description: This profile constrains [FHIR R4.0.1 Observation](http://hl7.org/fhir/R4/observation.html) for use in the MCC FHIR Care Plan or other FHIR Care Plans reflecting information about the **caregiver**. It is using Observation resource to record, search, and fetch Observations on issues or items that might effect the Caregiver's ability to provide care to the patient.
package_name: hl7.fhir.us.mcc.r4
derivation: constraint
name: MCCCaregiverConsiderationsObservation
type: Observation
elements:
  category:
    label: Caregiver considerations
    short: Caregiver considerations
    mustSupport: true
    index: 3
    slicing:
      rules: open
      discriminator:
      - {path: $this, type: pattern}
      min: null
      slices:
        caregiver-concerns:
          match:
            coding:
            - {code: 81380-8, system: 'http://loinc.org'}
          schema:
            label: Goals, preferences, and priorities for care experience
            short: Goals, preferences, and priorities for care experience
            pattern:
              type: CodeableConcept
              value:
                coding:
                - {code: 81380-8, system: 'http://loinc.org'}
            _required: true
            index: 4
          min: 1
          max: 1
  value:
    constraint:
      us-core-3: {human: SHALL use UCUM for coded quantity units., severity: error, expression: 'valueQuantity.system.empty() or valueQuantity.system = ''http://unitsofmeasure.org'''}
    mustSupport: true
    choices: [valueCodeableConcept]
    index: 16
  note: {short: 'Comments about the observation, including detail on the effect the issue has on the caregiver''s ability to provide patient care', index: 18}
  extension:
    index: 0
    slicing:
      rules: open
      discriminator:
      - {path: url, type: value}
      min: null
      slices:
        resource-pertainsToGoal:
          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}
  effectiveDateTime:
    constraint:
      us-core-1: {human: Datetime must be at least to day., severity: error, expression: $this is DateTime implies $this.toString().length() >= 10}
    type: dateTime
    mustSupport: true
    choiceOf: effective
    index: 10
  status: {mustSupport: true, index: 2}
  effective:
    constraint:
      us-core-1: {human: Datetime must be at least to day., severity: error, expression: $this is DateTime implies $this.toString().length() >= 10}
    mustSupport: true
    choices: [effectiveDateTime, effectivePeriod, effectiveTiming, effectiveInstant]
    index: 9
  code:
    binding: {strength: preferred, valueSet: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.28'}
    mustSupport: true
    index: 5
  effectiveTiming:
    constraint:
      us-core-1: {human: Datetime must be at least to day., severity: error, expression: $this is DateTime implies $this.toString().length() >= 10}
    type: Timing
    mustSupport: true
    choiceOf: effective
    index: 12
  valueCodeableConcept:
    type: CodeableConcept
    constraint:
      us-core-3: {human: SHALL use UCUM for coded quantity units., severity: error, expression: 'valueQuantity.system.empty() or valueQuantity.system = ''http://unitsofmeasure.org'''}
    mustSupport: true
    choiceOf: value
    index: 17
  focus:
    short: caregiver
    refers: ['http://hl7.org/fhir/us/mcc/StructureDefinition/MCCCaregiverOnCareTeam']
    type: Reference
    mustSupport: true
    label: caregiver
    index: 7
  effectiveInstant:
    constraint:
      us-core-1: {human: Datetime must be at least to day., severity: error, expression: $this is DateTime implies $this.toString().length() >= 10}
    type: instant
    mustSupport: true
    choiceOf: effective
    index: 13
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient']
    index: 6
  performer:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/PractitionerRole', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-careteam', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson']
    index: 14
  effectivePeriod:
    constraint:
      us-core-1: {human: Datetime must be at least to day., severity: error, expression: $this is DateTime implies $this.toString().length() >= 10}
    type: Period
    mustSupport: true
    choiceOf: effective
    index: 11
package_version: 1.0.0-ballot
extensions:
  resource-pertainsToGoal: {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/MCCCaregiverConsiderationsObservation
base: http://hl7.org/fhir/StructureDefinition/Observation
version: 1.0.0-ballot
required: [focus, value, subject, valueCodeableConcept]