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

Table of Contents

.. 0 Table of Contents
... 1 Home Page
... 2 MCC Use Cases
... 3 Structure and Design Considerations
... 4 Alternatives for Transmitting/Collecting Aggregated Care Plans
... 5 Security
... 6 Questionnaire Response
... 7 MCC Care Plan SDOH Guidance
... 8 Note on _include and _revinclude
... 9 US Core General Requirements
... 10 MCC Must-support
... 11 Capability Statements
... 12 MCC Value Set Libraries and Usage
.... 12.1 MCC Chronic Condition Value Sets
.... 12.2 MCC Clinical Test Value Sets
.... 12.3 MCC Goal Value Sets
.... 12.4 MCC Laboratory Result Value Sets
.... 12.5 MCC Medication Request Value Sets
.... 12.6 MCC Observation Imaging Value Sets
.... 12.7 MCC Observation SDOH Assessment Value Sets
.... 12.8 MCC Procedure and Service Request Value Sets
.... 12.9 MCC Questionnaire Response Value Sets
.... 12.10 MCC Simple Observation Value Sets
.... 12.11 MCC Symptom Value Sets
... 13 Downloads
... 14 Artifacts Summary
.... 14.1 Multiple Chronic Care Condition Care Plan
.... 14.2 Multiple Chronic Condition Care Plan Caregiver Considerations Observation
.... 14.3 MCCCareTeam
.... 14.4 MCC Chronic Condition and Health Concern Profile
.... 14.5 Multiple Chronic Condition Care Plan Clinical Impression
.... 14.6 Multiple Chronic Condition Care Plan Clinical Result Observation
.... 14.7 Multiple Chronic Condition Care Plan Diagnostic Report and Note
.... 14.8 Document Reference to Patient's Personal Advance Care Plan (Advance Directive)
.... 14.9 Multiple Chronic Condition Care Plan Family History
.... 14.10 Multiple Chronic Condition Care Plan Goal
.... 14.11 Multiple Chronic Condition Care Plan Immunization
.... 14.12 Multiple Chronic Condition Care Plan Laboratory Result Observation
.... 14.13 Multiple Chronic Condition Care Plan Medication Request
.... 14.14 Multiple Chronic Condition Care Plan Nutrition Order
.... 14.15 Multiple Chronic Condition Care Plan Observation SDOH Assessment
.... 14.16 Multiple Chronic Condition Care Plan Patient/Caregiver Condition Status Observation
.... 14.17 Multiple Chronic Condition Care Plan Procedure
.... 14.18 Multiple Chronic Condition Care Plan Questionnaire Response
.... 14.19 Multiple Chronic Condition Care Plan Service Request
.... 14.20 Multiple Chronic Condition Care Plan Simple Observation
.... 14.21 Multiple Chronic Condition Care Plan Symptom Observation
.... 14.22 Multiple Chronic Condition Care Plan Clinical Imaging Observation
.... 14.23 MCCServerCapabilityStatement
.... 14.24 MCCClientCapabilityStatement
.... 14.25 Change Pattern R5 backport
.... 14.26 Custodian R5 backport
.... 14.27 Multiple Chronic Condition Care Plan Example
.... 14.28 MCC Procedure Example - Dialysis
.... 14.29 MCC Diagnostic Report and Note Example
.... 14.30 MCC Family Member History Example - Father
.... 14.31 MCC Document Reference to Advance Directives Example
.... 14.32 MCC Chronic Condition - CKD Example
.... 14.33 MCC Goal Example - Weight Loss
.... 14.34 MCC Practitioner - Nephrologist
.... 14.35 MCC Practitioner - Nurse Practitioner
.... 14.36 MCC Practitioner - Primary Care Provider
.... 14.37 MCC Practitioner - Nephrologist Provider Role
.... 14.38 MCC Practitioner - Nurse Practitioner Role
.... 14.39 MCC Practitioner - Primary Care Provider Role
.... 14.40 MCC Lab Observation - BUN
.... 14.41 MCC Patient
.... 14.42 Multiple Chronic Condition Care Plan Care Team
.... 14.43 MCC Goal Example - Normal Hypertension
.... 14.44 US-Core MCC Weight Example
.... 14.45 MCC Medication Request Example
.... 14.46 MCC Symptom Observation Example - Taste Sense Altered
.... 14.47 Multiple Chronic Condition Care Plan Immunization Example
.... 14.48 Multiple Chronic Condition Care Plan Nutrition Order Example
.... 14.49 Multiple Chronic Condition Care Plan Clinical Impression Example
.... 14.50 MCC Care Team Example
.... 14.51 Caregiver Example
.... 14.52 MCC QuestionnaireResponse Example
.... 14.53 Multiple Chronic Condition Care Plan Imagining Observation Example
.... 14.54 Expansion Parameters SNOMED US Version
.... 14.55 MCC Clinical Result Observation example
.... 14.56 MCC Caregiver Feelings on Condition Observation example
.... 14.57 MCC SDOH assessment example Observation
.... 14.58 Multiple Chronic Condition Service Request - Food Pantry
.... 14.59 Multiple Chronic Condition Care Plan Simple Observation Example
.... 14.60 MCC Observation of Caregiver considerations example