Global Core Electronic Medicinal Product Information (ePI)
1.1.0 - trial-use World

Global Core Electronic Medicinal Product Information (ePI), published by HL7 International / Biomedical Research and Regulation. This guide is not an authorized publication; it is the continuous build for version 1.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/emedicinal-product-info/ and changes regularly. See the Directory of published versions

Resource Profile: Group (ePI) - Detailed Descriptions

Page standards status: Informative

Definitions for the Group-uv-epi resource profile

Guidance on how to interpret the contents of this table can be foundhere

0. Group
Definition

Represents a defined collection of entities that may be discussed or acted upon collectively but which are not expected to act collectively, and are not formally or legally recognized; i.e. a collection of entities that isn't an Organization.

ShortGroup of multiple entities
Comments

If both Group.characteristic and Group.member are present, then the members are the individuals who were found who met the characteristic. It's possible that there might be other candidate members who meet the characteristic and aren't (yet) in the list. All members SHALL have the listed characteristics.

Control0..*
Is Modifierfalse
Must Supportfalse
Summaryfalse
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. Group.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

ShortA set of rules under which this content was created
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supportfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Group.contained
Definition

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.

ShortContained, inline Resources
Comments

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels.

Control0..*
This element is affected by the following invariants: dom-2, dom-4, dom-3, dom-5
TypeResource
Is Modifierfalse
Must Supportfalse
Summaryfalse
Alternate Namesinline resources, anonymous resources, contained resources
6. Group.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Must Supportfalse
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
8. Group.active
Definition

Indicates whether the record for the group is available for use or is merely being retained for historical purposes.

ShortWhether this group's record is in active use
Control0..1
Typeboolean
Is Modifiertrue because This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supportfalse
Summarytrue
Requirements

Need to be able to mark a group record as not to be used because it was created in error or is otherwise no longer available (e.g. a herd that no longer exists).

Meaning if MissingThis resource is generally assumed to be active if no value is provided for the active element
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. Group.type
Definition

Identifies the broad classification of the kind of resources the group includes.

Shortperson | animal | practitioner | device | careteam | healthcareservice | location | organization | relatedperson | specimen
Comments

Group members SHALL be of the appropriate resource type (Patient for person or animal; or Practitioner, PractitionerRole, Device, CareTeam, HealthcareService, Location, Organization, RelatedPerson, or Specimen for the other types.), or a Group of the resources of the appropriate type.

Control1..1
BindingThe codes SHALL be taken from GroupTypehttp://hl7.org/fhir/ValueSet/group-type|5.0.0
(required to http://hl7.org/fhir/ValueSet/group-type|5.0.0)

Types of resources that are part of group.

Typecode
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supportfalse
Summarytrue
Requirements

Identifies what type of resources the group is made up of.

Pattern Valueperson
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. Group.membership
Definition

Basis for membership in the Group:

  • 'definitional': The Group.characteristics specified are both necessary and sufficient to determine membership. All entities that meet the criteria are considered to be members of the group, whether referenced by the group or not. If members are present, they are individuals that happen to be known as meeting the Group.characteristics. The list cannot be presumed to be complete.
  • 'enumerated': The Group.characteristics are necessary but not sufficient to determine membership. Membership is determined by being listed as one of the Group.member.
Shortdefinitional - the group is defined by the characteristics below, not by an enumerated member listdefinitional | enumerated
Control1..1
BindingThe codes SHALL be taken from GroupMembershipBasishttp://hl7.org/fhir/ValueSet/group-membership-basis|5.0.0
(required to http://hl7.org/fhir/ValueSet/group-membership-basis|5.0.0)

The basis for membership in a group

Typecode
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supportfalse
Summarytrue
Requirements

There are use-cases for groups that define specific collections of individuals, and other groups that define "types" of intended individuals. The requirements for both kinds of groups are similar, so we use a single resource, distinguished by this element.

Pattern Valuedefinitional
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
14. Group.characteristic
Definition

Identifies traits whose presence r absence is shared by members of the group.

ShortOne population axis. Combine multiple characteristics with AND. Open: add further axes as needed.Include / Exclude group members by Trait
Comments

All the identified characteristics must be true for an entity to a member of the group.

Control10..*
TypeBackboneElement
Is Modifierfalse
Must Supportfalse
Summarytrue
Requirements

Needs to be a generic mechanism for identifying what individuals can be part of a group.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on Group.characteristic. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • pattern @ code
  • 16. Group.characteristic.modifierExtension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    18. Group.characteristic.code
    Definition

    A code that identifies the kind of trait being asserted.

    ShortKind of characteristic
    Control1..1
    Binding

    List of characteristics used to describe group members; e.g. gender, age, owner, location, etc.

    TypeCodeableConcept
    Is Modifierfalse
    Must Supportfalse
    Summarytrue
    Requirements

    Need a formal way of identifying the characteristic being described.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    20. Group.characteristic.value[x]
    Definition

    The value of the trait that holds (or does not hold - see 'exclude') for members of the group.

    ShortValue held by characteristic
    Comments

    For Range, it means members of the group have a value that falls somewhere within the specified range.

    Control1..1
    Binding

    Value of descriptive member characteristic; e.g. red, male, pneumonia, Caucasian, etc.

    TypeChoice of: CodeableConcept, boolean, Quantity, Range, Reference
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supportfalse
    Summarytrue
    Requirements

    The value of the characteristic is what determines group membership.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    22. Group.characteristic.exclude
    Definition

    If true, indicates the characteristic is one that is NOT held by members of the group.

    ShortGroup includes or excludes
    Comments

    This is labeled as "Is Modifier" because applications cannot wrongly include excluded members as included or vice versa.

    Control1..1
    Typeboolean
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supportfalse
    Summarytrue
    Requirements

    Sometimes group membership is determined by characteristics not possessed.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    24. Group.characteristic:sex
    Slice Namesex
    Definition

    Identifies traits whose presence r absence is shared by members of the group.

    ShortInclude / Exclude group members by Trait
    Comments

    All the identified characteristics must be true for an entity to a member of the group.

    Control0..1*
    TypeBackboneElement
    Is Modifierfalse
    Must Supportfalse
    Summarytrue
    Requirements

    Needs to be a generic mechanism for identifying what individuals can be part of a group.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    26. Group.characteristic:sex.modifierExtension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    28. Group.characteristic:sex.code
    Definition

    A code that identifies the kind of trait being asserted.

    ShortKind of characteristic
    Control1..1
    Binding

    List of characteristics used to describe group members; e.g. gender, age, owner, location, etc.

    TypeCodeableConcept
    Is Modifierfalse
    Must Supportfalse
    Summarytrue
    Requirements

    Need a formal way of identifying the characteristic being described.

