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a name="R4-goal-achievement-for-R3-http://terminology.hl7.org/CodeSystem/goal-achievement-achieved"> </a><code>http://terminology.hl7.org/CodeSystem/goal-achievement</code></td><td>4.0.1</td><td style="white-space:nowrap">  <a href="CodeSystem-goal-achievement.html#goal-achievement-achieved">achieved</a></td><td>Achieved</td><td>The goal has been met.</td></tr><tr><td><a name="R4-goal-achievement-for-R3-http://terminology.hl7.org/CodeSystem/goal-achievement-improving"> </a><code>http://terminology.hl7.org/CodeSystem/goal-achievement</code></td><td>4.0.1</td><td style="white-space:nowrap">  <a href="CodeSystem-goal-achievement.html#goal-achievement-improving">improving</a></td><td>Improving</td><td>The goal is being sought, and is progressing.</td></tr><tr><td><a name="R4-goal-achievement-for-R3-http://terminology.hl7.org/CodeSystem/goal-achievement-in-progress"> </a><code>http://terminology.hl7.org/CodeSystem/goal-achievement</code></td><td>4.0.1</td><td style="white-space:nowrap">  <a href="CodeSystem-goal-achievement.html#goal-achievement-in-progress">in-progress</a></td><td>In Progress</td><td>The goal is being sought but has not yet been reached. (Also applies if the goal was reached in the past but there has been regression and the goal is again being sought).</td></tr><tr><td><a name="R4-goal-achievement-for-R3-http://terminology.hl7.org/CodeSystem/goal-achievement-no-change"> </a><code>http://terminology.hl7.org/CodeSystem/goal-achievement</code></td><td>4.0.1</td><td style="white-space:nowrap">  <a href="CodeSystem-goal-achievement.html#goal-achievement-no-change">no-change</a></td><td>No Change</td><td>The goal is being sought, but the trend is flat.</td></tr><tr><td><a name="R4-goal-achievement-for-R3-http://terminology.hl7.org/CodeSystem/goal-achievement-no-progress"> </a><code>http://terminology.hl7.org/CodeSystem/goal-achievement</code></td><td>4.0.1</td><td style="white-space:nowrap">  <a href="CodeSystem-goal-achievement.html#goal-achievement-no-progress">no-progress</a></td><td>No Progress</td><td>The goal has not been met and little to no progress towards target.</td></tr><tr><td><a name="R4-goal-achievement-for-R3-http://terminology.hl7.org/CodeSystem/goal-achievement-not-achieved"> </a><code>http://terminology.hl7.org/CodeSystem/goal-achievement</code></td><td>4.0.1</td><td style="white-space:nowrap">  <a href="CodeSystem-goal-achievement.html#goal-achievement-not-achieved">not-achieved</a></td><td>Not Achieved</td><td>The goal has not been met and there might or might not have been progress towards target.</td></tr><tr><td><a name="R4-goal-achievement-for-R3-http://terminology.hl7.org/CodeSystem/goal-achievement-not-attainable"> </a><code>http://terminology.hl7.org/CodeSystem/goal-achievement</code></td><td>4.0.1</td><td style="white-space:nowrap">  <a href="CodeSystem-goal-achievement.html#goal-achievement-not-attainable">not-attainable</a></td><td>Not Attainable</td><td>The goal is not possible to be met.</td></tr><tr><td><a name="R4-goal-achievement-for-R3-http://terminology.hl7.org/CodeSystem/goal-achievement-sustaining"> </a><code>http://terminology.hl7.org/CodeSystem/goal-achievement</code></td><td>4.0.1</td><td style="white-space:nowrap">  <a href="CodeSystem-goal-achievement.html#goal-achievement-sustaining">sustaining</a></td><td>Sustaining</td><td>The goal has been met, but ongoing activity is needed to sustain the goal objective.</td></tr><tr><td><a name="R4-goal-achievement-for-R3-http://terminology.hl7.org/CodeSystem/goal-achievement-worsening"> </a><code>http://terminology.hl7.org/CodeSystem/goal-achievement</code></td><td>4.0.1</td><td style="white-space:nowrap">  <a href="CodeSystem-goal-achievement.html#goal-achievement-worsening">worsening</a></td><td>Worsening</td><td>The goal is being sought, but is regressing.</td></tr></table></div>
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  <url value="http://hl7.org/fhir/uv/xver/ValueSet/R4-goal-achievement-for-R3"/>
  <version value="0.1.0"/>
  <name value="R4GoalAchievementForR3"/>
  <title value="Cross-version ValueSet R4.GoalAchievementStatus for use in FHIR STU3"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2026-03-17T21:02:03.8104715+00:00"/>
