Id2.16.840.1.113883.10.20.22.4.500Effective Date2019‑07‑01
Statuspending Under pre-publication reviewVersion LabelC-CDA R2.1
NameCareTeamOrganizerDisplay NameCare Team Organizer
Description
This organizer template contains information about a single care team. The author of the organizer is the person who documented the care team information. The participants of the organizer are the care team lead(s) and the care team organization. The components of the organizer contain the following information: * The encounter that caused the care team to be formed * Narrative information about the care team * The care team members * Reasons for the care team * The care team type(s) - a care team can have multiple care team types
ContextParent nodes of template element with id 2.16.840.1.113883.10.20.22.4.500
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 1 template, Uses 4 templates
Used by as NameVersion
2.16.840.1.113883.10.20.22.2.500Containmentpending Care Teams Section (C-CDA R2.1)2019‑07‑01
Uses as NameVersion
2.16.840.1.113883.10.20.22.4.122Containmentdraft Entry Reference (2.1)DYNAMIC
2.16.840.1.113883.10.20.22.4.202Containmentpending Note Activity (C-CDA R2.1)2016‑11‑01
2.16.840.1.113883.10.20.22.4.500.1Containmentpending Care Team Member Act (C-CDA R2.1)2019‑07‑01
2.16.840.1.113883.10.20.22.4.500.2Containmentpending Care Team Type Observation (C-CDA R2.1)2019‑07‑01
RelationshipSpecialization: template 2.16.840.1.113883.10.12.305 CDA Organizer (2005‑09‑07)
ref
ad1bbr-
Example
Care Team Organizer Example 1
<!--Care Team Organizer-->
<entry>
  <organizer classCode="CLUSTER" moodCode="EVN">
    <templateId root="2.16.840.1.113883.10.20.22.4.500" extension="2019-07-01"/>    <!--NEW Care Team Organizer Entry Template ID and extension-->
    <id root="1.1.1.1.1.1"/>    <code code="86744-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Care Team">
      <originalText>
        <reference value="#CareTeamName1"/>      </originalText>    </code>    <!--Care Team Status - https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.1.11.15933/expansion-->
    <statusCode code="active"/>    <effectiveTime>
      <low value="201810081426-0500"/>    </effectiveTime>    <!-- This participant is the Care Team Lead (1..1)-->
    <!-- Care Team Lead is one of the contained care team members in the list of care team members-->
    <!--<participant typeCode="PPRF">
<!-\-<This id matches at least one of the member's id in the Care Team Member act template>-\->
<participantRole>
<id root="1.5.5.5.5.5.5"/>
</participantRole>
</participant>-->
    <!-- #1 Care Team Member Act - This component is a care team member who is a provider -->
    <component>
      <act classCode="PCPR" moodCode="EVN">
        <templateId root="2.16.840.1.113883.10.20.22.4.500.1" extension="2019-07-01"/>        <id root="1.5.5.5.5.5.5"/>        <code code="85847-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Care Team Information"/>        <!--Care Team Member Status - https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.1.11.15933/expansion-->
        <statusCode code="active"/>        <effectiveTime xsi:type="IVL_TS">
          <low value="201810081426-0500"/>        </effectiveTime>        <!--Attributes about the provider member - name-->
        <performer typeCode="PRF">
          <functionCode code="PCP" displayName="primary care physician" codeSystem="2.16.840.1.113883.5.88" codeSystemName="ParticipationFunction">
            <originalText>
              <reference value="#CT1_M01"/>            </originalText>          </functionCode>          <!-- A care team member role -->
          <assignedEntity>
            <id root="B00B14E8-CDE4-48EA-8A09-01BC4945122A" extension="1"/>            <id root="1.5.5.5.5.5.5"/>            <assignedPerson>
              <name>
                <given>John</given>                <given>D</given>                <family>Smith</family>                ,                <suffix>MD</suffix>              </name>            </assignedPerson>          </assignedEntity>        </performer>      </act>    </component>  </organizer></entry>
ItemDTCardConfDescriptionLabel
cda:organizer
Caredotsizer
@nullFlavor
cs0 … 1 MAY contain zero or one [0..1] @nullFlavor (CONF:X-X).
@classCode
cs1 … 1RSHALL contain exactly one [1..1] @classCode (CONF:X-X).
@moodCode
cs1 … 1RSHALL contain exactly one [1..1] @moodCode (CONF:X-X).
cda:realmCode
0 … *MAY contain zero or more [0..*] realmCode (CONF:X-X).Caredotsizer
cda:typeId
0 … 1MAY contain zero or one [0..1] typeId (CONF:X-X).Caredotsizer
cda:templateId
1 … 1MSHALL contain exactly one [1..1] templateId (CONF:4435-112) such that itCONFdots‑112
@root
uid1 … 1F2.16.840.1.113883.10.20.22.4.500CONFdots‑117
 SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.500" (CONF:4435-117).
@extension
st1 … 1F2019-07-01CONFdots‑118
 SHALL contain exactly one [1..1] @extension="2019-07-01" (CONF:4435-118).
cda:id
1 … *MSHALL contain at least one [1..*] id (CONF:4435-126).CONFdots‑126
cda:code
1 … 1MSHALL contain exactly one [1..1] code (CONF:4435-114).CONFdots‑114
@code
CONF1 … 1F86744-0
@codeSystem
1 … 1F2.16.840.1.113883.6.1
cda:originalText
1 … 1MThis code SHALL contain exactly one [1..1] originalText (CONF:4435-154) such that itCONFdots‑154
cda:reference
1 … 1MSHALL contain exactly one [1..1] reference (CONF:4435-155).CONFdots‑155
@value
1 … 1RThis reference SHALL contain exactly one [1..1] @value (CONF:4435-156).