    Pattern Value{
      "coding" : [{
        "system" : "http://hl7.org/fhir/uv/emedicinal-product-info/CodeSystem/epi-group-characteristic-type",
        "code" : "sex"
      }]
    }
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    30. Group.characteristic:sex.value[x]
    Definition

    The value of the trait that holds (or does not hold - see 'exclude') for members of the group.

    ShortValue held by characteristic
    Comments

    For Range, it means members of the group have a value that falls somewhere within the specified range.

    Control1..1
    BindingUnless not suitable, these codes SHALL be taken from For example codes, see Group Sex Value (ePI)
    (extensible to http://hl7.org/fhir/uv/emedicinal-product-info/ValueSet/group-sex-value)
    TypeCodeableConcept, boolean, Reference, Quantity, Range
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Is Modifierfalse
    Must Supportfalse
    Summarytrue
    Requirements

    The value of the characteristic is what determines group membership.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    32. Group.characteristic:sex.exclude
    Definition

    If true, indicates the characteristic is one that is NOT held by members of the group.

    ShortGroup includes or excludes
    Comments

    This is labeled as "Is Modifier" because applications cannot wrongly include excluded members as included or vice versa.

    Control1..1
    Typeboolean
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supportfalse
    Summarytrue
    Requirements

    Sometimes group membership is determined by characteristics not possessed.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    34. Group.characteristic:age
    Slice Nameage
    Definition

    Identifies traits whose presence r absence is shared by members of the group.

    ShortAge range. Use UCUM 'a' (years) or 'd' (days) so neonatal/paediatric bands can be expressed.Include / Exclude group members by Trait
    Comments

    All the identified characteristics must be true for an entity to a member of the group.

    Control0..1*
    TypeBackboneElement
    Is Modifierfalse
    Must Supportfalse
    Summarytrue
    Requirements

    Needs to be a generic mechanism for identifying what individuals can be part of a group.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    36. Group.characteristic:age.modifierExtension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    38. Group.characteristic:age.code
    Definition

    A code that identifies the kind of trait being asserted.

    ShortKind of characteristic
    Control1..1
    Binding

    List of characteristics used to describe group members; e.g. gender, age, owner, location, etc.

    TypeCodeableConcept
    Is Modifierfalse
    Must Supportfalse
    Summarytrue
    Requirements

    Need a formal way of identifying the characteristic being described.

    Pattern Value{
      "coding" : [{
        "system" : "http://hl7.org/fhir/uv/emedicinal-product-info/CodeSystem/epi-group-characteristic-type",
        "code" : "age"
      }]
    }
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    40. Group.characteristic:age.value[x]
    Definition

    The value of the trait that holds (or does not hold - see 'exclude') for members of the group.

    ShortValue held by characteristic
    Comments

    For Range, it means members of the group have a value that falls somewhere within the specified range.

    Control1..1
    Binding

    Value of descriptive member characteristic; e.g. red, male, pneumonia, Caucasian, etc.

    TypeRange, boolean, Reference, Quantity, CodeableConcept
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Is Modifierfalse
    Must Supportfalse
    Summarytrue
    Requirements

    The value of the characteristic is what determines group membership.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    42. Group.characteristic:age.exclude
    Definition

    If true, indicates the characteristic is one that is NOT held by members of the group.

    ShortGroup includes or excludes
    Comments

    This is labeled as "Is Modifier" because applications cannot wrongly include excluded members as included or vice versa.

    Control1..1
    Typeboolean
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supportfalse
    Summarytrue
    Requirements

    Sometimes group membership is determined by characteristics not possessed.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    44. Group.characteristic:bodyWeight
    Slice NamebodyWeight
    Definition

    Identifies traits whose presence r absence is shared by members of the group.

    ShortBody weight as a population selector (e.g., ≥ 40 kg). Distinct from mg/kg dose rates, which are expressed in Dosage.doseAndRate.Include / Exclude group members by Trait
    Comments

    All the identified characteristics must be true for an entity to a member of the group.

    Control0..1*
    TypeBackboneElement
    Is Modifierfalse
    Must Supportfalse
    Summarytrue
    Requirements

    Needs to be a generic mechanism for identifying what individuals can be part of a group.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    46. Group.characteristic:bodyWeight.modifierExtension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    48. Group.characteristic:bodyWeight.code
    Definition

    A code that identifies the kind of trait being asserted.

    ShortKind of characteristic
    Control1..1
    Binding

    List of characteristics used to describe group members; e.g. gender, age, owner, location, etc.

    TypeCodeableConcept
    Is Modifierfalse
    Must Supportfalse
    Summarytrue
    Requirements

    Need a formal way of identifying the characteristic being described.

    Pattern Value{
      "coding" : [{
        "system" : "http://hl7.org/fhir/uv/emedicinal-product-info/CodeSystem/epi-group-characteristic-type",
        "code" : "body-weight"
      }]
    }
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    50. Group.characteristic:bodyWeight.value[x]
    Definition

    The value of the trait that holds (or does not hold - see 'exclude') for members of the group.

    ShortValue held by characteristic
    Comments

    For Range, it means members of the group have a value that falls somewhere within the specified range.

    Control1..1
    Binding

    Value of descriptive member characteristic; e.g. red, male, pneumonia, Caucasian, etc.

    TypeRange, boolean, Reference, Quantity, CodeableConcept
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Is Modifierfalse
    Must Supportfalse
    Summarytrue
    Requirements

    The value of the characteristic is what determines group membership.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    52. Group.characteristic:bodyWeight.exclude
    Definition

    If true, indicates the characteristic is one that is NOT held by members of the group.

    ShortGroup includes or excludes
    Comments

    This is labeled as "Is Modifier" because applications cannot wrongly include excluded members as included or vice versa.

    Control1..1
    Typeboolean
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supportfalse
    Summarytrue
    Requirements

    Sometimes group membership is determined by characteristics not possessed.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    54. Group.characteristic:race
    Slice Namerace
    Definition

    Identifies traits whose presence r absence is shared by members of the group.

    ShortInclude / Exclude group members by Trait
    Comments

    All the identified characteristics must be true for an entity to a member of the group.

    Control0..*
    TypeBackboneElement
    Is Modifierfalse
    Must Supportfalse
    Summarytrue
    Requirements

    Needs to be a generic mechanism for identifying what individuals can be part of a group.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    56. Group.characteristic:race.modifierExtension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    58. Group.characteristic:race.code
    Definition

    A code that identifies the kind of trait being asserted.

    ShortKind of characteristic
    Control1..1
    Binding

    List of characteristics used to describe group members; e.g. gender, age, owner, location, etc.

    TypeCodeableConcept
    Is Modifierfalse
    Must Supportfalse
    Summarytrue
    Requirements

    Need a formal way of identifying the characteristic being described.

    Pattern Value{
      "coding" : [{
        "system" : "http://hl7.org/fhir/uv/emedicinal-product-info/CodeSystem/epi-group-characteristic-type",
        "code" : "race"
      }]
    }
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    60. Group.characteristic:race.value[x]
    Definition

    The value of the trait that holds (or does not hold - see 'exclude') for members of the group.

