eHealth Infrastructure
3.3.0 - ci-build Denmark flag

eHealth Infrastructure, published by Den telemedicinske infrastruktur (eHealth Infrastructure). This guide is not an authorized publication; it is the continuous build for version 3.3.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/fut-infrastructure/implementation-guide/ and changes regularly. See the Directory of published versions

Resource Profile: ehealth-careteam

Official URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-careteam Version: 3.3.0
Active as of 2024-11-07 Computable Name: ehealth-careteam

Introduction

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.

Scope and Usage

In the eHealth Infrastructure, a CareTeam has a lifecycle independent of Patients and consists of a group of Practitioners. Typically the group of Practitioners are affiliated with a real-world organizational unit such as a hospital department/care unit, but a CareTeam can also be representing a "virtual" unit comprised of
Practitioners from more sectors or several real-world organizational units.

The core FHIR CareTeam has subject and context which can reference a Patient and EpisodeOfCare, respectively, which when used ties a CareTeam to a Patient context. Similarly, use of element reasonReference would indirectly tie the CareTeam to a Patient. As this is not used in the eHealth Infrastructure and to prevent such tying, these elements have been set to 0..0.

Instead CareTeam is intended to be referenced from CarePlan and EpisodeOfCare. A CareTeam can be referenced from a single CarePlan but the typical scenario is that it is referenced by multiple CarePlan and/or EpisodeOfCare instances crossing multiple Patient instances.

Composition of CareTeams

In the eHealth Infrastructure, the possibility to add CareTeam participant members other than Practitioner is not used, but the other types (Organization, CareTeam etc) have 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.

CareTeam Identifier

At least one identifier for the CareTeam shall use system set to urn:ietf:rfc:3986 and contain a value which is a UUID.

Condition types handled by the CareTeam

In order to ease selection of CareTeam appropriate for a given CarePlan, at least one Condition type handled by a CareTeam must be stated in reasonCode. This is used as criteria for suggesting CareTeams in the operation suggest-care-teams.

Usage:

Formal Views of Profile Content

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

This structure is derived from CareTeam

NameFlagsCard.TypeDescription & Constraintsdoco
.. CareTeam CareTeam
... status 1..1 code proposed | active | suspended | inactive | entered-in-error
... category 0..* CodeableConcept Type of team
Binding: CareTeam Category (required)
... name 1..1 string Name of the team, such as crisis assessment team
... participant
.... role 1..* CodeableConcept Type of involvement
Binding: CareTeam Participant Role (required)
.... member 1..1 Reference(ehealth-practitioner | ehealth-practitionerrole | ehealth-relatedperson | ehealth-patient | ehealth-organization | ehealth-careteam) {r} Who is involved
.... onBehalfOf 0..1 Reference(ehealth-organization) {r} Organization of the practitioner
... reasonCode 1..* CodeableConcept Why the care team exists
Binding: Conditions (required)
... reasonReference 0..0
... managingOrganization 0..* Reference(ehealth-organization) {r} Organization responsible for the care team
... telecom
.... value 1..1 string The actual contact point details
... note
.... Slices for author[x] 0..1 Reference(Practitioner | Patient | RelatedPerson | Organization), string Individual responsible for the annotation
Slice: Unordered, Open by type:$this
..... author[x]:authorReference 0..1 Reference(ehealth-practitioner | ehealth-patient | ehealth-relatedperson) Individual responsible for the annotation
..... author[x]:authorString 0..1 string Individual responsible for the annotation

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
CareTeam.categoryrequiredCareTeamCategory (a valid code from CareTeam Category)
http://ehealth.sundhed.dk/vs/careteam-category
from this IG
CareTeam.participant.rolerequiredCareTeamParticipantRole (a valid code from CareTeam Participant Role)
http://ehealth.sundhed.dk/vs/careteam-participant-role
from this IG
CareTeam.reasonCoderequiredConditions
http://ehealth.sundhed.dk/vs/conditions
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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 ?!Σ 1..1 code proposed | active | suspended | inactive | entered-in-error
Binding: CareTeamStatus (required): Indicates the status of the care team.

