Extensions for Using Data Elements from FHIR R5 in FHIR R4B
0.1.0 - STU
Extensions for Using Data Elements from FHIR R5 in FHIR R4B
0.1.0 - STU
Extensions for Using Data Elements from FHIR R5 in FHIR R4B - Downloaded Version null See the Directory of published versions
| Page standards status: Trial-use | Maturity Level: 0 |
<ConceptMap xmlns="http://hl7.org/fhir">
<id value="R5-Goal-element-map-to-R4B"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ConceptMap R5-Goal-element-map-to-R4B</b></p><a name="R5-Goal-element-map-to-R4B"> </a><a name="hcR5-Goal-element-map-to-R4B"> </a><p>Mapping from http://hl7.org/fhir/5.0 to http://hl7.org/fhir/4.3</p><br/><p><b>Group 1 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/Goal|5.0.0</code> to <a href="http://hl7.org/fhir/R4B/goal.html">Goalversion: 4.3.0)</a></p><table class="grid"><tr><td colspan="2"><b>Source Concept Details</b></td><td><b>Relationship</b></td><td colspan="2"><b>Target Concept Details</b></td><td><b>Comment</b></td></tr><tr><td colspan="2"><b>Codes</b> from http://hl7.org/fhir/StructureDefinition/Goal|5.0.0</td><td/><td colspan="2" title="http://hl7.org/fhir/StructureDefinition/Goal|4.3.0"><b>Codes</b> from Goal</td><td/></tr><tr><td style="border-right-width: 0px">Goal.meta</td><td style="border-left-width: 0px">meta</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Goal.meta</td><td style="border-left-width: 0px">Goal.meta</td><td>Element `Goal.meta` is mapped to FHIR R4B element `Goal.meta` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">Goal.implicitRules</td><td style="border-left-width: 0px">implicitRules</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Goal.implicitRules</td><td style="border-left-width: 0px">Goal.implicitRules</td><td>Element `Goal.implicitRules` is mapped to FHIR R4B element `Goal.implicitRules` as `Equivalent`.
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 its narrative along with other profiles, value sets, etc.</td></tr><tr><td style="border-right-width: 0px">Goal.language</td><td style="border-left-width: 0px">language</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Goal.language</td><td style="border-left-width: 0px">Goal.language</td><td>Element `Goal.language` is mapped to FHIR R4B element `Goal.language` as `Equivalent`.
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).</td></tr><tr><td style="border-right-width: 0px">Goal.text</td><td style="border-left-width: 0px">text</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Goal.text</td><td style="border-left-width: 0px">Goal.text</td><td>Element `Goal.text` is mapped to FHIR R4B element `Goal.text` as `Equivalent`.
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 "text blob" or where text is additionally entered raw or narrated and encoded information is added later.</td></tr><tr><td style="border-right-width: 0px">Goal.contained</td><td style="border-left-width: 0px">contained</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Goal.contained</td><td style="border-left-width: 0px">Goal.contained</td><td>Element `Goal.contained` is mapped to FHIR R4B element `Goal.contained` as `Equivalent`.
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.</td></tr><tr><td style="border-right-width: 0px">Goal.identifier</td><td style="border-left-width: 0px">identifier</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Goal.identifier</td><td style="border-left-width: 0px">Goal.identifier</td><td>Element `Goal.identifier` is mapped to FHIR R4B element `Goal.identifier` as `Equivalent`.
This is a business identifier, not a resource identifier (see [discussion](https://hl7.org/fhir/resource.htm#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.</td></tr><tr><td style="border-right-width: 0px">Goal.lifecycleStatus</td><td style="border-left-width: 0px">lifecycleStatus</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Goal.lifecycleStatus</td><td style="border-left-width: 0px">Goal.lifecycleStatus</td><td>Element `Goal.lifecycleStatus` is mapped to FHIR R4B element `Goal.lifecycleStatus` as `Equivalent`.
This element is labeled as a modifier because the lifecycleStatus contains codes that mark the resource as not currently valid.</td></tr><tr><td style="border-right-width: 0px">Goal.achievementStatus</td><td style="border-left-width: 0px">achievementStatus</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Goal.achievementStatus</td><td style="border-left-width: 0px">Goal.achievementStatus</td><td>Element `Goal.achievementStatus` is mapped to FHIR R4B element `Goal.achievementStatus` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">Goal.category</td><td style="border-left-width: 0px">category</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Goal.category</td><td style="border-left-width: 0px">Goal.category</td><td>Element `Goal.category` is mapped to FHIR R4B element `Goal.category` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">Goal.priority</td><td style="border-left-width: 0px">priority</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Goal.priority</td><td style="border-left-width: 0px">Goal.priority</td><td>Element `Goal.priority` is mapped to FHIR R4B element `Goal.priority` as `Equivalent`.
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 "low value=important".</td></tr><tr><td style="border-right-width: 0px">Goal.description</td><td style="border-left-width: 0px">description</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Goal.description</td><td style="border-left-width: 0px">Goal.description</td><td>Element `Goal.description` is mapped to FHIR R4B element `Goal.description` as `Equivalent`.
If no code is available, use CodeableConcept.text.</td></tr><tr><td style="border-right-width: 0px">Goal.subject</td><td style="border-left-width: 0px">subject</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Goal.subject</td><td style="border-left-width: 0px">Goal.subject</td><td>Element `Goal.subject` is mapped to FHIR R4B element `Goal.subject` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">Goal.start[x]</td><td style="border-left-width: 0px">start[x]</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Goal.start[x]</td><td style="border-left-width: 0px">Goal.start[x]</td><td>Element `Goal.start[x]` is mapped to FHIR R4B element `Goal.start[x]` as `Equivalent`.
The target context `Goal.start[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Goal`.</td></tr><tr><td style="border-right-width: 0px">Goal.target</td><td style="border-left-width: 0px">target</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td style="border-right-width: 0px">Goal.target</td><td style="border-left-width: 0px">Goal.target</td><td>Element `Goal.target` is mapped to FHIR R4B element `Goal.target` as `Equivalent`.
When multiple targets are present for a single goal instance, all targets must be met for the overall goal to be met.</td></tr><tr><td style="border-right-width: 0px">Goal.target.measure</td><td style="border-left-width: 0px">measure</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Goal.target.measure</td><td style="border-left-width: 0px">Goal.target.measure</td><td>Element `Goal.target.measure` is mapped to FHIR R4B element `Goal.target.measure` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">Goal.target.detail[x]</td><td style="border-left-width: 0px">detail[x]</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Goal.target.detail[x]</td><td style="border-left-width: 0px">Goal.target.detail[x]</td><td>Element `Goal.target.detail[x]` is mapped to FHIR R4B element `Goal.target.detail[x]` as `Equivalent`.
The target context `Goal.target.detail[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Goal.target`.
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.</td></tr><tr><td style="border-right-width: 0px">Goal.target.due[x]</td><td style="border-left-width: 0px">due[x]</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Goal.target.due[x]</td><td style="border-left-width: 0px">Goal.target.due[x]</td><td>Element `Goal.target.due[x]` is mapped to FHIR R4B element `Goal.target.due[x]` as `Equivalent`.
The target context `Goal.target.due[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Goal.target`.</td></tr><tr><td style="border-right-width: 0px">Goal.statusDate</td><td style="border-left-width: 0px">statusDate</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Goal.statusDate</td><td style="border-left-width: 0px">Goal.statusDate</td><td>Element `Goal.statusDate` is mapped to FHIR R4B element `Goal.statusDate` as `Equivalent`.
To see the date for past statuses, query history.</td></tr><tr><td style="border-right-width: 0px">Goal.statusReason</td><td style="border-left-width: 0px">statusReason</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Goal.statusReason</td><td style="border-left-width: 0px">Goal.statusReason</td><td>Element `Goal.statusReason` is mapped to FHIR R4B element `Goal.statusReason` as `Equivalent`.
This will typically be captured for statuses such as rejected, on-hold or cancelled, but could be present for others.</td></tr><tr><td style="border-right-width: 0px">Goal.source</td><td style="border-left-width: 0px">source</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td style="border-right-width: 0px">Goal.expressedBy</td><td style="border-left-width: 0px">Goal.expressedBy</td><td>Element `Goal.source` is mapped to FHIR R4B element `Goal.expressedBy` as `SourceIsBroaderThanTarget`.
The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `Goal.source` with unmapped reference targets: CareTeam.
This is the individual or team responsible for establishing the goal, not necessarily who recorded it. (For that, use the Provenance resource.).</td></tr><tr><td style="border-right-width: 0px">Goal.addresses</td><td style="border-left-width: 0px">addresses</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td style="border-right-width: 0px">Goal.addresses</td><td style="border-left-width: 0px">Goal.addresses</td><td>Element `Goal.addresses` is mapped to FHIR R4B element `Goal.addresses` as `SourceIsBroaderThanTarget`.
