Clinical Practice Guidelines
3.0.0-ballot - STU 3 Ballot
Clinical Practice Guidelines
3.0.0-ballot - STU 3 Ballot
Clinical Practice Guidelines, published by HL7 International / Clinical Decision Support. This guide is not an authorized publication; it is the continuous build for version 3.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/cqf-recommendations/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-groupdefinition | Version: 3.0.0-ballot | ||||
| Active as of 2026-11-10 | Computable Name: CPGGroupDefinition | ||||
| Other Identifiers: OID:2.16.840.1.113883.4.642.40.48.42.68 | |||||
Represents the definition of a group of subjects, suitable for use in various contexts, such as a cohort definition, a recommendation inclusion or exclusion criteria, the members of a study, or a population criteria
This is a domain definition profile
Usages:
You can also check for usages in the FHIR IG Statistics
Description Differentials, Snapshots, and other representations.
| Name | Flags | Card. | Type | Description & Constraints Filter:  |
|---|---|---|---|---|
  Group |
C | 0..* | Group | Group of multiple entities Constraints: grp-1, gdf-1 |
  implicitRules |
0..1 | uri | A set of rules under which this content was created | |
  Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
   extension:expression |
C | 0..1 | Expression | An dynamic expression URL: http://hl7.org/fhir/StructureDefinition/cqf-expression |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
 identifier |
0..* | Identifier | Unique id | |
| active |
0..1 | boolean | Whether this group's record is in active use | |
| type |
1..1 | code | person | animal | practitioner | device | medication | substance Binding: GroupType (required): Types of resources that are part of group. Fixed Value: person (no extensions allowed) | |
| actual |
C | 1..1 | boolean | Descriptive or actual Fixed Value: false (no extensions allowed) |
| code |
0..1 | CodeableConcept | Kind of Group members Binding Description: (example): Kind of particular resource; e.g. cow, syringe, lake, etc. | |
| name |
1..1 | string | Label for Group | |
 characteristic |
C | 0..* | BackboneElement | Include / Exclude group members by Trait |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
1..1 | CodeableConcept | Kind of characteristic Binding Description: (example): List of characteristics used to describe group members; e.g. gender, age, owner, location, etc. | |
 value[x] |
1..1 | Value held by characteristic Binding Description: (example): Value of descriptive member characteristic; e.g. red, male, pneumonia, Caucasian, etc. | ||
| valueCodeableConcept |
CodeableConcept | |||
| valueBoolean |
boolean | |||
| valueQuantity |
Quantity | |||
| valueRange |
Range | |||
  valueReference |
Reference(Any) | |||
| exclude |
1..1 | boolean | Group includes or excludes | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Group.type | Base | required | GroupType | 📍4.0.1 | FHIR Std. |
| Group.code | Base | example | Not State | Unknown | |
| Group.characteristic.code | Base | example | Not State | Unknown | |
| Group.characteristic.value[x] | Base | example | Not State | Unknown |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Group | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Group | 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 | Group | 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 | Group | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Group | 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()
|
| gdf-1 | error | Group | Group definition must have either an expression or characteristics, but not both |
extension('http://hl7.org/fhir/StructureDefinition/cqf-expression').exists() xor characteristic.exists()
|
| grp-1 | error | Group | Can only have members if group is "actual" |
member.empty() or (actual = true)
|
This structure is derived from Group
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Group |
C | 0..* | Group | Group of multiple entities Constraints: gdf-1 |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:expression |
C | 0..1 | Expression | An dynamic expression URL: http://hl7.org/fhir/StructureDefinition/cqf-expression |
 identifier |
0..* | Identifier | Unique id | |
| active |
0..1 | boolean | Whether this group's record is in active use | |
| type |
1..1 | code | person | animal | practitioner | device | medication | substance Fixed Value: person (no extensions allowed) | |
| actual |
1..1 | boolean | Descriptive or actual Fixed Value: false (no extensions allowed) | |
| code |
0..1 | CodeableConcept | Kind of Group members | |
| name |
1..1 | string | Label for Group | |
| characteristic |
C | 0..* | BackboneElement | Include / Exclude group members by Trait |
| member |
0..0 | Who or what is in group | ||
| Documentation for this format | ||||
| Id | Grade | Path(s) | Description | Expression |
| gdf-1 | error | Group | Group definition must have either an expression or characteristics, but not both |
extension('http://hl7.org/fhir/StructureDefinition/cqf-expression').exists() xor characteristic.exists()
|
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Group |
C | 0..* | Group | Group of multiple entities Constraints: grp-1, gdf-1 | ||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| 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 | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:expression |
