MCC eCare Plan Draft Implementation Guide
0.1.0 - CI Build

MCC eCare Plan Draft Implementation Guide - Local Development build (v0.1.0). See the Directory of published versions

Table of Contents

..0 Table of Contents
...1 Home Page
...2 MCC Use Cases
....2.1 Patient Story 1 Assumptions
....2.2 Patient Story
.....2.2.1 eCare Plan Use Cases
......2.2.1.1 Use Case 1: Generate and Update Comprehensive eCare Plan in Clinical Setting
......2.2.1.2 Use Case 2: Expose (Share) eCare Plan to Clinical Care Team and Patient or Caregiver
......2.2.1.3 Use Case 3: Identify Care Team Members
...3 Structure and Design Considerations
....3.1 IG Cornerstone: MCC FHIR eCare Plan Profile Design
....3.2 Library of Profiles vs Explicit Reference Constraints
....3.3 FHIR Questionnaire and QuestionnaireResponse Integration
.....3.3.1 Table of LOINC Panel Codes
....3.4 FHIR Service Requests in MCC
.....3.4.1 MCC Service Request Codes of Interest
...4 Profiles or Resource Directly Reused in this Guide
...5 Artifacts Summary
....5.1 Multiple Chronic Condition Care Plan
....5.2 Chronic Kidney Disease Condition
....5.3 Alcohol Abuse Conditions
....5.4 Alkaline Phosphatase Deficiency Conditions
....5.5 Anemia Conditions
....5.6 Anxiety Conditions
....5.7 Arthritis Disorders
....5.8 Bipolar Conditions
....5.9 Chronic Kidney Disease Type or Cause
....5.10 Chronic Pain Conditions
....5.11 Cognitive health and Impaired Memory Disorders
....5.12 Coronary Artery Disease Conditions
....5.13 Depression Conditions
....5.14 Diabetic Neuropathy Conditions
....5.15 Diabetic Retinopathy Conditons
....5.16 End Stage Renal Disease Conditions
....5.17 Heart Failure
....5.18 Hematuria Conditions
....5.19 Hepatitis B Condition
....5.20 Hepatitis C Conditions
....5.21 Human Immunodeficiency Virus (HIV) Disease
....5.22 Hypercalcemia Conditions
....5.23 Hyperkalemia Conditions
....5.24 Hyperlipidemia Conditions
....5.25 Hyperparathyroidism Condition
....5.26 Hyperphosphatemia Conditions
....5.27 Hypertension Conditions
....5.28 Hyperuricemia Conditions
....5.29 Hypoalbuminemia Conditions
....5.30 Hypocalcemia Conditions
....5.31 Insomnia Disorders
....5.32 Metabolic Acidosis Conditions
....5.33 Obesity Conditions
....5.34 Peripheral Vascular Disease
....5.35 PostTraumatic Stress Disorder PTSD
....5.36 Preeclampsia Disorders
....5.37 Schizophrenia or Psychotic Disorder
....5.38 Sleep Apnea Disorders
....5.39 Substance Abuse Disorder
....5.40 Tuberculosis Disorders
....5.41 Type 1 Diabetes Diagnosis
....5.42 Type 2 Diabetes Diagnosis
....5.43 Uremic Pruritus Conditions
....5.44 Valvular Heart Disease
....5.45 Vitamin D Deficiency Conditions
....5.46 Albumin Level Target
....5.47 Bicarbonate Level Target
....5.48 Blood Pressure Diastolic Target
....5.49 Blood Pressure Systolic Target
....5.50 Body Weight Target
....5.51 Calcium Level Target
....5.52 Dietary Goal
....5.53 Ferritin Level Target
....5.54 Hemogobin A1C Target
....5.55 Hemogobin Level Target
....5.56 Intact Parathyroid Hormone Level Target
....5.57 Iron Saturation Level Target
....5.58 Low Density Lipoprotein Level Target
....5.59 Phosphorus Level Target
....5.60 Physical Activity Target
....5.61 Potasssium Level Target
....5.62 VitaminD Level Target
....5.63 Anion Gap
....5.64 Blood Urea Nitrogen
....5.65 Complete Blood Count
....5.66 Corrected Calcium
....5.67 Cystatin C
....5.68 Erythrocyte Distribution Width
....5.69 Estimated Average Glucose
....5.70 EstimatedGlomerularFiltrationRate
....5.71 Ferritin
....5.72 Hematocrit
....5.73 Hemoglobin
....5.74 Hemoglobin A1C
....5.75 High Density Lipoprotein
....5.76 Intact Parathyroid Hormone
....5.77 Iron Saturation
....5.78 KT/V Hemodialysis Ratio
....5.79 Low Density Lipoprotein
....5.80 Mean Corpuscular Hemoglobin Concentration
....5.81 Mean Corpuscular Volume
....5.82 Platelet Count
....5.83 Platelet Distribution Width
....5.84 Platelet Mean Volume
....5.85 Red Blood Cell (Erythrocyte) Count
....5.86 Serum Albumin
....5.87 Serum Creatinine
....5.88 Serum Bicarbonate
....5.89 Serum Chloride
....5.90 Serum Phosphorus
....5.91 Serum Potassium
....5.92 Serum Sodium
....5.93 Total Cholesterol
....5.94 Triglyceride
....5.95 Urinalysis
....5.96 Urine Albumin Creatinine Ratio
....5.97 Urine Sediment
....5.98 Urine Urea Nitrogen
....5.99 Vitamin D Level
....5.100 White Blood Cell (Leukocytes) Count
....5.101 ACE and ARB Medication Request
....5.102 Erythropoiesis Stimulating Agent
....5.103 Iron Supplements Medication Request
....5.104 Phosphate Binders Medication Request
....5.105 Vitamin D Medication Request
....5.106 Kidney Biopsy Procedure
....5.107 Renal Dialysis
....5.108 RenalTransplant
....5.109 Upper Limb Vein Ultrasound
....5.110 Vascular Access for Dialysis
....5.111 Bone Density Report
....5.112 Bone Survey Xrays
....5.113 Document Reference Personal Advance Care Plan (PACP)
....5.114 Family History of Chronic Kidney disease
....5.115 US Core Patient Patricia Noelle Example
....5.116 Chronic Kidney Disease Example
....5.117 Estimated Glomerular Filtration Rate Example
....5.118 MCC FHIR Care Plan Example
....5.119 US-Core example CareTeam Example
....5.120 US Core Practitioner Example
....5.121 US Core PractitionerRole Example
....5.122 Personal Advanced Care Plan Document Reference Example
....5.123 Renal Transplant Example
....5.124 Chronic Pain Condition Example
....5.125 Phophate Binder Medication Request Example
....5.126 Family Member Hx CKD Example
....5.127 BoneSurvey Radiology Report Example
....5.128 Weight Goal Example