    ShortValue held by characteristic
    Comments

    For Range, it means members of the group have a value that falls somewhere within the specified range.

    Control1..1
    BindingUnless not suitable, these codes SHALL be taken from For example codes, see Group Race Value (ePI)
    (extensible to http://hl7.org/fhir/uv/emedicinal-product-info/ValueSet/group-race-value)
    TypeCodeableConcept, boolean, Reference, Quantity, Range
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Is Modifierfalse
    Must Supportfalse
    Summarytrue
    Requirements

    The value of the characteristic is what determines group membership.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    62. Group.characteristic:race.exclude
    Definition

    If true, indicates the characteristic is one that is NOT held by members of the group.

    ShortGroup includes or excludes
    Comments

    This is labeled as "Is Modifier" because applications cannot wrongly include excluded members as included or vice versa.

    Control1..1
    Typeboolean
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supportfalse
    Summarytrue
    Requirements

    Sometimes group membership is determined by characteristics not possessed.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    64. Group.characteristic:lifestyle
    Slice Namelifestyle
    Definition

    Identifies traits whose presence r absence is shared by members of the group.

    ShortInclude / Exclude group members by Trait
    Comments

    All the identified characteristics must be true for an entity to a member of the group.

    Control0..*
    TypeBackboneElement
    Is Modifierfalse
    Must Supportfalse
    Summarytrue
    Requirements

    Needs to be a generic mechanism for identifying what individuals can be part of a group.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    66. Group.characteristic:lifestyle.modifierExtension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    68. Group.characteristic:lifestyle.code
    Definition

    A code that identifies the kind of trait being asserted.

    ShortKind of characteristic
    Control1..1
    Binding

    List of characteristics used to describe group members; e.g. gender, age, owner, location, etc.

    TypeCodeableConcept
    Is Modifierfalse
    Must Supportfalse
    Summarytrue
    Requirements

    Need a formal way of identifying the characteristic being described.

    Pattern Value{
      "coding" : [{
        "system" : "http://hl7.org/fhir/uv/emedicinal-product-info/CodeSystem/epi-group-characteristic-type",
        "code" : "lifestyle"
      }]
    }
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    70. Group.characteristic:lifestyle.value[x]
    Definition

    The value of the trait that holds (or does not hold - see 'exclude') for members of the group.

    ShortValue held by characteristic
    Comments

    For Range, it means members of the group have a value that falls somewhere within the specified range.

    Control1..1
    BindingUnless not suitable, these codes SHALL be taken from For example codes, see Group Lifestyle Value (ePI)
    (extensible to http://hl7.org/fhir/uv/emedicinal-product-info/ValueSet/group-lifestyle-value)
    TypeCodeableConcept, boolean, Reference, Quantity, Range
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Is Modifierfalse
    Must Supportfalse
    Summarytrue
    Requirements

    The value of the characteristic is what determines group membership.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    72. Group.characteristic:lifestyle.exclude
    Definition

    If true, indicates the characteristic is one that is NOT held by members of the group.

    ShortGroup includes or excludes
    Comments

    This is labeled as "Is Modifier" because applications cannot wrongly include excluded members as included or vice versa.

    Control1..1
    Typeboolean
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supportfalse
    Summarytrue
    Requirements

    Sometimes group membership is determined by characteristics not possessed.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    74. Group.characteristic:renalFunction
    Slice NamerenalFunction
    Definition

    Identifies traits whose presence r absence is shared by members of the group.

    ShortRenal function, typically a creatinine-clearance range in mL/min.Include / Exclude group members by Trait
    Comments

    All the identified characteristics must be true for an entity to a member of the group.

    Control0..1*
    TypeBackboneElement
    Is Modifierfalse
    Must Supportfalse
    Summarytrue
    Requirements

    Needs to be a generic mechanism for identifying what individuals can be part of a group.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    76. Group.characteristic:renalFunction.modifierExtension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    78. Group.characteristic:renalFunction.code
    Definition

    A code that identifies the kind of trait being asserted.

    ShortKind of characteristic
    Control1..1
    Binding

    List of characteristics used to describe group members; e.g. gender, age, owner, location, etc.

    TypeCodeableConcept
    Is Modifierfalse
    Must Supportfalse
    Summarytrue
    Requirements

    Need a formal way of identifying the characteristic being described.

    Pattern Value{
      "coding" : [{
        "system" : "http://hl7.org/fhir/uv/emedicinal-product-info/CodeSystem/epi-group-characteristic-type",
        "code" : "renal-function"
      }]
    }
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    80. Group.characteristic:renalFunction.value[x]
    Definition

    The value of the trait that holds (or does not hold - see 'exclude') for members of the group.

    ShortValue held by characteristic
    Comments

    For Range, it means members of the group have a value that falls somewhere within the specified range.

    Control1..1
    Binding

    Value of descriptive member characteristic; e.g. red, male, pneumonia, Caucasian, etc.

    TypeRange, boolean, Reference, Quantity, CodeableConcept
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Is Modifierfalse
    Must Supportfalse
    Summarytrue
    Requirements

    The value of the characteristic is what determines group membership.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    82. Group.characteristic:renalFunction.exclude
    Definition

    If true, indicates the characteristic is one that is NOT held by members of the group.

    ShortGroup includes or excludes
    Comments

    This is labeled as "Is Modifier" because applications cannot wrongly include excluded members as included or vice versa.

    Control1..1
    Typeboolean
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supportfalse
    Summarytrue
    Requirements

    Sometimes group membership is determined by characteristics not possessed.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    84. Group.characteristic:hepaticFunction
    Slice NamehepaticFunction
    Definition

    Identifies traits whose presence r absence is shared by members of the group.

    ShortInclude / Exclude group members by Trait
    Comments

    All the identified characteristics must be true for an entity to a member of the group.

    Control0..1*
    TypeBackboneElement
    Is Modifierfalse
    Must Supportfalse
    Summarytrue
    Requirements

    Needs to be a generic mechanism for identifying what individuals can be part of a group.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    86. Group.characteristic:hepaticFunction.modifierExtension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    88. Group.characteristic:hepaticFunction.code
    Definition

    A code that identifies the kind of trait being asserted.

    ShortKind of characteristic
    Control1..1
    Binding

    List of characteristics used to describe group members; e.g. gender, age, owner, location, etc.

    TypeCodeableConcept
    Is Modifierfalse
    Must Supportfalse
    Summarytrue
    Requirements

    Need a formal way of identifying the characteristic being described.

    Pattern Value{
      "coding" : [{
        "system" : "http://hl7.org/fhir/uv/emedicinal-product-info/CodeSystem/epi-group-characteristic-type",
        "code" : "hepatic-function"
      }]
    }
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    90. Group.characteristic:hepaticFunction.value[x]
    Definition

    The value of the trait that holds (or does not hold - see 'exclude') for members of the group.

