XpanDH Hospital Discharge Report, published by XpanDH Project. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/xpandh-hdr/ and changes regularly. See the Directory of published versions

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Resource Profile: CareTeam

This profile constrains the CareTeam resource for the purpose of the XpanDH project.

Usage:

• Refer to this Resource Profile: CareTeam, Composition: Hospital Discharge Report and Xpandh Assessment Observation Profile

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
CareTeam		0..*	CareTeam	Planned participants in the coordination and delivery of care for a patient or group dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!Σ	0..1	code	proposed | active | suspended | inactive | entered-in-error Binding: CareTeamStatus (required): Indicates the status of the care team. ele-1: All FHIR elements must have a @value or children
subject	SΣ	0..1	Reference(Patient: HDR)	Who care team is for ele-1: All FHIR elements must have a @value or children
participant	SC	1..*	BackboneElement	Members of the team ctm-1: CareTeam.participant.onBehalfOf can only be populated when CareTeam.participant.member is a Practitioner ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
role	SΣ	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. ele-1: All FHIR elements must have a @value or children
member	SΣ	1..1	Reference(Practitioner | PractitionerRole | RelatedPerson | Xpandh Organization Profile | CareTeam)	Who is involved ele-1: All FHIR elements must have a @value or children
reasonCode		0..*	CodeableConcept	Problem this team is in charge of Binding: SNOMEDCTClinicalFindings (example): Indicates the reason for the care team. ele-1: All FHIR elements must have a @value or children
reasonReference		0..*	Reference(Condition Xpandh Profile)	Why the care team exists ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
CareTeam.status	required	CareTeamStatus http://hl7.org/fhir/ValueSet/care-team-status|4.0.1 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()

This structure is derived from CareTeam

Name	Flags	Card.	Type	Description & Constraints
CareTeam			CareTeam
subject	S	0..1	Reference(Patient: HDR)	Who care team is for
participant	S	1..*	BackboneElement	Members of the team
role	S	0..*	CodeableConcept	Type of involvement
member	S	1..1	Reference(Practitioner | PractitionerRole | RelatedPerson | Xpandh Organization Profile | CareTeam)	Who is involved
reasonCode		0..*	CodeableConcept	Problem this team is in charge of
reasonReference		0..*	Reference(Condition Xpandh Profile)	Why the care team exists
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
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
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	Σ	0..1	string	Name of the team, such as crisis assessment team
subject	SΣ	0..1	Reference(Patient: HDR)	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	SC	1..*	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	SΣ	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	SΣ	1..1	Reference(Practitioner | PractitionerRole | RelatedPerson | Xpandh Organization Profile | 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	Problem this team is in charge of Binding: SNOMEDCTClinicalFindings (example): Indicates the reason for the care team.
reasonReference		0..*	Reference(Condition Xpandh Profile)	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	Conformance	ValueSet	URI
CareTeam.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
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()

This structure is derived from CareTeam

Summary

Mandatory: 2 elements
Must-Support: 4 elements

Structures

This structure refers to these other structures:

• Patient: HDR (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/Patient-eu-xpandh)
• Practitioner (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/Practitioner-eu-xpandh)
• PractitionerRole (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/PractitionerRole-eu-xpandh)
• Xpandh Organization Profile (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/organization-expandh)
• CareTeam (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/CareTeam-eu-xpandh)
• Condition Xpandh Profile (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/condition-hdr-xpandh)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
CareTeam		0..*	CareTeam	Planned participants in the coordination and delivery of care for a patient or group dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!Σ	0..1	code	proposed | active | suspended | inactive | entered-in-error Binding: CareTeamStatus (required): Indicates the status of the care team. ele-1: All FHIR elements must have a @value or children
subject	SΣ	0..1	Reference(Patient: HDR)	Who care team is for ele-1: All FHIR elements must have a @value or children
participant	SC	1..*	BackboneElement	Members of the team ctm-1: CareTeam.participant.onBehalfOf can only be populated when CareTeam.participant.member is a Practitioner ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
role	SΣ	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. ele-1: All FHIR elements must have a @value or children
member	SΣ	1..1	Reference(Practitioner | PractitionerRole | RelatedPerson | Xpandh Organization Profile | CareTeam)	Who is involved ele-1: All FHIR elements must have a @value or children
reasonCode		0..*	CodeableConcept	Problem this team is in charge of Binding: SNOMEDCTClinicalFindings (example): Indicates the reason for the care team. ele-1: All FHIR elements must have a @value or children
reasonReference		0..*	Reference(Condition Xpandh Profile)	Why the care team exists ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
CareTeam.status	required	CareTeamStatus http://hl7.org/fhir/ValueSet/care-team-status|4.0.1 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()

Differential View

This structure is derived from CareTeam

Name	Flags	Card.	Type	Description & Constraints
CareTeam			CareTeam
subject	S	0..1	Reference(Patient: HDR)	Who care team is for
participant	S	1..*	BackboneElement	Members of the team
role	S	0..*	CodeableConcept	Type of involvement
member	S	1..1	Reference(Practitioner | PractitionerRole | RelatedPerson | Xpandh Organization Profile | CareTeam)	Who is involved
reasonCode		0..*	CodeableConcept	Problem this team is in charge of
reasonReference		0..*	Reference(Condition Xpandh Profile)	Why the care team exists
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
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
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	Σ	0..1	string	Name of the team, such as crisis assessment team
subject	SΣ	0..1	Reference(Patient: HDR)	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	SC	1..*	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	SΣ	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	SΣ	1..1	Reference(Practitioner | PractitionerRole | RelatedPerson | Xpandh Organization Profile | 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	Problem this team is in charge of Binding: SNOMEDCTClinicalFindings (example): Indicates the reason for the care team.
reasonReference		0..*	Reference(Condition Xpandh Profile)	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	Conformance	ValueSet	URI
CareTeam.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
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()

This structure is derived from CareTeam

Summary

Mandatory: 2 elements
Must-Support: 4 elements

Structures

This structure refers to these other structures:

• Patient: HDR (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/Patient-eu-xpandh)
• Practitioner (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/Practitioner-eu-xpandh)
• PractitionerRole (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/PractitionerRole-eu-xpandh)
• Xpandh Organization Profile (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/organization-expandh)
• CareTeam (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/CareTeam-eu-xpandh)
• Condition Xpandh Profile (http://hl7.eu/fhir/ig/xpandh/hdr/StructureDefinition/condition-hdr-xpandh)

Other representations of profile: CSV, Excel, Schematron