This page is part of the US Core (v2.1.0: STU3 Ballot 1) based on FHIR R4. The current version which supercedes this version is 5.0.1. For a full list of available versions, see the Directory of published versions 
XML Format: StructureDefinition-us-core-careteam
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<StructureDefinition xmlns="http://hl7.org/fhir"> <id value="us-core-careteam"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="The logical name of the element">Name</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Information about the use of the element">Flags</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a></th><th style="width: 100px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Reference to the type of the element">Type</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Additional information about the element">Description & Constraints</a><span style="float: right"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="http://hl7.org/fhir/R4/help16.png" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-us-core-careteam-definitions.html#CareTeam" title="The US Core CareTeam Profile is based upon the core FHIR CareTeam Resource and created to meet the 2015 Edition Common Clinical Data Set 'Care team member(s)' requirements.">CareTeam</a><a name="CareTeam"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-us-core-careteam-definitions.html#CareTeam.status">status</a><a name="CareTeam.status"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Binding: </span><a href="http://hl7.org/fhir/R4/valueset-care-team-status.html">CareTeamStatus</a> (<a href="http://hl7.org/fhir/R4/terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set.">required</a>)</td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-us-core-careteam-definitions.html#CareTeam.subject">subject</a><a name="CareTeam.subject"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-us-core-careteam-definitions.html#CareTeam.participant">participant</a><a name="CareTeam.participant"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..*</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-us-core-careteam-definitions.html#CareTeam.participant.role">role</a><a name="CareTeam.participant.role"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Binding: </span><a href="ValueSet-us-core-careteam-provider-roles.html">US Core CareTeam Provider Roles</a> (<a href="http://hl7.org/fhir/R4/terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated. If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.">extensible</a>)<br/><a style="font-weight:bold" href="http://hl7.org/fhir/R4/extension-elementdefinition-maxvalueset.html" title="Max Value Set Extension">Max Binding: </a><a href="ValueSet-us-core-careteam-provider-roles.html">US Core CareTeam Provider Roles</a></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-us-core-careteam-definitions.html#CareTeam.participant.member">member</a><a name="CareTeam.participant.member"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient | http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner | <a href="StructureDefinition-us-core-organization.html">US Core Organization Profile</a> | <a href="http://hl7.org/fhir/R4/relatedperson.html">RelatedPerson</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr><td colspan="5" class="hierarchy"><br/><a href="http://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="http://hl7.org/fhir/R4/help16.png" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div> </text> <url value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-careteam"/> <version value="3.0.0"/> <name value="USCoreCareTeam"/> <title value="US Core CareTeam Profile"/> <status value="active"/> <experimental value="false"/> <date value="2019-05-21T00:00:00-04:00"/> <publisher value="HL7 US Realm Steering Committee"/> <contact> <telecom> <system value="url"/> <value value="http://www.healthit.gov"/> </telecom> </contact> <description value="Defines constraints and extensions on the CareTeam resource for the minimal set of data to query and retrieve a patient's Care Team."/> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166"/> <code value="US"/> <display value="United States of America"/> </coding> </jurisdiction> <fhirVersion value="4.0.0"/> <mapping> <identity value="argonaut-dq-dstu2"/> <uri value="http://unknown.org/Argonaut-DQ-DSTU2"/> <name value="Argonaut-DQ-DSTU2"/> </mapping> <mapping> <identity value="w5"/> <uri value="http://hl7.org/fhir/fivews"/> <name value="FiveWs Pattern Mapping"/> </mapping> <mapping> <identity value="v2"/> <uri value="http://hl7.org/v2"/> <name value="HL7 v2 Mapping"/> </mapping> <mapping> <identity value="rim"/> <uri value="http://hl7.org/v3"/> <name value="RIM Mapping"/> </mapping> <kind value="resource"/> <abstract value="false"/> <type value="CareTeam"/> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/CareTeam"/> <derivation value="constraint"/> <snapshot> <element id="CareTeam"> <path value="CareTeam"/> <short value="Planned participants in the coordination and delivery of care for a patient or group"/> <definition value="The US Core CareTeam Profile is based upon the core FHIR CareTeam Resource and created to meet the 2015 Edition Common Clinical Data Set 'Care team member(s)' requirements."