Scope and usage

This profile describes a MedComCoreCareTeam. A CareTeam is one or more professionals who plan to participate in the coordination and delivery of care for a patient or citizen. A MedComCoreCareTeam shall include a name and it may include a reference to an MedComCoreOrganization or MedComMessagingOrganization, as the managing organisation for the careteam.

Please refer to the tab "Snapshot Table(Must support)" below for the definition of the required content of a MedComCoreOrganization.

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CareTeam		0..*	CareTeam	Planned participants in the coordination and delivery of care for a patient or group
id	SOΣ	0..1	id	Logical id of this artifact Obligations Actor SHALL:in-narrative Producer of FHIR resources
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text	S	0..1	Narrative	The narrative text SHALL always be included when exchanging a MedCom FHIR Bundle. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
status	S	1..1	code	generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative.
div	SC	1..1	xhtml	Limited xhtml content Constraints: txt-1, txt-2
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	0..1	code	proposed | active | suspended | inactive | entered-in-error Binding: CareTeamStatus (required): Indicates the status of the care team.
name	SOΣ	1..1	string	Name of the team, such as crisis assessment team Obligations Actor SHALL:in-narrative Producer of FHIR resources
managingOrganization	SOΣ	0..1	Reference(MedComCoreOrganization) {b}	Organization responsible for the care team Obligations Actor SHALL:in-narrative Producer of FHIR resources
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
CareTeam.text.status	required	NarrativeStatus http://hl7.org/fhir/ValueSet/narrative-status|4.0.1 From the FHIR Standard
CareTeam.status	required	CareTeamStatus http://hl7.org/fhir/ValueSet/care-team-status|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	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	**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()
txt-1	error	CareTeam.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes : htmlChecks()
txt-2	error	CareTeam.text.div	The narrative SHALL have some non-whitespace content : htmlChecks()

This structure is derived from CareTeam

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CareTeam		0..*	CareTeam	Planned participants in the coordination and delivery of care for a patient or group
id	SO	0..1	id	Logical id of this artifact Obligations Actor SHALL:in-narrative Producer of FHIR resources
text	S	0..1	Narrative	The narrative text SHALL always be included when exchanging a MedCom FHIR Bundle.
status	S	1..1	code	generated | extensions | additional | empty
div	S	1..1	xhtml	Limited xhtml content
name	SO	1..1	string	Name of the team, such as crisis assessment team Obligations Actor SHALL:in-narrative Producer of FHIR resources
managingOrganization	SO	0..1	Reference(MedComCoreOrganization) {b}	Organization responsible for the care team Obligations Actor SHALL:in-narrative Producer of FHIR resources
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CareTeam		0..*	CareTeam	Planned participants in the coordination and delivery of care for a patient or group
id	SOΣ	0..1	id	Logical id of this artifact Obligations Actor SHALL:in-narrative Producer of FHIR resources
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	S	0..1	Narrative	The narrative text SHALL always be included when exchanging a MedCom FHIR Bundle. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
status	S	1..1	code	generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative.
div	SC	1..1	xhtml	Limited xhtml content Constraints: txt-1, txt-2
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	?!Σ	0..1	code	proposed | active | suspended | inactive | entered-in-error Binding: CareTeamStatus (required): Indicates the status of the care team.
category	Σ	0..*	CodeableConcept	Type of team Binding: CareTeamCategory (example): Indicates the type of care team.
name	SOΣ	1..1	string	Name of the team, such as crisis assessment team Obligations Actor SHALL:in-narrative Producer of FHIR resources
subject	Σ	0..1	Reference(Patient | Group)	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	C	0..*	BackboneElement	Members of the team Constraints: ctm-1
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	Σ	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	Σ	0..1	Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Organization | CareTeam)	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	SOΣ	0..1	Reference(MedComCoreOrganization) {b}	Organization responsible for the care team Obligations Actor SHALL:in-narrative Producer of FHIR resources
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	URI
CareTeam.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
CareTeam.text.status	required	NarrativeStatus http://hl7.org/fhir/ValueSet/narrative-status|4.0.1 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.reasonCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings From the FHIR Standard

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()
txt-1	error	CareTeam.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes : htmlChecks()
txt-2	error	CareTeam.text.div	The narrative SHALL have some non-whitespace content : htmlChecks()

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CareTeam		0..*	CareTeam	Planned participants in the coordination and delivery of care for a patient or group
id	SOΣ	0..1	id	Logical id of this artifact Obligations Actor SHALL:in-narrative Producer of FHIR resources
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text	S	0..1	Narrative	The narrative text SHALL always be included when exchanging a MedCom FHIR Bundle. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
status	S	1..1	code	generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative.
div	SC	1..1	xhtml	Limited xhtml content Constraints: txt-1, txt-2
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	0..1	code	proposed | active | suspended | inactive | entered-in-error Binding: CareTeamStatus (required): Indicates the status of the care team.
name	SOΣ	1..1	string	Name of the team, such as crisis assessment team Obligations Actor SHALL:in-narrative Producer of FHIR resources
managingOrganization	SOΣ	0..1	Reference(MedComCoreOrganization) {b}	Organization responsible for the care team Obligations Actor SHALL:in-narrative Producer of FHIR resources
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
CareTeam.text.status	required	NarrativeStatus http://hl7.org/fhir/ValueSet/narrative-status|4.0.1 From the FHIR Standard
CareTeam.status	required	CareTeamStatus http://hl7.org/fhir/ValueSet/care-team-status|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	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	**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()
txt-1	error	CareTeam.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes : htmlChecks()
txt-2	error	CareTeam.text.div	The narrative SHALL have some non-whitespace content : htmlChecks()

Differential View

This structure is derived from CareTeam

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CareTeam		0..*	CareTeam	Planned participants in the coordination and delivery of care for a patient or group
id	SO	0..1	id	Logical id of this artifact Obligations Actor SHALL:in-narrative Producer of FHIR resources
text	S	0..1	Narrative	The narrative text SHALL always be included when exchanging a MedCom FHIR Bundle.
status	S	1..1	code	generated | extensions | additional | empty
div	S	1..1	xhtml	Limited xhtml content
name	SO	1..1	string	Name of the team, such as crisis assessment team Obligations Actor SHALL:in-narrative Producer of FHIR resources
managingOrganization	SO	0..1	Reference(MedComCoreOrganization) {b}	Organization responsible for the care team Obligations Actor SHALL:in-narrative Producer of FHIR resources
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
CareTeam		0..*	CareTeam	Planned participants in the coordination and delivery of care for a patient or group
id	SOΣ	0..1	id	Logical id of this artifact Obligations Actor SHALL:in-narrative Producer of FHIR resources
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	S	0..1	Narrative	The narrative text SHALL always be included when exchanging a MedCom FHIR Bundle. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
status	S	1..1	code	generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative.
div	SC	1..1	xhtml	Limited xhtml content Constraints: txt-1, txt-2
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	?!Σ	0..1	code	proposed | active | suspended | inactive | entered-in-error Binding: CareTeamStatus (required): Indicates the status of the care team.
category	Σ	0..*	CodeableConcept	Type of team Binding: CareTeamCategory (example): Indicates the type of care team.
name	SOΣ	1..1	string	Name of the team, such as crisis assessment team Obligations Actor SHALL:in-narrative Producer of FHIR resources
subject	Σ	0..1	Reference(Patient | Group)	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	C	0..*	BackboneElement	Members of the team Constraints: ctm-1
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	Σ	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	Σ	0..1	Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Organization | CareTeam)	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	SOΣ	0..1	Reference(MedComCoreOrganization) {b}	Organization responsible for the care team Obligations Actor SHALL:in-narrative Producer of FHIR resources
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	URI
CareTeam.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
CareTeam.text.status	required	NarrativeStatus http://hl7.org/fhir/ValueSet/narrative-status|4.0.1 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.reasonCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings From the FHIR Standard

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()
txt-1	error	CareTeam.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes : htmlChecks()
txt-2	error	CareTeam.text.div	The narrative SHALL have some non-whitespace content : htmlChecks()

This structure is derived from CareTeam

Summary

Mandatory: 1 element
Must-Support: 6 elements

Structures

This structure refers to these other structures:

• MedComCoreOrganization (http://medcomfhir.dk/ig/core/StructureDefinition/medcom-core-organization)