QI-Core Implementation Guide
7.0.0 - STU 7
QI-Core Implementation Guide
7.0.0 - STU 7
This page is part of the Quality Improvement Core Framework (v7.0.0: STU7 (v7.0.0)) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
| Official URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-careteam | Version: 7.0.0 | |||
| Standards status: Trial-use | Maturity Level: 4 | Computable Name: QICoreCareTeam | ||
Profile of CareTeam for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.
| Antenatal Care Team Example |
Usages:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  CareTeam |
0..* | USCoreCareTeam | Planned participants in the coordination and delivery of care for a patient or group | |
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| status |
?!SΣ | 0..1 | code | proposed | active | suspended | inactive | entered-in-error Binding: CareTeamStatus (required): Indicates whether the team is current , represents future intentions or is now a historical record. |
 subject |
SΣ | 1..1 | Reference(QICore Patient) | (QI) Who the care team is for. |
  participant |
SC | 1..* | BackboneElement | Members of the team Constraints: ctm-1 |
 modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| role |
SΣ | 1..1 | CodeableConcept | (QI) Type of involvement Binding: Care Team Member Function  (extensible): Indicates specific responsibility of an individual within the care team, such as Primary physician, Team coordinator, Caregiver, etc. |
 member |
SΣ | 1..1 | Reference(QICore Patient | QICore Practitioner | QICore PractitionerRole | QICore Organization | QICore CareTeam | QICore RelatedPerson) | (QI) Who is involved |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| CareTeam.status | required | CareTeamStatushttp://hl7.org/fhir/ValueSet/care-team-statusFrom the FHIR Standard | |
| CareTeam.participant.role | extensible | CareTeamMemberFunction http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30 |
| 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 USCoreCareTeam
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| CareTeam |
0..* | USCoreCareTeam | Planned participants in the coordination and delivery of care for a patient or group | |
| subject |
1..1 | Reference(QICore Patient) | (QI) Who the care team is for. | |
 participant |
||||
| role |
SΣ | 1..1 | CodeableConcept | (QI) Type of involvement Binding: Care Team Member Function (extensible): Indicates specific responsibility of an individual within the care team, such as Primary physician, Team coordinator, Caregiver, etc. |
| member |
1..1 | Reference(QICore Patient | QICore Practitioner | QICore PractitionerRole | QICore Organization | QICore CareTeam | QICore RelatedPerson) | (QI) Who is involved | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| CareTeam.participant.role | extensible | CareTeamMemberFunction http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30 |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| CareTeam |
0..* | USCoreCareTeam | Planned participants in the coordination and delivery of care for a patient or group | |||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
 extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 0..* | Identifier | External Ids for this team | ||||
| status |
?!SΣ | 0..1 | code | proposed | active | suspended | inactive | entered-in-error Binding: CareTeamStatus (required): Indicates whether the team is current , represents future intentions or is now a historical record. | ||||
| category |
Σ | 0..* | CodeableConcept | Type of team Binding: CareTeamCategory (example): Indicates the type of care team. | ||||
| name |
Σ | 0..1 | string | Name of the team, such as crisis assessment team | ||||
| subject |
SΣ | 1..1 | Reference(QICore Patient) | (QI) Who the care team is for. | ||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||
| period |
Σ | 0..1 | Period | Time period team covers | ||||
 participant |
SC | 1..* | BackboneElement | Members of the team Constraints: ctm-1 | ||||
 id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| role |
SΣ | 1..1 | CodeableConcept | (QI) Type of involvement Binding: Care Team Member Function (extensible): Indicates specific responsibility of an individual within the care team, such as Primary physician, Team coordinator, Caregiver, etc. | ||||
| member |
SΣ | 1..1 | Reference(QICore Patient | QICore Practitioner | QICore PractitionerRole | QICore Organization | QICore CareTeam | QICore RelatedPerson) | (QI) Who is involved | ||||
| onBehalfOf |
Σ | 0..1 | Reference(Organization) | Organization of the practitioner | ||||
| period |
0..1 | Period | Time period of participant | |||||
| reasonCode |
0..* | CodeableConcept | Why the care team exists Binding: SNOMEDCTClinicalFindings (example): Indicates the reason for the care team. | |||||
| reasonReference |
0..* | Reference(Condition) | Why the care team exists | |||||
| managingOrganization |
Σ | 0..* | Reference(Organization) | Organization responsible for the care team | ||||
| telecom |
0..* | ContactPoint | A contact detail for the care team (that applies to all members) | |||||
| note |
0..* | Annotation | Comments made about the CareTeam | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| CareTeam.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesFrom the FHIR Standard
| ||||
| CareTeam.status | required | CareTeamStatushttp://hl7.org/fhir/ValueSet/care-team-statusFrom the FHIR Standard | ||||
| CareTeam.category | example | CareTeamCategoryhttp://hl7.org/fhir/ValueSet/care-team-categoryFrom the FHIR Standard | ||||
| CareTeam.participant.role | extensible | CareTeamMemberFunction http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30 | ||||
| CareTeam.reasonCode | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findingsFrom the FHIR Standard |
| 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 USCoreCareTeam
Summary
Mandatory: 1 element
Must-Support: 1 element
Structures
This structure refers to these other structures:
Maturity: 4
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| CareTeam |
0..* | USCoreCareTeam | Planned participants in the coordination and delivery of care for a patient or group | |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| status |
?!SΣ | 0..1 | code | proposed | active | suspended | inactive | entered-in-error Binding: CareTeamStatus (required): Indicates whether the team is current , represents future intentions or is now a historical record. |
| subject |
SΣ | 1..1 | Reference(QICore Patient) | (QI) Who the care team is for. |
| participant |
SC | 1..* | BackboneElement | Members of the team Constraints: ctm-1 |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| role |
SΣ | 1..1 | CodeableConcept | (QI) Type of involvement Binding: Care Team Member Function (extensible): Indicates specific responsibility of an individual within the care team, such as Primary physician, Team coordinator, Caregiver, etc. |
| member |
SΣ | 1..1 | Reference(QICore Patient | QICore Practitioner | QICore PractitionerRole | QICore Organization | QICore CareTeam | QICore RelatedPerson) | (QI) Who is involved |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| CareTeam.status | required | CareTeamStatushttp://hl7.org/fhir/ValueSet/care-team-statusFrom the FHIR Standard | |
| CareTeam.participant.role | extensible | CareTeamMemberFunction http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30 |
| 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 USCoreCareTeam
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| CareTeam |
0..* | USCoreCareTeam | Planned participants in the coordination and delivery of care for a patient or group | |
| subject |
1..1 | Reference(QICore Patient) | (QI) Who the care team is for. | |
| participant |
||||
| role |
SΣ | 1..1 | CodeableConcept | (QI) Type of involvement Binding: Care Team Member Function (extensible): Indicates specific responsibility of an individual within the care team, such as Primary physician, Team coordinator, Caregiver, etc. |
| member |
1..1 | Reference(QICore Patient | QICore Practitioner | QICore PractitionerRole | QICore Organization | QICore CareTeam | QICore RelatedPerson) | (QI) Who is involved | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| CareTeam.participant.role | extensible | CareTeamMemberFunction http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30 |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| CareTeam |
0..* | USCoreCareTeam | Planned participants in the coordination and delivery of care for a patient or group | |||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 0..* | Identifier | External Ids for this team | ||||
| status |
?!SΣ | 0..1 | code | proposed | active | suspended | inactive | entered-in-error Binding: CareTeamStatus (required): Indicates whether the team is current , represents future intentions or is now a historical record. | ||||
| category |
Σ | 0..* | CodeableConcept | Type of team Binding: CareTeamCategory (example): Indicates the type of care team. | ||||
| name |
Σ | 0..1 | string | Name of the team, such as crisis assessment team | ||||
| subject |
SΣ | 1..1 | Reference(QICore Patient) | (QI) Who the care team is for. | ||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||
| period |
Σ | 0..1 | Period | Time period team covers | ||||
| participant |
SC | 1..* | BackboneElement | Members of the team Constraints: ctm-1 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| role |
SΣ | 1..1 | CodeableConcept | (QI) Type of involvement Binding: Care Team Member Function (extensible): Indicates specific responsibility of an individual within the care team, such as Primary physician, Team coordinator, Caregiver, etc. | ||||
| member |
SΣ | 1..1 | Reference(QICore Patient | QICore Practitioner | QICore PractitionerRole | QICore Organization | QICore CareTeam | QICore RelatedPerson) | (QI) Who is involved | ||||
| onBehalfOf |
Σ | 0..1 | Reference(Organization) | Organization of the practitioner | ||||
| period |
0..1 | Period | Time period of participant | |||||
| reasonCode |
0..* | CodeableConcept | Why the care team exists Binding: SNOMEDCTClinicalFindings (example): Indicates the reason for the care team. | |||||
| reasonReference |
0..* | Reference(Condition) | Why the care team exists | |||||
| managingOrganization |
Σ | 0..* | Reference(Organization) | Organization responsible for the care team | ||||
| telecom |
0..* | ContactPoint | A contact detail for the care team (that applies to all members) | |||||
| note |
0..* | Annotation | Comments made about the CareTeam | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| CareTeam.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesFrom the FHIR Standard
| ||||
| CareTeam.status | required | CareTeamStatushttp://hl7.org/fhir/ValueSet/care-team-statusFrom the FHIR Standard | ||||
| CareTeam.category | example | CareTeamCategoryhttp://hl7.org/fhir/ValueSet/care-team-categoryFrom the FHIR Standard | ||||
| CareTeam.participant.role | extensible | CareTeamMemberFunction http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1099.30 | ||||
| CareTeam.reasonCode | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findingsFrom the FHIR Standard |
| 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 USCoreCareTeam
Summary
Mandatory: 1 element
Must-Support: 1 element
Structures
This structure refers to these other structures:
Maturity: 4
Other representations of profile: CSV, Excel, Schematron
IG © 2019+ HL7 International / Clinical Quality Information. Package hl7.fhir.us.qicore#7.0.0 based on FHIR 4.0.1. Generated 2025-06-18
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