C | 0..1 | Expression | An dynamic expression URL: http://hl7.org/fhir/StructureDefinition/cqf-expression | ||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
0..* | Identifier | Unique id | |||||
| active |
0..1 | boolean | Whether this group's record is in active use | |||||
| type |
1..1 | code | person | animal | practitioner | device | medication | substance Binding: GroupType (required): Types of resources that are part of group. Fixed Value: person (no extensions allowed) | |||||
| actual |
C | 1..1 | boolean | Descriptive or actual Fixed Value: false (no extensions allowed) | ||||
| code |
0..1 | CodeableConcept | Kind of Group members Binding Description: (example): Kind of particular resource; e.g. cow, syringe, lake, etc. | |||||
| name |
1..1 | string | Label for Group | |||||
| quantity |
0..1 | unsignedInt | Number of members | |||||
| managingEntity |
0..1 | Reference(Organization | RelatedPerson | Practitioner | PractitionerRole) | Entity that is the custodian of the Group's definition | |||||
| characteristic |
C | 0..* | BackboneElement | Include / Exclude group members by Trait | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| code |
1..1 | CodeableConcept | Kind of characteristic Binding Description: (example): List of characteristics used to describe group members; e.g. gender, age, owner, location, etc. | |||||
| value[x] |
1..1 | Value held by characteristic Binding Description: (example): Value of descriptive member characteristic; e.g. red, male, pneumonia, Caucasian, etc. | ||||||
| valueCodeableConcept |
CodeableConcept | |||||||
| valueBoolean |
boolean | |||||||
| valueQuantity |
Quantity | |||||||
| valueRange |
Range | |||||||
| valueReference |
Reference(Any) | |||||||
| exclude |
1..1 | boolean | Group includes or excludes | |||||
| period |
0..1 | Period | Period over which characteristic is tested | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Group.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Group.type | Base | required | GroupType | 📍4.0.1 | FHIR Std. |
| Group.code | Base | example | Not State | Unknown | |
| Group.characteristic.code | Base | example | Not State | Unknown | |
| Group.characteristic.value[x] | Base | example | Not State | Unknown |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Group | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Group | 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 | Group | 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 | Group | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Group | 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()
|
| gdf-1 | error | Group | Group definition must have either an expression or characteristics, but not both |
extension('http://hl7.org/fhir/StructureDefinition/cqf-expression').exists() xor characteristic.exists()
|
| grp-1 | error | Group | Can only have members if group is "actual" |
member.empty() or (actual = true)
|
This structure is derived from Group
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Group |
C | 0..* | Group | Group of multiple entities Constraints: grp-1, gdf-1 |
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:expression |
C | 0..1 | Expression | An dynamic expression URL: http://hl7.org/fhir/StructureDefinition/cqf-expression |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| identifier |
0..* | Identifier | Unique id | |
| active |
0..1 | boolean | Whether this group's record is in active use | |
| type |
1..1 | code | person | animal | practitioner | device | medication | substance Binding: GroupType (required): Types of resources that are part of group. Fixed Value: person (no extensions allowed) | |
| actual |
C | 1..1 | boolean | Descriptive or actual Fixed Value: false (no extensions allowed) |
| code |
0..1 | CodeableConcept | Kind of Group members Binding Description: (example): Kind of particular resource; e.g. cow, syringe, lake, etc. | |
| name |
1..1 | string | Label for Group | |
| characteristic |
C | 0..* | BackboneElement | Include / Exclude group members by Trait |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
1..1 | CodeableConcept | Kind of characteristic Binding Description: (example): List of characteristics used to describe group members; e.g. gender, age, owner, location, etc. | |
| value[x] |
1..1 | Value held by characteristic Binding Description: (example): Value of descriptive member characteristic; e.g. red, male, pneumonia, Caucasian, etc. | ||
| valueCodeableConcept |
CodeableConcept | |||
| valueBoolean |
boolean | |||
| valueQuantity |
Quantity | |||
| valueRange |
Range | |||
| valueReference |
Reference(Any) | |||
| exclude |
1..1 | boolean | Group includes or excludes | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Group.type | Base | required | GroupType | 📍4.0.1 | FHIR Std. |
| Group.code | Base | example | Not State | Unknown | |
| Group.characteristic.code | Base | example | Not State | Unknown | |
| Group.characteristic.value[x] | Base | example | Not State | Unknown |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Group | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Group | 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 | Group | 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 | Group | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Group | 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()
