Clinical Practice Guidelines, published by HL7 International / Clinical Decision Support. This guide is not an authorized publication; it is the continuous build for version 2.0.0 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

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Resource Profile: CPG Group Definition

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

Usage:

• Examples for this Resource Profile: Congestive Heart Failure Patients (definition)

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from Group

Name	Flags	Card.	Type	Description & Constraints
Group	C	0..*	Group	Group of multiple entities gdf-1: Group definition must have either an expression or characteristics, but not both
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
expression	SC	0..1	Expression	An dynamic expression URL: http://hl7.org/fhir/StructureDefinition/cqf-expression
identifier	S	0..*	Identifier	Unique id
active	S	0..1	boolean	Whether this group's record is in active use
type	S	1..1	code	person | animal | practitioner | device | medication | substance Fixed Value: person
actual	S	1..1	boolean	Descriptive or actual Fixed Value: false
code	S	0..1	CodeableConcept	Kind of Group members
name	S	1..1	string	Label for Group
characteristic	SC	0..*	BackboneElement	Include / Exclude group members by Trait
member		0..0
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
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
Group	C	0..*	Group	Group of multiple entities grp-1: Can only have members if group is "actual" gdf-1: Group definition must have either an expression or characteristics, but not both
implicitRules	?!Σ	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
expression	SC	0..1	Expression	An dynamic expression URL: http://hl7.org/fhir/StructureDefinition/cqf-expression
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Unique id
active	SΣ	0..1	boolean	Whether this group's record is in active use
type	SΣ	1..1	code	person | animal | practitioner | device | medication | substance Binding: GroupType (required): Types of resources that are part of group. Fixed Value: person
actual	SΣC	1..1	boolean	Descriptive or actual Fixed Value: false
code	SΣ	0..1	CodeableConcept	Kind of Group members Binding Description (No ValueSet): (example): Kind of particular resource; e.g. cow, syringe, lake, etc.
name	SΣ	1..1	string	Label for Group
characteristic	SC	0..*	BackboneElement	Include / Exclude group members by Trait
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Kind of characteristic Binding Description (No ValueSet): (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 (No ValueSet): (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

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Group.type	required	Fixed Value: person http://hl7.org/fhir/ValueSet/group-type|4.0.1 from the FHIR Standard
Group.code	example
Group.characteristic.code	example
Group.characteristic.value[x]	example

Constraints

Id	Grade	Path(s)	Details	Requirements
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)

Name	Flags	Card.	Type	Description & Constraints
Group	C	0..*	Group	Group of multiple entities grp-1: Can only have members if group is "actual" gdf-1: Group definition must have either an expression or characteristics, but not both
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
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
expression	SC	0..1	Expression	An dynamic expression URL: http://hl7.org/fhir/StructureDefinition/cqf-expression
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Unique id
active	SΣ	0..1	boolean	Whether this group's record is in active use
type	SΣ	1..1	code	person | animal | practitioner | device | medication | substance Binding: GroupType (required): Types of resources that are part of group. Fixed Value: person
actual	SΣC	1..1	boolean	Descriptive or actual Fixed Value: false
code	SΣ	0..1	CodeableConcept	Kind of Group members Binding Description (No ValueSet): (example): Kind of particular resource; e.g. cow, syringe, lake, etc.
name	SΣ	1..1	string	Label for Group
quantity	Σ	0..1	unsignedInt	Number of members
managingEntity	Σ	0..1	Reference(Organization | RelatedPerson | Practitioner | PractitionerRole)	Entity that is the custodian of the Group's definition
characteristic	SC	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	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Kind of characteristic Binding Description (No ValueSet): (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 (No ValueSet): (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

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Group.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Group.type	required	Fixed Value: person http://hl7.org/fhir/ValueSet/group-type|4.0.1 from the FHIR Standard
Group.code	example
Group.characteristic.code	example
Group.characteristic.value[x]	example

Constraints

Id	Grade	Path(s)	Details	Requirements
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

