Da Vinci Payer Data exchange Implementation Guide Release 0.1.0

This page is part of the Da Vinci Payer Data Exchange (v0.1.0: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions

3-6-18 US Core CareTeam

Where a Health Plan has access to Information about the CareTeam for a member they SHALL make the information available using the US Core CareTeam resource.

The essential fields to be provided in the CareTeam resource are:

R4 Hierarchical Name R4 Name Flags Card. Type      
CareTeam CareTeam I 0..*        
CareTeam.id id   0..1 id      
CareTeam.status status ?!S 1..1 code      
CareTeam.subject subject S 1..1 Reference(US Core Patient Profile)      
CareTeam.participant participant SI 1..* BackboneElement      
CareTeam.participant.role role S 1..1 CodeableConcept      
CareTeam.participant.member member S 1..1 Reference(US Core Patient Profile US Core Practitioner Profile US Core Organization Profile RelatedPerson)

3-6-18-1 Example CareTeam Resource

An example mapping of a CareTeam is shown below:

{
  "resourceType" : "CareTeam",
  "id" : "example",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/us/core/StructureDefinition/us-core-careteam"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">

Generated Narrative with Details

id: example

meta:

status: active

name: US-Core example CareTeam

subject: <a href=\"Patient-example.html\">Amy V. Shaw. Generated Summary: id: example; Medical Record Number = 1032702 (USUAL); active; Amy V. Shaw ; ph: 555-555-5555(HOME), amy.shaw@example.com; gender: female; birthDate: Feb 20, 2007</a>

participant

role: Allopathic &amp; Osteopathic Physicians:Internal Medicine:Cardiovascular Disease <span style=\"background: LightGoldenRodYellow\">(Details : {http://nucc.org/provider-taxonomy code '207RC0000X' = 'Cardiovascular Disease', given as 'Allopathic &amp; Osteopathic Physicians:Internal Medicine:Cardiovascular Disease'})</span>

member: <a href=\"Practitioner-practitioner-1.html\">Ronald Bone, MD. Generated Summary: id: practitioner-1; 9941339108, 25456; Ronald Bone </a>

participant

role: Allopathic &amp; Osteopathic Physicians:General Practice <span style=\"background: LightGoldenRodYellow\">(Details : {http://nucc.org/provider-taxonomy code '208D00000X' = 'General Practice', given as 'Allopathic &amp; Osteopathic Physicians:General Practice'})</span>

member: <a href=\"Practitioner-practitioner-2.html\">Kathy Fielding, MD. Generated Summary: id: practitioner-2; 1245319599, 456789; Fielding Kathy </a>

participant

role: Patient (person) <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '116154003' = 'Patient', given as 'Patient (person)'})</span>

member: <a href=\"Patient-example.html\">Amy V. Shaw. Generated Summary: id: example; Medical Record Number = 1032702 (USUAL); active; Amy V. Shaw ; ph: 555-555-5555(HOME), amy.shaw@example.com; gender: female; birthDate: Feb 20, 2007</a>

</div>" }, "status" : "active", "name" : "US-Core example CareTeam", "subject" : { "reference" : "Patient/example", "display" : "Amy V. Shaw" }, "participant" : [ { "role" : [ { "coding" : [ { "system" : "http://nucc.org/provider-taxonomy", "code" : "207RC0000X", "display" : "Allopathic & Osteopathic Physicians:Internal Medicine:Cardiovascular Disease" } ] } ], "member" : { "reference" : "Practitioner/practitioner-1", "display" : "Ronald Bone, MD" } }, { "role" : [ { "coding" : [ { "system" : "http://nucc.org/provider-taxonomy", "code" : "208D00000X", "display" : "Allopathic & Osteopathic Physicians:General Practice" } ] } ], "member" : { "reference" : "Practitioner/practitioner-2", "display" : "Kathy Fielding, MD" } }, { "role" : [ { "coding" : [ { "system" : "http://snomed.info/sct", "code" : "116154003", "display" : "Patient (person)" } ] } ], "member" : { "reference" : "Patient/example", "display" : "Amy V. Shaw" } } ] }