HL7 Czech EMS Implementation Guide
0.0.2 - ci-build

HL7 Czech EMS Implementation Guide, published by HL7 Czech Republic. This guide is not an authorized publication; it is the continuous build for version 0.0.2 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cz/cz-ems/ and changes regularly. See the Directory of published versions

## Resource Profile: CareTeam: (EMS CZ)

Official URL: https://hl7.cz/fhir/cz-ems/StructureDefinition/cz-careteam-ems | Version: 0.0.2
Draft as of 2025-10-14 | Computable Name: CZ_CareTeamEms

Profile of the emergency medical service team within Czech EMS.

Usages:

- This Profile is not used by any profiles in this Implementation Guide

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.

- 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
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!S Σ | 1..1 | code | proposed | active | suspended | inactive | entered-in-error Binding: CareTeamStatus (required): Indicates the status of the care team.
encounter | S Σ | 0..1 | Reference(Encounter) | Encounter created as part of
participant | S C | 1..* | BackboneElement | Members of the team Constraints: ctm-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
role | S Σ | 1..1 | CodeableConcept | Type of involvement Binding: Occupation of healthcare practitioner (CZ) (extensible)
member | S Σ | 1..1 | Reference(Practitioner (CZ core) | Practitioner Role (CZ core)) | Who is involved
identifier | S Σ | 1..1 | Identifier | Logical reference, when literal reference is not known
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 | Occupation of healthcare practitioner (CZ) | 📦0.1.0 | HL7 Czech Terminology Implementation Guide vnull

#### 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 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
status | S | 1..1 | code | proposed | active | suspended | inactive | entered-in-error
encounter | S | 0..1 | Reference(Encounter) | Encounter created as part of
participant | S | 1..* | BackboneElement | Members of the team
role | S | 1..1 | CodeableConcept | Type of involvement Binding: Occupation of healthcare practitioner (CZ) (extensible)
member | S | 1..1 | Reference(Practitioner (CZ core) | Practitioner Role (CZ core)) | Who is involved
identifier | S | 1..1 | Identifier | Logical reference, when literal reference is not known
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
CareTeam.participant.​role | Base | extensible | Occupation of healthcare practitioner (CZ) | 📦0.1.0 | HL7 Czech Terminology Implementation Guide vnull

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 | 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: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
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 | ?!S Σ | 1..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 | Σ | 0..1 | string | Name of the team, such as crisis assessment team
subject | Σ | 0..1 | Reference(Patient | Group) | Who care team is for
encounter | S Σ | 0..1 | Reference(Encounter) | Encounter created as part of
period | Σ | 0..1 | Period | Time period team covers
participant | S C | 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 | S Σ | 1..1 | CodeableConcept | Type of involvement Binding: Occupation of healthcare practitioner (CZ) (extensible)
member | S Σ | 1..1 | Reference(Practitioner (CZ core) | Practitioner Role (CZ core)) | Who is involved
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | S Σ | 1..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
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

#### 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 | Occupation of healthcare practitioner (CZ) | 📦0.1.0 | HL7 Czech Terminology Implementation Guide vnull
CareTeam.participant.​member.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
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()`

This structure is derived from CareTeam

Summary

Mandatory: 5 elements
Must-Support: 6 elements

Structures

This structure refers to these other structures:

- Practitioner (CZ core) (https://fhir.hl7cr.eu/core/StructureDefinition/cz-practitioner-core)
- Practitioner Role (CZ core) (https://fhir.hl7cr.eu/core/StructureDefinition/cz-practitionerrole-core)

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
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!S Σ | 1..1 | code | proposed | active | suspended | inactive | entered-in-error Binding: CareTeamStatus (required): Indicates the status of the care team.
encounter | S Σ | 0..1 | Reference(Encounter) | Encounter created as part of
participant | S C | 1..* | BackboneElement | Members of the team Constraints: ctm-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
role | S Σ | 1..1 | CodeableConcept | Type of involvement Binding: Occupation of healthcare practitioner (CZ) (extensible)
member | S Σ | 1..1 | Reference(Practitioner (CZ core) | Practitioner Role (CZ core)) | Who is involved
identifier | S Σ | 1..1 | Identifier | Logical reference, when literal reference is not known
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 | Occupation of healthcare practitioner (CZ) | 📦0.1.0 | HL7 Czech Terminology Implementation Guide vnull

#### 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 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
status | S | 1..1 | code | proposed | active | suspended | inactive | entered-in-error
encounter | S | 0..1 | Reference(Encounter) | Encounter created as part of
participant | S | 1..* | BackboneElement | Members of the team
role | S | 1..1 | CodeableConcept | Type of involvement Binding: Occupation of healthcare practitioner (CZ) (extensible)
member | S | 1..1 | Reference(Practitioner (CZ core) | Practitioner Role (CZ core)) | Who is involved
identifier | S | 1..1 | Identifier | Logical reference, when literal reference is not known
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
CareTeam.participant.​role | Base | extensible | Occupation of healthcare practitioner (CZ) | 📦0.1.0 | HL7 Czech Terminology Implementation Guide vnull

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 | 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: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
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 | ?!S Σ | 1..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 | Σ | 0..1 | string | Name of the team, such as crisis assessment team
subject | Σ | 0..1 | Reference(Patient | Group) | Who care team is for
encounter | S Σ | 0..1 | Reference(Encounter) | Encounter created as part of
period | Σ | 0..1 | Period | Time period team covers
participant | S C | 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 | S Σ | 1..1 | CodeableConcept | Type of involvement Binding: Occupation of healthcare practitioner (CZ) (extensible)
member | S Σ | 1..1 | Reference(Practitioner (CZ core) | Practitioner Role (CZ core)) | Who is involved
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | S Σ | 1..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
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

#### 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 | Occupation of healthcare practitioner (CZ) | 📦0.1.0 | HL7 Czech Terminology Implementation Guide vnull
CareTeam.participant.​member.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
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()`

This structure is derived from CareTeam

Summary

Mandatory: 5 elements
Must-Support: 6 elements

Structures

This structure refers to these other structures:

- Practitioner (CZ core) (https://fhir.hl7cr.eu/core/StructureDefinition/cz-practitioner-core)
- Practitioner Role (CZ core) (https://fhir.hl7cr.eu/core/StructureDefinition/cz-practitionerrole-core)

Other representations of profile: CSV, Excel, Schematron