MCC eCare Plan Implementation Guide
1.0.0 - ballot United States of America flag

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

MCC Simple Observation Value Sets

This table holds the value sets that may be used with the MCC Simple Observation Profile.

Table Key

  • Value Set Name and Link: All of these value sets are housed in the NLM Value Set Authority Center (VSAC). The value set name is a link to the value set. You must have an NLM/UMLS account to access. There is no charge for an account. Note: the first time you click on the value set name link in a given session, there my be a delay in loading and you will need to sign in once loaded.
  • Value Set Clinical Focus: The Value Set Clinical Focus is the same as the clinical focus as written in VSAC which is a free text statement describing the general context of the concepts in the set.
  • OID: The Object Identifier (OID) of the set. OIDs of value sets are unique, whereas the names may not be. If accessing the value set outside of this table link, it is safest to perform that search with the OID
  • Profile Element: The Profile element asserts the location within the profile the value set term SHALL be used.

MCC Value Sets Use and Validation The value sets in the MCC Value Set Library pages are not bound within any profile. As a result “automatic” validation (confirmation) that a code sent in an instance is a member of that value set will not occurr. Validation support can be added in implmentation. These Symptom Value Sets may be used for several different purposes and no clinically appropriate use is precluded:

  • Querying for patients that have experienced particular symptoms
  • Within Quality Measures or for research using Clinical Quality Language (CQL) (for example)
  • For display within applications
  • Terminology validation support

Accessing Value Sets using FHIR Value Set Resource

  • To fetch the FHIR ValueSet resource (in other words, the value set definition) use:
  • GET https://cts.nlm.nih.gov/fhir/ValueSet/[VSAC OID]
  • To fetch the FHIR ValueSet resource expansion use the FHIR $expand operation:
  • GET https://cts.nlm.nih.gov/fhir/ValueSet/[VSAC OID]/$expand

For more information refer to the FHIR Terminology Service for VSAC Resources

Value Set Name and VSAC Link

Value Set Clinical Focus

OID

Profile Element

American College of Cardiology or American Heart Association Ascvd Risk Score (acc/aha Ascvd Risk)

This set of values addresses terms representing an observation for American College of Cardiology/American Heart Association ASCVD risk score (ACC/AHA ASCVD risk)

2.16.840.1.113762.1.4.1222.583

Observation.code

Bathing or grooming/hygiene (ADL/IADL)

This set of values addresses terms representing an observation of bathing/grooming/hygiene (ADL/IADL) ability.

2.16.840.1.113762.1.4.1222.954

Observation.code

Bed Mobility (ADL or IADL)

This set of values addresses terms representing an observation of bed mobility (ADL/IADL).

2.16.840.1.113762.1.4.1222.962

Observation.code

Bowel Sounds

This set of values addresses terms representing an observation of Bowel sounds

2.16.840.1.113762.1.4.1222.822

Observation.code

Carbohydrate Intake

This set of values addresses terms representing an observation of carbohydrate intake.

2.16.840.1.113762.1.4.1222.1026

Observation.code

Cognitive Function Clinician Interpretation

This set of values addresses terms representing a clinical interpretation of a patient's cognitive function.

2.16.840.1.113762.1.4.1222.979

Observation.code

Domestic Duties or Household Tasks (ADL/IADL)

This set of values addresses terms representing an observation of domestic duties/household tasks (ADL/IADL) ability.

2.16.840.1.113762.1.4.1222.960

Observation.code

Dressing (ADL or IADL)

This set of values addresses terms representing an observation of dressing (ADL/IADL) ability.

2.16.840.1.113762.1.4.1222.955

Observation.code

Education Level SCT

This set of values addresses terms representing Education Level.

2.16.840.1.113762.1.4.1222.1229

Observation.code

Fall Risk

This set of values addresses terms representing an observation indicating fall risk.

2.16.840.1.113762.1.4.1222.711

Observation.code

Fat Intake

This set of values addresses terms representing an observation of fat intake.

2.16.840.1.113762.1.4.1222.1023

Observation.code

Fluid Management

This set of values addresses terms representing an observation of fluid management.

2.16.840.1.113762.1.4.1222.1022

Observation.code

Fruit Intake

This set of values addresses terms representing an observation of fruit intake.

2.16.840.1.113762.1.4.1222.1029

Observation.code

Gait Quality

This set of values addresses terms representing observation of quality and speed of gait, including the amount of time it takes the person to walk a set distance.

