MCC eCare Plan Implementation Guide
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This page is part of the MCC eCare Plan Implementation Guide (v1.0.0-ballot2: STU 1 Ballot 2) based on FHIR R4. . For a full list of available versions, see the Directory of published versions

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

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:ClinicalImpression ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "clinical-impression-example"] ; # 
  fhir:meta [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/instance-name"^^xsd:anyURI ] ;
fhir:value [ fhir:v "ClinicalImpression Example" ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/instance-description"^^xsd:anyURI ] ;
fhir:value [ fhir:v "This is a ClinicalImpression example for the MCC ClinicalImpression Profile." ]     ] ) ;
fhir:versionId [ fhir:v "1" ] ;
fhir:lastUpdated [ fhir:v "2022-08-24T08:56:30.155+00:00"^^xsd:dateTime ] ;
fhir:source [ fhir:v "#LPmVXruLEtHDcUZ5"^^xsd:anyURI ] ;
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/mcc/StructureDefinition/MCCClinicalImpression"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/mcc/StructureDefinition/MCCClinicalImpression>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ClinicalImpression</b><a name=\"clinical-impression-example\"> </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 ClinicalImpression &quot;clinical-impression-example&quot; Version &quot;1&quot; Updated &quot;2022-08-24 08:56:30+0000&quot; </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>pertains to goal</b>: <a href=\"Goal-HPT-WNL.html\">Goal/HPT-WNL</a></p><p><b>Change Pattern R5 backport</b>: No status change <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#260388006)</span></p><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\">Patient/cc-pat-pnoelle: Patricia Noelle</a> &quot; NOELLE&quot;</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/ConditionCKD</a></p><p><b>summary</b>: signs of worsening depression and Anxiety, concerns about deteriorating health</p></div>"
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal"^^xsd:anyURI ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "Goal/HPT-WNL" ]     ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/mcc/StructureDefinition/changePattern"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
a sct:260388006 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "260388006" ] ;
fhir:display [ fhir:v "No status change" ]       ] )     ]
  ] ) ; # 
  fhir:status [ fhir:v "completed"] ; # 
  fhir:description [ fhir:v "patient was highly distressed in waiting room prior to appointment for CKD about her health"] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/cc-pat-pnoelle" ] ;
fhir:display [ fhir:v "Patricia Noelle" ]
  ] ; # 
  fhir:effective [
a fhir:Period ;
fhir:start [ fhir:v "2014-12-06T20:00:00+11:00"^^xsd:dateTime ] ;
fhir:end [ fhir:v "2014-12-06T22:33:00+11:00"^^xsd:dateTime ]
  ] ; # encounter><reference value="Encounter/example"/></encounter
  fhir:date [ fhir:v "2014-12-06T22:33:00+11:00"^^xsd:dateTime] ; # 
  fhir:problem ( [
fhir:reference [ fhir:v "Condition/ConditionCKD" ]
  ] ) ; # 
  fhir:summary [ fhir:v "signs of worsening depression and Anxiety, concerns about deteriorating health"] . # <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>