MCC eCare Plan Implementation Guide, published by HL7 International / Patient Care. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-us-mcc/ and changes regularly. See the Directory of published versions
ResourceCarePlan "careplan-for-bundle"
Custodian R5 backport: Practitioner/practitionerMCC-3v: Dr. John Carlson " CARLSON"
status: active
intent: plan
category: Care Plan (SNOMED CT#734163000; US Core CarePlan Category Extension Codes[6.1.0]#assess-plan)
subject: Patient/cc-pat-pnoelle: Patricia Noelle " NOELLE"
period: 2022-05-20 --> (ongoing)
created: 2022-05-20
contributor:
careTeam: CareTeam/careteam-for-bundle: Long-COVID and CKD focused care team "Care Team of Noelle Example for LONG-COVID bundle"
addresses:
supportingInfo:
goal:
activity
outcomeReference:
- Procedure/dietitian-consult: Dietitian consult
- Observation/better-diet: Observation by caregiver (daughter) of improvement in diet
reference: ServiceRequest/dietitian-referral: Dietitian Referral
activity
outcomeReference:
reference: ServiceRequest/dialysis-request
activity
outcomeReference: Procedure/ckd-app-education
activity
outcomeReference:
- MedicationRequest/med-for-chilblains: Treatment for chilblains
- Condition/chilblain-resolved
- ServiceRequest/pt-3x-wk: PT 3x per week
- ServiceRequest/counseling-1x-wk: Counseling 1x per week
- Task/meditation-7x-wk: Meditation 7x per week
- Observation/observation-moca: MOCA new result showing improvement
- Observation/observation-moca-original: MOCA initial result showing impairment
progress: Long COVID symptoms improving ( @2022-12-10)
reference: ServiceRequest/long-covid-request: Long Covid Clinic Referral serviceRequest