    ShortValue held by characteristic
    Comments

    For Range, it means members of the group have a value that falls somewhere within the specified range.

    Control1..1
    BindingUnless not suitable, these codes SHALL be taken from For example codes, see Group Hepatic Function Value (ePI)
    (extensible to http://hl7.org/fhir/uv/emedicinal-product-info/ValueSet/group-hepatic-function-value)
    TypeCodeableConcept, boolean, Reference, Quantity, Range
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Is Modifierfalse
    Must Supportfalse
    Summarytrue
    Requirements

    The value of the characteristic is what determines group membership.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    92. Group.characteristic:hepaticFunction.exclude
    Definition

    If true, indicates the characteristic is one that is NOT held by members of the group.

    ShortGroup includes or excludes
    Comments

    This is labeled as "Is Modifier" because applications cannot wrongly include excluded members as included or vice versa.

    Control1..1
    Typeboolean
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supportfalse
    Summarytrue
    Requirements

    Sometimes group membership is determined by characteristics not possessed.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    94. Group.characteristic:immuneStatus
    Slice NameimmuneStatus
    Definition

    Identifies traits whose presence r absence is shared by members of the group.

    ShortInclude / Exclude group members by Trait
    Comments

    All the identified characteristics must be true for an entity to a member of the group.

    Control0..*
    TypeBackboneElement
    Is Modifierfalse
    Must Supportfalse
    Summarytrue
    Requirements

    Needs to be a generic mechanism for identifying what individuals can be part of a group.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    96. Group.characteristic:immuneStatus.modifierExtension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    98. Group.characteristic:immuneStatus.code
    Definition

    A code that identifies the kind of trait being asserted.

    ShortKind of characteristic
    Control1..1
    Binding

    List of characteristics used to describe group members; e.g. gender, age, owner, location, etc.

    TypeCodeableConcept
    Is Modifierfalse
    Must Supportfalse
    Summarytrue
    Requirements

    Need a formal way of identifying the characteristic being described.

    Pattern Value{
      "coding" : [{
        "system" : "http://hl7.org/fhir/uv/emedicinal-product-info/CodeSystem/epi-group-characteristic-type",
        "code" : "immune-status"
      }]
    }
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    100. Group.characteristic:immuneStatus.value[x]
    Definition

    The value of the trait that holds (or does not hold - see 'exclude') for members of the group.

    ShortValue held by characteristic
    Comments

    For Range, it means members of the group have a value that falls somewhere within the specified range.

    Control1..1
    BindingUnless not suitable, these codes SHALL be taken from For example codes, see Group Immune Status Value (ePI)
    (extensible to http://hl7.org/fhir/uv/emedicinal-product-info/ValueSet/group-immune-status-value)
    TypeCodeableConcept, boolean, Reference, Quantity, Range
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Is Modifierfalse
    Must Supportfalse
    Summarytrue
    Requirements

    The value of the characteristic is what determines group membership.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    102. Group.characteristic:immuneStatus.exclude
    Definition

    If true, indicates the characteristic is one that is NOT held by members of the group.

    ShortGroup includes or excludes
    Comments

    This is labeled as "Is Modifier" because applications cannot wrongly include excluded members as included or vice versa.

    Control1..1
    Typeboolean
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supportfalse
    Summarytrue
    Requirements

    Sometimes group membership is determined by characteristics not possessed.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

    Guidance on how to interpret the contents of this table can be foundhere

    0. Group
    2. Group.type
    Pattern Valueperson
    4. Group.membership
    Shortdefinitional - the group is defined by the characteristics below, not by an enumerated member list
    Pattern Valuedefinitional
    6. Group.characteristic
    ShortOne population axis. Combine multiple characteristics with AND. Open: add further axes as needed.
    Control1..?
    SlicingThis element introduces a set of slices on Group.characteristic. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • pattern @ code
    • 8. Group.characteristic:sex
      Slice Namesex
      Control0..1
      10. Group.characteristic:sex.code
      Pattern Value{
        "coding" : [{
          "system" : "http://hl7.org/fhir/uv/emedicinal-product-info/CodeSystem/epi-group-characteristic-type",
          "code" : "sex"
        }]
      }
      12. Group.characteristic:sex.value[x]
      BindingUnless not suitable, these codes SHALL be taken from Group Sex Value (ePI)
      (extensible to http://hl7.org/fhir/uv/emedicinal-product-info/ValueSet/group-sex-value)
      TypeCodeableConcept
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      14. Group.characteristic:age
      Slice Nameage
      ShortAge range. Use UCUM 'a' (years) or 'd' (days) so neonatal/paediatric bands can be expressed.
      Control0..1
      16. Group.characteristic:age.code
      Pattern Value{
        "coding" : [{
          "system" : "http://hl7.org/fhir/uv/emedicinal-product-info/CodeSystem/epi-group-characteristic-type",
          "code" : "age"
        }]
      }
      18. Group.characteristic:age.value[x]
      TypeRange
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      20. Group.characteristic:bodyWeight
      Slice NamebodyWeight
      ShortBody weight as a population selector (e.g., ≥ 40 kg). Distinct from mg/kg dose rates, which are expressed in Dosage.doseAndRate.
      Control0..1
      22. Group.characteristic:bodyWeight.code
      Pattern Value{
        "coding" : [{
          "system" : "http://hl7.org/fhir/uv/emedicinal-product-info/CodeSystem/epi-group-characteristic-type",
          "code" : "body-weight"
        }]
      }
      24. Group.characteristic:bodyWeight.value[x]
      TypeRange
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      26. Group.characteristic:race
      Slice Namerace
      Control0..*
      28. Group.characteristic:race.code
      Pattern Value{
        "coding" : [{
          "system" : "http://hl7.org/fhir/uv/emedicinal-product-info/CodeSystem/epi-group-characteristic-type",
          "code" : "race"
        }]
      }
      30. Group.characteristic:race.value[x]
      BindingUnless not suitable, these codes SHALL be taken from Group Race Value (ePI)
      (extensible to http://hl7.org/fhir/uv/emedicinal-product-info/ValueSet/group-race-value)
      TypeCodeableConcept
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      32. Group.characteristic:lifestyle
      Slice Namelifestyle
      Control0..*
      34. Group.characteristic:lifestyle.code
      Pattern Value{
        "coding" : [{
          "system" : "http://hl7.org/fhir/uv/emedicinal-product-info/CodeSystem/epi-group-characteristic-type",
          "code" : "lifestyle"
        }]
      }
      36. Group.characteristic:lifestyle.value[x]
      BindingUnless not suitable, these codes SHALL be taken from Group Lifestyle Value (ePI)
      (extensible to http://hl7.org/fhir/uv/emedicinal-product-info/ValueSet/group-lifestyle-value)
      TypeCodeableConcept
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      38. Group.characteristic:renalFunction
      Slice NamerenalFunction
      ShortRenal function, typically a creatinine-clearance range in mL/min.
      Control0..1
      40. Group.characteristic:renalFunction.code
      Pattern Value{
        "coding" : [{
          "system" : "http://hl7.org/fhir/uv/emedicinal-product-info/CodeSystem/epi-group-characteristic-type",
          "code" : "renal-function"
        }]
      }
      42. Group.characteristic:renalFunction.value[x]
      TypeRange
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      44. Group.characteristic:hepaticFunction
      Slice NamehepaticFunction
      Control0..1
      46. Group.characteristic:hepaticFunction.code
      Pattern Value{
        "coding" : [{
          "system" : "http://hl7.org/fhir/uv/emedicinal-product-info/CodeSystem/epi-group-characteristic-type",
          "code" : "hepatic-function"
        }]
      }
      48. Group.characteristic:hepaticFunction.value[x]
      BindingUnless not suitable, these codes SHALL be taken from Group Hepatic Function Value (ePI)
      (extensible to http://hl7.org/fhir/uv/emedicinal-product-info/ValueSet/group-hepatic-function-value)
      TypeCodeableConcept
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      50. Group.characteristic:immuneStatus
      Slice NameimmuneStatus
      Control0..*
      52. Group.characteristic:immuneStatus.code
      Pattern Value{
        "coding" : [{
          "system" : "http://hl7.org/fhir/uv/emedicinal-product-info/CodeSystem/epi-group-characteristic-type",
          "code" : "immune-status"
        }]
      }
      54. Group.characteristic:immuneStatus.value[x]
      BindingUnless not suitable, these codes SHALL be taken from Group Immune Status Value (ePI)
      (extensible to http://hl7.org/fhir/uv/emedicinal-product-info/ValueSet/group-immune-status-value)
      TypeCodeableConcept
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]

