Stream: implementers
Topic: Practitioner team
Mounika (Apr 01 2021 at 07:53):
Hi all,
In a hospital doctors can become a team irrespective of patient. This representation of team is it necessary to use the care team with group or can we use Organization resource to represent as a team. which one is most commonly used?
Lloyd McKenzie (Apr 01 2021 at 13:15):
Organization is a group that can take collective action and have shared responsibility. Group can be a collective 'subject' of action, but not a collective performer and can't take shared responsibility. Which is appropriate depends on the objective of grouping them into a 'team'
Mounika (Apr 01 2021 at 15:40):
Thank you @Lloyd McKenzie
Can you tell me when to use the Care Team resource?
Lloyd McKenzie (Apr 01 2021 at 15:59):
CareTeam is typically used when a team is specific to a Patient. However, it can also be used for 'standing' teams when the team has a specific function and each member within the team takes on a particular role in delivering that function
Mounika (Apr 02 2021 at 07:26):
Thank you @Lloyd McKenzie
Mounika (Apr 06 2021 at 10:56):
Hi @Lloyd McKenzie
Can you clarify me when to use Organization resource and when to use Group resource in creating a team?
Lloyd McKenzie (Apr 06 2021 at 16:33):
What's your use-case?
Mounika (Apr 07 2021 at 14:14):
I need to create a team of doctors independent of patient. So what is the best resource is suitable for this use case?
Katerina Nikolova (Apr 07 2021 at 14:18):
Maybe Organization? Depends on what kind of team it is. Does it represent a group of doctors that come together?
Lloyd McKenzie (Apr 08 2021 at 02:08):
CareTeam allows you to specify particular individuals with specific roles. If you don't need that, then stick with Organization.
Mounika (Apr 08 2021 at 13:32):
Can we use Group resource to create team and if we can't, what is the reason for it?
Lloyd McKenzie (Apr 08 2021 at 14:56):
Group can't "act" or have responsibility - it can only be acted on.
Astrid van Ginneken (Jul 14 2021 at 10:51):
I need to represent a research team with its members. How can I link members to a ResearchStudy, other than contactPerson or principalInvestigator?
Lloyd McKenzie (Jul 14 2021 at 15:38):
This seems like a use for CareTeam, though right now there's no standard way to link that into a ResearchStudy. You could use an extension. You could also submit a change request asking us to explore adding a standard element or extension in the core spec
Astrid van Ginneken (Jul 19 2021 at 08:26):
The research team is not caring for a particular patient. Hence, I am inclined to submit a change request asking the FHIR team to consider adapting the core profile of ResearchStudy to represent the members of the research team and the role of each member. Can you provide me with a link or instruction to submit such a change request?
Lloyd McKenzie (Jul 19 2021 at 13:02):
There's a "propose a change" link at the bottom of each page in the spec. Please note though that CareTeam doesn't need to be patient-specific. CareTeam is already used for standing teams within institutions like a 'code team' that are completely patient independent.
Astrid van Ginneken (Jul 20 2021 at 09:08):
Thank you for your suggestion. Apart from the fact that there is no standard way to link a CareTeam to a ResearchStudy, CareTeam consists of Practitioners. A research team often has members that have nothing to do with patient care, such as secretary, database manager, statistician, financial officer, .... It would be great to have a generic profile 'Team' that would be more general than CareTeam. This resource can then have members with a reference to Practitioner or Person. Profile Person should than also have a 0..* element 'role' or function. The elements 'contact' and 'principalInvestigator' in ResearchStudy could than be replaced with an element 'ResearchTeam' with a reference to profile Team.
Lloyd McKenzie (Jul 20 2021 at 15:15):
In FHIR terms, all of those people are Practitioners.
Lloyd McKenzie (Jul 20 2021 at 15:16):
Practitioner is anyone working in their professional capacity - it includes cab drivers, lawyers, receptionists, you name it.
Lloyd McKenzie (Jul 20 2021 at 15:16):
In FHIR, people are broken into 3 categories:
Patient - actual or potential recipient of care
RelatedPerson - someone acting on behalf of the Patient based on their personal relationship
Practitioner - someone acting in their professional capacity.
Lloyd McKenzie (Jul 20 2021 at 15:17):
You can't ever have a reference to Person in FHIR. Person is a linking resource only. It's used to say that multiple Patients, Practitioners and/or RelatedPersons are the same human being (or animal). Person can't ever be referenced as an actor or subject.
Astrid van Ginneken (Jul 26 2021 at 08:12):
Thank you very much. I have indeed decided to use the reference to Practitioner. However, it would be great if the definition of CareTeam also allows for teams that do not provide care. Also, some members of a research team fulfill more than one role: e.g. principal investigator, contact person, and recruiter. This requires a cardinality of 0..* for participant.role
Brian Postlethwaite (Jul 26 2021 at 08:47):
Just repeat the member for the various roles, as they could also have different periods too.
Lloyd McKenzie (Jul 26 2021 at 14:37):
@Astrid van Ginneken, can you submit a change request to suggest clarifying the definition to indicate that CareTeam can have a broader use?
Astrid van Ginneken (Jul 27 2021 at 07:02):
Youhave mentioned a link 'propose a change', but perhaps you are referring to a different web page than the one I have been using. Can you please paste a URL in your reply, so I can submit my change request?
Lloyd McKenzie (Jul 27 2021 at 13:00):
At the bottom of every page in the FHIR specification, there's a 'propose a change' link. You'll need to do a 1-time registration process where we have a human review and confirm you seem to be a real human being. After that, you can propose changes at will :smile:
Last updated: Apr 12 2022 at 19:14 UTC