The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `Goal.addresses` with unmapped reference targets: MedicationRequest, Procedure.</td></tr><tr><td style="border-right-width: 0px">Goal.note</td><td style="border-left-width: 0px">note</td><td><a href="CodeSystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Goal.note</td><td style="border-left-width: 0px">Goal.note</td><td>Element `Goal.note` is mapped to FHIR R4B element `Goal.note` as `Equivalent`.
May be used for progress notes, concerns or other related information that doesn't actually describe the goal itself.</td></tr><tr><td style="border-right-width: 0px; border-bottom-style: none">Goal.outcome</td><td style="border-left-width: 0px; border-bottom-style: none">outcome</td><td><a href="CodeSystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td style="border-right-width: 0px">Goal.outcomeCode</td><td style="border-left-width: 0px">Goal.outcomeCode</td><td>Element `Goal.outcome` is mapped to FHIR R4B element `Goal.outcomeCode` as `SourceIsBroaderThanTarget`.
Element `Goal.outcome` is mapped to FHIR R4B element `Goal.outcomeReference` as `SourceIsBroaderThanTarget`.
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.</td></tr><tr><td style="border-right-width: 0px; border-top-style: none"/><td style="border-top-style: none; border-left-width: 0px"/><td><a href="CodeSystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td style="border-right-width: 0px">Goal.outcomeReference</td><td style="border-left-width: 0px">Goal.outcomeReference</td><td>Element `Goal.outcome` is mapped to FHIR R4B element `Goal.outcomeCode` as `SourceIsBroaderThanTarget`.
Element `Goal.outcome` is mapped to FHIR R4B element `Goal.outcomeReference` as `SourceIsBroaderThanTarget`.
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.</td></tr></table><hr/><p><b>Group 2 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/Goal|5.0.0</code> to <a href="StructureDefinition-ext-R5-Goal.continuous.html">R5: After meeting the goal, ongoing activity is needed to sustain the goal objective (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>Goal.continuous (continuous)</td><td><a href="CodeSystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>Extension (R5: After meeting the goal, ongoing activity is needed to sustain the goal objective (new))</td><td>Element `Goal.continuous` has a context of Goal based on following the parent source element upwards and mapping to `Goal`.
Element `Goal.continuous` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).
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).</td></tr></table></div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
<valueCode value="fhir"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
<valueInteger value="0">
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
<valueCanonical
value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4b"/>
</extension>
</valueInteger>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
<valueCode value="trial-use">
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
<valueCanonical
value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4b"/>
</extension>
</valueCode>
</extension>
<url
value="http://hl7.org/fhir/uv/xver/ConceptMap/R5-Goal-element-map-to-R4B"/>
<version value="0.1.0"/>
<name value="R5GoalElementMapToR4B"/>
<title value="Cross-version mapping for FHIR R5 Goal to FHIR R4B Goal"/>
<status value="active"/>
<experimental value="false"/>
<date value="2026-03-17T16:03:57.0489733-05:00"/>
<contact>
<name value="FHIR Infrastructure"/>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/fiwg"/>
</telecom>
</contact>
<description
value="This ConceptMap represents cross-version mappings for elements from a FHIR R5 Goal to FHIR R4B."/>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
<display value="World"/>
</coding>
</jurisdiction>
<sourceCanonical value="http://hl7.org/fhir/5.0"/>
<targetUri value="http://hl7.org/fhir/4.3"/>
<group>
<source value="http://hl7.org/fhir/StructureDefinition/Goal"/>
<sourceVersion value="5.0.0"/>
<target value="http://hl7.org/fhir/StructureDefinition/Goal"/>
<targetVersion value="4.3.0"/>
<element>
<code value="Goal.meta"/>
<display value="meta"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Goal.meta"/>
<display value="Goal.meta"/>
<equivalence value="equivalent"/>
<comment
value="Element `Goal.meta` is mapped to FHIR R4B element `Goal.meta` as `Equivalent`."/>
</target>
</element>
<element>
<code value="Goal.implicitRules"/>
<display value="implicitRules"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Goal.implicitRules"/>
<display value="Goal.implicitRules"/>
<equivalence value="equivalent"/>
<comment
value="Element `Goal.implicitRules` is mapped to FHIR R4B element `Goal.implicitRules` as `Equivalent`.
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 its narrative along with other profiles, value sets, etc."/>
</target>
</element>
<element>
<code value="Goal.language"/>
<display value="language"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Goal.language"/>
<display value="Goal.language"/>
<equivalence value="equivalent"/>
<comment
value="Element `Goal.language` is mapped to FHIR R4B element `Goal.language` as `Equivalent`.
