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Care Team Management

CareLaunch's Care Team Management system enables healthcare organizations to manage patient care teams using FHIR-compliant CareTeam resources, ensuring coordinated patient care across multiple providers. The system has been significantly enhanced with advanced conflict resolution, version control, and real-time synchronization capabilities.

Overview​

The Care Team Management system provides:

  • Advanced FHIR CareTeam resource integration with full R4 compliance and ETag versioning
  • Patient-specific care team assignment with automated conflict detection and resolution
  • Enhanced provider search and selection with real-time filtering and availability checking
  • Role-based care team member management using standardized FHIR role codes
  • Real-time care team updates with webhook notifications and live synchronization
  • Comprehensive audit trail for all care team modifications and role changes
  • Intelligent conflict resolution to handle concurrent modifications gracefully

Features​

Care Team Display​

The care team widget appears on patient detail pages and includes:

  1. Empty State Handling

    • Dropbox-style card display when no care team members exist
    • Centered "Manage Care Team" button for easy access
    • Clear visual indication of empty state

  2. Care Team Member Display

    • Provider avatar images
    • Role assignments and credentials
    • Provider names and contact information
    • Member status and availability

Care Team Management​

Adding Care Team Members​

  1. Access Care Team Modal

    • Navigate to patient details page
    • Click "Manage Care Team" button or existing care team widget
    • Care team modal opens with current members

  2. Provider Search

    • Search functionality for finding providers
    • Filter by role, specialty, or name
    • Real-time search results
    • Provider selection from search results

  3. Role Assignment

    • Assign specific roles to care team members
    • Multiple role assignments per provider
    • Role validation and conflict checking
    • Save assignments to patient record

Managing Existing Members​

  1. View Current Team

    • List of all current care team members
    • Role assignments and responsibilities
    • Contact information and availability
    • Member status indicators

  2. Update Member Roles

    • Modify existing role assignments
    • Add additional roles to members
    • Remove roles as needed
    • Validate role changes

  3. Remove Team Members

    • Remove providers from care team
    • Confirmation dialogs for safety
    • Audit trail of changes
    • Notification to affected providers

FHIR Integration​

CareTeam Resource Structure​

CareLaunch uses FHIR CareTeam resources with the following structure:

  1. Core Elements

    • Patient reference (subject)
    • Care team status
    • Care team category
    • Team name and identifier

  2. Participant Information

    • Provider references (Practitioner/PractitionerRole)
    • Role assignments
    • Period of participation
    • Contact information

Enhanced CRUD Operations​

The system supports full CRUD operations for CareTeam resources with advanced features:

  1. Create Operations

    • New care team creation for patients with automatic validation
    • Initial member assignments with role conflict checking
    • Role configuration using standardized FHIR role codes
    • Comprehensive FHIR resource validation and compliance checking
    • Automatic resource linking with Patient and Practitioner references

  2. Read Operations

    • Retrieve patient care teams with _include operations for efficient data loading
    • Advanced search capabilities with multiple filter criteria
    • Filter by roles, status, date ranges, and provider attributes
    • FHIR-compliant queries with proper pagination support
    • Real-time data synchronization across all connected systems

  3. Update Operations

    • ETag-based version control to prevent concurrent modification conflicts
    • Modify care team membership with intelligent conflict resolution
    • Update role assignments with validation and approval workflows
    • Change team status with proper state transition management
    • Comprehensive audit history with detailed change tracking
    • If-Match header support for optimistic concurrency control

  4. Delete Operations

    • Safe removal of care team members with confirmation workflows
    • Deactivate care teams while preserving historical data
    • Archive historical data with proper retention policies
    • Maintain referential integrity across all related resources
    • Webhook notifications for external system synchronization

Advanced Technical Features​

  1. Conflict Resolution

    • Automatic detection of concurrent modifications using ETag versioning
    • User-friendly conflict resolution interface with side-by-side comparison
    • Intelligent merge suggestions for non-conflicting changes
    • Rollback capabilities for problematic updates

  2. Real-Time Synchronization

    • Live updates across all connected clients and systems
    • Webhook notifications for external system integration
    • Event-driven architecture for immediate change propagation
    • Comprehensive logging for troubleshooting and audit purposes

  3. Performance Optimization

    • Efficient FHIR search operations with proper indexing
    • Batch operations for bulk care team updates
    • Caching strategies for frequently accessed care team data
    • Optimized database queries for large-scale deployments

Best Practices​

Care Team Configuration​

  • Assign clear roles and responsibilities
  • Ensure appropriate provider credentials
  • Maintain current contact information
  • Regular review of team composition

Data Management​

  • Keep care team information up to date
  • Document role changes and reasons
  • Maintain audit trails for compliance
  • Ensure FHIR resource integrity

Security and Privacy​

  • Role-based access to care team information
  • Audit logging of all changes
  • Secure provider search and selection
  • HIPAA-compliant data handling

Integration with Other Features​

Care Team Management integrates with:

Testing and Validation​

The care team management system includes:

  • Comprehensive unit tests with 7 test cases
  • Vitest testing infrastructure
  • Component integration testing
  • FHIR resource validation testing