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Source1

{
  "resourceType": "ConceptMap",
  "id": "R5-Goal-element-map-to-R4",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "fhir"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 0,
      "_valueInteger": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "trial-use",
      "_valueCode": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/uv/xver/ConceptMap/R5-Goal-element-map-to-R4",
  "version": "0.1.0",
  "name": "R5GoalElementMapToR4",
  "title": "Cross-version mapping for FHIR R5 Goal to FHIR R4 Goal",
  "status": "active",
  "experimental": false,
  "date": "2026-03-17T16:04:45.8746015-05:00",
  "contact": [
    {
      "name": "FHIR Infrastructure",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/fiwg"
        }
      ]
    }
  ],
  "description": "This ConceptMap represents cross-version mappings for elements from a FHIR R5 Goal to FHIR R4.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "sourceCanonical": "http://hl7.org/fhir/5.0",
  "targetUri": "http://hl7.org/fhir/4.0",
  "group": [
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Goal",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/StructureDefinition/Goal",
      "targetVersion": "4.0.1",
      "element": [
        {
          "code": "Goal.meta",
          "display": "meta",
          "target": [
            {
              "code": "Goal.meta",
              "display": "Goal.meta",
              "equivalence": "equivalent",
              "comment": "Element `Goal.meta` is mapped to FHIR R4 element `Goal.meta` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Goal.implicitRules",
          "display": "implicitRules",
          "target": [
            {
              "code": "Goal.implicitRules",
              "display": "Goal.implicitRules",
              "equivalence": "equivalent",
              "comment": "Element `Goal.implicitRules` is mapped to FHIR R4 element `Goal.implicitRules` as `Equivalent`.\nAsserting 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."
            }
          ]
        },
        {
          "code": "Goal.language",
          "display": "language",
          "target": [
            {
              "code": "Goal.language",
              "display": "Goal.language",
              "equivalence": "equivalent",
              "comment": "Element `Goal.language` is mapped to FHIR R4 element `Goal.language` as `Equivalent`.\nLanguage 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)."
            }
          ]
        },
        {
          "code": "Goal.text",
          "display": "text",
          "target": [
            {
              "code": "Goal.text",
              "display": "Goal.text",
              "equivalence": "equivalent",
              "comment": "Element `Goal.text` is mapped to FHIR R4 element `Goal.text` as `Equivalent`.\nContained 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."
            }
          ]
        },
        {
          "code": "Goal.contained",
          "display": "contained",
          "target": [
            {
              "code": "Goal.contained",
              "display": "Goal.contained",
              "equivalence": "equivalent",
              "comment": "Element `Goal.contained` is mapped to FHIR R4 element `Goal.contained` as `Equivalent`.\nThis 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."
            }
          ]
        },
        {
          "code": "Goal.identifier",
          "display": "identifier",
          "target": [
            {
              "code": "Goal.identifier",
              "display": "Goal.identifier",
              "equivalence": "equivalent",
              "comment": "Element `Goal.identifier` is mapped to FHIR R4 element `Goal.identifier` as `Equivalent`.\nThis 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."
            }
          ]
        },
        {
          "code": "Goal.lifecycleStatus",
          "display": "lifecycleStatus",
          "target": [
            {
              "code": "Goal.lifecycleStatus",
              "display": "Goal.lifecycleStatus",
              "equivalence": "equivalent",
              "comment": "Element `Goal.lifecycleStatus` is mapped to FHIR R4 element `Goal.lifecycleStatus` as `Equivalent`.\nThis element is labeled as a modifier because the lifecycleStatus contains codes that mark the resource as not currently valid."
            }
          ]
        },
        {
          "code": "Goal.achievementStatus",
          "display": "achievementStatus",
          "target": [
            {
              "code": "Goal.achievementStatus",
              "display": "Goal.achievementStatus",
              "equivalence": "equivalent",
              "comment": "Element `Goal.achievementStatus` is mapped to FHIR R4 element `Goal.achievementStatus` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Goal.category",
          "display": "category",
          "target": [
            {
              "code": "Goal.category",
              "display": "Goal.category",
              "equivalence": "equivalent",
              "comment": "Element `Goal.category` is mapped to FHIR R4 element `Goal.category` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Goal.priority",
          "display": "priority",
          "target": [
            {
              "code": "Goal.priority",
              "display": "Goal.priority",
              "equivalence": "equivalent",
              "comment": "Element `Goal.priority` is mapped to FHIR R4 element `Goal.priority` as `Equivalent`.\nExtensions 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)\r\rThe 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\"."
            }
          ]
        },
        {
          "code": "Goal.description",
          "display": "description",
          "target": [
            {
              "code": "Goal.description",
              "display": "Goal.description",
              "equivalence": "equivalent",
              "comment": "Element `Goal.description` is mapped to FHIR R4 element `Goal.description` as `Equivalent`.\nIf no code is available, use CodeableConcept.text."
            }
          ]
        },
        {
          "code": "Goal.subject",
          "display": "subject",
          "target": [
            {
              "code": "Goal.subject",
              "display": "Goal.subject",
              "equivalence": "equivalent",
              "comment": "Element `Goal.subject` is mapped to FHIR R4 element `Goal.subject` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Goal.start[x]",
          "display": "start[x]",
          "target": [
            {
              "code": "Goal.start[x]",
              "display": "Goal.start[x]",
              "equivalence": "equivalent",
              "comment": "Element `Goal.start[x]` is mapped to FHIR R4 element `Goal.start[x]` as `Equivalent`.\nThe target context `Goal.start[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Goal`."
