This profile sets minimum expectations for searching for and fetching information associated with a care team. It identifies which core elements, extensions, vocabularies and value sets SHALL be present in the CareTeam resource when using this profile.

Background & Scope

A care team consists of the providers and/or organizations responsible for effectively delivering coordinated care. Care teams are conventionally associated with a specific patient. For example, a patient with diabetes may have a care team that consists of a physician, nurse, dietitian, certified diabetes educator, etc. Data about patients/caregivers, however, is out of scope for a Validated Healthcare Directory. Therefore, this care team profile constrains out elements which reference or describe patient-level data. In general, a Validated Healthcare Directory is more likely to represent administrative teams, or teams that are relevant beyond the direct clinical care of specific patients.

Individuals participating on a VHDir CareTeam SHALL be represented through an associated role. Therefore, this profile removes references to the Practitioner resource in CareTeam.participant.member. For example, Dr. Smith (an individual) does not participate on a care team. Rather, Dr. Smith in his role as a provider at Acme Hospital participates on a care team.

A care team may be functionally "empty," i.e. the roles on the care team are not filled by individuals. For example, a care team may be comprised of a primary care provider role, care coordinator role, and specialist role without indicating the individuals filling those roles (i.e., by referencing a PractitionerRole resource that does not reference a Practitioner resource). This enables entities to describe existing care teams while masking the identity of the individuals/organizations that are involved, or to represent standing care teams that are filled by individuals on an ad hoc basis in response to a condition/event.

This profile modifies the base CareTeam resource in the following manner:

• Constrains the cardinality of careTeam.status (1..1), careTeam.category (1..*), careTeam.context (0..0), careTeam.subject (0..0), careTeam.participant.onBehalfOf (0..0), careTeam.managingOrganization (0..1), careTeam.reasonCode (0..0), careTeam.reasonReference (0..0), careTeam.telecom.system (1..1), and careTeam.telecom.value (1..1)

• Modifies the data type of careTeam.note.author (removes references to Patient and RelatedPerson resources)

• Modifies the data type of CareTeam.participant.member (removes references to Patient, RelatedPerson, and Practitioner resources)

• All references SHALL conform to the appropriate Validated Healthcare Directory Implementation Guide profile

• Adds extensions:

1. Identifier status (1..1) - indicates the status of a care team's identifier
2. Via intermediary (0..1) - a reference to an alternative point of contact for this care team
3. Available time (0..*) - indicates when a care team is available for contact
4. Alias (0..*) - indicates alternate names by which the care team is known
5. Location (0..*) - reference(s) to the location resource, indicating the location(s) at which the care team operates or delivers services
6. Service (0..*) - reference(s) to the healthcareService resource, indicating the services offered by the care team
7. Endpoint (0..*) - reference(s) to the endpoint resource, indicating technical endpoints for the care team independent of its members, affiliated organizations, etc.
8. Restriction (0..*) - indicates whether disclosure of any data associated with a care team is restricted

Examples:

The following are example uses for the vhdir-careteam profile:

• A cardiology care team at Founding Fathers Memorial Hospital

Mandatory Data Elements

The following data-elements are mandatory (i.e data MUST be present). These are presented below in a simple human-readable explanation. The Formal Profile Definition below provides the formal summary, definitions, and terminology requirements.

Each CareTeam must have:

1. One status code in careTeam.status
2. At least one type of care team in careTeam.category

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

Name	Flags	Card.	Type	Description & Constraints
CareTeam		0..*	CareTeam	Planned participants in the coordination and delivery of care for a patient or group dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
restriction	S	0..*	Reference(VhDir Restriction)	Restriction URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/usage-restriction ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
alias	S	0..*	string	Alternate name for care team URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/careteam-alias ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
location	S	0..*	Reference(VhDir Location)	Where the care team operates URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/location-reference ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
service	S	0..*	Reference(VhDir Healthcare Service)	Services provided by the care team URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/healthcareservice-reference ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
endpoint	S	0..*	Reference(VhDir Endpoint)	Endpoints for the care team URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/endpoint-reference ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	SΣ	0..*	Identifier	External Ids for this team ele-1: All FHIR elements must have a @value or children
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	S	1..1	code	Status URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/identifier-status Binding: VhDir Identifier Status Value Set (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
use	?!SΣ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
type	SΣ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. ele-1: All FHIR elements must have a @value or children
system	SΣ	0..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456
period	SΣ	0..1	Period	Time period when id is/was valid for use ele-1: All FHIR elements must have a @value or children
assigner	SΣ	0..1	Reference(VhDir Organization)	Organization that issued id (may be just text) ele-1: All FHIR elements must have a @value or children
status	?!SΣ	1..1	code	proposed | active | suspended | inactive | entered-in-error Binding: CareTeamStatus (required): Indicates the status of the care team. ele-1: All FHIR elements must have a @value or children
category	SΣ	1..*	CodeableConcept	Type of team Binding: CareTeamCategory (example): Indicates the type of care team. ele-1: All FHIR elements must have a @value or children
name	SΣ	0..1	string	Name of the team, such as crisis assessment team ele-1: All FHIR elements must have a @value or children
period	SΣ	0..1	Period	Time period team covers ele-1: All FHIR elements must have a @value or children
participant	SC	0..*	BackboneElement	Members of the team ctm-1: CareTeam.participant.onBehalfOf can only be populated when CareTeam.participant.member is a Practitioner ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
role	SΣ	0..*	CodeableConcept	Type of involvement Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc. ele-1: All FHIR elements must have a @value or children
member	SΣ	0..1	Reference(VhDir Care Team | VhDir Practitioner Role | VhDir Organization)	Who is involved ele-1: All FHIR elements must have a @value or children
period	S	0..1	Period	Time period of participant ele-1: All FHIR elements must have a @value or children
managingOrganization	SΣ	0..1	Reference(VhDir Organization)	Organization responsible for the care team ele-1: All FHIR elements must have a @value or children
telecom	S	0..*	ContactPoint	A contact detail for the care team (that applies to all members) ele-1: All FHIR elements must have a @value or children
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
availabletime	S	0..*	(Complex)	Available time URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/contactpoint-availabletime ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
viaintermediary	S	0..1	Reference(VhDir Practitioner Role | VhDir Organization | VhDir Organization Affiliation | VhDir Location)	viaintermediary URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/contactpoint-viaintermediary ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
system	SΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. ele-1: All FHIR elements must have a @value or children
value	SΣ	1..1	string	The actual contact point details ele-1: All FHIR elements must have a @value or children
use	?!SΣ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point. ele-1: All FHIR elements must have a @value or children
rank	SΣ	0..1	positiveInt	Specify preferred order of use (1 = highest) ele-1: All FHIR elements must have a @value or children
period	SΣ	0..1	Period	Time period when the contact point was/is in use ele-1: All FHIR elements must have a @value or children
note	S	0..*	Annotation	Comments made about the CareTeam ele-1: All FHIR elements must have a @value or children
author[x]	SΣ	0..1		Individual responsible for the annotation ele-1: All FHIR elements must have a @value or children
authorReference			Reference(VhDir Practitioner)
authorString			string
time	SΣ	0..1	dateTime	When the annotation was made ele-1: All FHIR elements must have a @value or children
text	SΣ	1..1	markdown	The annotation - text content (as markdown) ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
CareTeam.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
CareTeam.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
CareTeam.status	required	CareTeamStatus http://hl7.org/fhir/ValueSet/care-team-status|4.0.1 from the FHIR Standard
CareTeam.category	example	CareTeamCategory http://hl7.org/fhir/ValueSet/care-team-category from the FHIR Standard
CareTeam.participant.role	example	ParticipantRoles http://hl7.org/fhir/ValueSet/participant-role from the FHIR Standard
CareTeam.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard
CareTeam.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 from the FHIR Standard