/> <min value="0"/> <max value="*"/> <base> <path value="CareTeam"/> <min value="0"/> <max value="*"/> </base> <constraint> <key value="dom-2"/> <severity value="error"/> <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/> <expression value="contained.contained.empty()"/> <xpath value="not(parent::f:contained and f:contained)"/> <source value="DomainResource"/> </constraint> <constraint> <key value="dom-4"/> <severity value="error"/> <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"/> <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/> <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/> <source value="DomainResource"/> </constraint> <constraint> <key value="dom-3"/> <severity value="error"/> <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource"/> <expression value="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()"/> <xpath value="not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"/> <source value="DomainResource"/> </constraint> <constraint> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice"> <valueBoolean value="true"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation"> <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."/> </extension> <key value="dom-6"/> <severity value="warning"/> <human value="A resource should have narrative for robust management"/> <expression value="text.div.exists()"/> <xpath value="exists(f:text/h:div)"/> <source value="DomainResource"/> </constraint> <constraint> <key value="dom-5"/> <severity value="error"/> <human value="If a resource is contained in another resource, it SHALL NOT have a security label"/> <expression value="contained.meta.security.empty()"/> <xpath value="not(exists(f:contained/*/f:meta/f:security))"/> <source value="DomainResource"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="Entity. Role, or Act"/> </mapping> <mapping> <identity value="argonaut-dq-dstu2"/> <map value="CarePlan"/> </mapping> </element> <element id="CareTeam.id"> <path value="CareTeam.id"/> <short value="Logical id of this artifact"/> <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/> <comment value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="id"/> </type> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="CareTeam.meta"> <path value="CareTeam.meta"/> <short value="Metadata about the resource"/> <definition value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.meta"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Meta"/> </type> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="CareTeam.implicitRules"> <path value="CareTeam.implicitRules"/> <short value="A set of rules under which this content was created"/> <definition value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc."/> <comment value="Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.implicitRules"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <isModifier value="true"/> <isModifierReason value="This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation"/> <isSummary value="true"/> </element> <element id="CareTeam.language"> <path value="CareTeam.language"/> <short value="Language of the resource content"/> <definition value="The base language in which the resource is written."/> <comment value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.language"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"> <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="Language"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding"> <valueBoolean value="true"/> </extension> <strength value="preferred"/> <description value="A human language."/> <valueSet value="http://hl7.org/fhir/ValueSet/languages"/> </binding> </element> <element id="CareTeam.text"> <path value="CareTeam.text"/> <short value="Text summary of the resource, for human interpretation"/> <definition value="A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety."/> <comment value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later."/> <alias value="narrative"/> <alias value="html"/> <alias value="xhtml"/> <alias value="display"/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Narrative"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="Act.text?"/> </mapping> </element> <element id="CareTeam.contained"> <path value="CareTeam.contained"/> <short value="Contained, inline Resources"/> <definition value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope."/> <comment value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels."/> <alias value="inline resources"/> <alias value="anonymous resources"/> <alias value="contained resources"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.contained"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Resource"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="CareTeam.extension"> <path value="CareTeam.extension"/> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="CareTeam.modifierExtension"> <path value="CareTeam.modifierExtension"/> <short value="Extensions that cannot be ignored"/> <definition value="May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="CareTeam.identifier"> <path value="CareTeam.identifier"/> <short value="External Ids for this team"/> <definition value="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."/> <comment value="This is a business identifier, not a resource identifier (see [discussion](http://hl7.org/fhir/R4/resource.html#identifiers)). 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."/> <requirements value="Allows identification of the care team as it is known by various participating systems and in a way that remains consistent across servers."/> <min value="0"/> <max value="*"/> <base> <path value="CareTeam.identifier"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Identifier"/> </type> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="w5"/> <map value="FiveWs.identifier"/> </mapping> </element> <element id="CareTeam.status"> <path value="CareTeam.status"/> <short value="proposed | active | suspended | inactive | entered-in-error"/> <definition value="Indicates the current state of the care team."/> <comment value="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."/> <min value="0"/> <max value="1"/> <base> <path value="CareTeam.status"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <mustSupport value="true"/> <isModifier value="true"/> <isModifierReason value="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"/> <isSummary value="true"/> <binding> <strength value="required"/> <description value="Indicates whether the team is current , represents future intentions or is now a historical record."/> <valueSet value="http://hl7.org/fhir/ValueSet/care-team-status"/> </binding> <mapping> <identity value="w5"/> <map value="FiveWs.status"/> </mapping> <mapping> <identity value="argonaut-dq-dstu2"/> <map value="CarePlan.status"/> </mapping> </element> <element id="CareTeam.category"> <path value="CareTeam.category"/> <short value="Type of team"/> <definition value="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."/> <comment value="There may be multiple axis of categorization and one team may serve multiple purposes."/> <requirements value="Used for filtering what teams(s) are retrieved and displayed to different types of users."/> <min value="0"/> <max value="*"/> <base> <path value="CareTeam.category"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="CareTeamCategory"/> </extension> <strength value="example"/> <description value="Indicates the type of care team."/> <valueSet value="http://hl7.org/fhir/ValueSet/care-team-category"/> </binding> <mapping> <identity value="w5"/> <map value="FiveWs.class"/> </mapping> </element> <element id="CareTeam.name"> <path value="CareTeam.name"/> <short value="Name of the team, such as crisis assessment team"/> <definition value="A label for human use intended to distinguish like teams. E.g. the "red" vs. "green" trauma teams."/> <comment value="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.)."/> <min value="0"/> <max value="1"/> <base> <path value="CareTeam.name"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="CareTeam.subject"> <path value="CareTeam.subject"/> <short value="Who care team is for"/> <definition value="Identifies the patient or group whose intended care is handled by the team."/> <requirements value="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."/> <alias value="patient"/> <min value="1"/> <max value="1"/> <base> <path value="CareTeam.subject"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="w5"/> <map value="FiveWs.subject[x]"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.subject"/> </mapping> <mapping> <identity value="argonaut-dq-dstu2"/> <map value="CarePlan.subject"/> </mapping> </element> <element id="CareTeam.encounter"> <path value="CareTeam.encounter"/> <short value="Encounter created as part of"/> <definition value="The Encounter during which this CareTeam was created or to which the creation of this record is tightly associated."/> <comment value="This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter."/> <min value="0"/> <max value="1"/> <base> <path value="CareTeam.encounter"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter"/> </type> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="w5"/> <map value="FiveWs.context"/> </mapping> </element> <element id="CareTeam.period"> <path value="CareTeam.period"/> <short value="Time period team covers"/> <definition value="Indicates when the team did (or is intended to) come into effect and end."/> <requirements value="Allows tracking what team(s) are in effect at a particular time."/> <min value="0"/> <max value="1"/> <base> <path value="CareTeam.period"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Period"/> </type> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="w5"/> <map value="FiveWs.init"/> </mapping> </element> <element id="CareTeam.participant"> <path value="CareTeam.participant"/> <short value="Members of the team"/> <definition value="Identifies all people and organizations who are expected to be involved in the care team."