R6 Ballot (2nd Draft)

Publish-box (todo)

Patient Care icon Work GroupMaturity Level: 2 Trial UseSecurity Category: Patient Compartments: Patient, Practitioner, RelatedPerson

Detailed Descriptions for the elements in the CareTeam resource.

CareTeam
Element Id CareTeam
Definition

The Care Team includes all the people and organizations who plan to participate in the coordination and delivery of care.

Short Display Planned participants in the coordination and delivery of care
Cardinality 0..*
Type DomainResource
Summary false
CareTeam.identifier
Element Id CareTeam.identifier
Definition

Business identifiers assigned to this care team by the performer or other systems which remain constant as the resource is updated and propagates from server to server.

Short Display External Ids for this team
Note This is a business identifier, not a resource identifier (see discussion)
Cardinality 0..*
Type Identifier
Requirements

Allows identification of the care team as it is known by various participating systems and in a way that remains consistent across servers.

Summary true
Comments

This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.

CareTeam.status
Element Id CareTeam.status
Definition

Indicates the current state of the care team.

Short Display proposed | active | suspended | inactive | entered-in-error
Cardinality 0..1
Terminology Binding Care Team Status (Required)
Type code
Is Modifier true (Reason: This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid)
Summary true
Comments

This element is labeled as a modifier because the status contains the code entered-in-error that marks the care team as not currently valid.

CareTeam.category
Element Id CareTeam.category
Definition

Identifies what kind of team. This is to support differentiation between multiple co-existing teams, such as care plan team, episode of care team, longitudinal care team.

Short Display Type of team
Cardinality 0..*
Terminology Binding Care Team category (Example)
Type CodeableConcept
Requirements

Used for filtering what teams(s) are retrieved and displayed to different types of users.

Summary true
Comments

There may be multiple axis of categorization and one team may serve multiple purposes.

CareTeam.name
Element Id CareTeam.name
Definition

A label for human use intended to distinguish like teams. E.g. the "red" vs. "green" trauma teams.

Short Display Name of the team, such as crisis assessment team
Cardinality 0..1
Type string
Summary true
Comments

The meaning/purpose of the team is conveyed in CareTeam.category. This element may also convey semantics of the team (e.g. "Red trauma team"), but its primary purpose is to distinguish between identical teams in a human-friendly way. ("Team 18735" isn't as friendly.).

CareTeam.subject
Element Id CareTeam.subject
Definition

Identifies the patient or group whose intended care is handled by the team.

Short Display Who care team is for
Cardinality 0..1
Type Reference(Patient | Group)
Requirements

Allows the team to care for a group (e.g. marriage) therapy. Allows for an organization to designate a team such as the PICC line team.

Alternate Names patient
Summary true
Comments

Use Group for care provision to all members of the group (e.g. group therapy). Use Patient for care provision to an individual patient.

CareTeam.period
Element Id CareTeam.period
Definition

Indicates when the team did (or is intended to) come into effect and end.

Short Display Time period team covers
Cardinality 0..1
Type Period
Requirements

Allows tracking what team(s) are in effect at a particular time.

Summary true
CareTeam.participant
Element Id CareTeam.participant
Definition

Identifies all people and organizations who are expected to be involved in the care team.

Short Display Members of the team
Cardinality 0..*
Summary false
Invariants
Defined on this element
ctm-2Warning CareTeam.participant.role or CareTeam.participant.member existsrole.exists() or member.exists()
CareTeam.participant.role
Element Id CareTeam.participant.role
Definition

Indicates specific responsibility of an individual within the care team, such as "Primary care physician", "Trained social worker counselor", "Caregiver", etc.

Short Display Type of involvement
Cardinality 0..1
Terminology Binding Participant Roles (Example)
Type CodeableConcept
Summary true
Comments

Roles may sometimes be inferred by type of Practitioner. These are relationships that hold only within the context of the care team. General relationships should be handled as properties of the Patient resource directly. If a participant has multiple roles within the team, then there should be multiple participants.

Invariants
Affect this element
ctm-2Warning CareTeam.participant.role or CareTeam.participant.member existsrole.exists() or member.exists()
CareTeam.participant.member
Element Id CareTeam.participant.member
Definition

The specific person or organization who is participating/expected to participate in the care team.

Short Display Who is involved
Cardinality 0..1
Type Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Organization | CareTeam)
Summary true
Comments

Patient only needs to be listed if they have a role other than "subject of care".

Member is optional because some participants may be known only by their role, particularly in draft plans.

Invariants
Affect this element
ctm-2Warning CareTeam.participant.role or CareTeam.participant.member existsrole.exists() or member.exists()
CareTeam.participant.onBehalfOf
Element Id CareTeam.participant.onBehalfOf
Definition

Entity that the participant is acting as a proxy of, or an agent of, or in the interest of, or as a representative of.

Short Display Entity that the participant is acting as a proxy of, or an agent of, or in the interest of, or as a representative of
Cardinality 0..1
Type Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Organization | CareTeam)
Requirements

Allows specifying which organization a practitioner is acting on behalf of in context of this care team when practitioners are associated with multiple organizations.

Summary true
CareTeam.participant.effective[x]
Element Id CareTeam.participant.effective[x]
Definition

When the member is generally available within this care team.

Short Display When the member is generally available within this care team
Cardinality 0..1
Type Period|Timing
[x] Note See Choice of Datatypes for further information about how to use [x]
Requirements

To manage members who share the same role, but with different timing. For example, two physical therapists where one is available Monday through Friday whereas the other is available on the weekend.

Summary false
Comments

This is populated while creating / managing the CareTeam to ensure there is coverage when servicing CarePlan activities from the Schedule.

CareTeam.reason
Element Id CareTeam.reason
Definition

Describes why the care team exists.

Short Display Why the care team exists
Cardinality 0..*
Terminology Binding SNOMED CT Clinical Findings (Example)
Type CodeableReference(Condition)
Summary false
CareTeam.managingOrganization
Element Id CareTeam.managingOrganization
Definition

The organization responsible for the care team.

Short Display Organization responsible for the care team
Cardinality 0..*
Type Reference(Organization)
Requirements

Allows for multiple organizations to collaboratively manage cross-organizational, longitudinal care plan.

Summary true
CareTeam.telecom
Element Id CareTeam.telecom
Definition

A central contact detail for the care team (that applies to all members).

Short Display A contact detail for the care team (that applies to all members)
Cardinality 0..*
Type ContactPoint
Summary false
Comments

The ContactPoint.use code of home is not appropriate to use. These contacts are not the contact details of individual care team members.

CareTeam.note
Element Id CareTeam.note
Definition

Comments made about the CareTeam.

Short Display Comments made about the CareTeam
Cardinality 0..*
Type Annotation
Summary false