|
| gdf-1 | error | Group | Group definition must have either an expression or characteristics, but not both |
extension('http://hl7.org/fhir/StructureDefinition/cqf-expression').exists() xor characteristic.exists()
|
| grp-1 | error | Group | Can only have members if group is "actual" |
member.empty() or (actual = true)
|
Differential View
This structure is derived from Group
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Group |
C | 0..* | Group | Group of multiple entities Constraints: gdf-1 |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:expression |
C | 0..1 | Expression | An dynamic expression URL: http://hl7.org/fhir/StructureDefinition/cqf-expression |
| identifier |
0..* | Identifier | Unique id | |
| active |
0..1 | boolean | Whether this group's record is in active use | |
| type |
1..1 | code | person | animal | practitioner | device | medication | substance Fixed Value: person (no extensions allowed) | |
| actual |
1..1 | boolean | Descriptive or actual Fixed Value: false (no extensions allowed) | |
| code |
0..1 | CodeableConcept | Kind of Group members | |
| name |
1..1 | string | Label for Group | |
| characteristic |
C | 0..* | BackboneElement | Include / Exclude group members by Trait |
| member |
0..0 | Who or what is in group | ||
| Documentation for this format | ||||
| Id | Grade | Path(s) | Description | Expression |
| gdf-1 | error | Group | Group definition must have either an expression or characteristics, but not both |
extension('http://hl7.org/fhir/StructureDefinition/cqf-expression').exists() xor characteristic.exists()
|
Snapshot ViewView
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Group |
C | 0..* | Group | Group of multiple entities Constraints: grp-1, gdf-1 | ||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| 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 | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:expression |
C | 0..1 | Expression | An dynamic expression URL: http://hl7.org/fhir/StructureDefinition/cqf-expression | ||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
0..* | Identifier | Unique id | |||||
| active |
0..1 | boolean | Whether this group's record is in active use | |||||
| type |
1..1 | code | person | animal | practitioner | device | medication | substance Binding: GroupType (required): Types of resources that are part of group. Fixed Value: person (no extensions allowed) | |||||
| actual |
C | 1..1 | boolean | Descriptive or actual Fixed Value: false (no extensions allowed) | ||||
| code |
0..1 | CodeableConcept | Kind of Group members Binding Description: (example): Kind of particular resource; e.g. cow, syringe, lake, etc. | |||||
| name |
1..1 | string | Label for Group | |||||
| quantity |
0..1 | unsignedInt | Number of members | |||||
| managingEntity |
0..1 | Reference(Organization | RelatedPerson | Practitioner | PractitionerRole) | Entity that is the custodian of the Group's definition | |||||
| characteristic |
C | 0..* | BackboneElement | Include / Exclude group members by Trait | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| code |
1..1 | CodeableConcept | Kind of characteristic Binding Description: (example): List of characteristics used to describe group members; e.g. gender, age, owner, location, etc. | |||||
| value[x] |
1..1 | Value held by characteristic Binding Description: (example): Value of descriptive member characteristic; e.g. red, male, pneumonia, Caucasian, etc. | ||||||
| valueCodeableConcept |
CodeableConcept | |||||||
| valueBoolean |
boolean | |||||||
| valueQuantity |
Quantity | |||||||
| valueRange |
Range | |||||||
| valueReference |
Reference(Any) | |||||||
| exclude |
1..1 | boolean | Group includes or excludes | |||||
| period |
0..1 | Period | Period over which characteristic is tested | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Group.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Group.type | Base | required | GroupType | 📍4.0.1 | FHIR Std. |
| Group.code | Base | example | Not State | Unknown | |
| Group.characteristic.code | Base | example | Not State | Unknown | |
| Group.characteristic.value[x] | Base | example | Not State | Unknown |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Group | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Group | 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 | Group | 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 | Group | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Group | 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()
|
| gdf-1 | error | Group | Group definition must have either an expression or characteristics, but not both |
extension('http://hl7.org/fhir/StructureDefinition/cqf-expression').exists() xor characteristic.exists()
|
| grp-1 | error | Group | Can only have members if group is "actual" |
member.empty() or (actual = true)
|
This structure is derived from Group
Other representations of profile: CSV, Excel, Schematron
IG © 2023+ HL7 International / Clinical Decision Support.
Package hl7.fhir.uv.cpg#3.0.0-ballot based on FHIR 4.0.1.
Generated
2026-11-10
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