/> <min value="1"/> <max value="*"/> <base> <path value="CareTeam.participant"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <condition value="ctm-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="Element"/> </constraint> <constraint> <key value="ctm-1"/> <severity value="error"/> <human value="CareTeam.participant.onBehalfOf can only be populated when CareTeam.participant.member is a Practitioner"/> <expression value="onBehalfOf.exists() implies (member.resolve() is Practitioner)"/> <xpath value="starts-with(f:member/f:reference/@value, 'Practitioner/') or contains(f:member/f:reference/@value, '/Practitioner/') or exists(ancestor::*/f:contains/f:Practitioner/f:id[@value=substring-after(current()/f:member/f:reference/@value, '#')]) or not(exists(f:onBehalfOf))"/> <source value="CareTeam.participant"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="v2"/> <map value="REL (REL.4 is always the Patient) ( or PRT?)"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=PRF]"/> </mapping> <mapping> <identity value="argonaut-dq-dstu2"/> <map value="CarePlan.participant"/> </mapping> </element> <element id="CareTeam.participant.id"> <path value="CareTeam.participant.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="CareTeam.participant.extension"> <path value="CareTeam.participant.extension"/> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="CareTeam.participant.modifierExtension"> <path value="CareTeam.participant.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="CareTeam.participant.role"> <path value="CareTeam.participant.role"/> <short value="Type of involvement"/> <definition value="Indicates specific responsibility of an individual within the care team, such as "Primary care physician", "Trained social worker counselor", "Caregiver", etc."/> <comment value="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."/> <min value="1"/> <max value="1"/> <base> <path value="CareTeam.participant.role"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"> <valueCanonical value="http://hl7.org/fhir/us/core/ValueSet/us-core-careteam-provider-roles"/> </extension> <strength value="extensible"/> <description value="Indicates specific responsibility of an individual within the care team, such as Primary physician, Team coordinator, Caregiver, etc."/> <valueSet value="http://hl7.org/fhir/us/core/ValueSet/us-core-careteam-provider-roles"/> </binding> <mapping> <identity value="v2"/> <map value="REL.2 (or PRT-4?)"/> </mapping> <mapping> <identity value="rim"/> <map value=".functionCode"/> </mapping> <mapping> <identity value="argonaut-dq-dstu2"/> <map value="CarePlan.participant.role"/> </mapping> </element> <element id="CareTeam.participant.member"> <path value="CareTeam.participant.member"/> <short value="Who is involved"/> <definition value="The specific person or organization who is participating/expected to participate in the care team."/> <comment value="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."/> <min value="1"/> <max value="1"/> <base> <path value="CareTeam.participant.member"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"/> <targetProfile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"/> <targetProfile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="w5"/> <map value="FiveWs.actor"/> </mapping> <mapping> <identity value="v2"/> <map value="REL.5 (or PRT-5 : ( PRV-4 {provider participations} ) / PRT-5 : ( PRV-4 {non-provider person participations} ) / PRT-5 : ( PRV-4 = (patient non-subject of care) ) / PRT-8?)"/> </mapping> <mapping> <identity value="rim"/> <map value=".role"/> </mapping> <mapping> <identity value="argonaut-dq-dstu2"/> <map value="CarePlan.participant.member"/> </mapping> </element> <element id="CareTeam.participant.onBehalfOf"> <path value="CareTeam.participant.onBehalfOf"/> <short value="Organization of the practitioner"/> <definition value="The organization of the practitioner."/> <requirements value="Practitioners can be associated with multiple organizations. This element indicates which organization they were acting on behalf of."/> <min value="0"/> <max value="1"/> <base> <path value="CareTeam.participant.onBehalfOf"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> </type> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="CareTeam.participant.period"> <path value="CareTeam.participant.period"/> <short value="Time period of participant"/> <definition value="Indicates when the specific member or organization did (or is intended to) come into effect and end."/> <min value="0"/> <max value="1"/> <base> <path value="CareTeam.participant.period"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Period"/> </type> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="CareTeam.reasonCode"> <path value="CareTeam.reasonCode"/> <short value="Why the care team exists"/> <definition value="Describes why the care team exists."