MCC eCare Plan Implementation Guide
1.0.0-ballot - Comment only US

This page is part of the MCC eCare Plan Implementation Guide (v1.0.0-ballot: STU 1 Ballot 1) based on FHIR R4. . For a full list of available versions, see the Directory of published versions

Resource Profile: MCCCareTeam

Official URL: http://hl7.org/fhir/us/mcc/StructureDefinition/MCCCareTeam Version: 1.0.0-ballot
Active as of 2022-12-04 Computable Name: MCCCareTeam

This profile constrains US Core Care team for use in the MCC FHIR Care Plan or other FHIR Care Plans. It features a requirement for Patient and at least one caregiver to be part of the members of the team.

The US Core Care Team sets minimum expectations for the CareTeam resource to record, search, and fetch Care associated with a patient. It identifies which core elements, extensions, vocabularies and value sets SHALL be present in the resource when using this profile. In addition to the requirements set forth in US Core CareTeam this derived profile is designed to add requirements to the following elements:

  • MCCCareTeam.extension:resource-pertainsToGoal (Must Support) to encourage linking to the goal the medication hopes to facilitate and/or to encourage systems to be able to receive and understand a goal linkage if present.
  • MCCCareTeam.participant required slice for Patient and set to must support
  • MCCCareTeam.participant required slice for RelatedPerson (caregiver) and set to must support

Comments are welcome with respect to the pragmatic use of the “Must Support” rules defined on these elements.

Usage:

Formal Views of Profile Content

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

This structure is derived from USCoreCareTeam

NameFlagsCard.TypeDescription & Constraintsdoco
.. CareTeam 0..*USCoreCareTeamPlanned participants in the coordination and delivery of care for a patient or group
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... resource-pertainsToGoal S0..*Reference(Goal)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.
URL: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal
... Slices for participant 2..*BackboneElementMembers of the team
Slice: Unordered, Open by value:role.coding.code, profile:$this.member.resolve(), value:role.coding.system
.... participant:patient-as-team-member S1..1BackboneElementpatient-as-careTeam-member
..... role S1..1CodeableConceptType of involvement
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 116154003
..... member S1..1Reference(US Core Patient Profile)Who is involved
..... onBehalfOf 0..0
.... participant:caregiver S1..*BackboneElementcaregiver
..... role S1..1CodeableConceptType of involvement
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 133932002
..... member S1..1Reference(Multiple Chronic Condition Care Plan Caregiver on Care Team)Who is involved

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. CareTeam 0..*USCoreCareTeamPlanned 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
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... resource-pertainsToGoal S0..*Reference(Goal)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.
URL: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal
... 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.

... subject SΣ1..1Reference(US Core Patient Profile)Who care team is for
... Slices for participant SC2..*BackboneElementMembers of the team
Slice: Unordered, Open by value:role.coding.code, profile:$this.member.resolve(), value:role.coding.system
.... participant:All Slices Content/Rules for all slices
..... 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 Patient Profile | US Core PractitionerRole Profile | US Core RelatedPerson Profile)Who is involved
.... participant:patient-as-team-member SC1..1BackboneElementpatient-as-careTeam-member
..... 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.



Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 116154003
..... member SΣ1..1Reference(US Core Patient Profile)Who is involved
.... participant:caregiver SC1..*BackboneElementcaregiver
..... 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.



Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 133932002
..... member SΣ1..1Reference(Multiple Chronic Condition Care Plan Caregiver on Care Team)Who is involved

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
CareTeam.statusrequiredCareTeamStatus
CareTeam.participant.roleextensibleCare Team Member Function
CareTeam.participant:patient-as-team-member.roleextensiblePattern: SNOMED CT code 116154003
CareTeam.participant:caregiver.roleextensiblePattern: SNOMED CT code 133932002

Constraints

IdGradePath(s)DetailsRequirements
ctm-1errorCareTeam.participant, CareTeam.participant:patient-as-team-member, CareTeam.participant:caregiverCareTeam.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..*USCoreCareTeamPlanned 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
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... resource-pertainsToGoal S0..*Reference(Goal)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.
URL: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal
... 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
... Slices for participant SC2..*BackboneElementMembers of the team
Slice: Unordered, Open by value:role.coding.code, profile:$this.member.resolve(), value:role.coding.system
.... participant:All Slices Content/Rules for all slices
..... 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 S | US Core Organization Profile | US Core Patient Profile S | US Core PractitionerRole Profile S | US Core CareTeam Profile | US Core RelatedPerson Profile S)Who is involved
..... onBehalfOf Σ0..1Reference(Organization)Organization of the practitioner
..... period 0..1PeriodTime period of participant
.... participant:patient-as-team-member SC1..1BackboneElementpatient-as-careTeam-member
..... 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.



Required Pattern: At least the following
...... id0..1idUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1idUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 116154003
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... member SΣ1..1Reference(US Core Patient Profile)Who is involved
..... period 0..1PeriodTime period of participant
.... participant:caregiver SC1..*BackboneElementcaregiver
..... 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.



