This page is part of the MCC eCare Plan Implementation Guide (v1.0.0: STU 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
<CarePlan xmlns="http://hl7.org/fhir">
<id value="MCCCarePlan"/>
<meta>
<extension url="http://hl7.org/fhir/StructureDefinition/instance-name">
<valueString value="Multiple Chronic Condition Care Plan Example"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/instance-description">
<valueMarkdown
value="This is an example for the *MCC CarePlan Profile*."/>
</extension>
<profile
value="http://hl7.org/fhir/us/mcc/StructureDefinition/mccCarePlan"/>
</meta>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Narrative: CarePlan</b><a name="MCCCarePlan"> </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 CarePlan "MCCCarePlan" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-mccCarePlan.html">Multiple Chronic Care Condition Care Plan</a></p></div><p><b>Custodian R5 backport</b>: <a href="RelatedPerson-caregiver-of-noelle.html">RelatedPerson/caregiver-of-noelle</a> " VAN PUTTEN"</p><p><b>status</b>: active</p><p><b>intent</b>: plan</p><p><b>category</b>: Care Plan <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#734163000; <a href="http://hl7.org/fhir/us/core/STU6.1/CodeSystem-careplan-category.html">US Core CarePlan Category Extension Codes</a>#assess-plan)</span></p><p><b>subject</b>: <a href="Patient-cc-pat-pnoelle.html">Patient/cc-pat-pnoelle: Patricia Noelle</a> " NOELLE"</p><p><b>period</b>: 2018-05-01 --> (ongoing)</p><p><b>created</b>: 2019-01-01</p><p><b>author</b>: <a href="PractitionerRole-PractitionerRoleMCC2.html">PractitionerRole/PractitionerRoleMCC2: Nancy Nurse RN</a></p><p><b>contributor</b>: </p><ul><li><a href="PractitionerRole-PractitionerRoleMCC1.html">PractitionerRole/PractitionerRoleMCC1: Henry Levin VII MD Nephrologist</a></li><li><a href="PractitionerRole-PractitionerRoleMCC2.html">PractitionerRole/PractitionerRoleMCC2: Nancy Nurse RN</a></li><li><a href="PractitionerRole-PractitionerRoleMCC3.html">PractitionerRole/PractitionerRoleMCC3: Peter Primary MD Primary Provider</a></li></ul><p><b>careTeam</b>: <a href="CareTeam-MCCCareTeamexample.html">CareTeam/MCCCareTeamexample: Longitudinal care-coordination focused care team</a> "US-Core MCC example CareTeam"</p><p><b>addresses</b>: <a href="Condition-ConditionCKD.html">Condition/ConditionCKD: Chronic Kidney Disease</a></p><p><b>supportingInfo</b>: </p><ul><li><a href="Procedure-Dialysis.html">Procedure/Dialysis: Chronic Pain</a></li><li><a href="Observation-bunMCC.html">Observation/bunMCC: BUN 24 mL/min/{1.73_m2}</a></li></ul><p><b>goal</b>: <a href="Goal-WGT-loss.html">Goal/WGT-loss: Lose weight, decrease chronic pain with less use of pain medication and improved lab results</a></p><blockquote><p><b>activity</b></p><p><b>outcomeReference</b>: <a href="Procedure-Dialysis.html">Procedure/Dialysis: Dialysis</a></p><p><b>progress</b>: Patricia Noelle is measuring her weight daily ( @2019-01-10)</p><p><b>reference</b>: <a href="http://example.org/Task/123">http://example.org/Task/123: Patricia Noelle or cargiver to perform daily weights</a></p></blockquote><blockquote><p><b>activity</b></p><p><b>outcomeReference</b>: </p><ul><li><a href="http://example.org/Encounter/123">http://example.org/Encounter/123: PreOp Encounter For Creation of external arteriovenous shunt (procedure)</a></li><li><a href="http://example.org/Procedure/upperlimbveinUS">http://example.org/Procedure/upperlimbveinUS: Fluoroscopic venography of bilateral upper limbs Performed. Results: Normal</a></li></ul><p><b>progress</b>: Patricia Noelle Completed prep for an AV Shunt. She needs the shunt due to the need for diayalis related to the goal to improve her health related to CKD ( @2019-01-10)</p><p><b>reference</b>: <a href="http://example.org/Appointment/AVShunt">http://example.org/Appointment/AVShunt: PreOp Encounter Request For Creation of external arteriovenous shunt (procedure). Relates to overall health improvement goal and encounter requestActivity. The goal relationship is through resource-pertainsToGoal for the Encounter</a></p></blockquote></div>
