QI-Core Implementation Guide
7.0.2 - STU 7 United States of America flag

QI-Core Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 7.0.2 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-qi-core/ and changes regularly. See the Directory of published versions

Resource Profile: QICore CareTeam

Official URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-careteam Version: 7.0.2
Standards status: Trial-use Maturity Level: 4 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.

"Must Have", "QI Elements" and "primary code path" are defined in the QI-Core Must Support section.
Must Have:
  • participant: Members of the team
  • subject: (QI) Who the care team is for.
Primary code path: participant.role
(PCPath) This element is the primary code path for this resource CQL Retrieve

Usage

See the patterns page for implementation and usage patterns.

Examples

Antenatal Care Team Example

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CareTeam 0..* USCoreCareTeam Planned participants in the coordination and delivery of care for a patient or group
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... 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.
... participant SC 1..* BackboneElement Members of the team
Constraints: ctm-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... role SΣ 1..1 CodeableConcept (QI) Type of involvement
Binding: Care Team Member Function . (extensible): Indicates specific responsibility of an individual within the care team, such as Primary physician, Team coordinator, Caregiver, etc.
.... member SΣ 1..1 Reference(QICore Patient | QICore Practitioner | QICore PractitionerRole | QICore Organization | QICore CareTeam | QICore RelatedPerson) (QI) Who is involved

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
CareTeam.status Base required CareTeamStatus 📦4.0.1 FHIR Std.
CareTeam.participant.​role Base extensible Care Team Member Function . 📦20190418 VSAC v0.18

Constraints

Id Grade Path(s) Description Expression
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()

This structure is derived from USCoreCareTeam

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CareTeam 0..* USCoreCareTeam Planned participants in the coordination and delivery of care for a patient or group
... subject 1..1 Reference(QICore Patient) (QI) Who the care team is for.
... participant
.... role SΣ 1..1 CodeableConcept (QI) Type of involvement
Binding: Care Team Member Function . (extensible): Indicates specific responsibility of an individual within the care team, such as Primary physician, Team coordinator, Caregiver, etc.
.... member 1..1 Reference(QICore Patient | QICore Practitioner | QICore PractitionerRole | QICore Organization | QICore CareTeam | QICore RelatedPerson) (QI) Who is involved

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
CareTeam.participant.​role Base extensible Care Team Member Function . 📦20190418 VSAC v0.18
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CareTeam 0..* USCoreCareTeam 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... 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(QICore Patient) (QI) Who the 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 SC 1..* 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 SΣ 1..1 CodeableConcept (QI) Type of involvement
Binding: Care Team Member Function . (extensible): Indicates specific responsibility of an individual within the care team, such as Primary physician, Team coordinator, Caregiver, etc.
.... member SΣ 1..1 Reference(QICore Patient | QICore Practitioner | QICore PractitionerRole | QICore Organization | QICore CareTeam | QICore RelatedPerson) (QI) 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
CareTeam.language Base preferred Common Languages 📦4.0.1 FHIR Std.
CareTeam.status Base required CareTeamStatus 📦4.0.1 FHIR Std.
CareTeam.category Base example Care Team category 📦4.0.1 FHIR Std.
CareTeam.participant.​role Base extensible Care Team Member Function . 📦20190418 VSAC v0.18
CareTeam.reasonCode Base example SNOMED CT Clinical Findings 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CareTeam 0..* USCoreCareTeam Planned participants in the coordination and delivery of care for a patient or group
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... 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.
... participant SC 1..* BackboneElement Members of the team
Constraints: ctm-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... role SΣ 1..1 CodeableConcept (QI) Type of involvement
Binding: Care Team Member Function . (extensible): Indicates specific responsibility of an individual within the care team, such as Primary physician, Team coordinator, Caregiver, etc.
.... member SΣ 1..1 Reference(QICore Patient | QICore Practitioner | QICore PractitionerRole | QICore Organization | QICore CareTeam | QICore RelatedPerson) (QI) Who is involved

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
CareTeam.status Base required CareTeamStatus 📦4.0.1 FHIR Std.
CareTeam.participant.​role Base extensible Care Team Member Function . 📦20190418 VSAC v0.18

Constraints

Id Grade Path(s) Description Expression
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()

Differential View

This structure is derived from USCoreCareTeam

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CareTeam 0..* USCoreCareTeam Planned participants in the coordination and delivery of care for a patient or group
... subject 1..1 Reference(QICore Patient) (QI) Who the care team is for.
... participant
.... role SΣ 1..1 CodeableConcept (QI) Type of involvement
Binding: Care Team Member Function . (extensible): Indicates specific responsibility of an individual within the care team, such as Primary physician, Team coordinator, Caregiver, etc.
.... member 1..1 Reference(QICore Patient | QICore Practitioner | QICore PractitionerRole | QICore Organization | QICore CareTeam | QICore RelatedPerson) (QI) Who is involved

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
CareTeam.participant.​role Base extensible Care Team Member Function . 📦20190418 VSAC v0.18

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CareTeam 0..* USCoreCareTeam 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... 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(QICore Patient) (QI) Who the 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 SC 1..* 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 SΣ 1..1 CodeableConcept (QI) Type of involvement
Binding: Care Team Member Function . (extensible): Indicates specific responsibility of an individual within the care team, such as Primary physician, Team coordinator, Caregiver, etc.
.... member SΣ 1..1 Reference(QICore Patient | QICore Practitioner | QICore PractitionerRole | QICore Organization | QICore CareTeam | QICore RelatedPerson) (QI) 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
CareTeam.language Base preferred Common Languages 📦4.0.1 FHIR Std.
CareTeam.status Base required CareTeamStatus 📦4.0.1 FHIR Std.
CareTeam.category Base example Care Team category 📦4.0.1 FHIR Std.
CareTeam.participant.​role Base extensible Care Team Member Function . 📦20190418 VSAC v0.18
CareTeam.reasonCode Base example SNOMED CT Clinical Findings 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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()

 

Other representations of profile: CSV, Excel, Schematron