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Packagehl7.fhir.uv.xver-r4b.r4.r4b
Resource TypeCodeSystem
IdCodeSystem-goal-achievement.json
FHIR VersionR4B

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Narrative

Note: links and images are rebased to the (stated) source

This code system http://terminology.hl7.org/CodeSystem/goal-achievement defines the following codes:

Lvl Code Display Definition
1 in-progress In Progress 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).
2   improving Improving The goal is being sought, and is progressing.
2   worsening Worsening The goal is being sought, but is regressing.
2   no-change No Change The goal is being sought, but the trend is flat.
1 achieved Achieved The goal has been met.
2   sustaining Sustaining The goal has been met, but ongoing activity is needed to sustain the goal objective.
1 not-achieved Not Achieved The goal has not been met and there might or might not have been progress towards target.
2   no-progress No Progress The goal has not been met and little to no progress towards target.
2   not-attainable Not Attainable The goal is not possible to be met.

Source1

{
  "resourceType": "CodeSystem",
  "id": "goal-achievement",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "extension": [
        {
          "url": "packageId",
          "valueId": "hl7.fhir.uv.xver-r4b.r4"
        },
        {
          "url": "version",
          "valueString": "0.0.1-snapshot-2"
        }
      ],
      "url": "http://hl7.org/fhir/StructureDefinition/package-source"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "pc"
    }
  ],
  "url": "http://terminology.hl7.org/CodeSystem/goal-achievement",
  "version": "4.3.0",
  "name": "GoalAchievementStatus",
  "status": "draft",
  "experimental": false,
  "date": "2025-09-13T16:38:45-04:00",
  "publisher": "Patient Care",
  "contact": [
    {
      "name": "Patient Care",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/patientcare"
        }
      ]
    }
  ],
  "description": "Describes the progression, or lack thereof, towards the goal against the target.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "caseSensitive": true,
  "valueSet": "http://hl7.org/fhir/ValueSet/goal-achievement|4.0.1",
  "hierarchyMeaning": "is-a",
  "content": "complete",
  "concept": [
    {
      "code": "in-progress",
      "display": "In Progress",
      "definition": "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).",
      "concept": [
        {
          "code": "improving",
          "display": "Improving",
          "definition": "The goal is being sought, and is progressing."
        },
        {
          "code": "worsening",
          "display": "Worsening",
          "definition": "The goal is being sought, but is regressing."
        },
        {
          "code": "no-change",
          "display": "No Change",
          "definition": "The goal is being sought, but the trend is flat."
        }
      ]
    },
    {
      "code": "achieved",
      "display": "Achieved",
      "definition": "The goal has been met.",
      "concept": [
        {
          "code": "sustaining",
          "display": "Sustaining",
          "definition": "The goal has been met, but ongoing activity is needed to sustain the goal objective."
        }
      ]
    },
    {
      "code": "not-achieved",
      "display": "Not Achieved",
      "definition": "The goal has not been met and there might or might not have been progress towards target.",
      "concept": [
        {
          "code": "no-progress",
          "display": "No Progress",
          "definition": "The goal has not been met and little to no progress towards target."
        },
        {
          "code": "not-attainable",
          "display": "Not Attainable",
          "definition": "The goal is not possible to be met."
        }
      ]
    }
  ]
}