Nictiz FHIR NL STU3 Zib2017
1.3.15 - CI Build

Nictiz FHIR NL STU3 Zib2017 - Local Development build (v1.3.15) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: nl-core-careteam - Detailed Descriptions

Active as of 2024-04-09

Definitions for the nl-core-careteam resource profile.

Guidance on how to interpret the contents of this table can be found here

0. CareTeam
2. CareTeam.identifier
NoteThis is a business identifier, not a resource identifier (see discussion)
4. CareTeam.subject
TypeReference(nl-core-patient, Group)
6. CareTeam.context
TypeReference(HCIM Encounter, nl-core-episodeofcare)
8. CareTeam.period
10. CareTeam.participant
12. CareTeam.participant.role
14. CareTeam.participant.role.coding
SlicingThis element introduces a set of slices on CareTeam.participant.role.coding. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ system
  • 16. CareTeam.participant.role.coding:healthProfessionalRole
    Slice NamehealthProfessionalRole
    Definition

    The role the healthcare provider fulfils in the healthcare process. For healthcare providers, this could be for example main practitioner, referrer or general practitioner.

    ShortHealthProfessionalRole
    BindingUnless not suitable, these codes SHALL be taken from ZorgverlenerRolCodelijst
    (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.1.5--20171231000000)
    Alternate NamesZorgverlenerRol
    18. CareTeam.participant.member
    TypeReference(nl-core-practitioner, nl-core-relatedperson, nl-core-patient, nl-core-organization, CareTeam)
    20. CareTeam.participant.member.extension
    SlicingThis element introduces a set of slices on CareTeam.participant.member.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 22. CareTeam.participant.member.extension:practitionerRole
      Slice NamepractitionerRole
      Control0..1
      TypeExtension(PractitionerRole Reference) (Extension Type: Reference)
      24. CareTeam.participant.onBehalfOf
      TypeReference(nl-core-organization)
      26. CareTeam.reasonReference
      TypeReference(HCIM Problem)
      28. CareTeam.managingOrganization
      TypeReference(nl-core-organization)

      Guidance on how to interpret the contents of this table can be found here

      0. 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.

      ShortPlanned participants in the coordination and delivery of care for a patient or group
      Control0..*
      Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
      dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative (contained.text.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 (contained.where(('#'+id in %resource.descendants().reference).not()).empty())
      dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
      dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative (contained.text.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 (contained.where(('#'+id in %resource.descendants().reference).not()).empty())
      2. 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.

      ShortA set of rules under which this content was created
      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.

      This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.

      Control0..1
      Typeuri
      Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      4. 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. Usually modifier elements provide negation or qualification. In order 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.

      ShortExtensions that cannot be ignored
      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.

      Control0..*
      TypeExtension
      Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
      Alternate Namesextensions, user content
      6. CareTeam.identifier
      Definition

      This records identifiers associated with this care team that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate.

      ShortExternal Ids for this team
      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control0..*
      TypeIdentifier
      Summarytrue
      8. CareTeam.status
      Definition

      Indicates the current state of the care team.

      Shortproposed | active | suspended | inactive | entered-in-error
      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.

      Control0..1
      BindingThe codes SHALL be taken from CareTeamStatushttp://hl7.org/fhir/ValueSet/care-team-status
      (required to http://hl7.org/fhir/ValueSet/care-team-status)

      Indicates the status of the care team.

      Typecode
      Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      10. CareTeam.subject
      Definition

      Identifies the patient or group whose intended care is handled by the team.

      ShortWho care team is for
      Control0..1
      TypeReference(nl-core-patient, Group, Patient)
      Summarytrue
      Requirements

      Allows the team to care for a group (e.g. marriage) therapy.

      Alternate Namespatient
      12. CareTeam.context
      Definition

      The encounter or episode of care that establishes the context for this care team.

      ShortEncounter or episode associated with CareTeam
      Control0..1
      TypeReference(HCIM Encounter, nl-core-episodeofcare, Encounter, EpisodeOfCare)
      Summarytrue
      Alternate Namesencounter
      14. CareTeam.period
      Definition

      Indicates when the team did (or is intended to) come into effect and end.

      ShortTime period team covers
      Control0..1
      TypePeriod
      Summarytrue
      Requirements

      Allows tracking what team(s) are in effect at a particular time.

      16. CareTeam.reasonReference
      Definition

      Condition(s) that this care team addresses.

      ShortWhy the care team exists
      Control0..*
      TypeReference(HCIM Problem, Condition)
      18. CareTeam.managingOrganization
      Definition

      The organization responsible for the care team.

      ShortOrganization responsible for the care team
      Control0..*
      TypeReference(nl-core-organization, Organization)
      Summarytrue
      Requirements

      Allows for multiple organizations to collaboratively manage cross-organizational, longitudinal care plan.

      Guidance on how to interpret the contents of this table can be found here

      0. 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.

      ShortPlanned participants in the coordination and delivery of care for a patient or group
      Control0..*
      Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
      dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative (contained.text.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 (contained.where(('#'+id in %resource.descendants().reference).not()).empty())
      2. CareTeam.id
      Definition

      The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

      ShortLogical id of this artifact
      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.

      Control0..1
      Typeid
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      4. CareTeam.meta
      Definition

      The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.

      ShortMetadata about the resource
      Control0..1
      TypeMeta
      Summarytrue
      6. 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.

      ShortA set of rules under which this content was created
      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.

      This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.

      Control0..1
      Typeuri
      Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      8. CareTeam.language
      Definition

      The base language in which the resource is written.

      ShortLanguage of the resource content
      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).

      Control0..1
      BindingUnless not suitable, these codes SHALL be taken from Common Languages
      (extensible to http://hl7.org/fhir/ValueSet/languages)

      A human language.

      Additional BindingsPurpose
      AllLanguagesMax Binding
      Typecode
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      10. CareTeam.text
      Definition

      A human-readable narrative that contains a summary of the resource, and may 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.

      ShortText summary of the resource, for human interpretation
      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 in formation is added later.

      Control0..1
      This element is affected by the following invariants: dom-1
      TypeNarrative
      Alternate Namesnarrative, html, xhtml, display
      12. 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.

      ShortContained, inline 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.

      Control0..*
      TypeResource
      Alternate Namesinline resources, anonymous resources, contained resources
      14. CareTeam.extension
      Definition

      May be used to represent additional information that is not part of the basic definition of the resource. In order 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.

      ShortAdditional Content defined by implementations
      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.

      Control0..*
      TypeExtension
      Alternate Namesextensions, user content
      16. 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. Usually modifier elements provide negation or qualification. In order 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.

      ShortExtensions that cannot be ignored
      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.

      Control0..*
      TypeExtension
      Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
      Alternate Namesextensions, user content
      18. CareTeam.identifier
      Definition

      This records identifiers associated with this care team that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate.

      ShortExternal Ids for this team
      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control0..*
      TypeIdentifier
      Summarytrue
      20. CareTeam.status
      Definition

      Indicates the current state of the care team.

      Shortproposed | active | suspended | inactive | entered-in-error
      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.

      Control0..1
      BindingThe codes SHALL be taken from CareTeamStatus
      (required to http://hl7.org/fhir/ValueSet/care-team-status)

      Indicates the status of the care team.

      Typecode
      Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      22. 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.

      ShortType of team
      Comments

      There may be multiple axis of categorization and one team may serve multiple purposes.

      Control0..*
      BindingFor example codes, see CareTeamCategory
      (example to http://hl7.org/fhir/ValueSet/care-team-category)

      Indicates the type of care team.

      TypeCodeableConcept
      Summarytrue
      Requirements

      Used for filtering what teams(s) are retrieved and displayed to different types of users.

      24. CareTeam.name
      Definition

      A label for human use intended to distinguish like teams. E.g. the "red" vs. "green" trauma teams.

      ShortName of the team, such as crisis assessment team
      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 . ).

      Control0..1
      Typestring
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      26. CareTeam.subject
      Definition

      Identifies the patient or group whose intended care is handled by the team.

      ShortWho care team is for
      Control0..1
      TypeReference(nl-core-patient, Group)
      Summarytrue
      Requirements

      Allows the team to care for a group (e.g. marriage) therapy.

      Alternate Namespatient
      28. CareTeam.context
      Definition

      The encounter or episode of care that establishes the context for this care team.

      ShortEncounter or episode associated with CareTeam
      Control0..1
      TypeReference(HCIM Encounter, nl-core-episodeofcare)
      Summarytrue
      Alternate Namesencounter
      30. CareTeam.period
      Definition

      Indicates when the team did (or is intended to) come into effect and end.

      ShortTime period team covers
      Control0..1
      TypePeriod
      Summarytrue
      Requirements

      Allows tracking what team(s) are in effect at a particular time.

      32. CareTeam.participant
      Definition

      Identifies all people and organizations who are expected to be involved in the care team.

      ShortMembers of the team
      Control0..*
      This element is affected by the following invariants: ctm-1
      TypeBackboneElement
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (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() is Practitioner))
      34. 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.

      Shortxml:id (or equivalent in JSON)
      Control0..1
      Typestring
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      36. CareTeam.participant.extension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element. In order 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.

      ShortAdditional Content defined by implementations
      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.

      Control0..*
      TypeExtension
      Alternate Namesextensions, user content
      38. 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 that contains it. Usually modifier elements provide negation or qualification. In order 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.

      ShortExtensions that cannot be ignored
      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.

      Control0..*
      TypeExtension
      Is Modifiertrue because No Modifier Reason provideed in previous versions of FHIR
      Summarytrue
      Alternate Namesextensions, user content, modifiers
      40. 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.

      ShortType of involvement
      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.

      Control0..1
      BindingFor example codes, see Participant Roles
      (example to http://hl7.org/fhir/ValueSet/participant-role)

      Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.

      TypeCodeableConcept
      Summarytrue
      42. CareTeam.participant.role.id
      Definition

      unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

      Shortxml:id (or equivalent in JSON)
      Control0..1
      Typestring
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      44. CareTeam.participant.role.extension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element. In order 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.

      ShortAdditional Content defined by implementations
      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.

      Control0..*
      TypeExtension
      Alternate Namesextensions, user content
      SlicingThis element introduces a set of slices on CareTeam.participant.role.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 46. CareTeam.participant.role.coding
        Definition

        A reference to a code defined by a terminology system.

        ShortCode defined by a terminology system
        Comments

        Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

        Control0..*
        TypeCoding
        Summarytrue
        Requirements

        Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.

        SlicingThis element introduces a set of slices on CareTeam.participant.role.coding. The slices are unordered and Open, and can be differentiated using the following discriminators:
        • value @ system
        • 48. CareTeam.participant.role.coding:healthProfessionalRole
          Slice NamehealthProfessionalRole
          Definition

          The role the healthcare provider fulfils in the healthcare process. For healthcare providers, this could be for example main practitioner, referrer or general practitioner.

          ShortHealthProfessionalRole
          Comments

          Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

          Control0..*
          BindingUnless not suitable, these codes SHALL be taken from ZorgverlenerRolCodelijst
          (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.1.5--20171231000000)
          TypeCoding
          Summarytrue
          Requirements

          Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.

          Alternate NamesZorgverlenerRol
          50. CareTeam.participant.role.text
          Definition

          A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

          ShortPlain text representation of the concept
          Comments

          Very often the text is the same as a displayName of one of the codings.

          Control0..1
          Typestring
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

          52. CareTeam.participant.member
          Definition

          The specific person or organization who is participating/expected to participate in the care team.

          ShortWho is involved
          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.

          Control0..1
          TypeReference(nl-core-practitioner, nl-core-relatedperson, nl-core-patient, nl-core-organization, CareTeam)
          Summarytrue
          54. CareTeam.participant.member.id
          Definition

          unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

          Shortxml:id (or equivalent in JSON)
          Control0..1
          Typestring
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          56. CareTeam.participant.member.extension
          Definition

          An Extension

          ShortExtension
          Control0..*
          TypeExtension
          SlicingThis element introduces a set of slices on CareTeam.participant.member.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 58. CareTeam.participant.member.extension:practitionerRole
            Slice NamepractitionerRole
            Definition

            Optional Extension Element - found in all resources.

            ShortOptional Extensions Element
            Control0..1
            TypeExtension(PractitionerRole Reference) (Extension Type: Reference)
            60. CareTeam.participant.member.reference
            Definition

            A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

            ShortLiteral reference, Relative, internal or absolute URL
            Comments

            Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

            Control0..1
            This element is affected by the following invariants: ref-1
            Typestring
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            62. CareTeam.participant.member.identifier
            Definition

            An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

            ShortLogical reference, when literal reference is not known
            Comments

            When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

            When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

            Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

            NoteThis is a business identifier, not a resource identifier (see discussion)
            Control0..1
            TypeIdentifier
            Summarytrue
            64. CareTeam.participant.member.display
            Definition

            Plain text narrative that identifies the resource in addition to the resource reference.

            ShortText alternative for the resource
            Comments

            This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

            Control0..1
            Typestring
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            66. CareTeam.participant.onBehalfOf
            Definition

            The organization of the practitioner.

            ShortOrganization of the practitioner
            Control0..1
            TypeReference(nl-core-organization)
            Summarytrue
            Requirements

            Practitioners can be associated with multiple organizations. This element indicates which organization they were acting on behalf of.

            68. CareTeam.participant.period
            Definition

            Indicates when the specific member or organization did (or is intended to) come into effect and end.

            ShortTime period of participant
            Control0..1
            TypePeriod
            70. CareTeam.reasonCode
            Definition

            Describes why the care team exists.

            ShortWhy the care team exists
            Control0..*
            BindingFor example codes, see SNOMED CT Clinical Findings
            (example to http://hl7.org/fhir/ValueSet/clinical-findings)

            Indicates the reason for the care team.

            TypeCodeableConcept
            72. CareTeam.reasonReference
            Definition

            Condition(s) that this care team addresses.

            ShortWhy the care team exists
            Control0..*
            TypeReference(HCIM Problem)
            74. CareTeam.managingOrganization
            Definition

            The organization responsible for the care team.

            ShortOrganization responsible for the care team
            Control0..*
            TypeReference(nl-core-organization)
            Summarytrue
            Requirements

            Allows for multiple organizations to collaboratively manage cross-organizational, longitudinal care plan.

            76. CareTeam.note
            Definition

            Comments made about the CareTeam.

            ShortComments made about the CareTeam
            Control0..*
            TypeAnnotation