Atrius India Core FHIR Implementation Guide
0.1.0 - ci-build

Atrius India Core FHIR Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Atrius India Core Goal

Official URL: https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-goal Version: 0.1.0
Draft as of 2026-07-24 Computable Name: AtriusInGoal
Other Identifiers: OID:1.3.6.1.4.1.66219.1.42.55

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Goal 0..* Goal(4.0.1) Describes the intended objective(s) for a patient, group or organization
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... lifecycleStatus ?!SΣ 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.
... subject SΣ 1..1 Reference(Atrius India Core Patient(0.1.0)) Who this goal is intended for
... start[x] SΣ 0..1 When goal pursuit begins
Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal.
.... startDate date
.... startCodeableConcept CodeableConcept
... target SC 0..* BackboneElement Target outcome for the goal
Constraints: gol-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Goal.lifecycleStatus Base required GoalLifecycleStatus 📍4.0.1 FHIR Std.
Goal.description Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.
Goal.start[x] Base example Goal start event 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Goal If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Goal 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 contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Goal If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Goal If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Goal A resource should have narrative for robust management text.`div`.exists()
ele-1 error Goal.implicitRules, Goal.modifierExtension, Goal.lifecycleStatus, Goal.description, Goal.subject, Goal.start[x], Goal.target, Goal.target.modifierExtension All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Goal.modifierExtension, Goal.target.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()
gol-1 error Goal.target Goal.target.measure is required if Goal.target.detail is populated (detail.exists() and measure.exists()) or detail.exists().not()

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Goal 0..* Goal(4.0.1) Describes the intended objective(s) for a patient, group or organization
... lifecycleStatus S 1..1 code proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected
... description S 1..1 CodeableConcept Code or text describing goal
... subject S 1..1 Reference(Atrius India Core Patient(0.1.0)) Who this goal is intended for
... target S 0..* BackboneElement Target outcome for the goal

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Goal 0..* Goal(4.0.1) 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
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier 0..* Identifier External Ids for this goal
... lifecycleStatus ?!SΣ 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 SΣ 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 SΣ 1..1 Reference(Atrius India Core Patient(0.1.0)) Who this goal is intended for
... start[x] SΣ 0..1 When goal pursuit begins
Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal.
.... startDate date
.... startCodeableConcept CodeableConcept
... target SC 0..* BackboneElement Target outcome for the goal
Constraints: gol-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... measure ΣC 0..1 CodeableConcept The parameter whose value is being tracked
Binding: LOINCCodes (example): Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level.
.... detail[x] ΣC 0..1 The target value to be achieved
Binding Description: (example): Codes to identify the target value of the focus to be achieved to signify the fulfillment of the goal.
..... detailQuantity Quantity
..... detailRange Range
..... detailCodeableConcept CodeableConcept
..... detailString string
..... detailBoolean boolean
..... detailInteger integer
..... detailRatio Ratio
.... due[x] Σ 0..1 Reach goal on or before
..... dueDate date
..... dueDuration Duration
... statusDate Σ 0..1 date When goal status took effect
... statusReason 0..1 string Reason for current status
... expressedBy Σ 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) Who's responsible for creating Goal?
... addresses 0..* Reference(Condition | Observation | MedicationStatement | NutritionOrder | ServiceRequest | RiskAssessment) Issues addressed by this goal
... note 0..* Annotation Comments about the goal
... outcomeCode 0..* CodeableConcept What result was achieved regarding the goal?
Binding: SNOMEDCTClinicalFindings (example): The result of the goal; e.g. "25% increase in shoulder mobility", "Anxiety reduced to moderate levels". "15 kg weight loss sustained over 6 months".
... outcomeReference 0..* Reference(Observation) Observation that resulted from goal

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Goal.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Goal.lifecycleStatus Base required GoalLifecycleStatus 📍4.0.1 FHIR Std.
Goal.achievementStatus Base preferred Goal achievement status 📍4.0.1 FHIR Std.
Goal.category Base example Goal category 📍4.0.1 FHIR Std.
Goal.priority Base preferred Goal priority 📍4.0.1 FHIR Std.
Goal.description Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.
Goal.start[x] Base example Goal start event 📍4.0.1 FHIR Std.
Goal.target.measure Base example LOINC Codes 📍4.0.1 FHIR Std.
Goal.target.detail[x] Base example Not State Unknown
Goal.outcomeCode Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Goal If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Goal 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 contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Goal If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Goal If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Goal A resource should have narrative for robust management text.`div`.exists()
ele-1 error Goal.meta, Goal.implicitRules, Goal.language, Goal.text, Goal.extension, Goal.modifierExtension, Goal.identifier, Goal.lifecycleStatus, Goal.achievementStatus, Goal.category, Goal.priority, Goal.description, Goal.subject, Goal.start[x], Goal.target, Goal.target.extension, Goal.target.modifierExtension, Goal.target.measure, Goal.target.detail[x], Goal.target.due[x], Goal.statusDate, Goal.statusReason, Goal.expressedBy, Goal.addresses, Goal.note, Goal.outcomeCode, Goal.outcomeReference All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Goal.extension, Goal.modifierExtension, Goal.target.extension, Goal.target.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()
gol-1 error Goal.target Goal.target.measure is required if Goal.target.detail is populated (detail.exists() and measure.exists()) or detail.exists().not()