  <publisher value="Patient Care"/>
  <contact>
    <name value="Patient Care"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/patientcare"/>
    </telecom>
  </contact>
  <description value="This cross-version ValueSet represents content from `http://hl7.org/fhir/ValueSet/goal-achievement|4.0.1` for use in FHIR STU3."/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
      <display value="World"/>
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  </jurisdiction>
  <purpose value="This value set is part of the cross-version definitions generated to enable use of the&#xD;&#xA;value set `http://hl7.org/fhir/ValueSet/goal-achievement|4.0.1` as defined in FHIR R4&#xD;&#xA;in FHIR STU3.&#xD;&#xA;&#xD;&#xA;The source value set is bound to the following FHIR R4 elements:&#xD;&#xA;* `Goal.achievementStatus`&#xD;&#xA;&#xD;&#xA;Note that all concepts are included in this cross-version definition because no concepts have compatible representations&#xD;&#xA;&#xD;&#xA;Following are the generation technical comments:&#xD;&#xA;&#xA;FHIR ValueSet `http://hl7.org/fhir/ValueSet/goal-achievement|4.0.1`, defined in FHIR R4 does not have any mapping to FHIR STU3"/>
  <compose>
    <include>
      <system value="http://terminology.hl7.org/CodeSystem/goal-achievement"/>
      <version value="4.0.1"/>
      <concept>
        <code value="achieved"/>
        <display value="Achieved"/>
      </concept>
      <concept>
        <code value="improving"/>
        <display value="Improving"/>
      </concept>
      <concept>
        <code value="in-progress"/>
        <display value="In Progress"/>
      </concept>
      <concept>
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        <display value="No Change"/>
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      <concept>
        <code value="no-progress"/>
        <display value="No Progress"/>
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      <concept>
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        <display value="Not Achieved"/>
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      <concept>
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        <display value="Not Attainable"/>
      </concept>
      <concept>
        <code value="sustaining"/>
        <display value="Sustaining"/>
      </concept>
      <concept>
        <code value="worsening"/>
        <display value="Worsening"/>
      </concept>
    </include>
  </compose>
  <expansion>
    <timestamp value="2026-03-17T21:02:03.8104715+00:00"/>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/goal-achievement"/>
      <version value="4.0.1"/>
      <code value="achieved"/>
      <display value="Achieved"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/goal-achievement"/>
      <version value="4.0.1"/>
      <code value="improving"/>
      <display value="Improving"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/goal-achievement"/>
      <version value="4.0.1"/>
      <code value="in-progress"/>
      <display value="In Progress"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/goal-achievement"/>
      <version value="4.0.1"/>
      <code value="no-change"/>
      <display value="No Change"/>
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    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/goal-achievement"/>
      <version value="4.0.1"/>
      <code value="no-progress"/>
      <display value="No Progress"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/goal-achievement"/>
      <version value="4.0.1"/>
      <code value="not-achieved"/>
      <display value="Not Achieved"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/goal-achievement"/>
      <version value="4.0.1"/>
      <code value="not-attainable"/>
      <display value="Not Attainable"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/goal-achievement"/>
      <version value="4.0.1"/>
      <code value="sustaining"/>
      <display value="Sustaining"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/goal-achievement"/>
      <version value="4.0.1"/>
      <code value="worsening"/>
      <display value="Worsening"/>
    </contains>
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