This structure is derived from CareTeam

Name	Flags	Card.	Type	Description & Constraints
CareTeam		0..*	CareTeam	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
restriction	S	0..*	Reference(VhDir Restriction)	Restriction URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/usage-restriction
alias	S	0..*	string	Alternate name for care team URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/careteam-alias
location	S	0..*	Reference(VhDir Location)	Where the care team operates URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/location-reference
service	S	0..*	Reference(VhDir Healthcare Service)	Services provided by the care team URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/healthcareservice-reference
endpoint	S	0..*	Reference(VhDir Endpoint)	Endpoints for the care team URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/endpoint-reference
identifier	S	0..*	Identifier	External Ids for this team
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
status	S	1..1	code	Status URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/identifier-status Binding: VhDir Identifier Status Value Set (required)
use	S	0..1	code	usual | official | temp | secondary | old (If known)
type	S	0..1	CodeableConcept	Description of identifier
system	S	0..1	uri	The namespace for the identifier value
value	S	0..1	string	The value that is unique
period	S	0..1	Period	Time period when id is/was valid for use
assigner	S	0..1	Reference(VhDir Organization)	Organization that issued id (may be just text)
status	S	1..1	code	proposed | active | suspended | inactive | entered-in-error
category	S	1..*	CodeableConcept	Type of team
name	S	0..1	string	Name of the team, such as crisis assessment team
subject	S	0..0
encounter		0..0
period	S	0..1	Period	Time period team covers
participant	S	0..*	BackboneElement	Members of the team
role	S	0..*	CodeableConcept	Type of involvement
member	S	0..1	Reference(VhDir Care Team | VhDir Practitioner Role | VhDir Organization)	Who is involved
onBehalfOf	S	0..0
period	S	0..1	Period	Time period of participant
reasonCode	S	0..0
reasonReference	S	0..0
managingOrganization	S	0..1	Reference(VhDir Organization)	Organization responsible for the care team
telecom	S	0..*	ContactPoint	A contact detail for the care team (that applies to all members)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
availabletime	S	0..*	(Complex)	Available time URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/contactpoint-availabletime
viaintermediary	S	0..1	Reference(VhDir Practitioner Role | VhDir Organization | VhDir Organization Affiliation | VhDir Location)	viaintermediary URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/contactpoint-viaintermediary
system	S	1..1	code	phone | fax | email | pager | url | sms | other
value	S	1..1	string	The actual contact point details
use	S	0..1	code	home | work | temp | old | mobile - purpose of this contact point
rank	S	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	S	0..1	Period	Time period when the contact point was/is in use
note	S	0..*	Annotation	Comments made about the CareTeam
author[x]	S	0..1		Individual responsible for the annotation
authorReference			Reference(VhDir Practitioner)
authorString			string
time	S	0..1	dateTime	When the annotation was made
text	S	1..1	markdown	The annotation - text content (as markdown)
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
CareTeam		0..*	CareTeam	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
restriction	S	0..*	Reference(VhDir Restriction)	Restriction URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/usage-restriction
alias	S	0..*	string	Alternate name for care team URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/careteam-alias
location	S	0..*	Reference(VhDir Location)	Where the care team operates URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/location-reference
service	S	0..*	Reference(VhDir Healthcare Service)	Services provided by the care team URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/healthcareservice-reference
endpoint	S	0..*	Reference(VhDir Endpoint)	Endpoints for the care team URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/endpoint-reference
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	External Ids for this team
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
status	S	1..1	code	Status URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/identifier-status Binding: VhDir Identifier Status Value Set (required)
use	?!SΣ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique Example General: 123456
period	SΣ	0..1	Period	Time period when id is/was valid for use
assigner	SΣ	0..1	Reference(VhDir Organization)	Organization that issued id (may be just text)
status	?!SΣ	1..1	code	proposed | active | suspended | inactive | entered-in-error Binding: CareTeamStatus (required): Indicates the status of the care team.
category	SΣ	1..*	CodeableConcept	Type of team Binding: CareTeamCategory (example): Indicates the type of care team.
name	SΣ	0..1	string	Name of the team, such as crisis assessment team
period	SΣ	0..1	Period	Time period team covers
participant	SC	0..*	BackboneElement	Members of the team ctm-1: CareTeam.participant.onBehalfOf can only be populated when CareTeam.participant.member is a Practitioner
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	0..*	CodeableConcept	Type of involvement Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
member	SΣ	0..1	Reference(VhDir Care Team | VhDir Practitioner Role | VhDir Organization)	Who is involved
period	S	0..1	Period	Time period of participant
managingOrganization	SΣ	0..1	Reference(VhDir Organization)	Organization responsible for the care team
telecom	S	0..*	ContactPoint	A contact detail for the care team (that applies to all members)
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
availabletime	S	0..*	(Complex)	Available time URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/contactpoint-availabletime
viaintermediary	S	0..1	Reference(VhDir Practitioner Role | VhDir Organization | VhDir Organization Affiliation | VhDir Location)	viaintermediary URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/contactpoint-viaintermediary
system	SΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	SΣ	1..1	string	The actual contact point details
use	?!SΣ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank	SΣ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	SΣ	0..1	Period	Time period when the contact point was/is in use
note	S	0..*	Annotation	Comments made about the CareTeam
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
author[x]	SΣ	0..1		Individual responsible for the annotation
authorReference			Reference(VhDir Practitioner)
authorString			string
time	SΣ	0..1	dateTime	When the annotation was made
text	SΣ	1..1	markdown	The annotation - text content (as markdown)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
CareTeam.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
CareTeam.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
CareTeam.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
CareTeam.status	required	CareTeamStatus http://hl7.org/fhir/ValueSet/care-team-status|4.0.1 from the FHIR Standard
CareTeam.category	example	CareTeamCategory http://hl7.org/fhir/ValueSet/care-team-category from the FHIR Standard
CareTeam.participant.role	example	ParticipantRoles http://hl7.org/fhir/ValueSet/participant-role from the FHIR Standard
CareTeam.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard
CareTeam.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 from the FHIR Standard

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
CareTeam		0..*	CareTeam	Planned participants in the coordination and delivery of care for a patient or group dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
restriction	S	0..*	Reference(VhDir Restriction)	Restriction URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/usage-restriction ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
alias	S	0..*	string	Alternate name for care team URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/careteam-alias ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
location	S	0..*	Reference(VhDir Location)	Where the care team operates URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/location-reference ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
service	S	0..*	Reference(VhDir Healthcare Service)	Services provided by the care team URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/healthcareservice-reference ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
endpoint	S	0..*	Reference(VhDir Endpoint)	Endpoints for the care team URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/endpoint-reference ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	SΣ	0..*	Identifier	External Ids for this team ele-1: All FHIR elements must have a @value or children
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	S	1..1	code	Status URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/identifier-status Binding: VhDir Identifier Status Value Set (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
use	?!SΣ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
type	SΣ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. ele-1: All FHIR elements must have a @value or children
system	SΣ	0..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456
period	SΣ	0..1	Period	Time period when id is/was valid for use ele-1: All FHIR elements must have a @value or children
assigner	SΣ	0..1	Reference(VhDir Organization)	Organization that issued id (may be just text) ele-1: All FHIR elements must have a @value or children
status	?!SΣ	1..1	code	proposed | active | suspended | inactive | entered-in-error Binding: CareTeamStatus (required): Indicates the status of the care team. ele-1: All FHIR elements must have a @value or children
category	SΣ	1..*	CodeableConcept	Type of team Binding: CareTeamCategory (example): Indicates the type of care team. ele-1: All FHIR elements must have a @value or children
name	SΣ	0..1	string	Name of the team, such as crisis assessment team ele-1: All FHIR elements must have a @value or children
period	SΣ	0..1	Period	Time period team covers ele-1: All FHIR elements must have a @value or children
participant	SC	0..*	BackboneElement	Members of the team ctm-1: CareTeam.participant.onBehalfOf can only be populated when CareTeam.participant.member is a Practitioner ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
role	SΣ	0..*	CodeableConcept	Type of involvement Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc. ele-1: All FHIR elements must have a @value or children
member	SΣ	0..1	Reference(VhDir Care Team | VhDir Practitioner Role | VhDir Organization)	Who is involved ele-1: All FHIR elements must have a @value or children
period	S	0..1	Period	Time period of participant ele-1: All FHIR elements must have a @value or children
managingOrganization	SΣ	0..1	Reference(VhDir Organization)	Organization responsible for the care team ele-1: All FHIR elements must have a @value or children
telecom	S	0..*	ContactPoint	A contact detail for the care team (that applies to all members) ele-1: All FHIR elements must have a @value or children
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
availabletime	S	0..*	(Complex)	Available time URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/contactpoint-availabletime ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
viaintermediary	S	0..1	Reference(VhDir Practitioner Role | VhDir Organization | VhDir Organization Affiliation | VhDir Location)	viaintermediary URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/contactpoint-viaintermediary ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
system	SΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point. ele-1: All FHIR elements must have a @value or children
value	SΣ	1..1	string	The actual contact point details ele-1: All FHIR elements must have a @value or children
use	?!SΣ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point. ele-1: All FHIR elements must have a @value or children
rank	SΣ	0..1	positiveInt	Specify preferred order of use (1 = highest) ele-1: All FHIR elements must have a @value or children
period	SΣ	0..1	Period	Time period when the contact point was/is in use ele-1: All FHIR elements must have a @value or children
note	S	0..*	Annotation	Comments made about the CareTeam ele-1: All FHIR elements must have a @value or children
author[x]	SΣ	0..1		Individual responsible for the annotation ele-1: All FHIR elements must have a @value or children
authorReference			Reference(VhDir Practitioner)
authorString			string
time	SΣ	0..1	dateTime	When the annotation was made ele-1: All FHIR elements must have a @value or children
text	SΣ	1..1	markdown	The annotation - text content (as markdown) ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
CareTeam.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
CareTeam.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
CareTeam.status	required	CareTeamStatus http://hl7.org/fhir/ValueSet/care-team-status|4.0.1 from the FHIR Standard
CareTeam.category	example	CareTeamCategory http://hl7.org/fhir/ValueSet/care-team-category from the FHIR Standard
CareTeam.participant.role	example	ParticipantRoles http://hl7.org/fhir/ValueSet/participant-role from the FHIR Standard
CareTeam.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard
CareTeam.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 from the FHIR Standard

