QI-Core Implementation Guide
4.1.0 - release
QI-Core Implementation Guide
4.1.0 - release
This page is part of the Quality Improvement Core Framework (v4.1.0: STU 4) based on FHIR R4. The current version which supercedes this version is 4.1.1. For a full list of available versions, see the Directory of published versions 
| Defining URL: | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-careteam |
| Version: | 4.1.0 |
| Name: | QICoreCareTeam |
| Status: | Draft as of 8/22/18 |
| Definition: | Profile of CareTeam for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors. |
| Publisher: | http://www.hl7.org/Special/committees/cqi/index.cfm |
| Source Resource: | XML / JSON / Turtle |
The official URL for this profile is:
http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-careteam
| Antenatal Care Team Example |
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from USCoreCareTeam
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 | |
  subject | S | 1..1 | Reference(QICorePatient) | Who care team is for |
  participant | S | 1..* | BackboneElement | Members of the team |
  member | S | 1..1 | Reference(QICorePatient | QICorePractitioner | QICoreOrganization) | 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 | |
 id | Σ | 0..1 | string | 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) Max Binding: AllLanguages: A human language. | |
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
| contained | 0..* | Resource | Contained, inline Resources | |
 extension | 0..* | Extension | Additional content defined by implementations | |
 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(QICorePatient) | 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 | SI | 1..* | BackboneElement | Members of the team |
 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 | Type of involvement Binding: US Core CareTeam Provider Roles (extensible): Indicates specific responsibility of an individual within the care team, such as Primary physician, Team coordinator, Caregiver, etc. |
| member | SΣ | 1..1 | Reference(QICorePatient | QICorePractitioner | QICoreOrganization) | 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 | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| CareTeam | 0..* | USCoreCareTeam | Planned participants in the coordination and delivery of care for a patient or group | |
| status | ?!Σ | 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 | Σ | 1..1 | Reference(QICorePatient) | Who care team is for |
| participant | I | 1..* | BackboneElement | Members of the team |
| role | Σ | 1..1 | CodeableConcept | Type of involvement Binding: US Core CareTeam Provider Roles (extensible): Indicates specific responsibility of an individual within the care team, such as Primary physician, Team coordinator, Caregiver, etc. |
| member | Σ | 1..1 | Reference(QICorePatient | QICorePractitioner | QICoreOrganization) | Who is involved |
| Documentation for this format | ||||
This structure is derived from USCoreCareTeam
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 | |
| subject | S | 1..1 | Reference(QICorePatient) | Who care team is for |
| participant | S | 1..* | BackboneElement | Members of the team |
| member | S | 1..1 | Reference(QICorePatient | QICorePractitioner | QICoreOrganization) | Who is involved |
| Documentation for this format | ||||
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 | string | 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) Max Binding: AllLanguages: A human language. | |
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
| contained | 0..* | Resource | Contained, inline Resources | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| 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(QICorePatient) | 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 | SI | 1..* | BackboneElement | Members of the team |
| 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 | Type of involvement Binding: US Core CareTeam Provider Roles (extensible): Indicates specific responsibility of an individual within the care team, such as Primary physician, Team coordinator, Caregiver, etc. |
| member | SΣ | 1..1 | Reference(QICorePatient | QICorePractitioner | QICoreOrganization) | 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 | ||||
Other representations of profile: CSV, Excel, Schematron
| Path | Conformance | ValueSet |
| CareTeam.language | preferred | CommonLanguages Max Binding: AllLanguages |
| CareTeam.status | required | CareTeamStatus |
| CareTeam.category | example | CareTeamCategory |
| CareTeam.participant.role | extensible | USCoreCareTeamProviderRoles |
| CareTeam.reasonCode | example | SNOMEDCTClinicalFindings |
| Id | Grade | Path | Details | Requirements |
| 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 | CareTeam.meta | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | CareTeam.implicitRules | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | CareTeam.language | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | CareTeam.text | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | CareTeam.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | CareTeam.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | error | CareTeam.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | CareTeam.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | error | CareTeam.identifier | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | CareTeam.status | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | CareTeam.category | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | CareTeam.name | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | CareTeam.subject | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | CareTeam.encounter | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | CareTeam.period | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| 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 | CareTeam.participant | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | CareTeam.participant.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | CareTeam.participant.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | error | CareTeam.participant.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | CareTeam.participant.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | error | CareTeam.participant.role | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | CareTeam.participant.member | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | CareTeam.participant.onBehalfOf | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | CareTeam.participant.period | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | CareTeam.reasonCode | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | CareTeam.reasonReference | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | CareTeam.managingOrganization | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | CareTeam.telecom | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | error | CareTeam.note | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
IG © 2019+ http://www.hl7.org/Special/committees/cqi/index.cfm. Package hl7.fhir.us.qicore#4.1.0 based on FHIR 4.0.1. Generated 2022-01-18
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