Athena Core Implementation Guide
4.2.0 - release
Athena Core Implementation Guide
4.2.0 - release
Athena Core Implementation Guide - Local Development build (v4.2.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: https://fhir.athena.io/StructureDefinition/ah-goal | Version: 4.2.0 | |||
| Active as of 2025-04-17 | Computable Name: AthenahealthGoal | |||
| Keywords: Wire Format | ||||
A Goal in health care services delivery is generally an expressed desired health state to be achieved by a subject of care (or family/group) over a period or at a specific point of time.
Describes the intended objective(s) for a patient, group or organization care, for example, weight loss, restoring an activity of daily living, obtaining herd immunity via immunization, meeting a process improvement objective, etc.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Goal
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Goal |
0..* | Goal | Describes the intended objective(s) for a patient, group or organization | |
  meta |
||||
  lastUpdated |
0..1 | instant | When the resource version last changed | |
 Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
  extension:ahChartSharingGroup |
0..1 | Reference(Organization) | athenahealth Chart Sharing Group URL: https://fhir.athena.io/StructureDefinition/ah-chart-sharing-group | |
| extension:ahPractice |
1..1 | Reference(Organization) | athenahealth Practice URL: https://fhir.athena.io/StructureDefinition/ah-practice | |
 extension:goal-relationship |
0..1 | (Complex) | Goals related to this Goal URL: http://hl7.org/fhir/StructureDefinition/goal-relationship | |
  start[x] |
0..1 | date | When goal pursuit begins | |
| target |
||||
| measure |
0..0 | |||
| detail[x] |
0..0 | |||
| due[x] |
0..1 | date | Reach goal on or before | |
| expressedBy |
0..0 | |||
| note |
0..0 | |||
| outcomeCode |
0..0 | |||
| outcomeReference |
0..0 | |||
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Goal |
0..* | Goal | Describes the intended objective(s) for a patient, group or organization dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management | |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| extension:ahChartSharingGroup |
0..1 | Reference(Organization) | athenahealth Chart Sharing Group URL: https://fhir.athena.io/StructureDefinition/ah-chart-sharing-group ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| extension:ahPractice |
1..1 | Reference(Organization) | athenahealth Practice URL: https://fhir.athena.io/StructureDefinition/ah-practice ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| extension:goal-relationship |
0..1 | (Complex) | Goals related to this Goal URL: http://hl7.org/fhir/StructureDefinition/goal-relationship ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| lifecycleStatus |
?!Σ | 1..1 | code | proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required): Codes that reflect the current state of a goal and whether the goal is still being targeted. ele-1: All FHIR elements must have a @value or children |
 description |
Σ | 1..1 | CodeableConcept | Code or text describing goal Binding: SNOMEDCTClinicalFindings (example): Codes providing the details of a particular goal. This will generally be system or implementation guide-specific. In many systems, only the text element will be used. ele-1: All FHIR elements must have a @value or children |
 subject |
Σ | 1..1 | Reference(Patient | Group | Organization) | Who this goal is intended for ele-1: All FHIR elements must have a @value or children |
| start[x] |
Σ | 0..1 | date | When goal pursuit begins ele-1: All FHIR elements must have a @value or children |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Goal.lifecycleStatus | required | GoalLifecycleStatushttp://hl7.org/fhir/ValueSet/goal-status|4.0.1from the FHIR Standard | |
| Goal.description | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findingsfrom the FHIR Standard |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Goal |
0..* | Goal | Describes the intended objective(s) for a patient, group or organization | |||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| versionId |
Σ | 0..1 | id | Version specific identifier | ||||
| lastUpdated |
Σ | 0..1 | instant | When the resource version last changed | ||||
| source |
Σ | 0..1 | uri | Identifies where the resource comes from | ||||
| profile |
Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||
| security |
Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||
| tag |
Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:ahChartSharingGroup |
0..1 | Reference(Organization) | athenahealth Chart Sharing Group URL: https://fhir.athena.io/StructureDefinition/ah-chart-sharing-group | |||||
| extension:ahPractice |
1..1 | Reference(Organization) | athenahealth Practice URL: https://fhir.athena.io/StructureDefinition/ah-practice | |||||
| extension:goal-relationship |
0..1 | (Complex) | Goals related to this Goal URL: http://hl7.org/fhir/StructureDefinition/goal-relationship | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
