Overview

The Goal resource 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.

Each Goal has next elements:

  • a status
  • text description of the goal
  • a patient

Each Goal supports next elements:

  • target date(s):

Profile specific implementation guidance:

  • Free text goals can be used in Goal.description.text when a concept isn’t available or a legacy goal is not mapped to a LOINC or SNOMED concept.
  • See the SDOH guidance page for more information when exchanging Social Determinants of Health (SDOH) Goals

This resource conforms to USCDI V2 profile for Goal - refer to US Core Goal Profile. Goal response will be provided in JSON (refers to Capability Statement) format as per FHIR standard R4 version.

USCore Data ElementFHIR Resource Field
statusGoal.achievementStatus
goal descriptionGoal.description
patientGoal.subject

Must support elements, mandatory and optional search parameters

Goal must support these elements:

  • lifecycleStatus
  • description
  • subject
  • target
    • due[x]
      • dueDate

The following search parameters and search parameter combinations SHALL be supported:

The syntax used to describe the interactions is described here.

SHALL support searching for all goals for a patient using the patient search parameter:
GET [base url]/Goal?patient={Type/}[id]

The following search parameter combinations SHOULD be supported (optional):
SHOULD support searching using the combination of the patient and lifecycle-status search parameters:
GET [base url]/Goal?patient={Type/}[id]&lifecycle-status={system|}[code]

SHOULD support searching using the combination of the patient and target-date search parameters:

  • including support for these target-date comparators: gt,lt,ge,le
  • including optional support for AND search on target-date (e.g.target-date={date}&target-date={date}&...)
    GET [base url]/Goal?patient={Type/}[id]&target-date={gt|lt|ge|le}{date}

SHOULD support searching using the combination of the patient and description search parameters:
GET [base url]/Goal?patient={Type/}[id]&description={system|}|[code]

The response to any search operation is always a list of resources in a Bundle or an Operation Outcome.

Goal By Patient Id

Search for Goal by patient.

METHOD GET

[base url]/Goal?patient={Type/}[id]

PARAMS
[base url] - FHIR base url
[id] - Id for the Patient

HEADERS

The Authorization token SHALL be obtained during Authentication and Authorization process. Goto Authentication and Authorization for further details.

HeaderTypeRequired/OptionalValue
Authorizationstringrequired'Bearer'

RESPONSES

CodeDescriptionComment
200OKThe request was processed successfully
400Bad requestInvalid request parameters or FHIR operation outcome resource returned
401UnauthorizedThis code indicates that the client request has not been completed because it lacks valid authentication credentials for the requested resource
404no Route matched with those valuesThe request was able to communicate with a given server, but the server could not find what was requested
500Internal Server ErrorThe server has encountered a situation it doesn't know how to handle

EXAMPLE:

curl --location --request GET 'https://sandbox.fhir.elationemr.com/fhir/Goal?patient=Patient/c5137fa5-3216-b12a-cbbc-a0c6bef361g7' \
--header 'Authorization: Bearer fe1cd986-1ac7-4c26-b8b3-d632a48408fd'

Goal By Id

Get Goal by ID.

METHOD GET

[base url]/Goal/{id}

or

[base url]/Goal?_id={id}

PARAMS
[base url] - FHIR base url
{id} - Id for Goal resource

HEADERS

The Authorization token SHALL be obtained during Authentication and Authorization process. Goto Authentication and Authorization for further details.

HeaderTypeRequired/OptionalValue
Authorizationstringrequired'Bearer'

RESPONSES

CodeDescriptionComment
200OKThe request was processed successfully
400Bad requestInvalid request parameters or FHIR operation outcome resource returned
401UnauthorizedThis code indicates that the client request has not been completed because it lacks valid authentication credentials for the requested resource
404no Route matched with those valuesThe request was able to communicate with a given server, but the server could not find what was requested
500Internal Server ErrorThe server has encountered a situation it doesn't know how to handle

EXAMPLE:

curl --location --request GET 'https://sandbox.fhir.elationemr.com/fhir/Goal/c5137fa5-3216-b12a-cbbc-a0c6bef361g7' \
--header 'Authorization: Bearer fe1cd986-1ac7-4c26-b8b3-d632a48408fd'

Goal by patient and lifecycle-status

Get Goals using the combination of the patient and lifecycle-status search parameters

METHOD GET

`GET [base url]/Goal?patient={Type/}[id]&lifecycle-status={system|}[code]`

PARAMS
[base url] - FHIR base url
{Type} - Type for the Reference. Example: Patient
[id] - patient id
{system|} - an identity of the terminology system, used to specify the state of the goal throughout its lifecycle
[code] - the state of the goal throughout its lifecycle

HEADERS

The Authorization token SHALL be obtained during Authentication and Authorization process. Goto Authentication and Authorization for further details.

