The CareTeam includes all the people and organizations who plan to participate in the coordination and delivery of care for a patient. A CareTeam can be constructed for a single patient but typically handles more patients.
In the eHealth Infrastructure, a CareTeam has a lifecycle independent of Patients. A CareTeam represents an organizational unit; either a “real-world” unit such as a hospital department/care unit or a “virtual” unit spanning sectors or several real-world organizational units.
Although a CareTeam has subject
and context
which can reference a Patient and EpisodeOfCare, respectively,
this tying of a CareTeam to a Patient context is not currently used in the eHealth Infrastructure. The subject
and
context
have been retained for possible future use.
Instead CareTeam is intended to be referenced from CarePlan. It can be used to group practitioners from different organizations into a single CareTeam. It can also be used to assign practitioners from the same organization to more specific teams. A CareTeam can be referenced from a single CarePlan but the typical scenario is that it is referenced by multiple CarePlan instances crossing multiple Patient instances.
The intended usage is depicted here:
+---------------+
| EpisodeOfCare | ---> : "References"
+-------------+-+
^ |
| v
+--------+-+ +---------+
| CarePlan |----->| Patient |
+--------+-+ +---------+
|
v
+---------------+
| CareTeam |
+---------------+
| | |
| | |
| | |
+--------------+ | +----------------+
| | |
| | |
v v v
+----------+ +--------------+ +--------------+
| CareTeam | | Practitioner | | Organization |
+----------+ +--------------+ +--------------+
Each CareTeam can comprise a number of other CareTeam, Practitioner, and Organization. The ability for a CareTeam to be comprised of a number of Patient and RelatedPerson as well is not currently used in the eHealth Infrastructure, but has been retained for possible future use.
There are currently no restrictions on the composition of CareTeams. The intended usage is to establish a few layers of CareTeams, but it is important to make sure that the CareTem member graph contains no cycles.
The official URL for this profile is:
http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-careteam
This profile builds on CareTeam.
This profile was published on Fri Jun 07 11:10:06 UTC 2019 as a draft by ehealth.sundhed.dk.
Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.
This structure is derived from CareTeam
This structure is derived from CareTeam
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
CareTeam | 0..* | People and organizations who plan to participate in the coordination and delivery of care for a patient. | ||
name | 1..1 | string | ||
subject | 0..1 | Reference(eHealth Patient | Group) {r} | ||
context | 0..1 | Reference(Encounter | eHealth EpisodeOfCare) {r} | ||
reasonReference | 0..* | Reference(eHealth Condition) {r} | ||
managingOrganization | 0..* | Reference(eHealth Organization) {r} | ||
Documentation for this format |
This structure is derived from CareTeam
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
CareTeam | I | 0..* | People and organizations who plan to participate in the coordination and delivery of care for a patient. | |
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: Common Languages (extensible) | |
text | I | 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 | ?!Σ | 0..1 | code | proposed | active | suspended | inactive | entered-in-error Binding: CareTeamStatus (required) |
category | Σ | 0..* | CodeableConcept | Type of team Binding: CareTeamCategory (example) |
name | Σ | 1..1 | string | Name of the team, such as crisis assessment team |
subject | Σ | 0..1 | Reference(eHealth Patient | Group) {r} | Who care team is for |
context | Σ | 0..1 | Reference(Encounter | eHealth EpisodeOfCare) {r} | Encounter or episode associated with CareTeam |
period | Σ | 0..1 | Period | Time period team covers |
participant | I | 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 | xml:id (or equivalent in JSON) | |
extension | 0..* | Extension | Additional Content defined by implementations | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
role | Σ | 1..1 | CodeableConcept | Type of involvement Binding: CareTeamParticipantRole (example) |
member | Σ | 1..1 | Reference(eHealth Practitioner | eHealth RelatedPerson | eHealth Patient | eHealth Organization | eHealth CareTeam) {r} | Who is involved |
onBehalfOf | Σ | 0..1 | Reference(eHealth Organization) {r} | Organization of the practitioner |
period | 0..1 | Period | Time period of participant | |
reasonCode | 0..* | CodeableConcept | Why the care team exists Binding: SNOMED CT Clinical Findings (example) | |