      Guidance on how to interpret the contents of this table can be foundhere

      0. Group
      Definition

      Represents a defined collection of entities that may be discussed or acted upon collectively but which are not expected to act collectively, and are not formally or legally recognized; i.e. a collection of entities that isn't an Organization.

      ShortGroup of multiple entities
      Comments

      If both Group.characteristic and Group.member are present, then the members are the individuals who were found who met the characteristic. It's possible that there might be other candidate members who meet the characteristic and aren't (yet) in the list. All members SHALL have the listed characteristics.

      Control0..*
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
      dom-3: 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
      dom-4: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
      dom-6: A resource should have narrative for robust management (text.`div`.exists())
      2. Group.id
      Definition

      The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

      ShortLogical id of this artifact
      Comments

      Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.

      Control0..1
      Typeid
      Is Modifierfalse
      Must Supportfalse
      Summarytrue
      4. Group.meta
      Definition

      The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

      ShortMetadata about the resource
      Control0..1
      TypeMeta
      Is Modifierfalse
      Must Supportfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      6. Group.implicitRules
      Definition

      A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

      ShortA set of rules under which this content was created
      Comments

      Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.

      Control0..1
      Typeuri
      Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supportfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      8. Group.language
      Definition

      The base language in which the resource is written.

      ShortLanguage of the resource content
      Comments

      Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

      Control0..1
      BindingThe codes SHALL be taken from AllLanguages
      (required to http://hl7.org/fhir/ValueSet/all-languages|5.0.0)

      IETF language tag for a human language

      Typecode
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      10. Group.text
      Definition

      A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

      ShortText summary of the resource, for human interpretation
      Comments

      Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

      Control0..1
      This element is affected by the following invariants: dom-6
      TypeNarrative
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Alternate Namesnarrative, html, xhtml, display
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      12. Group.contained
      Definition

      These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.

      ShortContained, inline Resources
      Comments

      This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels.

      Control0..*
      This element is affected by the following invariants: dom-2, dom-4, dom-3, dom-5
      TypeResource
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Alternate Namesinline resources, anonymous resources, contained resources
      14. Group.extension
      Definition

      May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

      ShortAdditional content defined by implementations
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifierfalse
      Must Supportfalse
      Summaryfalse
      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      16. Group.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
      Must Supportfalse
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      18. Group.identifier
      Definition

      Business identifiers assigned to this participant by one of the applications involved. These identifiers remain constant as the resource is updated and propagates from server to server.

      ShortBusiness Identifier for this Group
      Comments

      Note: This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types.

      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control0..*
      TypeIdentifier
      Is Modifierfalse
      Must Supportfalse
      Summarytrue
      Requirements

      Allows identification of the group as it is known by various participating systems and in a way that remains consistent across servers.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      20. Group.active
      Definition

      Indicates whether the record for the group is available for use or is merely being retained for historical purposes.

      ShortWhether this group's record is in active use
      Control0..1
      Typeboolean
      Is Modifiertrue because This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supportfalse
      Summarytrue
      Requirements

      Need to be able to mark a group record as not to be used because it was created in error or is otherwise no longer available (e.g. a herd that no longer exists).

      Meaning if MissingThis resource is generally assumed to be active if no value is provided for the active element
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      22. Group.type
      Definition

      Identifies the broad classification of the kind of resources the group includes.

      Shortperson | animal | practitioner | device | careteam | healthcareservice | location | organization | relatedperson | specimen
      Comments

      Group members SHALL be of the appropriate resource type (Patient for person or animal; or Practitioner, PractitionerRole, Device, CareTeam, HealthcareService, Location, Organization, RelatedPerson, or Specimen for the other types.), or a Group of the resources of the appropriate type.

      Control1..1
      BindingThe codes SHALL be taken from GroupType
      (required to http://hl7.org/fhir/ValueSet/group-type|5.0.0)

      Types of resources that are part of group.

      Typecode
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supportfalse
      Summarytrue
      Requirements

      Identifies what type of resources the group is made up of.

      Pattern Valueperson
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      24. Group.membership
      Definition

      Basis for membership in the Group:

      • 'definitional': The Group.characteristics specified are both necessary and sufficient to determine membership. All entities that meet the criteria are considered to be members of the group, whether referenced by the group or not. If members are present, they are individuals that happen to be known as meeting the Group.characteristics. The list cannot be presumed to be complete.
      • 'enumerated': The Group.characteristics are necessary but not sufficient to determine membership. Membership is determined by being listed as one of the Group.member.
      Shortdefinitional - the group is defined by the characteristics below, not by an enumerated member list
      Control1..1
      BindingThe codes SHALL be taken from GroupMembershipBasis
      (required to http://hl7.org/fhir/ValueSet/group-membership-basis|5.0.0)

      The basis for membership in a group

      Typecode
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supportfalse
      Summarytrue
      Requirements

      There are use-cases for groups that define specific collections of individuals, and other groups that define "types" of intended individuals. The requirements for both kinds of groups are similar, so we use a single resource, distinguished by this element.

