description: This profile constrains  [US Core Simple Observation](http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-simple-observation.html) for use in the MCC FHIR Care Plan or other FHIR Care Plans. It is using Observation resource to record, search, and fetch Observations of the Patient or Caregivers feelings towards the status of patient conditions. The focus is on the conditions of interest and the performer element indicates weather this is the Patient or Caregiver's feelings. This is similar to a clinical impression but is being made by a non-clinican.
package_name: hl7.fhir.us.mcc.r4
derivation: constraint
name: MCCPatientCaregiverConditionStatus
type: Observation
elements:
  category: {mustSupport: true, index: 3}
  value:
    short: Coded or narrative feeling about condition
    mustSupport: true
    choices: [valueCodeableConcept, valueString]
    index: 11
  valueString: {type: string, short: Coded or narrative feeling about condition, mustSupport: true, choiceOf: value, index: 13}
  extension:
    index: 0
    slicing:
      rules: open
      discriminator:
      - {path: url, type: value}
      min: null
      slices:
        resource-pertainesToGoal:
          match: {url: null}
          schema: {type: Extension, short: 'The resource-pertainsToGoal relates the resource to the goal(s) that pertain to it. Whenever there is a goal associated with a health concern or problem, this extension should be present and populated in activity (event or intent) resources.', mustSupport: true, url: 'http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal', index: 1}
  status: {mustSupport: true, index: 2}
  effective:
    mustSupport: true
    choices: []
    index: 8
  code:
    label: Observation on patient/caregiver feelings on the condition status (what is the trend of the condition status?)
    short: Observation on patient/caregiver feelings on the condition status (what is the trend of the condition status?)
    mustSupport: true
    pattern:
      type: CodeableConcept
      value:
        coding:
        - {code: 89253-9, system: 'http://loinc.org'}
    index: 4
  valueCodeableConcept:
    type: CodeableConcept
    short: Response for feeling about the condition
    binding: {strength: example, valueSet: 'http://loinc.org/vs/LL4938-8'}
    mustSupport: true
    index: 14
    elements:
      text: {label: can be used with or in place of code to provide a string representation, short: can be used with or in place of code to provide a string representation, index: 15}
  focus:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns']
    array: true
    min: 1
    index: 6
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient']
    index: 5
  performer:
    type: Reference
    label: Represents the caregiver or patient who is making the observation on the condition’s trend
    short: Represents the caregiver or patient who is making the observation on the condition’s trend
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson']
    index: 9
  dataAbsentReason: {mustSupport: true, index: 16}
package_version: 1.0.0
extensions:
  resource-pertainesToGoal: {url: 'http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal', type: Extension, short: 'The resource-pertainsToGoal relates the resource to the goal(s) that pertain to it. Whenever there is a goal associated with a health concern or problem, this extension should be present and populated in activity (event or intent) resources.', mustSupport: true, index: 1}
class: profile
kind: resource
url: http://hl7.org/fhir/us/mcc/StructureDefinition/MCCPatientCaregiverConditionStatus
base: http://hl7.org/fhir/us/core/StructureDefinition/us-core-simple-observation
version: 1.0.0
required: [focus, subject, performer]