0..* | Identifier | External Ids for this goal | |||||
| lifecycleStatus |
?!Σ | 1..1 | code | proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required): Codes that reflect the current state of a goal and whether the goal is still being targeted. | ||||
| achievementStatus |
Σ | 0..1 | CodeableConcept | in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable Binding: GoalAchievementStatus (preferred): Indicates the progression, or lack thereof, towards the goal against the target. | ||||
| category |
Σ | 0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Binding: GoalCategory (example): Codes for grouping and sorting goals. | ||||
| priority |
Σ | 0..1 | CodeableConcept | high-priority | medium-priority | low-priority Binding: GoalPriority (preferred): The level of importance associated with a goal. | ||||
| description |
Σ | 1..1 | CodeableConcept | Code or text describing goal Binding: SNOMEDCTClinicalFindings (example): Codes providing the details of a particular goal. This will generally be system or implementation guide-specific. In many systems, only the text element will be used. | ||||
| subject |
Σ | 1..1 | Reference(Patient | Group | Organization) | Who this goal is intended for | ||||
| start[x] |
Σ | 0..1 | date | When goal pursuit begins | ||||
| target |
C | 0..* | BackboneElement | Target outcome for the goal gol-1: Goal.target.measure is required if Goal.target.detail is populated | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| due[x] |
Σ | 0..1 | date | Reach goal on or before | ||||
| statusDate |
Σ | 0..1 | date | When goal status took effect | ||||
| statusReason |
0..1 | string | Reason for current status | |||||
| addresses |
0..* | Reference(Condition | Observation | MedicationStatement | NutritionOrder | ServiceRequest | RiskAssessment) | Issues addressed by this goal | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| Goal.meta.security | extensible | All Security Labelshttp://hl7.org/fhir/ValueSet/security-labelsfrom the FHIR Standard | ||||
| Goal.meta.tag | example | CommonTagshttp://hl7.org/fhir/ValueSet/common-tagsfrom the FHIR Standard | ||||
| Goal.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard
| ||||
| Goal.lifecycleStatus | required | GoalLifecycleStatushttp://hl7.org/fhir/ValueSet/goal-status|4.0.1from the FHIR Standard | ||||
| Goal.achievementStatus | preferred | GoalAchievementStatushttp://hl7.org/fhir/ValueSet/goal-achievementfrom the FHIR Standard | ||||
| Goal.category | example | GoalCategoryhttp://hl7.org/fhir/ValueSet/goal-categoryfrom the FHIR Standard | ||||
| Goal.priority | preferred | GoalPriorityhttp://hl7.org/fhir/ValueSet/goal-priorityfrom the FHIR Standard | ||||
| Goal.description | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findingsfrom the FHIR Standard |
This structure is derived from Goal
Differential View
This structure is derived from Goal
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Goal |
0..* | Goal | Describes the intended objective(s) for a patient, group or organization | |
| meta |
||||
| lastUpdated |
0..1 | instant | When the resource version last changed | |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:ahChartSharingGroup |
0..1 | Reference(Organization) | athenahealth Chart Sharing Group URL: https://fhir.athena.io/StructureDefinition/ah-chart-sharing-group | |
| extension:ahPractice |
1..1 | Reference(Organization) | athenahealth Practice URL: https://fhir.athena.io/StructureDefinition/ah-practice | |
| extension:goal-relationship |
0..1 | (Complex) | Goals related to this Goal URL: http://hl7.org/fhir/StructureDefinition/goal-relationship | |
| start[x] |
0..1 | date | When goal pursuit begins | |
| target |
||||
| measure |
0..0 | |||
| detail[x] |
0..0 | |||
| due[x] |
0..1 | date | Reach goal on or before | |
| expressedBy |
0..0 | |||
| note |
0..0 | |||
| outcomeCode |
0..0 | |||
| outcomeReference |
0..0 | |||
| Documentation for this format | ||||
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Goal |
0..* | Goal | Describes the intended objective(s) for a patient, group or organization dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management | |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| extension:ahChartSharingGroup |
0..1 | Reference(Organization) | athenahealth Chart Sharing Group URL: https://fhir.athena.io/StructureDefinition/ah-chart-sharing-group ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| extension:ahPractice |
1..1 | Reference(Organization) | athenahealth Practice URL: https://fhir.athena.io/StructureDefinition/ah-practice ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| extension:goal-relationship |
0..1 | (Complex) | Goals related to this Goal URL: http://hl7.org/fhir/StructureDefinition/goal-relationship ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| lifecycleStatus |
?!Σ | 1..1 | code | proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required): Codes that reflect the current state of a goal and whether the goal is still being targeted. ele-1: All FHIR elements must have a @value or children |