</text>
<extension url="http://hl7.org/fhir/us/mcc/StructureDefinition/custodian">
<valueReference>🔗
<reference value="RelatedPerson/caregiver-of-noelle"/>
</valueReference>
</extension>
<status value="active"/>
<intent value="plan"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="734163000"/>
<display value="Care Plan"/>
</coding>
<coding>
<system
value="http://hl7.org/fhir/us/core/CodeSystem/careplan-category"/>
<version value="6.1.0"/>
<code value="assess-plan"/>
</coding>
</category>
<subject>🔗
<reference value="Patient/cc-pat-pnoelle"/>
<display value="Patricia Noelle"/>
</subject>
<period>
<start value="2018-05-01"/>
</period>
<created value="2019-01-01"/>
<!-- author>
<reference value="PractitionerRole/PractitionerRoleMCC2"/>
<display value="Nancy Nurse RN"/>
</author -->
<contributor>🔗
<reference value="PractitionerRole/PractitionerRoleMCC1"/>
<display value="Henry Levin VII MD Nephrologist"/>
</contributor>
<contributor>🔗
<reference value="PractitionerRole/PractitionerRoleMCC2"/>
<display value="Nancy Nurse RN"/>
</contributor>
<contributor>🔗
<reference value="PractitionerRole/PractitionerRoleMCC3"/>
<display value="Peter Primary MD Primary Provider"/>
</contributor>
<careTeam>🔗
<reference value="CareTeam/MCCCareTeamexample"/>
<display value="Longitudinal care-coordination focused care team"/>
</careTeam>
<addresses>🔗
<reference value="Condition/ConditionCKD"/>
<display value="Chronic Kidney Disease"/>
</addresses>
<supportingInfo>🔗
<reference value="Procedure/Dialysis"/>
<display value="Chronic Pain"/>
</supportingInfo>
<supportingInfo>🔗
<reference value="Observation/bunMCC"/>
<display value="BUN 24 mL/min/{1.73_m2}"/>
</supportingInfo>
<goal>🔗
<reference value="Goal/WGT-loss"/>
<display
value="Lose weight, decrease chronic pain with less use of pain medication and improved lab results"/>
</goal>
<activity>
<outcomeReference>🔗
<reference value="Procedure/Dialysis"/>
<display value="Dialysis"/>
</outcomeReference>
<progress>
<time value="2019-01-10"/>
<text value="Patricia Noelle is measuring her weight daily"/>
</progress>
<reference>
<reference value="http://example.org/Task/123"/>
<display value="Patricia Noelle or cargiver to perform daily weights"/>
</reference>
</activity>
<activity>
<outcomeReference>
<reference value="http://example.org/Encounter/123"/>
<display
value="PreOp Encounter For Creation of external arteriovenous shunt (procedure)"/>
</outcomeReference>
<outcomeReference>
<reference value="http://example.org/Procedure/upperlimbveinUS"/>
<display
value="Fluoroscopic venography of bilateral upper limbs Performed. Results: Normal"/>
</outcomeReference>
<progress>
<time value="2019-01-10"/>
<text
value="Patricia Noelle Completed prep for an AV Shunt. She needs the shunt due to the need for diayalis related to the goal to improve her health related to CKD"/>
</progress>
<reference>
<reference value="http://example.org/Appointment/AVShunt"/>
<display
value="PreOp Encounter Request For Creation of external arteriovenous shunt (procedure). Relates to overall health improvement goal and encounter requestActivity"/>
</reference>
</activity>
</CarePlan>