Id2.16.840.1.113883.10.20.22.4.500.1Effective Date2019‑07‑01
Statuspending Under pre-publication reviewVersion LabelC-CDA R2.1
NameCareTeamMemberActDisplay NameCare Team Member Act
Description
This template is used to represent a member of the care team. Care team members can include healthcare and community services providers, caregivers, relatives, the patient themselves, etc. A care team member can be another care team or an organization. Care team member attributes include the following: • Care team member status on the care team • Care team member time (e.g. duration, point-in-time, etc.) on the care team • Schedule of the care team member describing when the care team member usually participates on the care team • Care team member function on the care team such as the care team member specialty, relationship to the patient, and also role on the care team • Care team member name, address, telecom, organization, etc. • Care team member information (narrative description about the care team member)
ContextParent nodes of template element with id 2.16.840.1.113883.10.20.22.4.500.1
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 2 templates, Uses 2 templates
Used by as NameVersion
2.16.840.1.113883.10.20.22.2.500linkpending Care Teams Section (C-CDA R2.1)2019‑07‑01
2.16.840.1.113883.10.20.22.4.500Containmentpending Care Team Organizer (C-CDA R2.1)2019‑07‑01
Uses as NameVersion
2.16.840.1.113883.10.20.22.4.202Containmentpending Note Activity (C-CDA R2.1)2016‑11‑01
2.16.840.1.113883.10.20.22.4.500.3Containmentpending Care Team Member Schedule Observation (C-CDA R2.1)2019‑07‑01
RelationshipSpecialization: template 2.16.840.1.113883.10.12.301 CDA Act (2005‑09‑07)
ref
ad1bbr-
Example
Care Team Member Act
<!--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-->
     ...     <!-- #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:act
CaredotsrAct
@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).
@negationInd
bl0 … 1 MAY contain zero or one [0..1] @negationInd (CONF:X-X).
cda:realmCode
0 … *MAY contain zero or more [0..*] realmCode (CONF:X-X).CaredotsrAct
cda:typeId
0 … 1MAY contain zero or one [0..1] typeId (CONF:X-X).CaredotsrAct
cda:templateId
1 … 1MSHALL contain exactly one [1..1] templateId (CONF:4435-45) such that itCONFdots5‑45
@root
uid1 … 1F2.16.840.1.113883.10.20.22.4.500.1CONFdots5‑66
 SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.500.1" (CONF:4435-66).
@extension
st1 … 1F2019-07-01CONFdots5‑67
 SHALL contain exactly one [1..1] @extension="2019-07-01" (CONF:4435-67).
cda:id
1 … *MSHALL contain at least one [1..*] id (CONF:4435-162).CONFdots‑162
cda:code
1 … 1MSHALL contain exactly one [1..1] code (CONF:4435-27).CONFdots5‑27
@code
CONF1 … 1F85847-2
@codeSystem
1 … 1F2.16.840.1.113883.6.1
cda:text
0 … 1MAY contain zero or one [0..1] text (CONF:X-X).CaredotsrAct
cda:statusCode
1 … 1MSHALL contain exactly one [1..1] statusCode (CONF:4435-62).CONFdots5‑62
cda:effectiveTime
1 … 1MSHALL contain exactly one [1..1] effectiveTime (CONF:4435-33).CONFdots5‑33
cda:low
1 … 1MThis effectiveTime SHALL contain exactly one [1..1] low (CONF:4435-167).CONFdots‑167
cda:high
0 … 1This effectiveTime MAY contain zero or one [0..1] high (CONF:4435-168).CONFdots‑168
cda:priorityCode
0 … 1MAY contain zero or one [0..1] priorityCode (CONF:X-X).CaredotsrAct
cda:languageCode
0 … 1MAY contain zero or one [0..1] languageCode (CONF:X-X).CaredotsrAct
cda:subject
0 … 1MAY contain zero or one [0..1] subject (CONF:X-X).CaredotsrAct
cda:specimen
0 … *MAY contain zero or more [0..*] specimen (CONF:X-X).CaredotsrAct
cda:performer
1 … 1MSHALL contain exactly one [1..1] performer (CONF:4435-160) such that itCONFdots‑160
sdtc:functionCode
0 … 1MAY contain zero or one [0..1] sdtc:functionCode, which SHOULD be selected from ValueSet Care Team Member Function urn:oid:2.16.840.1.113762.1.4.1099.30 DYNAMIC (CONF:4435-161).CONFdots‑161
cda:author
0 … *MAY contain zero or more [0..*] author (CONF:X-X).CaredotsrAct
cda:informant
0 … *MAY contain zero or more [0..*] informant (CONF:X-X).CaredotsrAct
cda:participant
0 … *MAY contain zero or more [0..*] participant (CONF:4435-76) such that it

