Managing a CareTeam
- Erik Nielsen
- malthe lange
- Anders Kabell Kristensen
CareTeam resources play an important role in the eHealth Infrastructure:
at Practitioner login to the infrastructure
as entities encapsulating which Practitioners are involved in working with which EpisodeOfCare, CarePlan and associated Communication and Task resources
in access control for EpisodeOfCare, CarePlan, Communication and Task resources as well as related, other resources such as Observation, QuestionnaireResponse, Media and ClinicalImpression.
The focus area(s) of the CareTeam is described in CareTeam.reasonCode which can be set to a number of CodeableConcept for conditions that the CareTeam takes care of, for instance Coding for COPD: { "system": "urn:oid:1.2.208.176.2.4", "code": "DJ44", "display": "Kronisk obstruktiv lungesygdom" }.
Since the CareTeam model does not have an attribute for capturing the description of the care team, a CareTeam.note.text without CareTeam.note.authorReference and with CareTeam.note.time set to January 1st 1970 is used for this purpose by the care team component within Common Workplace (see eHealth Applications | Clinical Administration Application (Danish: KAM for Klinisk administrativ modu...).
The CareTeam.participant is automatically updated upon Practitioner login as described in Behind the Scenes | Handling at Login. There is no effect and no need for an organization managing a CareTeam to add Practitioner type members.
Creating a CareTeam
A CareTeam is created by performing CareTeam Create. As noted below, there are requirements for a CareTeam to be eligible for use at Practitioner login.
Managing a CareTeam
Changes to a CareTeam can be performed by CareTeam Update.
Setting CareTeam Status
The CareTeam.status is changed by performing CareTeam Update.
In order for a CareTeam to be eligible for use at Practitioner login, it must have:
statusset toactive
This is the current behavior. Please note that the CareTeam status is cached for one hour, meaning that change of status in regards to login does not take effect immediately.
THIS IS FUTURE BEHAVIOR CURRENTLY BEING DISCUSSED.
In order for a CareTeam to be eligible for use at Practitioner login, it must have:
statusset toactiveperiodwhich is set where:period.startis before or equal to datetime of login
Please note that the CareTeam status is cached for one hour, meaning that change of status in regards to login does not take effect immediately.
The following diagram describes the status transition flow, for a CareTeam resource, which is implemented by the care team component within the Common Workplace. Be aware that this is more strict than the FUT infrastructure, which is not enforcing any restrictions on status transitions:
