2026 US Quality Core Implementation Guide
0.5.0 - release United States of America flag

This page is part of the US Quality Core (v0.5.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: US Quality Core CareTeam

Official URL: http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-careteam Version: 0.5.0
Active as of 2026-06-05 Computable Name: USQualityCoreCareTeam

Profile of CareTeam for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.

USCDI+ Quality Element Support Expectations

Systems are expected to support this profile as part of implementing USCDI+ Quality V1 in FHIR and meeting the conformance requirements of this guide.

The following elements are specifically relevant to USCDI+ Quality V1 data classes and elements. Systems are expected to support these elements as applicable to their role in US Quality Core data exchange. See the Must Support section of this guide for more information. These elements are tagged as (USCDI+ Quality) in the formal profile views.

USCDI+ Quality Elements:

  • participant: (USCDI+ Quality) (USCDI) Members of the team
  • participant.role: (USCDI+ Quality) (USCDI) Type of involvement
  • participant.member: (USCDI+ Quality) (USCDI) Who is involved

Because this profile is derived from US Core, systems are also expected to support Must Support requirements and (USCDI) tagged elements inherited from US Core. The Formal Views section also provides the formal summary, definitions, terminology requirements, and mandatory element requirements.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CareTeam 0..* USCoreCareTeam(6.1.0) Planned participants in the coordination and delivery of care for a patient or group
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!SΣ 0..1 code (USCDI) proposed | active | suspended | inactive | entered-in-error
Binding: CareTeamStatus (required): Indicates whether the team is current , represents future intentions or is now a historical record.
... participant SC 1..* BackboneElement (USCDI+ Quality) (USCDI) Members of the team
Constraints: ctm-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... role SΣ 1..1 CodeableConcept (USCDI+ Quality) (USCDI) Type of involvement
Binding: Care Team Member Function . (extensible): Indicates specific responsibility of an individual within the care team, such as Primary physician, Team coordinator, Caregiver, etc.
.... member SΣ 1..1 Reference(US Quality Core Practitioner | US Quality Core PractitionerRole | US Quality Core Organization | US Quality Core RelatedPerson) (USCDI+ Quality) (USCDI) Who is involved

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
CareTeam.status Base required CareTeamStatus 📦4.0.1 FHIR Std.
CareTeam.participant.​role Base extensible Care Team Member Function . 📦20190418 VSAC v0.18

Constraints

Id Grade Path(s) Description Expression
ctm-1 error CareTeam.participant CareTeam.participant.onBehalfOf can only be populated when CareTeam.participant.member is a Practitioner onBehalfOf.exists() implies (member.resolve().iif(empty(), true, ofType(Practitioner).exists()))
dom-2 error CareTeam If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error CareTeam If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error CareTeam If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error CareTeam If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice CareTeam A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CareTeam 0..* USCoreCareTeam(6.1.0) Planned participants in the coordination and delivery of care for a patient or group
... subject 1..1 Reference(US Quality Core Patient) (USCDI) Who the care team is for.
... participant 1..* BackboneElement (USCDI+ Quality) (USCDI) Members of the team
.... role 1..1 CodeableConcept (USCDI+ Quality) (USCDI) Type of involvement
.... member 1..1 Reference(US Quality Core Practitioner | US Quality Core PractitionerRole | US Quality Core Organization | US Quality Core RelatedPerson) (USCDI+ Quality) (USCDI) Who is involved

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CareTeam 0..* USCoreCareTeam(6.1.0) Planned participants in the coordination and delivery of care for a patient or group
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Ids for this team
... status ?!SΣ 0..1 code (USCDI) proposed | active | suspended | inactive | entered-in-error
Binding: CareTeamStatus (required): Indicates whether the team is current , represents future intentions or is now a historical record.
... category Σ 0..* CodeableConcept Type of team
Binding: CareTeamCategory (example): Indicates the type of care team.
... name Σ 0..1 string Name of the team, such as crisis assessment team
... subject SΣ 1..1 Reference(US Quality Core Patient) (USCDI) Who the care team is for.
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... period Σ 0..1 Period Time period team covers
... participant SC 1..* BackboneElement (USCDI+ Quality) (USCDI) Members of the team
Constraints: ctm-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... role SΣ 1..1 CodeableConcept (USCDI+ Quality) (USCDI) Type of involvement
Binding: Care Team Member Function . (extensible): Indicates specific responsibility of an individual within the care team, such as Primary physician, Team coordinator, Caregiver, etc.
.... member SΣ 1..1 Reference(US Quality Core Practitioner | US Quality Core PractitionerRole | US Quality Core Organization | US Quality Core RelatedPerson) (USCDI+ Quality) (USCDI) Who is involved
.... onBehalfOf Σ 0..1 Reference(Organization) Organization of the practitioner
.... period 0..1 Period Time period of participant
... reasonCode 0..* CodeableConcept Why the care team exists
Binding: SNOMEDCTClinicalFindings (example): Indicates the reason for the care team.
... reasonReference 0..* Reference(Condition) Why the care team exists
... managingOrganization Σ 0..* Reference(Organization) Organization responsible for the care team
... telecom 0..* ContactPoint A contact detail for the care team (that applies to all members)
... note 0..* Annotation Comments made about the CareTeam