reasonReference | 0..* | Reference(eHealth Condition) {r} | Why the care team exists | |
managingOrganization | Σ | 0..* | Reference(eHealth Organization) {r} | Organization responsible for the care team |
note | 0..* | Annotation | Comments made about the CareTeam | |
id | 0..1 | string | xml:id (or equivalent in JSON) | |
extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
author[x] | Σ | 0..1 | Reference(eHealth Practitioner | eHealth Patient | eHealth RelatedPerson), string | Individual responsible for the annotation |
time | Σ | 0..1 | dateTime | When the annotation was made |
text | 1..1 | string | The annotation - text content | |
Documentation for this format |
This structure is derived from CareTeam
Differential View
This structure is derived from CareTeam
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
CareTeam | 0..* | People and organizations who plan to participate in the coordination and delivery of care for a patient. | ||
name | 1..1 | string | ||
subject | 0..1 | Reference(eHealth Patient | Group) {r} | ||
context | 0..1 | Reference(Encounter | eHealth EpisodeOfCare) {r} | ||
reasonReference | 0..* | Reference(eHealth Condition) {r} | ||
managingOrganization | 0..* | Reference(eHealth Organization) {r} | ||
Documentation for this format |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
CareTeam | I | 0..* | People and organizations who plan to participate in the coordination and delivery of care for a patient. | |
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: Common Languages (extensible) | |
text | I | 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 | ?!Σ | 0..1 | code | proposed | active | suspended | inactive | entered-in-error Binding: CareTeamStatus (required) |
category | Σ | 0..* | CodeableConcept | Type of team Binding: CareTeamCategory (example) |
name | Σ | 1..1 | string | Name of the team, such as crisis assessment team |
subject | Σ | 0..1 | Reference(eHealth Patient | Group) {r} | Who care team is for |
context | Σ | 0..1 | Reference(Encounter | eHealth EpisodeOfCare) {r} | Encounter or episode associated with CareTeam |
period | Σ | 0..1 | Period | Time period team covers |
participant | I | 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 | xml:id (or equivalent in JSON) | |
extension | 0..* | Extension | Additional Content defined by implementations | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
role | Σ | 1..1 | CodeableConcept | Type of involvement Binding: CareTeamParticipantRole (example) |
member | Σ | 1..1 | Reference(eHealth Practitioner | eHealth RelatedPerson | eHealth Patient | eHealth Organization | eHealth CareTeam) {r} | Who is involved |
onBehalfOf | Σ | 0..1 | Reference(eHealth Organization) {r} | Organization of the practitioner |
period | 0..1 | Period | Time period of participant | |
reasonCode | 0..* | CodeableConcept | Why the care team exists Binding: SNOMED CT Clinical Findings (example) | |
reasonReference | 0..* | Reference(eHealth Condition) {r} | Why the care team exists | |
managingOrganization | Σ | 0..* | Reference(eHealth Organization) {r} | Organization responsible for the care team |
note | 0..* | Annotation | Comments made about the CareTeam | |
id | 0..1 | string | xml:id (or equivalent in JSON) | |
extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
author[x] | Σ | 0..1 | Reference(eHealth Practitioner | eHealth Patient | eHealth RelatedPerson), string | Individual responsible for the annotation |
time | Σ | 0..1 | dateTime | When the annotation was made |
text | 1..1 | string | The annotation - text content | |
Documentation for this format |
Path | Name | Conformance | ValueSet |
CareTeam.language | Common Languages | extensible | Common Languages |
CareTeam.status | CareTeamStatus | required | CareTeamStatus |
CareTeam.category | CareTeamCategory | example | CareTeamCategory |
CareTeam.participant.role | CareTeamParticipantRole | example | CareTeamParticipantRole |
CareTeam.reasonCode | SNOMED CT Clinical Findings | example | SNOMED CT Clinical Findings |
Id | Path | Details | Requirements |
dom-2 | CareTeam | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-1 | CareTeam | If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty() | |
dom-4 | 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-3 | CareTeam | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty() | |
ele-1 | CareTeam.participant | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
ctm-1 | CareTeam.participant | CareTeam.participant.onBehalfOf can only be populated when CareTeam.participant.member is a Practitioner : onBehalfOf.exists() implies (member.resolve() is Practitioner) |