Summary

Mandatory: 1 element
Must-Support: 8 elements
Fixed: 2 elements
Prohibited: 1 element

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/cqf-expression

Differential View

This structure is derived from Group

Name	Flags	Card.	Type	Description & Constraints
Group	C	0..*	Group	Group of multiple entities gdf-1: Group definition must have either an expression or characteristics, but not both
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
expression	SC	0..1	Expression	An dynamic expression URL: http://hl7.org/fhir/StructureDefinition/cqf-expression
identifier	S	0..*	Identifier	Unique id
active	S	0..1	boolean	Whether this group's record is in active use
type	S	1..1	code	person | animal | practitioner | device | medication | substance Fixed Value: person
actual	S	1..1	boolean	Descriptive or actual Fixed Value: false
code	S	0..1	CodeableConcept	Kind of Group members
name	S	1..1	string	Label for Group
characteristic	SC	0..*	BackboneElement	Include / Exclude group members by Trait
member		0..0
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
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()

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Group	C	0..*	Group	Group of multiple entities grp-1: Can only have members if group is "actual" gdf-1: Group definition must have either an expression or characteristics, but not both
implicitRules	?!Σ	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
expression	SC	0..1	Expression	An dynamic expression URL: http://hl7.org/fhir/StructureDefinition/cqf-expression
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Unique id
active	SΣ	0..1	boolean	Whether this group's record is in active use
type	SΣ	1..1	code	person | animal | practitioner | device | medication | substance Binding: GroupType (required): Types of resources that are part of group. Fixed Value: person
actual	SΣC	1..1	boolean	Descriptive or actual Fixed Value: false
code	SΣ	0..1	CodeableConcept	Kind of Group members Binding Description (No ValueSet): (example): Kind of particular resource; e.g. cow, syringe, lake, etc.
name	SΣ	1..1	string	Label for Group
characteristic	SC	0..*	BackboneElement	Include / Exclude group members by Trait
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Kind of characteristic Binding Description (No ValueSet): (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 (No ValueSet): (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

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Group.type	required	Fixed Value: person http://hl7.org/fhir/ValueSet/group-type|4.0.1 from the FHIR Standard
Group.code	example
Group.characteristic.code	example
Group.characteristic.value[x]	example

Constraints

Id	Grade	Path(s)	Details	Requirements
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)

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Group	C	0..*	Group	Group of multiple entities grp-1: Can only have members if group is "actual" gdf-1: Group definition must have either an expression or characteristics, but not both
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
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
expression	SC	0..1	Expression	An dynamic expression URL: http://hl7.org/fhir/StructureDefinition/cqf-expression
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Unique id
active	SΣ	0..1	boolean	Whether this group's record is in active use
type	SΣ	1..1	code	person | animal | practitioner | device | medication | substance Binding: GroupType (required): Types of resources that are part of group. Fixed Value: person
actual	SΣC	1..1	boolean	Descriptive or actual Fixed Value: false
code	SΣ	0..1	CodeableConcept	Kind of Group members Binding Description (No ValueSet): (example): Kind of particular resource; e.g. cow, syringe, lake, etc.
name	SΣ	1..1	string	Label for Group
quantity	Σ	0..1	unsignedInt	Number of members
managingEntity	Σ	0..1	Reference(Organization | RelatedPerson | Practitioner | PractitionerRole)	Entity that is the custodian of the Group's definition
characteristic	SC	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	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Kind of characteristic Binding Description (No ValueSet): (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 (No ValueSet): (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

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Group.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Group.type	required	Fixed Value: person http://hl7.org/fhir/ValueSet/group-type|4.0.1 from the FHIR Standard
Group.code	example
Group.characteristic.code	example
Group.characteristic.value[x]	example

Constraints

Id	Grade	Path(s)	Details	Requirements
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

Summary

Mandatory: 1 element
Must-Support: 8 elements
Fixed: 2 elements
Prohibited: 1 element

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/cqf-expression

Other representations of profile: CSV, Excel, Schematron