Summary

Must-Support: 5 elements

Structures

This structure refers to these other structures:

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Goal 0..* Goal(4.0.1) Describes the intended objective(s) for a patient, group or organization
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... lifecycleStatus ?!SΣ 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.
... subject SΣ 1..1 Reference(Atrius India Core Patient(0.1.0)) Who this goal is intended for
... start[x] SΣ 0..1 When goal pursuit begins
Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal.
.... startDate date
.... startCodeableConcept CodeableConcept
... target SC 0..* BackboneElement Target outcome for the goal
Constraints: gol-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Goal.lifecycleStatus Base required GoalLifecycleStatus 📍4.0.1 FHIR Std.
Goal.description Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.
Goal.start[x] Base example Goal start event 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Goal If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Goal 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 contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Goal If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Goal If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Goal A resource should have narrative for robust management text.`div`.exists()
ele-1 error Goal.implicitRules, Goal.modifierExtension, Goal.lifecycleStatus, Goal.description, Goal.subject, Goal.start[x], Goal.target, Goal.target.modifierExtension All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Goal.modifierExtension, Goal.target.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()
gol-1 error Goal.target Goal.target.measure is required if Goal.target.detail is populated (detail.exists() and measure.exists()) or detail.exists().not()

Differential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Goal 0..* Goal(4.0.1) Describes the intended objective(s) for a patient, group or organization
... lifecycleStatus S 1..1 code proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected
... description S 1..1 CodeableConcept Code or text describing goal
... subject S 1..1 Reference(Atrius India Core Patient(0.1.0)) Who this goal is intended for
... target S 0..* BackboneElement Target outcome for the goal

doco Documentation for this format

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Goal 0..* Goal(4.0.1) 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
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier 0..* Identifier External Ids for this goal
... lifecycleStatus ?!SΣ 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 SΣ 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 SΣ 1..1 Reference(Atrius India Core Patient(0.1.0)) Who this goal is intended for
... start[x] SΣ 0..1 When goal pursuit begins
Binding: GoalStartEvent (example): Codes describing events that can trigger the initiation of a goal.
.... startDate date
.... startCodeableConcept CodeableConcept
... target SC 0..* BackboneElement Target outcome for the goal
Constraints: gol-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... measure ΣC 0..1 CodeableConcept The parameter whose value is being tracked
Binding: LOINCCodes (example): Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level.
.... detail[x] ΣC 0..1 The target value to be achieved
Binding Description: (example): Codes to identify the target value of the focus to be achieved to signify the fulfillment of the goal.
..... detailQuantity Quantity
..... detailRange Range
..... detailCodeableConcept CodeableConcept
..... detailString string
..... detailBoolean boolean
..... detailInteger integer
..... detailRatio Ratio
.... due[x] Σ 0..1 Reach goal on or before
..... dueDate date
..... dueDuration Duration
... statusDate Σ 0..1 date When goal status took effect
... statusReason 0..1 string Reason for current status
... expressedBy Σ 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson) Who's responsible for creating Goal?
... addresses 0..* Reference(Condition | Observation | MedicationStatement | NutritionOrder | ServiceRequest | RiskAssessment) Issues addressed by this goal
... note 0..* Annotation Comments about the goal
... outcomeCode 0..* CodeableConcept What result was achieved regarding the goal?
Binding: SNOMEDCTClinicalFindings (example): The result of the goal; e.g. "25% increase in shoulder mobility", "Anxiety reduced to moderate levels". "15 kg weight loss sustained over 6 months".
... outcomeReference 0..* Reference(Observation) Observation that resulted from goal

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Goal.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Goal.lifecycleStatus Base required GoalLifecycleStatus 📍4.0.1 FHIR Std.
Goal.achievementStatus Base preferred Goal achievement status 📍4.0.1 FHIR Std.
Goal.category Base example Goal category 📍4.0.1 FHIR Std.
Goal.priority Base preferred Goal priority 📍4.0.1 FHIR Std.
Goal.description Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.
Goal.start[x] Base example Goal start event 📍4.0.1 FHIR Std.
Goal.target.measure Base example LOINC Codes 📍4.0.1 FHIR Std.
Goal.target.detail[x] Base example Not State Unknown
Goal.outcomeCode Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Goal If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Goal 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 contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Goal If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Goal If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Goal A resource should have narrative for robust management text.`div`.exists()
ele-1 error Goal.meta, Goal.implicitRules, Goal.language, Goal.text, Goal.extension, Goal.modifierExtension, Goal.identifier, Goal.lifecycleStatus, Goal.achievementStatus, Goal.category, Goal.priority, Goal.description, Goal.subject, Goal.start[x], Goal.target, Goal.target.extension, Goal.target.modifierExtension, Goal.target.measure, Goal.target.detail[x], Goal.target.due[x], Goal.statusDate, Goal.statusReason, Goal.expressedBy, Goal.addresses, Goal.note, Goal.outcomeCode, Goal.outcomeReference All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Goal.extension, Goal.modifierExtension, Goal.target.extension, Goal.target.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()
gol-1 error Goal.target Goal.target.measure is required if Goal.target.detail is populated (detail.exists() and measure.exists()) or detail.exists().not()

Summary

Must-Support: 5 elements

Structures

This structure refers to these other structures:

 

Other representations of profile: CSV, Excel, Schematron