description: This profile constrains [US Core Simple Observation](http://hl7.org/fhir/us/core/StructureDefinition/us-core-simple-observation) 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
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: 1
      slices:
        caregiver-concerns:
          match:
            coding:
            - {code: '405193005', system: 'http://snomed.info/sct'}
          schema:
            label: Caregiver well being status
            short: Caregiver well being status
            pattern:
              type: CodeableConcept
              value:
                coding:
                - {code: '405193005', system: 'http://snomed.info/sct'}
            _required: true
            index: 4
          min: 1
          max: 1
  value:
    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: {type: dateTime, mustSupport: true, choiceOf: effective, index: 10}
  status: {mustSupport: true, index: 2}
  effective:
    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: {type: Timing, mustSupport: true, choiceOf: effective, index: 12}
  valueCodeableConcept: {type: CodeableConcept, mustSupport: true, choiceOf: value, index: 17}
  focus:
    short: caregiver
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson']
    type: Reference
    mustSupport: true
    label: caregiver
    index: 7
  effectiveInstant: {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: {type: Period, mustSupport: true, choiceOf: effective, index: 11}
package_version: 1.0.0-ballot2
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/us/core/StructureDefinition/us-core-simple-observation
version: 1.0.0-ballot2
required: [focus, value, subject, valueCodeableConcept, category]