Differential View

This structure is derived from CareTeam

Name	Flags	Card.	Type	Description & Constraints
CareTeam		0..*	CareTeam	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
restriction	S	0..*	Reference(VhDir Restriction)	Restriction URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/usage-restriction
alias	S	0..*	string	Alternate name for care team URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/careteam-alias
location	S	0..*	Reference(VhDir Location)	Where the care team operates URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/location-reference
service	S	0..*	Reference(VhDir Healthcare Service)	Services provided by the care team URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/healthcareservice-reference
endpoint	S	0..*	Reference(VhDir Endpoint)	Endpoints for the care team URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/endpoint-reference
identifier	S	0..*	Identifier	External Ids for this team
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
status	S	1..1	code	Status URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/identifier-status Binding: VhDir Identifier Status Value Set (required)
use	S	0..1	code	usual | official | temp | secondary | old (If known)
type	S	0..1	CodeableConcept	Description of identifier
system	S	0..1	uri	The namespace for the identifier value
value	S	0..1	string	The value that is unique
period	S	0..1	Period	Time period when id is/was valid for use
assigner	S	0..1	Reference(VhDir Organization)	Organization that issued id (may be just text)
status	S	1..1	code	proposed | active | suspended | inactive | entered-in-error
category	S	1..*	CodeableConcept	Type of team
name	S	0..1	string	Name of the team, such as crisis assessment team
subject	S	0..0
encounter		0..0
period	S	0..1	Period	Time period team covers
participant	S	0..*	BackboneElement	Members of the team
role	S	0..*	CodeableConcept	Type of involvement
member	S	0..1	Reference(VhDir Care Team | VhDir Practitioner Role | VhDir Organization)	Who is involved
onBehalfOf	S	0..0
period	S	0..1	Period	Time period of participant
reasonCode	S	0..0
reasonReference	S	0..0
managingOrganization	S	0..1	Reference(VhDir Organization)	Organization responsible for the care team
telecom	S	0..*	ContactPoint	A contact detail for the care team (that applies to all members)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
availabletime	S	0..*	(Complex)	Available time URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/contactpoint-availabletime
viaintermediary	S	0..1	Reference(VhDir Practitioner Role | VhDir Organization | VhDir Organization Affiliation | VhDir Location)	viaintermediary URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/contactpoint-viaintermediary
system	S	1..1	code	phone | fax | email | pager | url | sms | other
value	S	1..1	string	The actual contact point details
use	S	0..1	code	home | work | temp | old | mobile - purpose of this contact point
rank	S	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	S	0..1	Period	Time period when the contact point was/is in use
note	S	0..*	Annotation	Comments made about the CareTeam
author[x]	S	0..1		Individual responsible for the annotation
authorReference			Reference(VhDir Practitioner)
authorString			string
time	S	0..1	dateTime	When the annotation was made
text	S	1..1	markdown	The annotation - text content (as markdown)
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
CareTeam		0..*	CareTeam	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
restriction	S	0..*	Reference(VhDir Restriction)	Restriction URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/usage-restriction
alias	S	0..*	string	Alternate name for care team URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/careteam-alias
location	S	0..*	Reference(VhDir Location)	Where the care team operates URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/location-reference
