MCC eCare Plan Implementation Guide
0.1.0 - CI Build US

MCC eCare Plan Implementation Guide - Local Development build (v0.1.0). See the Directory of published versions

: MCC Goal Example - Weight Loss - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Goal;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "WGT-loss"];
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "5" ];
     fhir:Meta.lastUpdated [ fhir:value "2022-04-21T19:31:16.605+00:00"^^xsd:dateTime ];
     fhir:Meta.source [ fhir:value "#4cEZQ9s0b9YiJuf3" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/mcc/StructureDefinition/MCCGoal";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/mcc/StructureDefinition/MCCGoal>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"WGT-loss\" Version \"5\" Updated \"2022-04-21 07:31:16+0000\" </p><p style=\"margin-bottom: 0px\">Information Source: #4cEZQ9s0b9YiJuf3!</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-MCCGoal.html\">Multiple Chronic Condition Care Plan Goal</a></p></div><blockquote><p><b>Goal acceptance</b></p><p><b>value</b>: <a href=\"Patient-cc-pat-pnoelle.html\">Patient/cc-pat-pnoelle</a> \" NOELLE\"</p><p><b>value</b>: disagree</p><p><b>value</b>: low-priority <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (codesystem-goal-priority.html#low-priority)</span></p></blockquote><blockquote><p><b>Goal acceptance</b></p><p><b>value</b>: <a href=\"Practitioner/PractitionerMCC-3\">Practitioner/PractitionerMCC-3</a></p><p><b>value</b>: agree</p><p><b>value</b>: high-priority <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (codesystem-goal-priority.html#high-priority)</span></p></blockquote><p><b>reason rejected</b>: Food is my only pleasure in life <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><blockquote><p><b>related goal</b></p><p><b>value</b>: this goal relates to the BMI goal <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-goal-relationship-type.html\">GoalRelationshipType</a>#other)</span></p><p><b>value</b>: <a href=\"Goal/BMI\">Goal/BMI</a></p></blockquote><p><b>lifecycleStatus</b>: active</p><p><b>category</b>: Dietary <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-goal-category.html\">Goal category</a>#dietary)</span></p><p><b>priority</b>: high <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-goal-priority.html\">Goal priority</a>#high-priority \"High Priority\")</span></p><p><b>description</b>: Target weight is 150 to 155 lbs. <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>subject</b>: <a href=\"Patient-cc-pat-pnoelle.html\">Patient/cc-pat-pnoelle: Patricia Noelle</a> \" NOELLE\"</p><p><b>start</b>: 2019-10-14</p><h3>Targets</h3><table class=\"grid\"><tr><td>-</td><td><b>Measure</b></td><td><b>Detail[x]</b></td><td><b>Due[x]</b></td></tr><tr><td>*</td><td>Body Weight <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#29463-7)</span></td><td>150-155 lbs</td><td>2020-04-05</td></tr></table><p><b>statusDate</b>: 2019-10-14</p><p><b>statusReason</b>: Patient wants to lose weight for general health and pain relief.</p><p><b>expressedBy</b>: <a href=\"Patient-cc-pat-pnoelle.html\">Patient/cc-pat-pnoelle: Patricia Noelle</a> \" NOELLE\"</p><p><b>addresses</b>: <span>: obesity condition</span></p><p><b>outcomeReference</b>: <a href=\"Observation/example\">Observation/example: Body Weight Measured</a></p></div>"
  ];
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/goal-acceptance" ];
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "individual" ];
       fhir:Extension.valueReference [
         fhir:Reference.reference [ fhir:value "Patient/cc-pat-pnoelle" ]       ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "status" ];
       fhir:Extension.valueCode [ fhir:value "disagree" ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "priority" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/R4/codesystem-goal-priority.html" ];
           fhir:Coding.code [ fhir:value "low-priority" ]         ]       ]     ]
  ], [
     fhir:index 1;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/goal-acceptance" ];
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "individual" ];
       fhir:Extension.valueReference [
         fhir:Reference.reference [ fhir:value "Practitioner/PractitionerMCC-3" ]       ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "status" ];
       fhir:Extension.valueCode [ fhir:value "agree" ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "priority" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/R4/codesystem-goal-priority.html" ];
           fhir:Coding.code [ fhir:value "high-priority" ]         ]       ]     ]
  ], [
     fhir:index 2;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/goal-reasonRejected" ];
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.text [ fhir:value "Food is my only pleasure in life" ]     ]
  ], [
     fhir:index 3;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/goal-relationship" ];
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "type" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/goal-relationship-type" ];
           fhir:Coding.code [ fhir:value "other" ]         ];
         fhir:CodeableConcept.text [ fhir:value "this goal relates to the BMI goal" ]       ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "target" ];
       fhir:Extension.valueReference [
         fhir:Reference.reference [ fhir:value "Goal/BMI" ]       ]     ]
  ];
  fhir:Goal.lifecycleStatus [ fhir:value "active"];
  fhir:Goal.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/goal-category" ];
       fhir:Coding.code [ fhir:value "dietary" ]     ]
  ];
  fhir:Goal.priority [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/goal-priority" ];
       fhir:Coding.code [ fhir:value "high-priority" ];
       fhir:Coding.display [ fhir:value "High Priority" ]     ];
     fhir:CodeableConcept.text [ fhir:value "high" ]
  ];
  fhir:Goal.description [
     fhir:CodeableConcept.text [ fhir:value "Target weight is 150 to 155 lbs." ]
  ];
  fhir:Goal.subject [
     fhir:Reference.reference [ fhir:value "Patient/cc-pat-pnoelle" ];
     fhir:Reference.display [ fhir:value "Patricia Noelle" ]
  ];
  fhir:Goal.startDate [ fhir:value "2019-10-14"^^xsd:date];
  fhir:Goal.target [
     fhir:index 0;
     fhir:Goal.target.measure [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a loinc:29463-7;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "29463-7" ];
         fhir:Coding.display [ fhir:value "Body Weight" ]       ]     ];
     fhir:Goal.target.detailRange [
       fhir:Range.low [
         fhir:Quantity.value [ fhir:value "150"^^xsd:decimal ];
         fhir:Quantity.unit [ fhir:value "lbs" ];
         fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
         fhir:Quantity.code [ fhir:value "[lb_av]" ]       ];
       fhir:Range.high [
         fhir:Quantity.value [ fhir:value "155"^^xsd:decimal ];
         fhir:Quantity.unit [ fhir:value "lbs" ];
         fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
         fhir:Quantity.code [ fhir:value "[lb_av]" ]       ]     ];
     fhir:Goal.target.dueDate [ fhir:value "2020-04-05"^^xsd:date ]
  ];
  fhir:Goal.statusDate [ fhir:value "2019-10-14"^^xsd:date];
  fhir:Goal.statusReason [ fhir:value "Patient wants to lose weight for general health and pain relief."];
  fhir:Goal.expressedBy [
     fhir:Reference.reference [ fhir:value "Patient/cc-pat-pnoelle" ];
     fhir:Reference.display [ fhir:value "Patricia Noelle" ]
  ];
  fhir:Goal.addresses [
     fhir:index 0;
     fhir:Reference.display [ fhir:value "obesity condition" ]
  ];
  fhir:Goal.outcomeReference [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "Observation/example" ];
     fhir:Reference.display [ fhir:value "Body Weight Measured" ]
  ].

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.