MCC eCare Plan Implementation Guide
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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

: Multiple Chronic Condition Care Plan Clinical Impression Example - XML Representation

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<ClinicalImpression xmlns="http://hl7.org/fhir">
  <id value="clinical-impression-example"/>
  <meta>
    <extension url="http://hl7.org/fhir/StructureDefinition/instance-name">
      <valueString value="ClinicalImpression Example"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/instance-description">
      <valueMarkdown
                     value="This is a ClinicalImpression example for the MCC ClinicalImpression Profile."/>
    </extension>
    <versionId value="1"/>
    <lastUpdated value="2022-08-24T08:56:30.155+00:00"/>
    <source value="#LPmVXruLEtHDcUZ5"/>
    <profile
             value="http://hl7.org/fhir/us/mcc/StructureDefinition/MCCClinicalImpression"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ClinicalImpression clinical-impression-example</b></p><a name="clinical-impression-example"> </a><a name="hcclinical-impression-example"> </a><a name="clinical-impression-example-en-US"> </a><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">version: 1; Last updated: 2022-08-24 08:56:30+0000; </p><p style="margin-bottom: 0px">Information Source: #LPmVXruLEtHDcUZ5</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-MCCClinicalImpression.html">Multiple Chronic Condition Care Plan Clinical Impression</a></p></div><p><b>status</b>: Completed</p><p><b>description</b>: patient was highly distressed in waiting room prior to appointment for CKD about her health</p><p><b>subject</b>: <a href="Patient-cc-pat-pnoelle.html">Patricia Noelle</a></p><p><b>effective</b>: 2014-12-06 20:00:00+1100 --&gt; 2014-12-06 22:33:00+1100</p><p><b>date</b>: 2014-12-06 22:33:00+1100</p><p><b>problem</b>: <a href="Condition-ConditionCKD.html">Condition Chronic kidney disease stage 3B (disorder)</a></p><p><b>summary</b>: signs of worsening depression and Anxiety, concerns about deteriorating health</p></div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal">
    <valueReference>🔗 
      <reference value="Goal/HPT-WNL"/>
    </valueReference>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/mcc/StructureDefinition/changePattern">
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="260388006"/>
        <display value="No status change"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <status value="completed"/>
  <description
               value="patient was highly distressed in waiting room prior to appointment for CKD about her health"/>
  <subject>🔗 
    <reference value="Patient/cc-pat-pnoelle"/>
    <display value="Patricia Noelle"/>
  </subject>
  <!-- encounter><reference value="Encounter/example"/></encounter -->
  <effectivePeriod>
    <start value="2014-12-06T20:00:00+11:00"/>
    <end value="2014-12-06T22:33:00+11:00"/>
  </effectivePeriod>
  <date value="2014-12-06T22:33:00+11:00"/>
  <problem>🔗 
    <reference value="Condition/ConditionCKD"/>
  </problem>
  <!-- <investigation><code><text value="Initial Examination"/></code><item><display value="deep laceration of the scalp (left temporo-occipital)"/></item><item><display value="decreased level of consciousness"/></item><item><display value="disoriented to time and place"/></item><item><display value="restless"/></item></investigation> -->
  <summary
           value="signs of worsening depression and Anxiety, concerns about deteriorating health"/>
</ClinicalImpression>