QI-Core Implementation Guide
            
            4.1.1 - STU 4.1.1
  US
            
          
This page is part of the Quality Improvement Core Framework (v4.1.1: STU 4) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 7.0.1. For a full list of available versions, see the Directory of published versions
| Official URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-careteam | Version: 4.1.1 | |||
| Draft as of 2018-08-22 | Computable Name: QICoreCareTeam | |||
Profile of CareTeam for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.
| Antenatal Care Team Example | 
Usage:
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()) |