... name Σ 1..1 string Name of the team, such as crisis assessment team
... reasonCode 1..* CodeableConcept Why the care team exists
Binding: Conditions (required)
... managingOrganization Σ 0..* Reference(ehealth-organization) {r} Organization responsible for the care team

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
CareTeam.statusrequiredCareTeamStatus
http://hl7.org/fhir/ValueSet/care-team-status|4.0.1
from the FHIR Standard
CareTeam.categoryrequiredCareTeamCategory (a valid code from CareTeam Category)
http://ehealth.sundhed.dk/vs/careteam-category
from this IG
CareTeam.reasonCoderequiredConditions
http://ehealth.sundhed.dk/vs/conditions
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... 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 ?!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: CareTeam Category (required)
... name Σ 1..1 string Name of the team, such as crisis assessment team
... 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
ctm-1: CareTeam.participant.onBehalfOf can only be populated when CareTeam.participant.member is a Practitioner
.... 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 1..* CodeableConcept Type of involvement
Binding: CareTeam Participant Role (required)
.... member Σ 1..1 Reference(ehealth-practitioner | ehealth-practitionerrole | 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 1..* CodeableConcept Why the care team exists
Binding: Conditions (required)
... managingOrganization Σ 0..* Reference(ehealth-organization) {r} Organization responsible for the care team
... telecom 0..* ContactPoint A contact detail for the care team (that applies to all members)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... system ΣC 0..1 code phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.

.... value Σ 1..1 string The actual contact point details
.... use ?!Σ 0..1 code home | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.

.... rank Σ 0..1 positiveInt Specify preferred order of use (1 = highest)
.... period Σ 0..1 Period Time period when the contact point was/is in use
... note 0..* Annotation Comments made about the CareTeam
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for author[x] Σ 0..1 Individual responsible for the annotation
Slice: Unordered, Closed by type:$this
..... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
..... authorString string
..... author[x]:authorReference Σ 0..1 Reference(ehealth-practitioner | ehealth-patient | ehealth-relatedperson) Individual responsible for the annotation
..... author[x]:authorString Σ 0..1 string Individual responsible for the annotation
.... time Σ 0..1 dateTime When the annotation was made
.... text Σ 1..1 markdown The annotation - text content (as markdown)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
CareTeam.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
CareTeam.statusrequiredCareTeamStatus
http://hl7.org/fhir/ValueSet/care-team-status|4.0.1
from the FHIR Standard
CareTeam.categoryrequiredCareTeamCategory (a valid code from CareTeam Category)
http://ehealth.sundhed.dk/vs/careteam-category
from this IG
CareTeam.participant.rolerequiredCareTeamParticipantRole (a valid code from CareTeam Participant Role)
http://ehealth.sundhed.dk/vs/careteam-participant-role
from this IG
CareTeam.reasonCoderequiredConditions
http://ehealth.sundhed.dk/vs/conditions
from this IG
CareTeam.telecom.systemrequiredContactPointSystem
http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1
from the FHIR Standard
CareTeam.telecom.userequiredContactPointUse
http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1
from the FHIR Standard

Differential View

This structure is derived from CareTeam

NameFlagsCard.TypeDescription & Constraintsdoco
.. CareTeam CareTeam
... status 1..1 code proposed | active | suspended | inactive | entered-in-error
... category 0..* CodeableConcept Type of team
Binding: CareTeam Category (required)
... name 1..1 string Name of the team, such as crisis assessment team
... participant
.... role 1..* CodeableConcept Type of involvement
Binding: CareTeam Participant Role (required)
.... member 1..1 Reference(ehealth-practitioner | ehealth-practitionerrole | ehealth-relatedperson | ehealth-patient | ehealth-organization | ehealth-careteam) {r} Who is involved
.... onBehalfOf 0..1 Reference(ehealth-organization) {r} Organization of the practitioner
... reasonCode 1..* CodeableConcept Why the care team exists
Binding: Conditions (required)
... reasonReference 0..0
... managingOrganization 0..* Reference(ehealth-organization) {r} Organization responsible for the care team
... telecom
.... value 1..1 string The actual contact point details
... note
.... Slices for author[x] 0..1 Reference(Practitioner | Patient | RelatedPerson | Organization), string Individual responsible for the annotation
Slice: Unordered, Open by type:$this
..... author[x]:authorReference 0..1 Reference(ehealth-practitioner | ehealth-patient | ehealth-relatedperson) Individual responsible for the annotation
..... author[x]:authorString 0..1 string Individual responsible for the annotation