HeaderTypeRequired/OptionalValue
Authorizationstringrequired'Bearer'

RESPONSES

CodeDescriptionComment
200OKThe request was processed successfully
400Bad requestInvalid request parameters or FHIR operation outcome resource returned
401UnauthorizedThis code indicates that the client request has not been completed because it lacks valid authentication credentials for the requested resource
404no Route matched with those valuesThe request was able to communicate with a given server, but the server could not find what was requested
500Internal Server ErrorThe server has encountered a situation it doesn't know how to handle

EXAMPLE:

curl --location --request GET 'https://sandbox.fhir.elationemr.com/fhir/Goal?patient=Patient/fe1cd986-1ac7-4c26-b8b3-d632a48408fd&lifecycle-status=active' \
--header 'Authorization: Bearer 1239b275-909e-4754-8f73-1e411fd6769e'

Goal by patient and target-date search parameters

Get Goals using the combination of the patient and target-date search parameters

METHOD GET

`GET [base url]/Goal?patient={Type/}[id]&target-date={gt|lt|ge|le}[date]`

PARAMS
[base url] - FHIR base url
{Type} - Type for the Reference. Example: Patient
[id] - patient id
[date] - indicates either the date or the duration after start by which the goal should be met.

HEADERS

The Authorization token SHALL be obtained during Authentication and Authorization process. Goto Authentication and Authorization for further details.

HeaderTypeRequired/OptionalValue
Authorizationstringrequired'Bearer'

RESPONSES

CodeDescriptionComment
200OKThe request was processed successfully
400Bad requestInvalid request parameters or FHIR operation outcome resource returned
401UnauthorizedThis code indicates that the client request has not been completed because it lacks valid authentication credentials for the requested resource
404no Route matched with those valuesThe request was able to communicate with a given server, but the server could not find what was requested
500Internal Server ErrorThe server has encountered a situation it doesn't know how to handle

EXAMPLE:

curl --location --request GET 'https://sandbox.fhir.elationemr.com/fhir/Goal?patient=Patient/fe1cd986-1ac7-4c26-b8b3-d632a48408fd&target-date=ge2015-01-14&target-date=le2019-01-14 \
--header 'Authorization: Bearer 1239b275-909e-4754-8f73-1e411fd6769e'

Goal by patient and description search parameters

Get Goals using the combination of the patient and description search parameters

METHOD GET

`GET [base url]/Goal?patient={Type/}[id]&description={system|}|{code}`

PARAMS
[base url] - FHIR base url
{Type} - Type for the Reference. Example: Patient
[id] - patient id
{system|} - an identity of the terminology system, used to specify coded description of a specific desired objective of care
{code} - coded description of a specific desired objective of care

HEADERS

The Authorization token SHALL be obtained during Authentication and Authorization process. Goto Authentication and Authorization for further details.

HeaderTypeRequired/OptionalValue
Authorizationstringrequired'Bearer'

RESPONSES

CodeDescriptionComment
200OKThe request was processed successfully
400Bad requestInvalid request parameters or FHIR operation outcome resource returned
401UnauthorizedThis code indicates that the client request has not been completed because it lacks valid authentication credentials for the requested resource
404no Route matched with those valuesThe request was able to communicate with a given server, but the server could not find what was requested
500Internal Server ErrorThe server has encountered a situation it doesn't know how to handle

EXAMPLE:

curl --location --request GET 'https://sandbox.fhir.elationemr.com/fhir/Goal?patient=Patient/fe1cd986-1ac7-4c26-b8b3-d632a48408fd&description=http://snomed.info/sct|1078229009 \
--header 'Authorization: Bearer 1239b275-909e-4754-8f73-1e411fd6769e'