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Resource Profile: US Core CareTeam Profile

Official URL: http://shinny.org/StructureDefinition/us-core-careteam Version: 0.2
Active as of 2022-04-20 Realm: United States of America flag Computable Name: USCoreCareTeam

Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License

This profile sets minimum expectations for the CareTeam resource for identifying the Care Team members associated with a patient to promote interoperability and adoption through common implementation. It identifies which core elements, extensions, vocabularies and value sets SHALL be present in the resource when using this profile. It provides the floor for standards development for specific uses cases.

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from CareTeam

NameFlagsCard.TypeDescription & Constraintsdoco
.. CareTeam 0..*CareTeamPlanned participants in the coordination and delivery of care for a patient or group
... status S0..1codeproposed | active | suspended | inactive | entered-in-error
Binding: CareTeamStatus (required): Indicates whether the team is current , represents future intentions or is now a historical record.

... subject S1..1Reference(US Core Patient Profile)Who care team is for
... participant S1..*BackboneElementMembers of the team
.... role S1..1CodeableConceptType of involvement
Binding: Care Team Member Function (extensible): Indicates specific responsibility of an individual within the care team, such as Primary physician, Team coordinator, Caregiver, etc.

.... member S1..1Reference(US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile | US Core PractitionerRole Profile | US Core CareTeam Profile | US Core RelatedPerson Profile)Who is involved

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
CareTeam.statusrequiredCareTeamStatus
CareTeam.participant.roleextensibleCare Team Member Function
NameFlagsCard.TypeDescription & Constraintsdoco
.. CareTeam 0..*CareTeamPlanned participants in the coordination and delivery of care for a patient or group
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!SΣ0..1codeproposed | active | suspended | inactive | entered-in-error
Binding: CareTeamStatus (required): Indicates whether the team is current , represents future intentions or is now a historical record.

... participant SC1..*BackboneElementMembers of the team
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... role SΣ1..1CodeableConceptType of involvement
Binding: Care Team Member Function (extensible): Indicates specific responsibility of an individual within the care team, such as Primary physician, Team coordinator, Caregiver, etc.


.... member SΣ1..1Reference(US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile | US Core PractitionerRole Profile | US Core CareTeam Profile | US Core RelatedPerson Profile)Who is involved

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
CareTeam.statusrequiredCareTeamStatus
CareTeam.participant.roleextensibleCare Team Member Function

Constraints

IdGradePath(s)DetailsRequirements
ctm-1errorCareTeam.participantCareTeam.participant.onBehalfOf can only be populated when CareTeam.participant.member is a Practitioner
: onBehalfOf.exists() implies (member.resolve().iif(empty(), true, ofType(Practitioner).exists()))
dom-2errorCareTeamIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCareTeamIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorCareTeamIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorCareTeamIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCareTeamA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. CareTeam 0..*CareTeamPlanned participants in the coordination and delivery of care for a patient or group
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal Ids for this team
... status ?!SΣ0..1codeproposed | active | suspended | inactive | entered-in-error
Binding: CareTeamStatus (required): Indicates whether the team is current , represents future intentions or is now a historical record.

... category Σ0..*CodeableConceptType of team
Binding: CareTeamCategory (example): Indicates the type of care team.


... name Σ0..1stringName of the team, such as crisis assessment team
... subject SΣ1..1Reference(US Core Patient Profile)Who care team is for
... encounter Σ0..1Reference(Encounter)Encounter created as part of
... period Σ0..1PeriodTime period team covers
... participant SC1..*BackboneElementMembers of the team
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... role SΣ1..1CodeableConceptType of involvement
Binding: Care Team Member Function (extensible): Indicates specific responsibility of an individual within the care team, such as Primary physician, Team coordinator, Caregiver, etc.


.... member SΣ1..1Reference(US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile | US Core PractitionerRole Profile | US Core CareTeam Profile | US Core RelatedPerson Profile)Who is involved
.... onBehalfOf Σ0..1Reference(Organization)Organization of the practitioner
.... period 0..1PeriodTime period of participant
... reasonCode 0..*CodeableConceptWhy the care team exists
Binding: SNOMEDCTClinicalFindings (example): Indicates the reason for the care team.