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
CareTeam.language Base preferred Common Languages 📦4.0.1 FHIR Std.
CareTeam.status Base required CareTeamStatus 📦4.0.1 FHIR Std.
CareTeam.category Base example Care Team category 📦4.0.1 FHIR Std.
CareTeam.participant.​role Base extensible Care Team Member Function . 📦20190418 VSAC v0.18
CareTeam.reasonCode Base example SNOMED CT Clinical Findings 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
ctm-1 error CareTeam.participant CareTeam.participant.onBehalfOf can only be populated when CareTeam.participant.member is a Practitioner onBehalfOf.exists() implies (member.resolve().iif(empty(), true, ofType(Practitioner).exists()))
dom-2 error CareTeam If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error CareTeam If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error CareTeam If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error CareTeam If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice CareTeam A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CareTeam 0..* USCoreCareTeam(6.1.0) Planned participants in the coordination and delivery of care for a patient or group
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!SΣ 0..1 code (USCDI) proposed | active | suspended | inactive | entered-in-error
Binding: CareTeamStatus (required): Indicates whether the team is current , represents future intentions or is now a historical record.
... participant SC 1..* BackboneElement (USCDI+ Quality) (USCDI) Members of the team
Constraints: ctm-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... role SΣ 1..1 CodeableConcept (USCDI+ Quality) (USCDI) Type of involvement
Binding: Care Team Member Function . (extensible): Indicates specific responsibility of an individual within the care team, such as Primary physician, Team coordinator, Caregiver, etc.
.... member SΣ 1..1 Reference(US Quality Core Practitioner | US Quality Core PractitionerRole | US Quality Core Organization | US Quality Core RelatedPerson) (USCDI+ Quality) (USCDI) Who is involved

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
CareTeam.status Base required CareTeamStatus 📦4.0.1 FHIR Std.
CareTeam.participant.​role Base extensible Care Team Member Function . 📦20190418 VSAC v0.18

Constraints

Id Grade Path(s) Description Expression
ctm-1 error CareTeam.participant CareTeam.participant.onBehalfOf can only be populated when CareTeam.participant.member is a Practitioner onBehalfOf.exists() implies (member.resolve().iif(empty(), true, ofType(Practitioner).exists()))
dom-2 error CareTeam If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error CareTeam If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error CareTeam If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error CareTeam If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice CareTeam A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CareTeam 0..* USCoreCareTeam(6.1.0) Planned participants in the coordination and delivery of care for a patient or group
... subject 1..1 Reference(US Quality Core Patient) (USCDI) Who the care team is for.
... participant 1..* BackboneElement (USCDI+ Quality) (USCDI) Members of the team
.... role 1..1 CodeableConcept (USCDI+ Quality) (USCDI) Type of involvement
.... member 1..1 Reference(US Quality Core Practitioner | US Quality Core PractitionerRole | US Quality Core Organization | US Quality Core RelatedPerson) (USCDI+ Quality) (USCDI) Who is involved

doco Documentation for this format

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. CareTeam 0..* USCoreCareTeam(6.1.0) Planned participants in the coordination and delivery of care for a patient or group
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Ids for this team
... status ?!SΣ 0..1 code (USCDI) proposed | active | suspended | inactive | entered-in-error
Binding: CareTeamStatus (required): Indicates whether the team is current , represents future intentions or is now a historical record.
... category Σ 0..* CodeableConcept Type of team
Binding: CareTeamCategory (example): Indicates the type of care team.
... name Σ 0..1 string Name of the team, such as crisis assessment team
... subject SΣ 1..1 Reference(US Quality Core Patient) (USCDI) Who the care team is for.
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... period Σ 0..1 Period Time period team covers
... participant SC 1..* BackboneElement (USCDI+ Quality) (USCDI) Members of the team
Constraints: ctm-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... role SΣ 1..1 CodeableConcept (USCDI+ Quality) (USCDI) Type of involvement
Binding: Care Team Member Function . (extensible): Indicates specific responsibility of an individual within the care team, such as Primary physician, Team coordinator, Caregiver, etc.
.... member SΣ 1..1 Reference(US Quality Core Practitioner | US Quality Core PractitionerRole | US Quality Core Organization | US Quality Core RelatedPerson) (USCDI+ Quality) (USCDI) Who is involved
.... onBehalfOf Σ 0..1 Reference(Organization) Organization of the practitioner
.... period 0..1 Period Time period of participant
... reasonCode 0..* CodeableConcept Why the care team exists
Binding: SNOMEDCTClinicalFindings (example): Indicates the reason for the care team.
... reasonReference 0..* Reference(Condition) Why the care team exists
... managingOrganization Σ 0..* Reference(Organization) Organization responsible for the care team
... telecom 0..* ContactPoint A contact detail for the care team (that applies to all members)
... note 0..* Annotation Comments made about the CareTeam

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
CareTeam.language Base preferred Common Languages 📦4.0.1 FHIR Std.
CareTeam.status Base required CareTeamStatus 📦4.0.1 FHIR Std.
CareTeam.category Base example Care Team category 📦4.0.1 FHIR Std.
CareTeam.participant.​role Base extensible Care Team Member Function . 📦20190418 VSAC v0.18
CareTeam.reasonCode Base example SNOMED CT Clinical Findings 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
ctm-1 error CareTeam.participant CareTeam.participant.onBehalfOf can only be populated when CareTeam.participant.member is a Practitioner onBehalfOf.exists() implies (member.resolve().iif(empty(), true, ofType(Practitioner).exists()))
dom-2 error CareTeam If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error CareTeam If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error CareTeam If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error CareTeam If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice CareTeam A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

 

Other representations of profile: CSV, Excel, Schematron