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)."/>
</target>
</element>
<element>
<code value="Goal.text"/>
<display value="text"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Goal.text"/>
<display value="Goal.text"/>
<equivalence value="equivalent"/>
<comment
value="Element `Goal.text` is mapped to FHIR R4B element `Goal.text` as `Equivalent`.
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 "text blob" or where text is additionally entered raw or narrated and encoded information is added later."/>
</target>
</element>
<element>
<code value="Goal.contained"/>
<display value="contained"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Goal.contained"/>
<display value="Goal.contained"/>
<equivalence value="equivalent"/>
<comment
value="Element `Goal.contained` is mapped to FHIR R4B element `Goal.contained` as `Equivalent`.
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."/>
</target>
</element>
<element>
<code value="Goal.identifier"/>
<display value="identifier"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Goal.identifier"/>
<display value="Goal.identifier"/>
<equivalence value="equivalent"/>
<comment
value="Element `Goal.identifier` is mapped to FHIR R4B element `Goal.identifier` as `Equivalent`.
This is a business identifier, not a resource identifier (see [discussion](https://hl7.org/fhir/resource.htm#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."/>
</target>
</element>
<element>
<code value="Goal.lifecycleStatus"/>
<display value="lifecycleStatus"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Goal.lifecycleStatus"/>
<display value="Goal.lifecycleStatus"/>
<equivalence value="equivalent"/>
<comment
value="Element `Goal.lifecycleStatus` is mapped to FHIR R4B element `Goal.lifecycleStatus` as `Equivalent`.
This element is labeled as a modifier because the lifecycleStatus contains codes that mark the resource as not currently valid."/>
</target>
</element>
<element>
<code value="Goal.achievementStatus"/>
<display value="achievementStatus"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Goal.achievementStatus"/>
<display value="Goal.achievementStatus"/>
<equivalence value="equivalent"/>
<comment
value="Element `Goal.achievementStatus` is mapped to FHIR R4B element `Goal.achievementStatus` as `Equivalent`."/>
</target>
</element>
<element>
<code value="Goal.category"/>
<display value="category"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Goal.category"/>
<display value="Goal.category"/>
<equivalence value="equivalent"/>
<comment
value="Element `Goal.category` is mapped to FHIR R4B element `Goal.category` as `Equivalent`."/>
</target>
</element>
<element>
<code value="Goal.priority"/>
<display value="priority"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Goal.priority"/>
<display value="Goal.priority"/>
<equivalence value="equivalent"/>
<comment
value="Element `Goal.priority` is mapped to FHIR R4B element `Goal.priority` as `Equivalent`.
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 "low value=important"."/>
</target>
</element>
<element>
<code value="Goal.description"/>
<display value="description"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Goal.description"/>
<display value="Goal.description"/>
<equivalence value="equivalent"/>
<comment
value="Element `Goal.description` is mapped to FHIR R4B element `Goal.description` as `Equivalent`.
If no code is available, use CodeableConcept.text."/>
</target>
</element>
<element>
<code value="Goal.subject"/>
<display value="subject"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Goal.subject"/>
<display value="Goal.subject"/>
<equivalence value="equivalent"/>
<comment
value="Element `Goal.subject` is mapped to FHIR R4B element `Goal.subject` as `Equivalent`."/>
</target>
</element>
<element>
<code value="Goal.start[x]"/>
<display value="start[x]"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Goal.start[x]"/>
<display value="Goal.start[x]"/>
<equivalence value="equivalent"/>
<comment
value="Element `Goal.start[x]` is mapped to FHIR R4B element `Goal.start[x]` as `Equivalent`.
The target context `Goal.start[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Goal`."/>
</target>
</element>
<element>
<code value="Goal.target"/>
<display value="target"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="Goal.target"/>
<display value="Goal.target"/>
<equivalence value="wider"/>
<comment
value="Element `Goal.target` is mapped to FHIR R4B element `Goal.target` as `Equivalent`.
When multiple targets are present for a single goal instance, all targets must be met for the overall goal to be met."/>
</target>
</element>
<element>
<code value="Goal.target.measure"/>
<display value="measure"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Goal.target.measure"/>
<display value="Goal.target.measure"/>
<equivalence value="equivalent"/>
<comment
value="Element `Goal.target.measure` is mapped to FHIR R4B element `Goal.target.measure` as `Equivalent`."/>
</target>
</element>
<element>
<code value="Goal.target.detail[x]"/>
<display value="detail[x]"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Goal.target.detail[x]"/>
<display value="Goal.target.detail[x]"/>
<equivalence value="equivalent"/>
<comment
value="Element `Goal.target.detail[x]` is mapped to FHIR R4B element `Goal.target.detail[x]` as `Equivalent`.
