This page is part of the MCC eCare Plan Implementation Guide (v1.0.0-ballot: STU 1 Ballot 1) based on FHIR R4. . For a full list of available versions, see the Directory of published versions 
: MCC Goal Example - Normal Hypertension - XML Representation
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<Goal xmlns="http://hl7.org/fhir">
<id value="HPT-WNL"/>
<meta>
<versionId value="5"/>
<lastUpdated value="2022-06-02T23:34:46.692+00:00"/>
<source value="#2FWI9BsC94EqeXTg"/>
<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: Goal</b><a name="HPT-WNL"> </a></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 Goal "HPT-WNL" Version "5" Updated "2022-06-02 23:34:46+0000" </p><p style="margin-bottom: 0px">Information Source: #2FWI9BsC94EqeXTg!</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>: agree</p><p><b>value</b>: High Priority <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)</span></p></blockquote><blockquote><p><b>Goal acceptance</b></p><p><b>value</b>: <a href="Practitioner-practitionerMCC-3.html">Practitioner/practitionerMCC-3</a> " PRIMARY"</p><p><b>value</b>: agree</p><p><b>value</b>: High Priority <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)</span></p></blockquote><blockquote><p><b>related goal</b></p><p><b>value</b>: This goal relates to the Weight loss 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-WGT-loss.html">Goal/WGT-loss</a></p></blockquote><p><b>lifecycleStatus</b>: active</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 Systolic Blood pressure between 110 and 140 mmHg. <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#271651005 "Stable blood pressure")</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>Systolic blood pressure <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#8480-6)</span></td><td>110-140 lbs</td><td>2020-04-05</td></tr></table><p><b>statusDate</b>: 2019-10-14</p><p><b>statusReason</b>: Patient knows that normal blood pressure is important for CKD, Hypertension and diabetes control.</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>: <a href="Condition-ConditionCKD.html">Condition/ConditionCKD: chronic kidney disease condition</a></p><p><b>outcomeReference</b>: <a href="Observation-MCCweight.html">Observation/MCCweight: Body Weight Measured - 165 Pounds</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="agree"/>
</extension>
<extension url="priority">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/goal-priority"/>
<code value="high-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://terminology.hl7.org/CodeSystem/goal-priority"/>
<code value="high-priority"/>
</coding>
</valueCodeableConcept>
</extension>
</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 Weight loss goal"/>
</valueCodeableConcept>
</extension>
<extension url="target">
<valueReference>
<reference value="Goal/WGT-loss"/>
</valueReference>
</extension>
</extension>
<lifecycleStatus value="active"/>
<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>
<coding>
<system value="http://snomed.info/sct"/>
<code value="271651005"/>
<display value="Stable blood pressure"/>
</coding>
<text value="Target Systolic Blood pressure between 110 and 140 mmHg."/>
</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="8480-6"/>
<display value="Systolic blood pressure"/>
</coding>
</measure>
<detailRange>
<low>
<value value="110"/>
<unit value="lbs"/>
<system value="http://unitsofmeasure.org"/>
<code value="mm[Hg]"/>
</low>
<high>
<value value="140"/>
<unit value="lbs"/>
<system value="http://unitsofmeasure.org"/>
<code value="mm[Hg]"/>
</high>
</detailRange>
<dueDate value="2020-04-05"/>
</target>
<statusDate value="2019-10-14"/>
<statusReason
value="Patient knows that normal blood pressure is important for CKD, Hypertension and diabetes control."/>
<expressedBy>
<reference value="Patient/cc-pat-pnoelle"/>
<display value="Patricia Noelle"/>
</expressedBy>
<addresses>
<reference value="Condition/ConditionCKD"/>
<display value="chronic kidney disease condition"/>
</addresses>
<outcomeReference>
<reference value="Observation/MCCweight"/>
<display value="Body Weight Measured - 165 Pounds"/>
</outcomeReference>
</Goal>
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