The commenter is referring to this guidance     Related Activities in Clinical Care ... Goals : Identifying and defining a future desired condition or change in condition (for example, Has adequate quality meals and snacks) is represented by  US Core Goal Profile .  ... USCDI Health Assessments Data Element Category ... Each profile’s  Quick Start  section shows searches by category. Although not defined in US Core Procedure, implementers can categorize procedures using US Core Category or infer the context by inspecting the referenced ServiceRequest. Similarly, they can review the Questionnaire’s metadata to determine US Core QuestionnaireResponse’s context. and the fact that in US Core Procedure and US Core Goal the category element is optional.     Add Goals to the guidance and update the grammar  to clarify the meaning.... Each profile’s  Quick Start section shows searches by category if the category element is defined in the profile.   T he category element is optiona l in US Core Procedure and US Core Goa l, but implementers can categorize them using a US Core Category code or infer the context by inspecting the referenced ServiceRequest if available. Similarly, they can review the Questionnaire’s metadata to determine US Core QuestionnaireResponse’s context.     Note  that  i n US Core Goal.addresses is optional.