            }
          ]
        },
        {
          "code": "Goal.target",
          "display": "target",
          "target": [
            {
              "code": "Goal.target",
              "display": "Goal.target",
              "equivalence": "wider",
              "comment": "Element `Goal.target` is mapped to FHIR R4 element `Goal.target` as `Equivalent`.\nWhen multiple targets are present for a single goal instance, all targets must be met for the overall goal to be met."
            }
          ]
        },
        {
          "code": "Goal.target.measure",
          "display": "measure",
          "target": [
            {
              "code": "Goal.target.measure",
              "display": "Goal.target.measure",
              "equivalence": "equivalent",
              "comment": "Element `Goal.target.measure` is mapped to FHIR R4 element `Goal.target.measure` as `Equivalent`."
            }
          ]
        },
        {
          "code": "Goal.target.detail[x]",
          "display": "detail[x]",
          "target": [
            {
              "code": "Goal.target.detail[x]",
              "display": "Goal.target.detail[x]",
              "equivalence": "equivalent",
              "comment": "Element `Goal.target.detail[x]` is mapped to FHIR R4 element `Goal.target.detail[x]` as `Equivalent`.\nThe 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`.\nA 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."
            }
          ]
        },
        {
          "code": "Goal.target.due[x]",
          "display": "due[x]",
          "target": [
            {
              "code": "Goal.target.due[x]",
              "display": "Goal.target.due[x]",
              "equivalence": "equivalent",
              "comment": "Element `Goal.target.due[x]` is mapped to FHIR R4 element `Goal.target.due[x]` as `Equivalent`.\nThe 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`."
            }
          ]
        },
        {
          "code": "Goal.statusDate",
          "display": "statusDate",
          "target": [
            {
              "code": "Goal.statusDate",
              "display": "Goal.statusDate",
              "equivalence": "equivalent",
              "comment": "Element `Goal.statusDate` is mapped to FHIR R4 element `Goal.statusDate` as `Equivalent`.\nTo see the date for past statuses, query history."
            }
          ]
        },
        {
          "code": "Goal.statusReason",
          "display": "statusReason",
          "target": [
            {
              "code": "Goal.statusReason",
              "display": "Goal.statusReason",
              "equivalence": "equivalent",
              "comment": "Element `Goal.statusReason` is mapped to FHIR R4 element `Goal.statusReason` as `Equivalent`.\nThis will typically be captured for statuses such as rejected, on-hold or cancelled, but could be present for others."
            }
          ]
        },
        {
          "code": "Goal.source",
          "display": "source",
          "target": [
            {
              "code": "Goal.expressedBy",
              "display": "Goal.expressedBy",
              "equivalence": "wider",
              "comment": "Element `Goal.source` is mapped to FHIR R4 element `Goal.expressedBy` as `SourceIsBroaderThanTarget`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `Goal.source` with unmapped reference targets: CareTeam.\nThis is the individual or team responsible for establishing the goal, not necessarily who recorded it.  (For that, use the Provenance resource.)."
            }
          ]
        },
        {
          "code": "Goal.addresses",
          "display": "addresses",
          "target": [
            {
              "code": "Goal.addresses",
              "display": "Goal.addresses",
              "equivalence": "wider",
              "comment": "Element `Goal.addresses` is mapped to FHIR R4 element `Goal.addresses` as `SourceIsBroaderThanTarget`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R5 element `Goal.addresses` with unmapped reference targets: MedicationRequest, Procedure."
            }
          ]
        },
        {
          "code": "Goal.note",
          "display": "note",
          "target": [
            {
              "code": "Goal.note",
              "display": "Goal.note",
              "equivalence": "equivalent",
              "comment": "Element `Goal.note` is mapped to FHIR R4 element `Goal.note` as `Equivalent`.\nMay be used for progress notes, concerns or other related information that doesn't actually describe the goal itself."
            }
          ]
        },
        {
          "code": "Goal.outcome",
          "display": "outcome",
          "target": [
            {
              "code": "Goal.outcomeCode",
              "display": "Goal.outcomeCode",
              "equivalence": "relatedto",
              "comment": "Element `Goal.outcome` is mapped to FHIR R4 element `Goal.outcomeCode` as `SourceIsBroaderThanTarget`.\nElement `Goal.outcome` is mapped to FHIR R4 element `Goal.outcomeReference` as `SourceIsBroaderThanTarget`.\nNote 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."
            },
            {
              "code": "Goal.outcomeReference",
              "display": "Goal.outcomeReference",
              "equivalence": "relatedto",
              "comment": "Element `Goal.outcome` is mapped to FHIR R4 element `Goal.outcomeCode` as `SourceIsBroaderThanTarget`.\nElement `Goal.outcome` is mapped to FHIR R4 element `Goal.outcomeReference` as `SourceIsBroaderThanTarget`.\nNote 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."
            }
          ]
        }
      ]
    },
    {
      "source": "http://hl7.org/fhir/StructureDefinition/Goal",
      "sourceVersion": "5.0.0",
      "target": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Goal.continuous",
      "targetVersion": "0.1.0",
      "element": [
        {
          "code": "Goal.continuous",
          "display": "continuous",
          "target": [
            {
              "code": "Extension",
              "equivalence": "wider",
              "comment": "Element `Goal.continuous` has a context of Goal based on following the parent source element upwards and mapping to `Goal`.\nElement `Goal.continuous` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nFor 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)."
            }
          ]
        }
      ]
    }
  ]
}