Update QI-Core Goal profile to align with US Core 6.1.0: QICore Profile Element Keep Include in QI-Core 6.0 Justification Goal. implicitRules Keep Yes Present in US Core 6.1.0 Goal. reasonRejected REMOVE NO Not in US Core Codeable concept The reason the goal was not accepted URL:   http://hl7.org/fhir/StructureDefinition/goal-reasonRejected Goal. modifierExtension Keep YES Present in US Core 6.1.0 Goal. lifecycleStatus Keep YES USCDI (US Core 6.1.0) Code – same required binding to Goal Lifecycle Status Goal. achievementStatus REMOVE NO Not in US Core 6.1.0 Codeable concept preferred binding to GoalAchievementStatus Goal. category REMOVE NO Not in US Core 6.1.0 CodeableConcept preferred binding to GoalCategory Goal. description Keep YES USCDI (US Core 6.1.0) CodeableConcep -same extensible binding to USCore CareGoals Goal. subject Keep YES (modify) USCDI (US Core 6.1.) US Core references USCorePatient, retain QICore reference to QICorePatient Goal.[start [x] https://build.fhir.org/ig/HL7/fhir-qi-core/StructureDefinition-qicore-goal-definitions.html#key_Goal.start[x]] Keep YES (modify) USCDI (US Core 6.1.0) – includes startDate (date) AND an example binding to GoalStartEvent (events that might initiate a goal – examples admission to hospital, discharge from hospital, completion time of procedure, childbirth) QI-Core = Date – when goal pursuit begins The difference is QI-Core considers timing while USCore also considers event.  Design discussions for US Core 7.0 based on USCDI v4 suggest start timing may be appropriate Updating to USCore 6.1.0 will bring the USCDI element with example binding to GoalStartEvent – change to preferred binding Goal. target Keep YES USCDI (US Core 6.1.0) Goal.target. modifierExtension Keep YES USCDI (US Core 6.1.0) Goal.target. measure REMOVE NO Not in US Core - CodeableConcept preferred binding to LOINCCodes Goal.target.[detail [x] https://build.fhir.org/ig/HL7/fhir-qi-core/StructureDefinition-qicore-goal-definitions.html#key_Goal.target.detail[x]] REMOVE NO Not in US Core - Target value to be achieved Binding (unbound) example. Includes detailQuantity, detailRange, detailCodeableConcept, detailString, detailBoolean, detailInteger, detailRatio, Goal.target.[due [x] https://build.fhir.org/ig/HL7/fhir-qi-core/StructureDefinition-qicore-goal-definitions.html#key_Goal.target.due[x]] Keep YES USCDI (US Core 6.1.) Includes dueDate (date) Goal. statusDate REMOVE NO Date Goal. expressedBy REMOVE NO Not in US Core - Reference QICorePatient, QICorePractitioner, QICoreRelatedPerson Goal. addresses REMOVE NO Not in US Core - Reference QICoreConditionEncounterDiagnosis, QICoreConditionProblemsHealthConcerns, QICoreObservation,QICoreMedicationStatement, QICoreNutritionOrder, QICoreServiceRequest, RiskAssessment