Like clinician provider, a caregiver is an entity defined, in part, by a person (caregiver), a target of care (patient) and a role. This profile provides the ability to define a Caregiver for a specific patient, and provides a referenceable entity that is a Caregiver. Caregiver is not necessarily a formal position, so it does not fall under FHIR Practitioner. It features a requirement for one caregiver as a participant. The purpose is to establish that the RelatedPerson is a caregiver for the indicated patient. Use of this profile allows for explictly indicating that observations on the caregiver are specific to the position of caregiver for a specific patient. Caregivers are not considered practitioners by FHIR as they may not have formal roles in the care of patient. However, thier participation as the caregiver is a criticial function/context to observations about their ability to deliver care to the patinet. Again, this profle creates an entity that can be considered to be a Caregiver (caregiver requires a RelatedPerson, the giver, and a Patient, person to whom care is given, to be defined). The US Core Care Team sets minimum expectations for the CareTeam resource to record, search, and fetch caregivers 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 to facilitate and/or to encourage systems to be able to receive and understand a goal linkage if present.
• MCCCareTeam.participant requires single 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.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from USCoreCareTeam

Name	Flags	Card.	Type	Description & Constraints
CareTeam		0..*	USCoreCareTeam	Planned participants in the coordination and delivery of care for a patient or group
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
resource-pertainsToGoal	S	0..*	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
participant		1..1	BackboneElement	Caregiver
role		1..1	CodeableConcept	Caregiver Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 133932002
member		1..1	Reference(US Core RelatedPerson Profile)	Who is involved
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
CareTeam		0..*	USCoreCareTeam	Planned participants in the coordination and delivery of care for a patient or group
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
resource-pertainsToGoal	S	0..*	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..*	Extension	Extensions that cannot be ignored
status	?!SΣ	0..1	code	proposed | 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	SΣ	1..1	Reference(US Core Patient Profile)	Who care team is for
participant	SC	1..1	BackboneElement	Caregiver
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
role	SΣ	1..1	CodeableConcept	Caregiver 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
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 133932002
member	SΣ	1..1	Reference(US Core RelatedPerson Profile)	Who is involved
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
CareTeam.status	required	CareTeamStatus
CareTeam.participant.role	extensible	Pattern: SNOMED CT code 133932002

Constraints

Id	Grade	Path(s)	Details	Requirements
ctm-1	error	CareTeam.participant	CareTeam.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-2	error	CareTeam	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	CareTeam	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 : 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-4	error	CareTeam	If 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-5	error	CareTeam	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	CareTeam	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
CareTeam		0..*	USCoreCareTeam	Planned participants in the coordination and delivery of care for a patient or group
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
resource-pertainsToGoal	S	0..*	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..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this team
status	?!SΣ	0..1	code	proposed | 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	Σ	0..*	CodeableConcept	Type of team Binding: CareTeamCategory (example): Indicates the type of care team.
name	Σ	0..1	string	Name of the team, such as crisis assessment team
subject	SΣ	1..1	Reference(US Core Patient Profile)	Who care team is for
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
period	Σ	0..1	Period	Time period team covers
participant	SC	1..1	BackboneElement	Caregiver
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
role	SΣ	1..1	CodeableConcept	Caregiver 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
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 133932002
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
member	SΣ	1..1	Reference(US Core RelatedPerson Profile)	Who is involved
onBehalfOf	Σ	0..1	Reference(Organization)	Organization of the practitioner
period		0..1	Period	Time period of participant
reasonCode		0..*	CodeableConcept	Why the care team exists Binding: SNOMEDCTClinicalFindings (example): Indicates the reason for the care team.
reasonReference		0..*	Reference(Condition)	Why the care team exists
managingOrganization	Σ	0..*	Reference(Organization)	Organization responsible for the care team
telecom		0..*	ContactPoint	A contact detail for the care team (that applies to all members)
note		0..*	Annotation	Comments made about the CareTeam
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
CareTeam.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
CareTeam.status	required	CareTeamStatus
CareTeam.category	example	CareTeamCategory
CareTeam.participant.role	extensible	Pattern: SNOMED CT code 133932002
CareTeam.reasonCode	example	SNOMEDCTClinicalFindings

Constraints

Id	Grade	Path(s)	Details	Requirements
ctm-1	error	CareTeam.participant	CareTeam.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-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Differential View

This structure is derived from USCoreCareTeam

Name	Flags	Card.	Type	Description & Constraints
CareTeam		0..*	USCoreCareTeam	Planned participants in the coordination and delivery of care for a patient or group
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
resource-pertainsToGoal	S	0..*	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
participant		1..1	BackboneElement	Caregiver
role		1..1	CodeableConcept	Caregiver Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 133932002
member		1..1	Reference(US Core RelatedPerson Profile)	Who is involved
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
CareTeam		0..*	USCoreCareTeam	Planned participants in the coordination and delivery of care for a patient or group
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
resource-pertainsToGoal	S	0..*	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..*	Extension	Extensions that cannot be ignored
status	?!SΣ	0..1	code	proposed | 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	SΣ	1..1	Reference(US Core Patient Profile)	Who care team is for
participant	SC	1..1	BackboneElement	Caregiver
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
role	SΣ	1..1	CodeableConcept	Caregiver 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
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 133932002
member	SΣ	1..1	Reference(US Core RelatedPerson Profile)	Who is involved
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
CareTeam.status	required	CareTeamStatus
CareTeam.participant.role	extensible	Pattern: SNOMED CT code 133932002

Constraints

Id	Grade	Path(s)	Details	Requirements
ctm-1	error	CareTeam.participant	CareTeam.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-2	error	CareTeam	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	CareTeam	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 : 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-4	error	CareTeam	If 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-5	error	CareTeam	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	CareTeam	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
CareTeam		0..*	USCoreCareTeam	Planned participants in the coordination and delivery of care for a patient or group
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
resource-pertainsToGoal	S	0..*	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..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this team
status	?!SΣ	0..1	code	proposed | 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	Σ	0..*	CodeableConcept	Type of team Binding: CareTeamCategory (example): Indicates the type of care team.
name	Σ	0..1	string	Name of the team, such as crisis assessment team
subject	SΣ	1..1	Reference(US Core Patient Profile)	Who care team is for
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
period	Σ	0..1	Period	Time period team covers
participant	SC	1..1	BackboneElement	Caregiver
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
role	SΣ	1..1	CodeableConcept	Caregiver 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
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 133932002
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
member	SΣ	1..1	Reference(US Core RelatedPerson Profile)	Who is involved
onBehalfOf	Σ	0..1	Reference(Organization)	Organization of the practitioner
period		0..1	Period	Time period of participant
reasonCode		0..*	CodeableConcept	Why the care team exists Binding: SNOMEDCTClinicalFindings (example): Indicates the reason for the care team.
reasonReference		0..*	Reference(Condition)	Why the care team exists
managingOrganization	Σ	0..*	Reference(Organization)	Organization responsible for the care team
telecom		0..*	ContactPoint	A contact detail for the care team (that applies to all members)
note		0..*	Annotation	Comments made about the CareTeam
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
CareTeam.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
CareTeam.status	required	CareTeamStatus
CareTeam.category	example	CareTeamCategory
CareTeam.participant.role	extensible	Pattern: SNOMED CT code 133932002
CareTeam.reasonCode	example	SNOMEDCTClinicalFindings

Constraints

Id	Grade	Path(s)	Details	Requirements
ctm-1	error	CareTeam.participant	CareTeam.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-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from USCoreCareTeam

Summary

Must-Support: 1 element

Structures

This structure refers to these other structures:

• US Core RelatedPerson Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal