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 - XML Representation

Raw xml | Download



<Goal xmlns="http://hl7.org/fhir">
  <id value="WGT-loss"/>
  <meta>
    <versionId value="5"/>
    <lastUpdated value="2022-04-21T19:31:16.605+00:00"/>
    <source value="#4cEZQ9s0b9YiJuf3"/>
    <profile value="http://hl7.org/fhir/us/mcc/StructureDefinition/MCCGoal"/>
  </meta>
  <text>
    <status value="extensions"/>
    <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>
  </text>
  <extension url="http://hl7.org/fhir/StructureDefinition/goal-acceptance">
    <extension url="individual">
      <valueReference>
        <reference value="Patient/cc-pat-pnoelle"/>
      </valueReference>
    </extension>
    <extension url="status">
      <valueCode value="disagree"/>
    </extension>
    <extension url="priority">
      <valueCodeableConcept>
        <coding>
          <system value="http://hl7.org/fhir/R4/codesystem-goal-priority.html"/>
          <code value="low-priority"/>
        </coding>
      </valueCodeableConcept>
    </extension>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/goal-acceptance">
    <extension url="individual">
      <valueReference>
        <reference value="Practitioner/PractitionerMCC-3"/>
      </valueReference>
    </extension>
    <extension url="status">
      <valueCode value="agree"/>
    </extension>
    <extension url="priority">
      <valueCodeableConcept>
        <coding>
          <system value="http://hl7.org/fhir/R4/codesystem-goal-priority.html"/>
          <code value="high-priority"/>
        </coding>
      </valueCodeableConcept>
    </extension>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/goal-reasonRejected">
    <valueCodeableConcept>
      <text value="Food is my only pleasure in life"/>
    </valueCodeableConcept>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/goal-relationship">
    <extension url="type">
      <valueCodeableConcept>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/goal-relationship-type"/>
          <code value="other"/>
        </coding>
        <text value="this goal relates to the BMI goal"/>
      </valueCodeableConcept>
    </extension>
    <extension url="target">
      <valueReference>
        <reference value="Goal/BMI"/>
      </valueReference>
    </extension>
  </extension>
  <lifecycleStatus value="active"/>
  <category>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/goal-category"/>
      <code value="dietary"/>
    </coding>
  </category>
  <priority>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/goal-priority"/>
      <code value="high-priority"/>
      <display value="High Priority"/>
    </coding>
    <text value="high"/>
  </priority>
  <description>
    <text value="Target weight is 150 to 155 lbs."/>
  </description>
  <subject>
    <reference value="Patient/cc-pat-pnoelle"/>
    <display value="Patricia Noelle"/>
  </subject>
  <startDate value="2019-10-14"/>
  <target>
    <measure>
      <coding>
        <system value="http://loinc.org"/>
        <code value="29463-7"/>
        <display value="Body Weight"/>
      </coding>
    </measure>
    <detailRange>
      <low>
        <value value="150"/>
        <unit value="lbs"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="[lb_av]"/>
      </low>
      <high>
        <value value="155"/>
        <unit value="lbs"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="[lb_av]"/>
      </high>
    </detailRange>
    <dueDate value="2020-04-05"/>
  </target>
  <statusDate value="2019-10-14"/>
  <statusReason
                value="Patient wants to lose weight for general health and pain relief."/>
  <expressedBy>
    <reference value="Patient/cc-pat-pnoelle"/>
    <display value="Patricia Noelle"/>
  </expressedBy>
  <addresses>
    <display value="obesity condition"/>
  </addresses>
  <outcomeReference>
    <reference value="Observation/example"/>
    <display value="Body Weight Measured"/>
  </outcomeReference>
</Goal>