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This is an Implementation Guide for UK Core FHIR Assets in Development.
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StructureDefinition-UKCore-CareTeam

Canonical_URL	Status	Current_Version	Last_Updated	Description
https://fhir.hl7.org.uk/StructureDefinition/UKCore-CareTeam	draft	2.1.0	2023-12-12	This profile defines the UK constraints and extensions on the International FHIR resource CareTeam.

Profile_Purpose
This profile allows recording of the care team which includes all the people and organisations who plan to participate in the coordination and delivery of care for an individual. This is not limited to practitioners, but may include other caregivers such as family members, guardians, the individual themselves, or others. The care team, depending on where used, may include care team members specific to a particular care plan, an episode, an encounter, or may reflect all known team members across these perspectives. An individual's care team can be dynamic over time, such that there can be transience of team members, such as a rehabilitation team.

Profile_Purpose

This profile allows recording of the care team which includes all the people and organisations who plan to participate in the coordination and delivery of care for an individual. This is not limited to practitioners, but may include other caregivers such as family members, guardians, the individual themselves, or others. The care team, depending on where used, may include care team members specific to a particular care plan, an episode, an encounter, or may reflect all known team members across these perspectives. An individual's care team can be dynamic over time, such that there can be transience of team members, such as a rehabilitation team.

CareTeam	I		CareTeam	There are no (further) constraints on this element Element Id CareTeam Short description Planned participants in the coordination and delivery of care for a patient or group Definition The Care Team includes all the people and organizations who plan to participate in the coordination and delivery of care for a patient. Data Type CareTeam Constraints dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.empty()` dom-4: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: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-6:A resource should have narrative for robust management text.`div`.exists() dom-5:If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` Mappings rim:Entity. Role, or Act
identifier	Σ	0..*	Identifier	There are no (further) constraints on this element Element Id CareTeam.identifier Short description External Ids for this team Definition Business identifiers assigned to this care team by the performer or other systems which remain constant as the resource is updated and propagates from server to server. Requirements Allows identification of the care team as it is known by various participating systems and in a way that remains consistent across servers. Comments This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number. Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier w5:FiveWs.identifier
status	S Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element Id CareTeam.status Short description proposed \| active \| suspended \| inactive \| entered-in-error Definition Indicates the current state of the care team. Comments This element is labeled as a modifier because the status contains the code entered-in-error that marks the care team as not currently valid. Data Type code Binding Indicates the status of the care team. CareTeamStatus (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a w5:FiveWs.status
category	Σ	0..*	CodeableConcept	There are no (further) constraints on this element Element Id CareTeam.category Short description Type of team Definition Identifies what kind of team. This is to support differentiation between multiple co-existing teams, such as care plan team, episode of care team, longitudinal care team. Requirements Used for filtering what teams(s) are retrieved and displayed to different types of users. Comments There may be multiple axis of categorization and one team may serve multiple purposes. Data Type CodeableConcept Binding Indicates the type of care team. CareTeamCategory (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD w5:FiveWs.class
name	Σ	0..1	string	There are no (further) constraints on this element Element Id CareTeam.name Short description Name of the team, such as crisis assessment team Definition A label for human use intended to distinguish like teams. E.g. the "red" vs. "green" trauma teams. Comments The meaning/purpose of the team is conveyed in CareTeam.category. This element may also convey semantics of the team (e.g. "Red trauma team"), but its primary purpose is to distinguish between identical teams in a human-friendly way. ("Team 18735" isn't as friendly.). Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a
subject	S Σ I	0..1	Reference(Patient \| Group)	There are no (further) constraints on this element Element Id CareTeam.subject Short description Who care team is for Alternate names patient Definition Identifies the patient or group whose intended care is handled by the team. Requirements Allows the team to care for a group (e.g. marriage) therapy. Allows for an organization to designate a team such as the PICC line team. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Patient \| Group) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.subject[x] w5:FiveWs.subject
encounter	Σ I	0..1	Reference(Encounter)	There are no (further) constraints on this element Element Id CareTeam.encounter Short description Encounter created as part of Definition The Encounter during which this CareTeam was created or to which the creation of this record is tightly associated. Comments This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter. Data Type Reference(Encounter) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.context
period	Σ I	0..1	Period	There are no (further) constraints on this element Element Id CareTeam.period Short description Time period team covers Definition Indicates when the team did (or is intended to) come into effect and end. Requirements Allows tracking what team(s) are in effect at a particular time. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] w5:FiveWs.init
participant	S I	0..*	BackboneElement	There are no (further) constraints on this element Element Id CareTeam.participant Short description Members of the team Definition Identifies all people and organizations who are expected to be involved in the care team. Data Type BackboneElement Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ctm-1: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()))` Mappings rim:n/a v2:REL (REL.4 is always the Patient) ( or PRT?) rim:.participation[typeCode=PRF]
role	S Σ	0..*	CodeableConcept	There are no (further) constraints on this element Element Id CareTeam.participant.role Short description Type of involvement Definition Indicates specific responsibility of an individual within the care team, such as "Primary care physician", "Trained social worker counselor", "Caregiver", etc. Comments Roles may sometimes be inferred by type of Practitioner. These are relationships that hold only within the context of the care team. General relationships should be handled as properties of the Patient resource directly. Data Type CodeableConcept Binding Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc. ParticipantRoles (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:REL.2 (or PRT-4?) rim:.functionCode
member	S Σ I	0..1	Reference(Practitioner \| PractitionerRole \| RelatedPerson \| Patient \| Organization \| CareTeam)	There are no (further) constraints on this element Element Id CareTeam.participant.member Short description Who is involved Definition The specific person or organization who is participating/expected to participate in the care team. Comments Patient only needs to be listed if they have a role other than "subject of care". Member is optional because some participants may be known only by their role, particularly in draft plans. Data Type Reference(Practitioner \| PractitionerRole \| RelatedPerson \| Patient \| Organization \| CareTeam) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.actor v2:REL.5 (or PRT-5 : ( PRV-4 {provider participations} ) / PRT-5 : ( PRV-4 {non-provider person participations} ) / PRT-5 : ( PRV-4 = (patient non-subject of care) ) / PRT-8?) rim:.role
onBehalfOf	Σ I	0..1	Reference(Organization)	There are no (further) constraints on this element Element Id CareTeam.participant.onBehalfOf Short description Organization of the practitioner Definition The organization of the practitioner. Requirements Practitioners can be associated with multiple organizations. This element indicates which organization they were acting on behalf of. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Organization) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity)
period	I	0..1	Period	There are no (further) constraints on this element Element Id CareTeam.participant.period Short description Time period of participant Definition Indicates when the specific member or organization did (or is intended to) come into effect and end. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]
reasonCode		0..*	CodeableConcept	There are no (further) constraints on this element Element Id CareTeam.reasonCode Short description Why the care team exists Definition Describes why the care team exists. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data Type CodeableConcept Binding Indicates the reason for the care team. SNOMEDCTClinicalFindings (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD w5:FiveWs.why[x]
reasonReference	I	0..*	Reference(Condition)	There are no (further) constraints on this element Element Id CareTeam.reasonReference Short description Why the care team exists Definition Condition(s) that this care team addresses. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Condition) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.why[x]
managingOrganization	Σ I	0..*	Reference(Organization)	There are no (further) constraints on this element Element Id CareTeam.managingOrganization Short description Organization responsible for the care team Definition The organization responsible for the care team. Requirements Allows for multiple organizations to collaboratively manage cross-organizational, longitudinal care plan. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Organization) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity)
telecom	I	0..*	ContactPoint	There are no (further) constraints on this element Element Id CareTeam.telecom Short description A contact detail for the care team (that applies to all members) Definition A central contact detail for the care team (that applies to all members). Comments The ContactPoint.use code of home is not appropriate to use. These contacts are not the contact details of individual care team members. Data Type ContactPoint Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` cpt-2:A system is required if a value is provided. `value.empty() or system.exists()` Mappings rim:n/a v2:XTN rim:TEL servd:ContactPoint
note		0..*	Annotation	There are no (further) constraints on this element Element Id CareTeam.note Short description Comments made about the CareTeam Definition Comments made about the CareTeam. Comments For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible). Data Type Annotation Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:N/A rim:Act

Detailed Descriptions

CareTeam
Definition	The Care Team includes all the people and organizations who plan to participate in the coordination and delivery of care for a patient.
Cardinality	0...*
Invariants	dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.empty()` dom-4: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: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-6:A resource should have narrative for robust management text.`div`.exists() dom-5:If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()`
Mappings	rim:Entity. Role, or Act
CareTeam.id
Definition	The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Cardinality	0...1
Type	System.String
Summary	True
Comments	The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
CareTeam.meta
Definition	The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
Cardinality	0...1
Type	Meta
Summary	True
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a rim:N/A
CareTeam.implicitRules
Definition	A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Cardinality	0...1
Type	uri
Modifier	True
Summary	True
Comments	Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a
CareTeam.language
Definition	The base language in which the resource is written.
Cardinality	0...1
Type	code
Binding	A human language. CommonLanguages (preferred)
Comments	Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a
CareTeam.text
Definition	A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
Cardinality	0...1
Type	Narrative
Alias	narrative, html, xhtml, display
Comments	Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a rim:N/A rim:Act.text?
CareTeam.contained
Definition	These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
Cardinality	0...*
Type	Resource
Alias	inline resources, anonymous resources, contained resources
Comments	This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
Mappings	rim:Entity. Role, or Act rim:N/A
CareTeam.extension
Definition	May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim:n/a rim:N/A
CareTeam.modifierExtension
Definition	May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality	0...*
Type	Extension
Modifier	True
Alias	extensions, user content
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim:n/a rim:N/A
CareTeam.identifier
Definition	Business identifiers assigned to this care team by the performer or other systems which remain constant as the resource is updated and propagates from server to server.
Cardinality	0...*
Type	Identifier
Summary	True
Requirements	Allows identification of the care team as it is known by various participating systems and in a way that remains consistent across servers.
Comments	This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier w5:FiveWs.identifier
CareTeam.status
Definition	Indicates the current state of the care team.
Cardinality	0...1
Type	code
Binding	Indicates the status of the care team. CareTeamStatus (required)
Must Support	True
Modifier	True
Summary	True
Comments	This element is labeled as a modifier because the status contains the code entered-in-error that marks the care team as not currently valid.
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a w5:FiveWs.status
CareTeam.category
Definition	Identifies what kind of team. This is to support differentiation between multiple co-existing teams, such as care plan team, episode of care team, longitudinal care team.
Cardinality	0...*
Type	CodeableConcept
Binding	Indicates the type of care team. CareTeamCategory (example)
Summary	True
Requirements	Used for filtering what teams(s) are retrieved and displayed to different types of users.
Comments	There may be multiple axis of categorization and one team may serve multiple purposes.
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD w5:FiveWs.class
CareTeam.name
Definition	A label for human use intended to distinguish like teams. E.g. the "red" vs. "green" trauma teams.
Cardinality	0...1
Type	string
Summary	True
Comments	The meaning/purpose of the team is conveyed in CareTeam.category. This element may also convey semantics of the team (e.g. "Red trauma team"), but its primary purpose is to distinguish between identical teams in a human-friendly way. ("Team 18735" isn't as friendly.).
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a
CareTeam.subject
Definition	Identifies the patient or group whose intended care is handled by the team.
Cardinality	0...1
Type	Reference(Patient \| Group)
Must Support	True
Summary	True
Alias	patient
Requirements	Allows the team to care for a group (e.g. marriage) therapy. Allows for an organization to designate a team such as the PICC line team.
Comments	References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))`
Mappings	rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.subject[x] w5:FiveWs.subject
CareTeam.encounter
Definition	The Encounter during which this CareTeam was created or to which the creation of this record is tightly associated.
Cardinality	0...1
Type	Reference(Encounter)
Summary	True
Comments	This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter.
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))`
Mappings	rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.context
CareTeam.period
Definition	Indicates when the team did (or is intended to) come into effect and end.
Cardinality	0...1
Type	Period
Summary	True
Requirements	Allows tracking what team(s) are in effect at a particular time.
Comments	A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration.
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)`
Mappings	rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] w5:FiveWs.init
CareTeam.participant
Definition	Identifies all people and organizations who are expected to be involved in the care team.
Cardinality	0...*
Type	BackboneElement
Must Support	True
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ctm-1: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()))`
Mappings	rim:n/a v2:REL (REL.4 is always the Patient) ( or PRT?) rim:.participation[typeCode=PRF]
CareTeam.participant.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	System.String
Mappings	rim:n/a
CareTeam.participant.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim:n/a rim:N/A
CareTeam.participant.modifierExtension
Definition	May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality	0...*
Type	Extension
Modifier	True
Summary	True
Alias	extensions, user content, modifiers
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim:n/a rim:N/A
CareTeam.participant.role
Definition	Indicates specific responsibility of an individual within the care team, such as "Primary care physician", "Trained social worker counselor", "Caregiver", etc.
Cardinality	0...*
Type	CodeableConcept
Binding	Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc. ParticipantRoles (example)
Must Support	True
Summary	True
Comments	Roles may sometimes be inferred by type of Practitioner. These are relationships that hold only within the context of the care team. General relationships should be handled as properties of the Patient resource directly.
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:REL.2 (or PRT-4?) rim:.functionCode
CareTeam.participant.member
Definition	The specific person or organization who is participating/expected to participate in the care team.
Cardinality	0...1
Type	Reference(Practitioner \| PractitionerRole \| RelatedPerson \| Patient \| Organization \| CareTeam)
Must Support	True
Summary	True
Comments	Patient only needs to be listed if they have a role other than "subject of care". Member is optional because some participants may be known only by their role, particularly in draft plans.
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))`
Mappings	rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.actor v2:REL.5 (or PRT-5 : ( PRV-4 {provider participations} ) / PRT-5 : ( PRV-4 {non-provider person participations} ) / PRT-5 : ( PRV-4 = (patient non-subject of care) ) / PRT-8?) rim:.role
CareTeam.participant.onBehalfOf
Definition	The organization of the practitioner.
Cardinality	0...1
Type	Reference(Organization)
Summary	True
Requirements	Practitioners can be associated with multiple organizations. This element indicates which organization they were acting on behalf of.
Comments	References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))`
Mappings	rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity)
CareTeam.participant.period
Definition	Indicates when the specific member or organization did (or is intended to) come into effect and end.
Cardinality	0...1
Type	Period
Comments	A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration.
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)`
Mappings	rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]
CareTeam.reasonCode
Definition	Describes why the care team exists.
Cardinality	0...*
Type	CodeableConcept
Binding	Indicates the reason for the care team. SNOMEDCTClinicalFindings (example)
Comments	Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD w5:FiveWs.why[x]
CareTeam.reasonReference
Definition	Condition(s) that this care team addresses.
Cardinality	0...*
Type	Reference(Condition)
Comments	References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))`
Mappings	rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.why[x]
CareTeam.managingOrganization
Definition	The organization responsible for the care team.
Cardinality	0...*
Type	Reference(Organization)
Summary	True
Requirements	Allows for multiple organizations to collaboratively manage cross-organizational, longitudinal care plan.
Comments	References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))`
Mappings	rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity)
CareTeam.telecom
Definition	A central contact detail for the care team (that applies to all members).
Cardinality	0...*
Type	ContactPoint
Comments	The ContactPoint.use code of home is not appropriate to use. These contacts are not the contact details of individual care team members.
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` cpt-2:A system is required if a value is provided. `value.empty() or system.exists()`
Mappings	rim:n/a v2:XTN rim:TEL servd:ContactPoint
CareTeam.note
Definition	Comments made about the CareTeam.
Cardinality	0...*
Type	Annotation
Comments	For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible).
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a v2:N/A rim:Act

Table View

CareTeam		..
CareTeam.status		..
CareTeam.subject		..
CareTeam.participant		..
CareTeam.participant.role		..
CareTeam.participant.member		..

XML View

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="UKCore-CareTeam" />
    <url value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-CareTeam" />
    <version value="2.1.0" />
    <name value="UKCoreCareTeam" />
    <title value="UK Core CareTeam" />
    <status value="draft" />
    <date value="2023-12-12" />
    <publisher value="HL7 UK" />
    <contact>
        <name value="HL7 UK" />
        <telecom>
            <system value="email" />
            <value value="ukcore@hl7.org.uk" />
            <use value="work" />
            <rank value="1" />
        </telecom>
    </contact>
    <description value="This profile defines the UK constraints and extensions on the International FHIR resource [CareTeam](https://hl7.org/fhir/R4/CareTeam.html)." />
    <purpose value="This profile allows recording of the care team which includes all the people and organisations who plan to participate in the coordination and delivery of care for an individual. This is not limited to practitioners, but may include other caregivers such as family members, guardians, the individual themselves, or others. The care team, depending on where used, may include care team members specific to a particular care plan, an episode, an encounter, or may reflect all known team members across these perspectives. An individual&#39;s care team can be dynamic over time, such that there can be transience of team members, such as a rehabilitation team." />
    <copyright value="Copyright &#169; 2021+ HL7 UK Licensed under the Apache License, Version 2.0 (the &quot;License&quot;); you may not use this file except in compliance with the License. You may obtain a copy of the License at  http://www.apache.org/licenses/LICENSE-2.0 Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an &quot;AS IS&quot; BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License. HL7&#174; FHIR&#174; standard Copyright &#169; 2011+ HL7 The HL7&#174; FHIR&#174; standard is used under the FHIR license. You may obtain a copy of the FHIR license at  https://www.hl7.org/fhir/license.html." />
    <fhirVersion value="4.0.1" />
    <mapping>
        <identity value="w5" />
        <uri value="http://hl7.org/fhir/fivews" />
        <name value="FiveWs Pattern Mapping" />
    </mapping>
    <mapping>
        <identity value="v2" />
        <uri value="http://hl7.org/v2" />
        <name value="HL7 v2 Mapping" />
    </mapping>
    <mapping>
        <identity value="rim" />
        <uri value="http://hl7.org/v3" />
        <name value="RIM Mapping" />
    </mapping>
    <kind value="resource" />
    <abstract value="false" />
    <type value="CareTeam" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/CareTeam" />
    <derivation value="constraint" />
    <differential>
        <element id="CareTeam.status">
            <path value="CareTeam.status" />
            <mustSupport value="true" />
        </element>
        <element id="CareTeam.subject">
            <path value="CareTeam.subject" />
            <mustSupport value="true" />
        </element>
        <element id="CareTeam.participant">
            <path value="CareTeam.participant" />
            <mustSupport value="true" />
        </element>
        <element id="CareTeam.participant.role">
            <path value="CareTeam.participant.role" />
            <mustSupport value="true" />
        </element>
        <element id="CareTeam.participant.member">
            <path value="CareTeam.participant.member" />
            <mustSupport value="true" />
        </element>
    </differential>
</StructureDefinition>

JSON View

{
    "resourceType": "StructureDefinition",
    "id": "UKCore-CareTeam",
    "url": "https://fhir.hl7.org.uk/StructureDefinition/UKCore-CareTeam",
    "version": "2.1.0",
    "name": "UKCoreCareTeam",
    "title": "UK Core CareTeam",
    "status": "draft",
    "date": "2023-12-12",
    "publisher": "HL7 UK",
    "contact":  [
        {
            "name": "HL7 UK",
            "telecom":  [
                {
                    "system": "email",
                    "value": "ukcore@hl7.org.uk",
                    "use": "work",
                    "rank": 1
                }
            ]
        }
    ],
    "description": "This profile defines the UK constraints and extensions on the International FHIR resource [CareTeam](https://hl7.org/fhir/R4/CareTeam.html).",
    "purpose": "This profile allows recording of the care team which includes all the people and organisations who plan to participate in the coordination and delivery of care for an individual. This is not limited to practitioners, but may include other caregivers such as family members, guardians, the individual themselves, or others. The care team, depending on where used, may include care team members specific to a particular care plan, an episode, an encounter, or may reflect all known team members across these perspectives. An individual's care team can be dynamic over time, such that there can be transience of team members, such as a rehabilitation team.",
    "copyright": "Copyright © 2021+ HL7 UK Licensed under the Apache License, Version 2.0 (the \"License\"); you may not use this file except in compliance with the License. You may obtain a copy of the License at  http://www.apache.org/licenses/LICENSE-2.0 Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an \"AS IS\" BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License. HL7® FHIR® standard Copyright © 2011+ HL7 The HL7® FHIR® standard is used under the FHIR license. You may obtain a copy of the FHIR license at  https://www.hl7.org/fhir/license.html.",
    "fhirVersion": "4.0.1",
    "mapping":  [
        {
            "identity": "w5",
            "uri": "http://hl7.org/fhir/fivews",
            "name": "FiveWs Pattern Mapping"
        },
        {
            "identity": "v2",
            "uri": "http://hl7.org/v2",
            "name": "HL7 v2 Mapping"
        },
        {
            "identity": "rim",
            "uri": "http://hl7.org/v3",
            "name": "RIM Mapping"
        }
    ],
    "kind": "resource",
    "abstract": false,
    "type": "CareTeam",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/CareTeam",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "CareTeam.status",
                "path": "CareTeam.status",
                "mustSupport": true
            },
            {
                "id": "CareTeam.subject",
                "path": "CareTeam.subject",
                "mustSupport": true
            },
            {
                "id": "CareTeam.participant",
                "path": "CareTeam.participant",
                "mustSupport": true
            },
            {
                "id": "CareTeam.participant.role",
                "path": "CareTeam.participant.role",
                "mustSupport": true
            },
            {
                "id": "CareTeam.participant.member",
                "path": "CareTeam.participant.member",
                "mustSupport": true
            }
        ]
    }
}

Usage

This Profile has the following derived profiles:

This Profile is referenced in the following Extensions:

id	targetProfile
Extension-UKCore-FamilyMemberHistoryParticipant	http://hl7.org/fhir/StructureDefinition/Patient; http://hl7.org/fhir/StructureDefinition/Practitioner; http://hl7.org/fhir/StructureDefinition/PractitionerRole; http://hl7.org/fhir/StructureDefinition/RelatedPerson; http://hl7.org/fhir/StructureDefinition/Device; http://hl7.org/fhir/StructureDefinition/Organization; http://hl7.org/fhir/StructureDefinition/CareTeam

This Profile is referenced in the following Profiles:

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Examples

Weight Management Team - An example to illustrate a...
Example UKCore-CareTeam-WeightManagementTeam

Example Usage Scenarios

The following are example usage scenarios for the UK Core CareTeam profile:

Query for a...
Record or update a...

UK Core Implementation Guide Assets in Development