2.16.840.1.113762.1.4.1222.826

Observation.code

Medication Literacy

This set of values addresses terms representing Medication Literacy.

2.16.840.1.113762.1.4.1222.1203

Observation.code

Medication Management (ADL or IADL)

This set of values addresses terms representing an observation of medication management (ADL/IADL) ability.

2.16.840.1.113762.1.4.1222.964

Observation.code

Pain Intensity or Severity

This set of values addresses terms representing an observation of pain intensity or severity.

2.16.840.1.113762.1.4.1222.996

Observation.code

Pain Quality

This set of values addresses terms representing an observation of pain quality.

2.16.840.1.113762.1.4.1222.997

Observation.code

Physical Activity Level, Device

This set of values addresses terms representing an observation of physical activity level measured by a device.

2.16.840.1.113762.1.4.1222.978

Observation.code

Physical findings of the abdomen

This set of values addresses concepts for the assessment of the patient's abdomen.

2.16.840.1.113762.1.4.1222.1569

Observation.code

Psychosis Symptoms

This set of values addresses terms representing an observation of psychosis symptoms.

2.16.840.1.113762.1.4.1222.987

Observation.code

Salt Intake

This set of values addresses terms representing an observation of salt intake.

2.16.840.1.113762.1.4.1222.1027

Observation.code

Saturated Fat Intake

This set of values addresses terms representing an observation of saturated fat intake.

2.16.840.1.113762.1.4.1222.1025

Observation.code

Screen Time

This set of values addresses terms representing an observation of a person's screen time

2.16.840.1.113762.1.4.1222.1020

Observation.code

Sexual Satisfaction

This set of values addresses terms representing an observation of reported sexual satisfaction.

2.16.840.1.113762.1.4.1222.1005

Observation.code

Sit to Stand Ability

This set of values addresses terms representing an observation of sit-to-stand ability.

2.16.840.1.113762.1.4.1222.836

Observation.code

Sleep Behavior

This set of values addresses terms representing an observation of sleep behaviors.

2.16.840.1.113762.1.4.1222.1197

Observation.code

Sleep Duration

This set of values addresses terms representing Sleep Duration.

2.16.840.1.113762.1.4.1222.994

Observation.code

Sleep Duration, Device

This set of values addresses terms representing an observation of sleep duration measured by a device.

2.16.840.1.113762.1.4.1222.976

Observation.code

Stair Use (ADL or IADL)

This set of values addresses terms representing an observation of stair use (ADL/IADL) ability.

2.16.840.1.113762.1.4.1222.963

Observation.code

Steps Per Time, Device

This set of values addresses terms representing an observation of steps per time measured by a device.

2.16.840.1.113762.1.4.1222.977

Observation.code

Substance Use

This set of values addresses terms representing an observation of reported substance use.

2.16.840.1.113762.1.4.1222.1015

Observation.code

Suicidal Ideation and Behaviors

This set of values contains terms representing questions about suicidal ideation and behaviors.

2.16.840.1.113762.1.4.1222.991

Observation.code

Telephone Use (ADL or IADL)

This set of values addresses terms representing an observation of telephone use (ADL/IADL) ability.

2.16.840.1.113762.1.4.1222.961

Observation.code

Tobacco Use

This set of values addresses terms representing an observation of a person's tobacco use

2.16.840.1.113762.1.4.1222.1016

Observation.code

Toileting (ADL or IADL)

This set of values addresses terms representing an observation of toileting (ADL/IADL) ability.

2.16.840.1.113762.1.4.1222.956

Observation.code

Transferring (ADL or IADL)

This set of values addresses terms representing an observation of transferring (ADL/IADL) ability.

2.16.840.1.113762.1.4.1222.957

Observation.code

Unsaturated Fat Intake

This set of values addresses terms representing an observation of unsaturated fat intake.

2.16.840.1.113762.1.4.1222.1024

Observation.code

Vegetable Intake

This set of values addresses terms representing an observation of vegetable intake.

2.16.840.1.113762.1.4.1222.1028

Observation.code

Walking or ambulation/locomotion (ADL/IADL)

This set of values addresses terms representing an observation of walking/ambulation/locomotion (ADL/IADL) ability.

2.16.840.1.113762.1.4.1222.958

Observation.code