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

Table of Contents

..0 Table of Contents
...1 Home Page
...2 MCC Use Cases
....2.1 Patient Story 1 Assumptions
....2.2 Patient Story
.....2.2.1 eCare Plan Use Cases
......2.2.1.1 Use Case 1: Generate and Update Comprehensive eCare Plan in Clinical Setting
......2.2.1.2 Use Case 2: Expose (Share) eCare Plan to Clinical Care Team and Patient or Caregiver
......2.2.1.3 Use Case 3: Identify Care Team Members
...3 Structure and Design Considerations
....3.1 IG Cornerstone: MCC FHIR eCare Plan Profile Design
....3.2 FHIR Questionnaire and QuestionnaireResponse Integration
.....3.2.1 Table of LOINC Panel Codes
...4 Profiles or Resource Directly Reused in this Guide
...5 Artifacts Summary
....5.1 Multiple Chronic Care Condition Care Plan
....5.2 Multiple Chronic Condition Care Plan Chronic Disease Conditions
....5.3 Multiple Chronic Condition Care Plan Goal
....5.4 Multiple Chronic Condition Care Plan Laboratory Result Observation
....5.5 Multiple Chronic Condition Care Plan Medication Request
....5.6 Multiple Chronic Condition Care Plan Procedure
....5.7 Multiple Chronic Condition Diagnostic Report and Note
....5.8 Multiple Chronic Condition Care Plan Family History
....5.9 Document Reference Personal Advance Care Plan (PACP)
....5.10 Multiple Chronic Condition Care Plan Example
....5.11 MCC Procedure Example - Dialysis
....5.12 MCC Diagnostic Report and Note Example
....5.13 MCC Family Member History Example - Father
....5.14 MCC Document Reference to Advance Directives Example
....5.15 MCC Chronic Condition - CKD Example
....5.16 MCC Goal Example - Weight Loss
....5.17 MCC Practitioner - Nephrologist
....5.18 MCC Practitioner - Nurse Practitioner
....5.19 MCC Practitioner - Primary Care Provider
....5.20 MCC Practitioner - Nephrologist Provider Role
....5.21 MCC Practitioner - Nurse Practitioner Role
....5.22 MCC Practitioner - Primary Care Provider Role
....5.23 MCC Lab Observation - BUN
....5.24 MCC Patient
....5.25 US-Core MCC example CareTeam
....5.26