service	S	0..*	Reference(VhDir Healthcare Service)	Services provided by the care team URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/healthcareservice-reference
endpoint	S	0..*	Reference(VhDir Endpoint)	Endpoints for the care team URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/endpoint-reference
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	External Ids for this team
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
status	S	1..1	code	Status URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/identifier-status Binding: VhDir Identifier Status Value Set (required)
use	?!SΣ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique Example General: 123456
period	SΣ	0..1	Period	Time period when id is/was valid for use
assigner	SΣ	0..1	Reference(VhDir Organization)	Organization that issued id (may be just text)
status	?!SΣ	1..1	code	proposed | active | suspended | inactive | entered-in-error Binding: CareTeamStatus (required): Indicates the status of the care team.
category	SΣ	1..*	CodeableConcept	Type of team Binding: CareTeamCategory (example): Indicates the type of care team.
name	SΣ	0..1	string	Name of the team, such as crisis assessment team
period	SΣ	0..1	Period	Time period team covers
participant	SC	0..*	BackboneElement	Members of the team ctm-1: CareTeam.participant.onBehalfOf can only be populated when CareTeam.participant.member is a Practitioner
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	0..*	CodeableConcept	Type of involvement Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
member	SΣ	0..1	Reference(VhDir Care Team | VhDir Practitioner Role | VhDir Organization)	Who is involved
period	S	0..1	Period	Time period of participant
managingOrganization	SΣ	0..1	Reference(VhDir Organization)	Organization responsible for the care team
telecom	S	0..*	ContactPoint	A contact detail for the care team (that applies to all members)
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
availabletime	S	0..*	(Complex)	Available time URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/contactpoint-availabletime
viaintermediary	S	0..1	Reference(VhDir Practitioner Role | VhDir Organization | VhDir Organization Affiliation | VhDir Location)	viaintermediary URL: http://hl7.org/fhir/uv/vhdir/StructureDefinition/contactpoint-viaintermediary
system	SΣC	1..1	code	phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value	SΣ	1..1	string	The actual contact point details
use	?!SΣ	0..1	code	home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank	SΣ	0..1	positiveInt	Specify preferred order of use (1 = highest)
period	SΣ	0..1	Period	Time period when the contact point was/is in use
note	S	0..*	Annotation	Comments made about the CareTeam
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
author[x]	SΣ	0..1		Individual responsible for the annotation
authorReference			Reference(VhDir Practitioner)
authorString			string
time	SΣ	0..1	dateTime	When the annotation was made
text	SΣ	1..1	markdown	The annotation - text content (as markdown)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
CareTeam.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
CareTeam.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
CareTeam.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
CareTeam.status	required	CareTeamStatus http://hl7.org/fhir/ValueSet/care-team-status|4.0.1 from the FHIR Standard
CareTeam.category	example	CareTeamCategory http://hl7.org/fhir/ValueSet/care-team-category from the FHIR Standard
CareTeam.participant.role	example	ParticipantRoles http://hl7.org/fhir/ValueSet/participant-role from the FHIR Standard
CareTeam.telecom.system	required	ContactPointSystem http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 from the FHIR Standard
CareTeam.telecom.use	required	ContactPointUse http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 from the FHIR Standard

