Stream: implementers
Topic: CareTeam without patient and encounter
Josh Haskins (Dec 09 2019 at 16:36):
Hi,
In looking at the CareTeam resource, these are care teams that are created for a specific patient and/or encounter.
What resource should we be using if the care teams are permanent? These care teams carry on from one patient to another, are not specific an encounter, and have a membership that does not often change.
I found @Lloyd McKenzie's response here about if there are multiple encounters, then don’t reference to the encounters, only the patient.
However, what is the best practice where the patient and encounters are not the same, leave both the patient and encounter references empty, or use a different resource, such as Organization?
Thank you.
Yunwei Wang (Dec 09 2019 at 16:41):
Maybe Organization?
Lloyd McKenzie (Dec 09 2019 at 16:48):
Neither subject nor encounter are mandatory. If you have a standing "Code Blue" team, it's fine to use CareTeam for this. Key is that different team members have specific roles/responsibilities.
Michele Mottini (Dec 09 2019 at 16:48):
...or Group
Lloyd McKenzie (Dec 09 2019 at 16:49):
Group can't act/have responsibility
Lloyd McKenzie (Dec 09 2019 at 16:49):
From the definition of CareTeam: "an event, prior to a subject being identified (such as a code blue team or emergency response team)"
Michele Mottini (Dec 09 2019 at 16:52):
Ah yes...Group as acted on..so not good for that
Yunwei Wang (Dec 09 2019 at 16:52):
The CareTeam resource establishes a set of relationships and roles and is specific to a particular Patient.
Yunwei Wang (Dec 09 2019 at 16:54):
Can you have one CareTeam moving from patient to patient?
Lloyd McKenzie (Dec 09 2019 at 17:19):
Yeah, that text is wrong. Can you submit a change request to get it corrected @Yunwei Wang
Josh Haskins (Dec 09 2019 at 17:21):
Thank you! I shall use CareTeam.
Yunwei Wang (Dec 09 2019 at 17:31):
https://jira.hl7.org/browse/FHIR-25290
Dave Carlson (Dec 09 2019 at 17:34):
This use case was addressed, in part, by the Validated Healthcare Directory IG. See the CareTeam profile: http://hl7.org/fhir/uv/vhdir/2018Jan/StructureDefinition-vhdir-careteam.html
Dave Carlson (Dec 09 2019 at 17:36):
This profile specifically removes subject from the CareTeam with a 0..0 constraint.
Yunwei Wang (Dec 09 2019 at 18:54):
@Dave Carlson I followed your link and see some inconsistence in that profile. For example, the Backgroup section says This profile removes careTeam.subject, careTeam.context, careTeam.reasonReference, .... The the Snapshot Table shows careTeam.context has card. 0..1 and careTeam.reasonReference has 0..*.
Last updated: Apr 12 2022 at 19:14 UTC