| description |
Σ | 1..1 | CodeableConcept | Code or text describing goal Binding: SNOMEDCTClinicalFindings (example): Codes providing the details of a particular goal. This will generally be system or implementation guide-specific. In many systems, only the text element will be used. ele-1: All FHIR elements must have a @value or children |
| subject |
Σ | 1..1 | Reference(Patient | Group | Organization) | Who this goal is intended for ele-1: All FHIR elements must have a @value or children |
| start[x] |
Σ | 0..1 | date | When goal pursuit begins ele-1: All FHIR elements must have a @value or children |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Goal.lifecycleStatus | required | GoalLifecycleStatushttp://hl7.org/fhir/ValueSet/goal-status|4.0.1from the FHIR Standard | |
| Goal.description | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findingsfrom the FHIR Standard |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Goal |
0..* | Goal | Describes the intended objective(s) for a patient, group or organization | |||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| versionId |
Σ | 0..1 | id | Version specific identifier | ||||
| lastUpdated |
Σ | 0..1 | instant | When the resource version last changed | ||||
| source |
Σ | 0..1 | uri | Identifies where the resource comes from | ||||
| profile |
Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||
| security |
Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||
| tag |
Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:ahChartSharingGroup |
0..1 | Reference(Organization) | athenahealth Chart Sharing Group URL: https://fhir.athena.io/StructureDefinition/ah-chart-sharing-group | |||||
| extension:ahPractice |
1..1 | Reference(Organization) | athenahealth Practice URL: https://fhir.athena.io/StructureDefinition/ah-practice | |||||
| extension:goal-relationship |
0..1 | (Complex) | Goals related to this Goal URL: http://hl7.org/fhir/StructureDefinition/goal-relationship | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
0..* | Identifier | External Ids for this goal | |||||
| lifecycleStatus |
?!Σ | 1..1 | code | proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected Binding: GoalLifecycleStatus (required): Codes that reflect the current state of a goal and whether the goal is still being targeted. | ||||
| achievementStatus |
Σ | 0..1 | CodeableConcept | in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable Binding: GoalAchievementStatus (preferred): Indicates the progression, or lack thereof, towards the goal against the target. | ||||
| category |
Σ | 0..* | CodeableConcept | E.g. Treatment, dietary, behavioral, etc. Binding: GoalCategory (example): Codes for grouping and sorting goals. | ||||
| priority |
Σ | 0..1 | CodeableConcept | high-priority | medium-priority | low-priority Binding: GoalPriority (preferred): The level of importance associated with a goal. | ||||
| description |
Σ | 1..1 | CodeableConcept | Code or text describing goal Binding: SNOMEDCTClinicalFindings (example): Codes providing the details of a particular goal. This will generally be system or implementation guide-specific. In many systems, only the text element will be used. | ||||
| subject |
Σ | 1..1 | Reference(Patient | Group | Organization) | Who this goal is intended for | ||||
| start[x] |
Σ | 0..1 | date | When goal pursuit begins | ||||
| target |
C | 0..* | BackboneElement | Target outcome for the goal gol-1: Goal.target.measure is required if Goal.target.detail is populated | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| due[x] |
Σ | 0..1 | date | Reach goal on or before | ||||
| statusDate |
Σ | 0..1 | date | When goal status took effect | ||||
| statusReason |
0..1 | string | Reason for current status | |||||
| addresses |
0..* | Reference(Condition | Observation | MedicationStatement | NutritionOrder | ServiceRequest | RiskAssessment) | Issues addressed by this goal | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| Goal.meta.security | extensible | All Security Labelshttp://hl7.org/fhir/ValueSet/security-labelsfrom the FHIR Standard | ||||
| Goal.meta.tag | example | CommonTagshttp://hl7.org/fhir/ValueSet/common-tagsfrom the FHIR Standard | ||||
| Goal.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard
| ||||
| Goal.lifecycleStatus | required | GoalLifecycleStatushttp://hl7.org/fhir/ValueSet/goal-status|4.0.1from the FHIR Standard | ||||
| Goal.achievementStatus | preferred | GoalAchievementStatushttp://hl7.org/fhir/ValueSet/goal-achievementfrom the FHIR Standard | ||||
| Goal.category | example | GoalCategoryhttp://hl7.org/fhir/ValueSet/goal-categoryfrom the FHIR Standard | ||||
| Goal.priority | preferred | GoalPriorityhttp://hl7.org/fhir/ValueSet/goal-priorityfrom the FHIR Standard | ||||
| Goal.description | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findingsfrom the FHIR Standard |
This structure is derived from Goal
Other representations of profile: CSV, Excel, Schematron