Required Pattern: At least the following
...... id0..1idUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1idUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 133932002
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... member SΣ1..1Reference(Multiple Chronic Condition Care Plan Caregiver on Care Team)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 / Code
CareTeam.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
CareTeam.statusrequiredCareTeamStatus
CareTeam.categoryexampleCareTeamCategory
CareTeam.participant.roleextensibleCare Team Member Function
CareTeam.participant:patient-as-team-member.roleextensiblePattern: SNOMED CT code 116154003
CareTeam.participant:caregiver.roleextensiblePattern: SNOMED CT code 133932002
CareTeam.reasonCodeexampleSNOMEDCTClinicalFindings

Constraints

IdGradePath(s)DetailsRequirements
ctm-1errorCareTeam.participant, CareTeam.participant:patient-as-team-member, CareTeam.participant:caregiverCareTeam.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()

This structure is derived from USCoreCareTeam

Summary

Mandatory: 2 elements
Must-Support: 7 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element CareTeam.participant is sliced based on the values of value:role.coding.code, profile:$this.member.resolve(), value:role.coding.system

Differential View

This structure is derived from USCoreCareTeam

NameFlagsCard.TypeDescription & Constraintsdoco
.. CareTeam 0..*USCoreCareTeamPlanned participants in the coordination and delivery of care for a patient or group
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... resource-pertainsToGoal S0..*Reference(Goal)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.
URL: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal
... Slices for participant 2..*BackboneElementMembers of the team
Slice: Unordered, Open by value:role.coding.code, profile:$this.member.resolve(), value:role.coding.system
.... participant:patient-as-team-member S1..1BackboneElementpatient-as-careTeam-member
..... role S1..1CodeableConceptType of involvement
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 116154003
..... member S1..1Reference(US Core Patient Profile)Who is involved
..... onBehalfOf 0..0
.... participant:caregiver S1..*BackboneElementcaregiver
..... role S1..1CodeableConceptType of involvement
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 133932002
..... member S1..1Reference(Multiple Chronic Condition Care Plan Caregiver on Care Team)Who is involved

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. CareTeam 0..*USCoreCareTeamPlanned 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
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... resource-pertainsToGoal S0..*Reference(Goal)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.
URL: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal
... 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.

... subject SΣ1..1Reference(US Core Patient Profile)Who care team is for
... Slices for participant SC2..*BackboneElementMembers of the team
Slice: Unordered, Open by value:role.coding.code, profile:$this.member.resolve(), value:role.coding.system
.... participant:All Slices Content/Rules for all slices
..... 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 Patient Profile | US Core PractitionerRole Profile | US Core RelatedPerson Profile)Who is involved
.... participant:patient-as-team-member SC1..1BackboneElementpatient-as-careTeam-member
..... 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.



Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 116154003
..... member SΣ1..1Reference(US Core Patient Profile)Who is involved
.... participant:caregiver SC1..*BackboneElementcaregiver
..... 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.



Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 133932002
..... member SΣ1..1Reference(Multiple Chronic Condition Care Plan Caregiver on Care Team)Who is involved

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
CareTeam.statusrequiredCareTeamStatus
CareTeam.participant.roleextensibleCare Team Member Function
CareTeam.participant:patient-as-team-member.roleextensiblePattern: SNOMED CT code 116154003
CareTeam.participant:caregiver.roleextensiblePattern: SNOMED CT code 133932002

Constraints

IdGradePath(s)DetailsRequirements
ctm-1errorCareTeam.participant, CareTeam.participant:patient-as-team-member, CareTeam.participant:caregiverCareTeam.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..*USCoreCareTeamPlanned 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
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... resource-pertainsToGoal S0..*Reference(Goal)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.
URL: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal
... 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
... Slices for participant SC2..*BackboneElementMembers of the team
Slice: Unordered, Open by value:role.coding.code, profile:$this.member.resolve(), value:role.coding.system
.... participant:All Slices Content/Rules for all slices
..... 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 S | US Core Organization Profile | US Core Patient Profile S | US Core PractitionerRole Profile S | US Core CareTeam Profile | US Core RelatedPerson Profile S)Who is involved
..... onBehalfOf Σ0..1Reference(Organization)Organization of the practitioner
..... period 0..1PeriodTime period of participant
.... participant:patient-as-team-member SC1..1BackboneElementpatient-as-careTeam-member
..... 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.



Required Pattern: At least the following
...... id0..1idUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1idUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 116154003
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... member SΣ1..1Reference(US Core Patient Profile)Who is involved
..... period 0..1PeriodTime period of participant
.... participant:caregiver SC1..*BackboneElementcaregiver
..... 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.



Required Pattern: At least the following
...... id0..1idUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1idUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 133932002
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... member SΣ1..1Reference(Multiple Chronic Condition Care Plan Caregiver on Care Team)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 / Code
CareTeam.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
CareTeam.statusrequiredCareTeamStatus
CareTeam.categoryexampleCareTeamCategory
CareTeam.participant.roleextensibleCare Team Member Function
CareTeam.participant:patient-as-team-member.roleextensiblePattern: SNOMED CT code 116154003
CareTeam.participant:caregiver.roleextensiblePattern: SNOMED CT code 133932002
CareTeam.reasonCodeexampleSNOMEDCTClinicalFindings

Constraints

IdGradePath(s)DetailsRequirements
ctm-1errorCareTeam.participant, CareTeam.participant:patient-as-team-member, CareTeam.participant:caregiverCareTeam.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()

This structure is derived from USCoreCareTeam

Summary

Mandatory: 2 elements
Must-Support: 7 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element CareTeam.participant is sliced based on the values of value:role.coding.code, profile:$this.member.resolve(), value:role.coding.system

 

Other representations of profile: CSV, Excel, Schematron