      Pattern Valuedefinitional
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      26. Group.code
      Definition

      Provides a specific type of resource the group includes; e.g. "cow", "syringe", etc.

      ShortKind of Group members
      Comments

      This would generally be omitted for Person resources.

      Control0..1
      Binding

      Kind of particular resource; e.g. cow, syringe, lake, etc.

      TypeCodeableConcept
      Is Modifierfalse
      Must Supportfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      28. Group.name
      Definition

      A label assigned to the group for human identification and communication.

      ShortLabel for Group
      Control0..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supportfalse
      Summarytrue
      Requirements

      Used to identify the group in human communication.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      30. Group.description
      Definition

      Explanation of what the group represents and how it is intended to be used.

      ShortNatural language description of the group
      Control0..1
      Typemarkdown
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supportfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      32. Group.quantity
      Definition

      A count of the number of resource instances that are part of the group.

      ShortNumber of members
      Comments

      Note that the quantity may be less than the number of members if some of the members are not active.

      Control0..1
      TypeunsignedInt
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supportfalse
      Summarytrue
      Requirements

      Group size is a common defining characteristic.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      34. Group.managingEntity
      Definition

      Entity responsible for defining and maintaining Group characteristics and/or registered members.

      ShortEntity that is the custodian of the Group's definition
      Comments

      This does not strictly align with ownership of a herd or flock, but may suffice to represent that relationship in simple cases. More complex cases will require an extension.

      Control0..1
      TypeReference(Organization, RelatedPerson, Practitioner, PractitionerRole)
      Is Modifierfalse
      Must Supportfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      36. Group.characteristic
      Definition

      Identifies traits whose presence r absence is shared by members of the group.

      ShortOne population axis. Combine multiple characteristics with AND. Open: add further axes as needed.
      Comments

      All the identified characteristics must be true for an entity to a member of the group.

      Control1..*
      TypeBackboneElement
      Is Modifierfalse
      Must Supportfalse
      Summarytrue
      Requirements

      Needs to be a generic mechanism for identifying what individuals can be part of a group.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      SlicingThis element introduces a set of slices on Group.characteristic. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • pattern @ code
      • 38. Group.characteristic.id
        Definition

        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        ShortUnique id for inter-element referencing
        Control0..1
        This element is affected by the following invariants: ele-1
        Typestring
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        40. Group.characteristic.extension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

        ShortAdditional content defined by implementations
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        42. Group.characteristic.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        Requirements

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        Alternate Namesextensions, user content, modifiers
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        44. Group.characteristic.code
        Definition

        A code that identifies the kind of trait being asserted.

        ShortKind of characteristic
        Control1..1
        Binding

        List of characteristics used to describe group members; e.g. gender, age, owner, location, etc.

        TypeCodeableConcept
        Is Modifierfalse
        Must Supportfalse
        Summarytrue
        Requirements

        Need a formal way of identifying the characteristic being described.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        46. Group.characteristic.value[x]
        Definition

        The value of the trait that holds (or does not hold - see 'exclude') for members of the group.

        ShortValue held by characteristic
        Comments

        For Range, it means members of the group have a value that falls somewhere within the specified range.

        Control1..1
        Binding

        Value of descriptive member characteristic; e.g. red, male, pneumonia, Caucasian, etc.

        TypeChoice of: CodeableConcept, boolean, Quantity, Range, Reference
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supportfalse
        Summarytrue
        Requirements

        The value of the characteristic is what determines group membership.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        48. Group.characteristic.exclude
        Definition

        If true, indicates the characteristic is one that is NOT held by members of the group.

        ShortGroup includes or excludes
        Comments

        This is labeled as "Is Modifier" because applications cannot wrongly include excluded members as included or vice versa.

        Control1..1
        Typeboolean
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supportfalse
        Summarytrue
        Requirements

        Sometimes group membership is determined by characteristics not possessed.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        50. Group.characteristic.period
        Definition

        The period over which the characteristic is tested; e.g. the patient had an operation during the month of June.

        ShortPeriod over which characteristic is tested
        Control0..1
        TypePeriod
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        52. Group.characteristic:sex
        Slice Namesex
        Definition

        Identifies traits whose presence r absence is shared by members of the group.

        ShortInclude / Exclude group members by Trait
        Comments

        All the identified characteristics must be true for an entity to a member of the group.

        Control0..1
        TypeBackboneElement
        Is Modifierfalse
        Must Supportfalse
        Summarytrue
        Requirements

        Needs to be a generic mechanism for identifying what individuals can be part of a group.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        54. Group.characteristic:sex.id
        Definition

        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        ShortUnique id for inter-element referencing
        Control0..1
        This element is affected by the following invariants: ele-1
        Typestring
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        56. Group.characteristic:sex.extension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

        ShortAdditional content defined by implementations
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        58. Group.characteristic:sex.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        Requirements

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        Alternate Namesextensions, user content, modifiers
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        60. Group.characteristic:sex.code
        Definition

        A code that identifies the kind of trait being asserted.

        ShortKind of characteristic
        Control1..1
        Binding

        List of characteristics used to describe group members; e.g. gender, age, owner, location, etc.

        TypeCodeableConcept
        Is Modifierfalse
        Must Supportfalse
        Summarytrue
        Requirements

        Need a formal way of identifying the characteristic being described.

        Pattern Value{
          "coding" : [{
            "system" : "http://hl7.org/fhir/uv/emedicinal-product-info/CodeSystem/epi-group-characteristic-type",
            "code" : "sex"
          }]
        }
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        62. Group.characteristic:sex.value[x]
        Definition

        The value of the trait that holds (or does not hold - see 'exclude') for members of the group.

        ShortValue held by characteristic
        Comments

        For Range, it means members of the group have a value that falls somewhere within the specified range.

        Control1..1
        BindingUnless not suitable, these codes SHALL be taken from Group Sex Value (ePI)
        (extensible to http://hl7.org/fhir/uv/emedicinal-product-info/ValueSet/group-sex-value)
        TypeCodeableConcept
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        Is Modifierfalse
        Must Supportfalse
        Summarytrue
        Requirements

        The value of the characteristic is what determines group membership.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        64. Group.characteristic:sex.exclude
        Definition

        If true, indicates the characteristic is one that is NOT held by members of the group.

        ShortGroup includes or excludes
        Comments

        This is labeled as "Is Modifier" because applications cannot wrongly include excluded members as included or vice versa.

        Control1..1
        Typeboolean
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supportfalse
        Summarytrue
        Requirements

        Sometimes group membership is determined by characteristics not possessed.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        66. Group.characteristic:sex.period
        Definition

        The period over which the characteristic is tested; e.g. the patient had an operation during the month of June.

        ShortPeriod over which characteristic is tested
        Control0..1
        TypePeriod
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        68. Group.characteristic:age
        Slice Nameage
        Definition

        Identifies traits whose presence r absence is shared by members of the group.

