description: This profile constrains [US Core Clinical Test Observation Profile](http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-test) for use in the MCC FHIR Care Plan or other FHIR Care Plans. It is using Observation resource to record, search, and fetch Observations where the Observation is neither a laboratory, imaging, vital sign, social history, sexual orientation, survey, SDOH assesment, nor a smoking status observation. 'Echocardiogram' is an example observation which would use the MCC Clinical Test profile.
package_name: hl7.fhir.us.mcc.r4
derivation: constraint
name: MCCClinicalTestObservation
type: Observation
elements:
  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}
  status: {mustSupport: true, index: 2}
  category: {mustSupport: true, index: 3}
  code: {mustSupport: true, index: 4}
  subject: {mustSupport: true, index: 5}
  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: []
    index: 7
  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: []
    index: 9
  dataAbsentReason: {mustSupport: true, index: 10}
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/MCCClinicalTestObservation
base: http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-test
version: 1.0.0-ballot
required: [subject]