... reasonReference 0..*Reference(Condition)Why the care team exists
... managingOrganization Σ0..*Reference(Organization)Organization responsible for the care team
... telecom 0..*ContactPointA contact detail for the care team (that applies to all members)
... note 0..*AnnotationComments made about the CareTeam

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
CareTeam.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
CareTeam.statusrequiredCareTeamStatus
CareTeam.categoryexampleCareTeamCategory
CareTeam.participant.roleextensibleCare Team Member Function
CareTeam.reasonCodeexampleSNOMEDCTClinicalFindings

Constraints

IdGradePath(s)DetailsRequirements
ctm-1errorCareTeam.participantCareTeam.participant.onBehalfOf can only be populated when CareTeam.participant.member is a Practitioner
: onBehalfOf.exists() implies (member.resolve().iif(empty(), true, ofType(Practitioner).exists()))
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Differential View

This structure is derived from CareTeam

NameFlagsCard.TypeDescription & Constraintsdoco
.. CareTeam 0..*CareTeamPlanned participants in the coordination and delivery of care for a patient or group
... status S0..1codeproposed | active | suspended | inactive | entered-in-error
Binding: CareTeamStatus (required): Indicates whether the team is current , represents future intentions or is now a historical record.

... subject S1..1Reference(US Core Patient Profile)Who care team is for
... participant S1..*BackboneElementMembers of the team
.... role S1..1CodeableConceptType of involvement
Binding: Care Team Member Function (extensible): Indicates specific responsibility of an individual within the care team, such as Primary physician, Team coordinator, Caregiver, etc.

.... member S1..1Reference(US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile | US Core PractitionerRole Profile | US Core CareTeam Profile | US Core RelatedPerson Profile)Who is involved

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
CareTeam.statusrequiredCareTeamStatus
CareTeam.participant.roleextensibleCare Team Member Function

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. CareTeam 0..*CareTeamPlanned participants in the coordination and delivery of care for a patient or group
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!SΣ0..1codeproposed | active | suspended | inactive | entered-in-error
Binding: CareTeamStatus (required): Indicates whether the team is current , represents future intentions or is now a historical record.

... participant SC1..*BackboneElementMembers of the team
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... role SΣ1..1CodeableConceptType of involvement
Binding: Care Team Member Function (extensible): Indicates specific responsibility of an individual within the care team, such as Primary physician, Team coordinator, Caregiver, etc.


.... member SΣ1..1Reference(US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile | US Core PractitionerRole Profile | US Core CareTeam Profile | US Core RelatedPerson Profile)Who is involved

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
CareTeam.statusrequiredCareTeamStatus
CareTeam.participant.roleextensibleCare Team Member Function

Constraints

IdGradePath(s)DetailsRequirements
ctm-1errorCareTeam.participantCareTeam.participant.onBehalfOf can only be populated when CareTeam.participant.member is a Practitioner
: onBehalfOf.exists() implies (member.resolve().iif(empty(), true, ofType(Practitioner).exists()))
dom-2errorCareTeamIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCareTeamIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorCareTeamIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorCareTeamIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCareTeamA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. CareTeam 0..*CareTeamPlanned participants in the coordination and delivery of care for a patient or group
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal Ids for this team
... status ?!SΣ0..1codeproposed | active | suspended | inactive | entered-in-error
Binding: CareTeamStatus (required): Indicates whether the team is current , represents future intentions or is now a historical record.

... category Σ0..*CodeableConceptType of team
Binding: CareTeamCategory (example): Indicates the type of care team.


... name Σ0..1stringName of the team, such as crisis assessment team
... subject SΣ1..1Reference(US Core Patient Profile)Who care team is for
... encounter Σ0..1Reference(Encounter)Encounter created as part of
... period Σ0..1PeriodTime period team covers
... participant SC1..*BackboneElementMembers of the team
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... role SΣ1..1CodeableConceptType of involvement
Binding: Care Team Member Function (extensible): Indicates specific responsibility of an individual within the care team, such as Primary physician, Team coordinator, Caregiver, etc.


.... member SΣ1..1Reference(US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile | US Core PractitionerRole Profile | US Core CareTeam Profile | US Core RelatedPerson Profile)Who is involved
.... onBehalfOf Σ0..1Reference(Organization)Organization of the practitioner
.... period 0..1PeriodTime period of participant
... reasonCode 0..*CodeableConceptWhy the care team exists
Binding: SNOMEDCTClinicalFindings (example): Indicates the reason for the care team.


... reasonReference 0..*Reference(Condition)Why the care team exists
... managingOrganization Σ0..*Reference(Organization)Organization responsible for the care team
... telecom 0..*ContactPointA contact detail for the care team (that applies to all members)
... note 0..*AnnotationComments made about the CareTeam

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
CareTeam.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
CareTeam.statusrequiredCareTeamStatus
CareTeam.categoryexampleCareTeamCategory
CareTeam.participant.roleextensibleCare Team Member Function
CareTeam.reasonCodeexampleSNOMEDCTClinicalFindings

Constraints

IdGradePath(s)DetailsRequirements
ctm-1errorCareTeam.participantCareTeam.participant.onBehalfOf can only be populated when CareTeam.participant.member is a Practitioner
: onBehalfOf.exists() implies (member.resolve().iif(empty(), true, ofType(Practitioner).exists()))
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

 

Other representations of profile: CSV, Excel, Schematron