/> <min value="0"/> <max value="*"/> <base> <path value="CareTeam.reasonCode"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="CareTeamReason"/> </extension> <strength value="example"/> <description value="Indicates the reason for the care team."/> <valueSet value="http://hl7.org/fhir/ValueSet/clinical-findings"/> </binding> <mapping> <identity value="w5"/> <map value="FiveWs.why[x]"/> </mapping> </element> <element id="CareTeam.reasonReference"> <path value="CareTeam.reasonReference"/> <short value="Why the care team exists"/> <definition value="Condition(s) that this care team addresses."/> <min value="0"/> <max value="*"/> <base> <path value="CareTeam.reasonReference"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="w5"/> <map value="FiveWs.why[x]"/> </mapping> </element> <element id="CareTeam.managingOrganization"> <path value="CareTeam.managingOrganization"/> <short value="Organization responsible for the care team"/> <definition value="The organization responsible for the care team."/> <requirements value="Allows for multiple organizations to collaboratively manage cross-organizational, longitudinal care plan."/> <min value="0"/> <max value="*"/> <base> <path value="CareTeam.managingOrganization"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> </type> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="CareTeam.telecom"> <path value="CareTeam.telecom"/> <short value="A contact detail for the care team (that applies to all members)"/> <definition value="A central contact detail for the care team (that applies to all members)."/> <comment value="The ContactPoint.use code of home is not appropriate to use. These contacts are not the contact details of individual care team members."/> <min value="0"/> <max value="*"/> <base> <path value="CareTeam.telecom"/> <min value="0"/> <max value="*"/> </base> <type> <code value="ContactPoint"/> </type> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="CareTeam.note"> <path value="CareTeam.note"/> <short value="Comments made about the CareTeam"/> <definition value="Comments made about the CareTeam."/> <min value="0"/> <max value="*"/> <base> <path value="CareTeam.note"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Annotation"/> </type> <isModifier value="false"/> <isSummary value="false"/> </element> </snapshot> <differential> <element id="CareTeam"> <path value="CareTeam"/> <definition value="The US Core CareTeam Profile is based upon the core FHIR CareTeam Resource and created to meet the 2015 Edition Common Clinical Data Set 'Care team member(s)' requirements."/> <mustSupport value="false"/> <isModifier value="false"/> <mapping> <identity value="argonaut-dq-dstu2"/> <map value="CarePlan"/> </mapping> </element> <element id="CareTeam.status"> <path value="CareTeam.status"/> <min value="0"/> <max value="1"/> <type> <code value="code"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <binding> <strength value="required"/> <description value="Indicates whether the team is current , represents future intentions or is now a historical record."/> <valueSet value="http://hl7.org/fhir/ValueSet/care-team-status"/> </binding> <mapping> <identity value="argonaut-dq-dstu2"/> <map value="CarePlan.status"/> </mapping> </element> <element id="CareTeam.subject"> <path value="CareTeam.subject"/> <min value="1"/> <max value="1"/> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <mapping> <identity value="argonaut-dq-dstu2"/> <map value="CarePlan.subject"/> </mapping> </element> <element id="CareTeam.participant"> <path value="CareTeam.participant"/> <min value="1"/> <max value="*"/> <mustSupport value="true"/> <isModifier value="false"/> <mapping> <identity value="argonaut-dq-dstu2"/> <map value="CarePlan.participant"/> </mapping> </element> <element id="CareTeam.participant.role"> <path value="CareTeam.participant.role"/> <min value="1"/> <max value="1"/> <type> <code value="CodeableConcept"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"> <valueCanonical value="http://hl7.org/fhir/us/core/ValueSet/us-core-careteam-provider-roles"/> </extension> <strength value="extensible"/> <description value="Indicates specific responsibility of an individual within the care team, such as Primary physician, Team coordinator, Caregiver, etc."/> <valueSet value="http://hl7.org/fhir/us/core/ValueSet/us-core-careteam-provider-roles"/> </binding> <mapping> <identity value="argonaut-dq-dstu2"/> <map value="CarePlan.participant.role"/> </mapping> </element> <element id="CareTeam.participant.member"> <path value="CareTeam.participant.member"/> <min value="1"/> <max value="1"/> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"/> <targetProfile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"/> <targetProfile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> </type> <mustSupport value="true"/> <isModifier value="false"/> <mapping> <identity value="argonaut-dq-dstu2"/> <map value="CarePlan.participant.member"/> </mapping> </element> </differential> </StructureDefinition>