The value attribute references the narrative in section.text where the care team name is rendered.		CONFdots‑156
sdtc:text
0 … 1MAY contain zero or one [0..1] sdtc:text (CONF:X-X).Caredotsizer
cda:statusCode
1 … 1MSHALL contain exactly one [1..1] statusCode (CONF:4435-113).CONFdots‑113
cda:effectiveTime
1 … 1MSHALL contain exactly one [1..1] effectiveTime (CONF:4435-127).CONFdots‑127
cda:low
1 … 1MThis effectiveTime SHALL contain exactly one [1..1] low (CONF:4435-157).CONFdots‑157
cda:high
0 … 1This effectiveTime MAY contain zero or one [0..1] high (CONF:4435-158).CONFdots‑158
cda:subject
0 … 1MAY contain zero or one [0..1] subject (CONF:X-X).Caredotsizer
cda:specimen
0 … *MAY contain zero or more [0..*] specimen (CONF:X-X).Caredotsizer
cda:performer
0 … *MAY contain zero or more [0..*] performer (CONF:X-X).Caredotsizer
cda:author
0 … *RSHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:4435-116).CONFdots‑116
cda:informant
0 … *MAY contain zero or more [0..*] informant (CONF:X-X).Caredotsizer
cda:participant
0 … *RSHOULD contain zero or more [0..*] participant (CONF:4435-128) such that itCONFdots‑128
@typeCode
cs1 … 1FPPRFCONFdots‑129
 SHALL contain exactly one [1..1] @typeCode="PPRF" Primary Performer (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90) (CONF:4435-129).
cda:functionCode
0 … 1MAY contain zero or one [0..1] functionCode, which SHOULD be selected from ValueSet Care Team Member Function urn:oid:2.16.840.1.113762.1.4.1099.30 DYNAMIC (CONF:4435-130).CONFdots‑130
cda:participantRole
1 … 1MSHALL contain exactly one [1..1] participantRole (CONF:4435-131).CONFdots‑131
cda:id
1 … *MThis participantRole SHALL contain at least one [1..*] id (CONF:4435-132).CONFdots‑132
 Schematron assertrolered error 
 testnot(.) 
 MessageThis id SHALL match at least one of the member's id in the Care Team Member act template. 
cda:participant
0 … *MAY contain zero or more [0..*] participant (CONF:4435-134) such that itCONFdots‑134
@typeCode
cs1 … 1FLOCCONFdots‑137
 SHALL contain exactly one [1..1] @typeCode="LOC" Location (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90) (CONF:4435-137).
cda:participantRole
1 … 1MSHALL contain exactly one [1..1] participantRole (CONF:4435-135).CONFdots‑135
cda:id
1 … *MThis participantRole SHALL contain at least one [1..*] id (CONF:4435-138).CONFdots‑138
cda:addr
0 … 1RThis participantRole SHOULD contain zero or one [0..1] addr (CONF:4435-139).CONFdots‑139
cda:telecom
0 … *RThis participantRole SHOULD contain zero or more [0..*] telecom (CONF:4435-140).CONFdots‑140
cda:playingEntity
1 … 1MThis participantRole SHALL contain exactly one [1..1] playingEntity (CONF:4435-136).CONFdots‑136
@classCode
cs1 … 1FPLCCONFdots‑141
 This playingEntity SHALL contain exactly one [1..1] @classCode="PLC" Place (CodeSystem: HL7EntityClass urn:oid:2.16.840.1.113883.5.41) (CONF:4435-141).
cda:name
1 … 1MThis playingEntity SHALL contain exactly one [1..1] name (CONF:4435-142).CONFdots‑142
cda:reference
0 … *MAY contain zero or more [0..*] reference (CONF:X-X).Caredotsizer
cda:precondition
0 … *MAY contain zero or more [0..*] precondition (CONF:X-X).Caredotsizer
sdtc:precondition2
0 … *MAY contain zero or more [0..*] sdtc:precondition2 (CONF:X-X).Caredotsizer
cda:component
0 … *MAY contain zero or more [0..*] component (CONF:4435-110) such that it

SHALL contain exactly one [1..1] Care Team Type Observation (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.500.2:2019-07-01) (CONF:4435-163).
Contains 2.16.840.1.113883.10.20.22.4.500.2 Care Team Type Observation (2019‑07‑01)		CONFdots‑110
cda:component
0 … *MAY contain zero or more [0..*] component (CONF:4435-146) such that it

The following components represent the reasons for the existence of the care team. These entry references are typically a health concern, risk concern or problem but can also be some other entry present in the document.

SHALL contain exactly one [1..1] Entry Reference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.122) (CONF:4435-147)
Contains 2.16.840.1.113883.10.20.22.4.122 Entry Reference (DYNAMIC)		CONFdots‑146
cda:component
0 … *MAY contain zero or more [0..*] component (CONF:4435-148) such that it

CONFdots‑148
cda:encounter
1 … 1MSHALL contain exactly one [1..1] encounter (CONF:4435-164).CONFdots‑164
cda:id
1 … *MThis encounter SHALL contain at least one [1..*] id (CONF:4435-165).CONFdots‑165
cda:component
0 … 1MAY contain zero or one [0..1] component (CONF:4435-150) such that it

SHALL contain exactly one [1..1] Note Activity (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.202:2016-11-01) (CONF:4435-151).
Contains 2.16.840.1.113883.10.20.22.4.202 Note Activity (2016‑11‑01)		CONFdots‑150
cda:component
1 … *MSHALL contain at least one [1..*] component (CONF:4435-152) such that it

SHALL contain exactly one [1..1] Care Team Member Act (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.500.1:2019-07-01) (CONF:4435-166).
Contains 2.16.840.1.113883.10.20.22.4.500.1 Care Team Member Act (2019‑07‑01)		CONFdots‑152