description: Change in the status/pattern of a subject's condition since previously assessed, such as worsening, improving, or no change. It is a subjective assessment of the direction of the change. package_name: hl7.fhir.us.mcc.r4 derivation: constraint name: ChangePattern type: Extension elements: extension: {index: 0} url: pattern: {type: Uri, value: 'http://hl7.org/fhir/us/mcc/StructureDefinition/changePattern'} index: 1 value: choices: [] index: 3 valueCodeableConcept: {type: CodeableConcept, index: 4} package_version: 1.0.0 extensions: {} class: extension kind: complex-type url: http://hl7.org/fhir/us/mcc/StructureDefinition/changePattern base: http://hl7.org/fhir/StructureDefinition/Extension version: 1.0.0 required: [value, valueCodeableConcept]