This structure is derived from CareTeam

Summary

Mandatory: 2 elements(4 nested mandatory elements)
Must-Support: 38 elements
Prohibited: 5 elements

Structures

This structure refers to these other structures:

• VhDir Organization (http://hl7.org/fhir/uv/vhdir/StructureDefinition/vhdir-organization)
• VhDir Care Team (http://hl7.org/fhir/uv/vhdir/StructureDefinition/vhdir-careteam)
• VhDir Practitioner Role (http://hl7.org/fhir/uv/vhdir/StructureDefinition/vhdir-practitionerrole)
• VhDir Practitioner (http://hl7.org/fhir/uv/vhdir/StructureDefinition/vhdir-practitioner)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/uv/vhdir/StructureDefinition/usage-restriction
• http://hl7.org/fhir/uv/vhdir/StructureDefinition/careteam-alias
• http://hl7.org/fhir/uv/vhdir/StructureDefinition/location-reference
• http://hl7.org/fhir/uv/vhdir/StructureDefinition/healthcareservice-reference
• http://hl7.org/fhir/uv/vhdir/StructureDefinition/endpoint-reference
• http://hl7.org/fhir/uv/vhdir/StructureDefinition/identifier-status
• http://hl7.org/fhir/uv/vhdir/StructureDefinition/contactpoint-availabletime
• http://hl7.org/fhir/uv/vhdir/StructureDefinition/contactpoint-viaintermediary

Maturity: 2

Supported Searches

1. GET [base]/CareTeam?category=[code]

   Support: MAY support search by the category parameter

   • including the modifiers: text

1. GET [base]/CareTeam?endpoint=[id]

   Support: SHOULD support search by the endpoint parameter

   • with a target type: Endpoint
   • including these search paramaters which may be chained: endpoint.identifier, endpoint.connection-type, endpoint.organization

1. GET [base]/CareTeam?identifier=[code]

   Support: SHALL support search by the identifier parameter

   • including the modifiers: text, ofType

1. GET [base]/CareTeam?identifier-assigner=[id]

   Support: MAY support search by the identifier-assigner parameter

   • with a target type: Organization
   • including the modifiers: below
   • including these search paramaters which may be chained: identifier-assigner.identifier, identifier-assigner.name

1. GET [base]/CareTeam?location=[id]

   Support: SHALL support search by the location parameter

   • with a target type: Location
   • including the modifiers: above, below
   • including these search paramaters which may be chained: location.identifier, location.type, location.address, location.organization

1. GET [base]/CareTeam?participant=[id]

   Support: SHALL support search by the participant parameter

   • with a target type: PractitionerRole, Organization, CareTeam
   • including the modifier: type
   • including these search paramaters which may be chained: participant.identifier, participant.location, participant.practitioner, participant.organization, participant.role, participant.address, participant.name, participant.partof

1. GET [base]/CareTeam?name=[string]

   Support: SHOULD support search by the name parameter

   • including the modifiers: exact, contains

1. GET [base]/CareTeam?organization=[id]

   Support: SHALL support search by the organization parameter

   • with a target type: Organization
   • including the modifiers: above, below
   • including these search paramaters which may be chained: organization.identifier, organization.name, organization.address, organization.partof, organization.type

1. GET [base]/CareTeam?service=[id]

   Support: SHOULD support search by the service parameter

   • with a target type: HealthcareService
   • including these search paramaters which may be chained: service.identifier, service.service-category, service.organization, service.location

1. GET [base]/CareTeam?status=[code]

   Support: SHALL support search by the status parameter

1. GET [base]/CareTeam?via-intermediary=[id]

   Support: MAY support search by the via-intermediary parameter

   • with a target type: PractitionerRole, Organization, OrganizationAffiliation, Location