1) At this time we are not adding guidance for a conditional goal in the US Core Goal Profile (Note: We will not preclude conditional in the US Core Goal Profile). 2) Add the following bullet to US Core Care Experience Preference Profile's and US Core Treatment Intervention Preference Profile's Profile Specific Implementation Guidance: The context or precondition of a patient's preference SHOULD be supplied in: the Observation.valueString  (for example, "If this [health scenario] were to occur, ...”) an extension such as the PACIO Advance Directive Interoperability Implementation Guide's Enclosed Precondition Extension   3) Update examples to demonstrate each method.