        ShortAge range. Use UCUM 'a' (years) or 'd' (days) so neonatal/paediatric bands can be expressed.
        Comments

        All the identified characteristics must be true for an entity to a member of the group.

        Control0..1
        TypeBackboneElement
        Is Modifierfalse
        Must Supportfalse
        Summarytrue
        Requirements

        Needs to be a generic mechanism for identifying what individuals can be part of a group.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        70. Group.characteristic:age.id
        Definition

        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        ShortUnique id for inter-element referencing
        Control0..1
        This element is affected by the following invariants: ele-1
        Typestring
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        72. Group.characteristic:age.extension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

        ShortAdditional content defined by implementations
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        74. Group.characteristic:age.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        Requirements

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        Alternate Namesextensions, user content, modifiers
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        76. Group.characteristic:age.code
        Definition

        A code that identifies the kind of trait being asserted.

        ShortKind of characteristic
        Control1..1
        Binding

        List of characteristics used to describe group members; e.g. gender, age, owner, location, etc.

        TypeCodeableConcept
        Is Modifierfalse
        Must Supportfalse
        Summarytrue
        Requirements

        Need a formal way of identifying the characteristic being described.

        Pattern Value{
          "coding" : [{
            "system" : "http://hl7.org/fhir/uv/emedicinal-product-info/CodeSystem/epi-group-characteristic-type",
            "code" : "age"
          }]
        }
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        78. Group.characteristic:age.value[x]
        Definition

        The value of the trait that holds (or does not hold - see 'exclude') for members of the group.

        ShortValue held by characteristic
        Comments

        For Range, it means members of the group have a value that falls somewhere within the specified range.

        Control1..1
        Binding

        Value of descriptive member characteristic; e.g. red, male, pneumonia, Caucasian, etc.

        TypeRange
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        Is Modifierfalse
        Must Supportfalse
        Summarytrue
        Requirements

        The value of the characteristic is what determines group membership.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        80. Group.characteristic:age.exclude
        Definition

        If true, indicates the characteristic is one that is NOT held by members of the group.

        ShortGroup includes or excludes
        Comments

        This is labeled as "Is Modifier" because applications cannot wrongly include excluded members as included or vice versa.

        Control1..1
        Typeboolean
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supportfalse
        Summarytrue
        Requirements

        Sometimes group membership is determined by characteristics not possessed.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        82. Group.characteristic:age.period
        Definition

        The period over which the characteristic is tested; e.g. the patient had an operation during the month of June.

        ShortPeriod over which characteristic is tested
        Control0..1
        TypePeriod
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        84. Group.characteristic:bodyWeight
        Slice NamebodyWeight
        Definition

        Identifies traits whose presence r absence is shared by members of the group.

        ShortBody weight as a population selector (e.g., ≥ 40 kg). Distinct from mg/kg dose rates, which are expressed in Dosage.doseAndRate.
        Comments

        All the identified characteristics must be true for an entity to a member of the group.

        Control0..1
        TypeBackboneElement
        Is Modifierfalse
        Must Supportfalse
        Summarytrue
        Requirements

        Needs to be a generic mechanism for identifying what individuals can be part of a group.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        86. Group.characteristic:bodyWeight.id
        Definition

        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        ShortUnique id for inter-element referencing
        Control0..1
        This element is affected by the following invariants: ele-1
        Typestring
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        88. Group.characteristic:bodyWeight.extension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

        ShortAdditional content defined by implementations
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        90. Group.characteristic:bodyWeight.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        Requirements

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        Alternate Namesextensions, user content, modifiers
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        92. Group.characteristic:bodyWeight.code
        Definition

        A code that identifies the kind of trait being asserted.

        ShortKind of characteristic
        Control1..1
        Binding

        List of characteristics used to describe group members; e.g. gender, age, owner, location, etc.

        TypeCodeableConcept
        Is Modifierfalse
        Must Supportfalse
        Summarytrue
        Requirements

        Need a formal way of identifying the characteristic being described.

        Pattern Value{
          "coding" : [{
            "system" : "http://hl7.org/fhir/uv/emedicinal-product-info/CodeSystem/epi-group-characteristic-type",
            "code" : "body-weight"
          }]
        }
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        94. Group.characteristic:bodyWeight.value[x]
        Definition

        The value of the trait that holds (or does not hold - see 'exclude') for members of the group.

        ShortValue held by characteristic
        Comments

        For Range, it means members of the group have a value that falls somewhere within the specified range.

        Control1..1
        Binding

        Value of descriptive member characteristic; e.g. red, male, pneumonia, Caucasian, etc.

        TypeRange
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        Is Modifierfalse
        Must Supportfalse
        Summarytrue
        Requirements

        The value of the characteristic is what determines group membership.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        96. Group.characteristic:bodyWeight.exclude
        Definition

        If true, indicates the characteristic is one that is NOT held by members of the group.

        ShortGroup includes or excludes
        Comments

        This is labeled as "Is Modifier" because applications cannot wrongly include excluded members as included or vice versa.

        Control1..1
        Typeboolean
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supportfalse
        Summarytrue
        Requirements

        Sometimes group membership is determined by characteristics not possessed.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        98. Group.characteristic:bodyWeight.period
        Definition

        The period over which the characteristic is tested; e.g. the patient had an operation during the month of June.

        ShortPeriod over which characteristic is tested
        Control0..1
        TypePeriod
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        100. Group.characteristic:race
        Slice Namerace
        Definition

        Identifies traits whose presence r absence is shared by members of the group.

        ShortInclude / Exclude group members by Trait
        Comments

        All the identified characteristics must be true for an entity to a member of the group.

        Control0..*
        TypeBackboneElement
        Is Modifierfalse
        Must Supportfalse
        Summarytrue
        Requirements

        Needs to be a generic mechanism for identifying what individuals can be part of a group.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        102. Group.characteristic:race.id
        Definition

        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        ShortUnique id for inter-element referencing
        Control0..1
        This element is affected by the following invariants: ele-1
        Typestring
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        104. Group.characteristic:race.extension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

        ShortAdditional content defined by implementations
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        106. Group.characteristic:race.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        Requirements

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        Alternate Namesextensions, user content, modifiers
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        108. Group.characteristic:race.code
        Definition

        A code that identifies the kind of trait being asserted.

        ShortKind of characteristic
        Control1..1
        Binding

        List of characteristics used to describe group members; e.g. gender, age, owner, location, etc.

        TypeCodeableConcept
        Is Modifierfalse
        Must Supportfalse
        Summarytrue
        Requirements

        Need a formal way of identifying the characteristic being described.

        Pattern Value{
          "coding" : [{
            "system" : "http://hl7.org/fhir/uv/emedicinal-product-info/CodeSystem/epi-group-characteristic-type",
            "code" : "race"
          }]
        }
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        110. Group.characteristic:race.value[x]
        Definition

        The value of the trait that holds (or does not hold - see 'exclude') for members of the group.