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
CareTeam.categoryrequiredCareTeamCategory (a valid code from CareTeam Category)
http://ehealth.sundhed.dk/vs/careteam-category
from this IG
CareTeam.participant.rolerequiredCareTeamParticipantRole (a valid code from CareTeam Participant Role)
http://ehealth.sundhed.dk/vs/careteam-participant-role
from this IG
CareTeam.reasonCoderequiredConditions
http://ehealth.sundhed.dk/vs/conditions
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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 ?!Σ 1..1 code proposed | active | suspended | inactive | entered-in-error
Binding: CareTeamStatus (required): Indicates the status of the care team.

... name Σ 1..1 string Name of the team, such as crisis assessment team
... reasonCode 1..* CodeableConcept Why the care team exists
Binding: Conditions (required)
... managingOrganization Σ 0..* Reference(ehealth-organization) {r} Organization responsible for the care team

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
CareTeam.statusrequiredCareTeamStatus
http://hl7.org/fhir/ValueSet/care-team-status|4.0.1
from the FHIR Standard
CareTeam.categoryrequiredCareTeamCategory (a valid code from CareTeam Category)
http://ehealth.sundhed.dk/vs/careteam-category
from this IG
CareTeam.reasonCoderequiredConditions
http://ehealth.sundhed.dk/vs/conditions
from this IG

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... 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 ?!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: CareTeam Category (required)
... name Σ 1..1 string Name of the team, such as crisis assessment team
... 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
ctm-1: CareTeam.participant.onBehalfOf can only be populated when CareTeam.participant.member is a Practitioner
.... 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 1..* CodeableConcept Type of involvement
Binding: CareTeam Participant Role (required)
.... member Σ 1..1 Reference(ehealth-practitioner | ehealth-practitionerrole | 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 1..* CodeableConcept Why the care team exists
Binding: Conditions (required)
... managingOrganization Σ 0..* Reference(ehealth-organization) {r} Organization responsible for the care team
... telecom 0..* ContactPoint A contact detail for the care team (that applies to all members)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... system ΣC 0..1 code phone | fax | email | pager | url | sms | other
Binding: ContactPointSystem (required): Telecommunications form for contact point.

.... value Σ 1..1 string The actual contact point details
.... use ?!Σ 0..1 code home | work | temp | old | mobile - purpose of this contact point
Binding: ContactPointUse (required): Use of contact point.

.... rank Σ 0..1 positiveInt Specify preferred order of use (1 = highest)
.... period Σ 0..1 Period Time period when the contact point was/is in use
... note 0..* Annotation Comments made about the CareTeam
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for author[x] Σ 0..1 Individual responsible for the annotation
Slice: Unordered, Closed by type:$this
..... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
..... authorString string
..... author[x]:authorReference Σ 0..1 Reference(ehealth-practitioner | ehealth-patient | ehealth-relatedperson) Individual responsible for the annotation
..... author[x]:authorString Σ 0..1 string Individual responsible for the annotation
.... time Σ 0..1 dateTime When the annotation was made
.... text Σ 1..1 markdown The annotation - text content (as markdown)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
CareTeam.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
CareTeam.statusrequiredCareTeamStatus
http://hl7.org/fhir/ValueSet/care-team-status|4.0.1
from the FHIR Standard
CareTeam.categoryrequiredCareTeamCategory (a valid code from CareTeam Category)
http://ehealth.sundhed.dk/vs/careteam-category
from this IG
CareTeam.participant.rolerequiredCareTeamParticipantRole (a valid code from CareTeam Participant Role)
http://ehealth.sundhed.dk/vs/careteam-participant-role
from this IG
CareTeam.reasonCoderequiredConditions
http://ehealth.sundhed.dk/vs/conditions
from this IG
CareTeam.telecom.systemrequiredContactPointSystem
http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1
from the FHIR Standard
CareTeam.telecom.userequiredContactPointUse
http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1
from the FHIR Standard

 

Other representations of profile: CSV, Excel, Schematron