The target context `Goal.target.detail[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Goal.target`.
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."/>
</target>
</element>
<element>
<code value="Goal.target.due[x]"/>
<display value="due[x]"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Goal.target.due[x]"/>
<display value="Goal.target.due[x]"/>
<equivalence value="equivalent"/>
<comment
value="Element `Goal.target.due[x]` is mapped to FHIR R4B element `Goal.target.due[x]` as `Equivalent`.
The target context `Goal.target.due[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Goal.target`."/>
</target>
</element>
<element>
<code value="Goal.statusDate"/>
<display value="statusDate"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Goal.statusDate"/>
<display value="Goal.statusDate"/>
<equivalence value="equivalent"/>
<comment
value="Element `Goal.statusDate` is mapped to FHIR R4B element `Goal.statusDate` as `Equivalent`.
To see the date for past statuses, query history."/>
</target>
</element>
<element>
<code value="Goal.statusReason"/>
<display value="statusReason"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Goal.statusReason"/>
<display value="Goal.statusReason"/>
<equivalence value="equivalent"/>
<comment
value="Element `Goal.statusReason` is mapped to FHIR R4B element `Goal.statusReason` as `Equivalent`.
This will typically be captured for statuses such as rejected, on-hold or cancelled, but could be present for others."/>
</target>
</element>
<element>
<code value="Goal.source"/>
<display value="source"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="Goal.expressedBy"/>
<display value="Goal.expressedBy"/>
<equivalence value="wider"/>
<comment
value="Element `Goal.source` is mapped to FHIR R4B element `Goal.expressedBy` as `SourceIsBroaderThanTarget`.
The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `Goal.source` with unmapped reference targets: CareTeam.
This is the individual or team responsible for establishing the goal, not necessarily who recorded it. (For that, use the Provenance resource.)."/>
</target>
</element>
<element>
<code value="Goal.addresses"/>
<display value="addresses"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="Goal.addresses"/>
<display value="Goal.addresses"/>
<equivalence value="wider"/>
<comment
value="Element `Goal.addresses` is mapped to FHIR R4B element `Goal.addresses` as `SourceIsBroaderThanTarget`.
The standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `Goal.addresses` with unmapped reference targets: MedicationRequest, Procedure."/>
</target>
</element>
<element>
<code value="Goal.note"/>
<display value="note"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Goal.note"/>
<display value="Goal.note"/>
<equivalence value="equivalent"/>
<comment
value="Element `Goal.note` is mapped to FHIR R4B element `Goal.note` as `Equivalent`.
May be used for progress notes, concerns or other related information that doesn't actually describe the goal itself."/>
</target>
</element>
<element>
<code value="Goal.outcome"/>
<display value="outcome"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="relatedto"/>
</modifierExtension>
<code value="Goal.outcomeCode"/>
<display value="Goal.outcomeCode"/>
<equivalence value="relatedto"/>
<comment
value="Element `Goal.outcome` is mapped to FHIR R4B element `Goal.outcomeCode` as `SourceIsBroaderThanTarget`.
Element `Goal.outcome` is mapped to FHIR R4B element `Goal.outcomeReference` as `SourceIsBroaderThanTarget`.
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."/>
</target>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="relatedto"/>
</modifierExtension>
<code value="Goal.outcomeReference"/>
<display value="Goal.outcomeReference"/>
<equivalence value="relatedto"/>
<comment
value="Element `Goal.outcome` is mapped to FHIR R4B element `Goal.outcomeCode` as `SourceIsBroaderThanTarget`.
Element `Goal.outcome` is mapped to FHIR R4B element `Goal.outcomeReference` as `SourceIsBroaderThanTarget`.
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."/>
</target>
</element>
</group>
<group>
<source value="http://hl7.org/fhir/StructureDefinition/Goal"/>
<sourceVersion value="5.0.0"/>
<target
value="http://hl7.org/fhir/5.0/StructureDefinition/extension-Goal.continuous"/>
<targetVersion value="0.1.0"/>
<element>
<code value="Goal.continuous"/>
<display value="continuous"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="wider"/>
</modifierExtension>
<code value="Extension"/>
<equivalence value="wider"/>
<comment
value="Element `Goal.continuous` has a context of Goal based on following the parent source element upwards and mapping to `Goal`.
Element `Goal.continuous` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element).
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)."/>
</target>
</element>
</group>
</ConceptMap>
IG © 2025+ FHIR Infrastructure. Package hl7.fhir.uv.xver-r5.r4b#0.1.0 based on FHIR 4.3.0. Generated 2026-03-20
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