This participant is used to express additional care team functions performed by this member of the team.
CONFdots5‑76
@typeCode
cs1 … 1FINDCONFdots5‑78
 SHALL contain exactly one [1..1] @typeCode="IND" Indirect Target (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90) (CONF:4435-78).
cda:functionCode
1 … 1MSHALL contain exactly one [1..1] functionCode, which SHALL be selected from ValueSet Care Team Member Function urn:oid:2.16.840.1.113762.1.4.1099.30 DYNAMIC (CONF:4435-169).CONFdots‑169
 Schematron assertrolered error 
 testnot(.) 
 MessageThis participantRole SHALL contain exactly one [1..1] @nullFlavor="NI" No Information.. 
cda:participant
0 … *MAY contain zero or more [0..*] participant (CONF:4435-171) such that it

This participant represents the location where the care team member provides the service
CONFdots‑171
@typeCode
cs1 … 1FLOCCONFdots‑174
 SHALL contain exactly one [1..1] @typeCode="LOC" Location (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90) (CONF:4435-174).
cda:participantRole
1 … 1MSHALL contain exactly one [1..1] participantRole (CONF:4435-173).CONFdots‑173
cda:entryRelationship
0 … *MAY contain zero or more [0..*] entryRelationship (CONF:4435-86) such that itCONFdots5‑86
@typeCode
cs1 … 1FREFRCONFdots5‑87
 SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4435-87).
cda:encounter
1 … 1MSHALL contain exactly one [1..1] encounter (CONF:4435-88).CONFdots5‑88
cda:id
1 … 1MThis encounter SHALL contain exactly one [1..1] id (CONF:4435-89).CONFdots5‑89
 Schematron assertrolered error 
 testnot(.) 
 MessageIf the id does not match an encounter/id from an encounter elsewhere within the same document and the id does not contain @nullFlavor=NA, then this entry SHALL conform to the Encounter Activity (V3) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.49:2015-08-01) 
cda:entryRelationship
0 … *MAY contain zero or more [0..*] entryRelationship (CONF:4435-91) such that it

This is the note activity to naratively describe information about the member on the care team.

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:4435-93).
Contains 2.16.840.1.113883.10.20.22.4.202 Note Activity (2016‑11‑01)
CONFdots5‑91
@typeCode
cs1 … 1FREFRCONFdots5‑92
 SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4435-92).
cda:entryRelationship
0 … 1MAY contain zero or one [0..1] entryRelationship (CONF:4435-94) such that it

This is the schedule of when or how frequently the care team member participates (or provides care to the patient) on the care team.

SHALL contain exactly one [1..1] Care Team Member Schedule Observation (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.500.3:2019-07-01) (CONF:4435-95).
Contains 2.16.840.1.113883.10.20.22.4.500.3 Care Team Member Schedule Observation (2019‑07‑01)
CONFdots5‑94
@typeCode
cs1 … 1FREFRCONFdots5‑96
 SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4435-96).
cda:reference
0 … *MAY contain zero or more [0..*] reference (CONF:X-X).CaredotsrAct
cda:precondition
0 … *MAY contain zero or more [0..*] precondition (CONF:X-X).CaredotsrAct
sdtc:precondition2
0 … *MAY contain zero or more [0..*] sdtc:precondition2 (CONF:X-X).CaredotsrAct
sdtc:inFulfillmentOf1
0 … *MAY contain zero or more [0..*] sdtc:inFulfillmentOf1 (CONF:X-X).CaredotsrAct