        ShortValue held by characteristic
        Comments

        For Range, it means members of the group have a value that falls somewhere within the specified range.

        Control1..1
        BindingUnless not suitable, these codes SHALL be taken from Group Race Value (ePI)
        (extensible to http://hl7.org/fhir/uv/emedicinal-product-info/ValueSet/group-race-value)
        TypeCodeableConcept
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        Is Modifierfalse
        Must Supportfalse
        Summarytrue
        Requirements

        The value of the characteristic is what determines group membership.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        112. Group.characteristic:race.exclude
        Definition

        If true, indicates the characteristic is one that is NOT held by members of the group.

        ShortGroup includes or excludes
        Comments

        This is labeled as "Is Modifier" because applications cannot wrongly include excluded members as included or vice versa.

        Control1..1
        Typeboolean
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supportfalse
        Summarytrue
        Requirements

        Sometimes group membership is determined by characteristics not possessed.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        114. Group.characteristic:race.period
        Definition

        The period over which the characteristic is tested; e.g. the patient had an operation during the month of June.

        ShortPeriod over which characteristic is tested
        Control0..1
        TypePeriod
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        116. Group.characteristic:lifestyle
        Slice Namelifestyle
        Definition

        Identifies traits whose presence r absence is shared by members of the group.

        ShortInclude / Exclude group members by Trait
        Comments

        All the identified characteristics must be true for an entity to a member of the group.

        Control0..*
        TypeBackboneElement
        Is Modifierfalse
        Must Supportfalse
        Summarytrue
        Requirements

        Needs to be a generic mechanism for identifying what individuals can be part of a group.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        118. Group.characteristic:lifestyle.id
        Definition

        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        ShortUnique id for inter-element referencing
        Control0..1
        This element is affected by the following invariants: ele-1
        Typestring
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        120. Group.characteristic:lifestyle.extension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

        ShortAdditional content defined by implementations
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        122. Group.characteristic:lifestyle.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        Requirements

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        Alternate Namesextensions, user content, modifiers
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        124. Group.characteristic:lifestyle.code
        Definition

        A code that identifies the kind of trait being asserted.

        ShortKind of characteristic
        Control1..1
        Binding

        List of characteristics used to describe group members; e.g. gender, age, owner, location, etc.

        TypeCodeableConcept
        Is Modifierfalse
        Must Supportfalse
        Summarytrue
        Requirements

        Need a formal way of identifying the characteristic being described.

        Pattern Value{
          "coding" : [{
            "system" : "http://hl7.org/fhir/uv/emedicinal-product-info/CodeSystem/epi-group-characteristic-type",
            "code" : "lifestyle"
          }]
        }
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        126. Group.characteristic:lifestyle.value[x]
        Definition

        The value of the trait that holds (or does not hold - see 'exclude') for members of the group.

        ShortValue held by characteristic
        Comments

        For Range, it means members of the group have a value that falls somewhere within the specified range.

        Control1..1
        BindingUnless not suitable, these codes SHALL be taken from Group Lifestyle Value (ePI)
        (extensible to http://hl7.org/fhir/uv/emedicinal-product-info/ValueSet/group-lifestyle-value)
        TypeCodeableConcept
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        Is Modifierfalse
        Must Supportfalse
        Summarytrue
        Requirements

        The value of the characteristic is what determines group membership.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        128. Group.characteristic:lifestyle.exclude
        Definition

        If true, indicates the characteristic is one that is NOT held by members of the group.

        ShortGroup includes or excludes
        Comments

        This is labeled as "Is Modifier" because applications cannot wrongly include excluded members as included or vice versa.

        Control1..1
        Typeboolean
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supportfalse
        Summarytrue
        Requirements

        Sometimes group membership is determined by characteristics not possessed.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        130. Group.characteristic:lifestyle.period
        Definition

        The period over which the characteristic is tested; e.g. the patient had an operation during the month of June.

        ShortPeriod over which characteristic is tested
        Control0..1
        TypePeriod
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        132. Group.characteristic:renalFunction
        Slice NamerenalFunction
        Definition

        Identifies traits whose presence r absence is shared by members of the group.

        ShortRenal function, typically a creatinine-clearance range in mL/min.
        Comments

        All the identified characteristics must be true for an entity to a member of the group.

        Control0..1
        TypeBackboneElement
        Is Modifierfalse
        Must Supportfalse
        Summarytrue
        Requirements

        Needs to be a generic mechanism for identifying what individuals can be part of a group.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        134. Group.characteristic:renalFunction.id
        Definition

        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        ShortUnique id for inter-element referencing
        Control0..1
        This element is affected by the following invariants: ele-1
        Typestring
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        136. Group.characteristic:renalFunction.extension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

        ShortAdditional content defined by implementations
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        138. Group.characteristic:renalFunction.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        Requirements

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        Alternate Namesextensions, user content, modifiers
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        140. Group.characteristic:renalFunction.code
        Definition

        A code that identifies the kind of trait being asserted.

        ShortKind of characteristic
        Control1..1
        Binding

        List of characteristics used to describe group members; e.g. gender, age, owner, location, etc.

        TypeCodeableConcept
        Is Modifierfalse
        Must Supportfalse
        Summarytrue
        Requirements

        Need a formal way of identifying the characteristic being described.

        Pattern Value{
          "coding" : [{
            "system" : "http://hl7.org/fhir/uv/emedicinal-product-info/CodeSystem/epi-group-characteristic-type",
            "code" : "renal-function"
          }]
        }
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        142. Group.characteristic:renalFunction.value[x]
        Definition

        The value of the trait that holds (or does not hold - see 'exclude') for members of the group.

        ShortValue held by characteristic
        Comments

        For Range, it means members of the group have a value that falls somewhere within the specified range.

        Control1..1
        Binding

        Value of descriptive member characteristic; e.g. red, male, pneumonia, Caucasian, etc.

        TypeRange
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        Is Modifierfalse
        Must Supportfalse
        Summarytrue
        Requirements

        The value of the characteristic is what determines group membership.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        144. Group.characteristic:renalFunction.exclude
        Definition

        If true, indicates the characteristic is one that is NOT held by members of the group.

        ShortGroup includes or excludes
        Comments

        This is labeled as "Is Modifier" because applications cannot wrongly include excluded members as included or vice versa.

        Control1..1
        Typeboolean
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supportfalse
        Summarytrue
        Requirements

        Sometimes group membership is determined by characteristics not possessed.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        146. Group.characteristic:renalFunction.period
        Definition

        The period over which the characteristic is tested; e.g. the patient had an operation during the month of June.

        ShortPeriod over which characteristic is tested
        Control0..1
        TypePeriod
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        148. Group.characteristic:hepaticFunction
        Slice NamehepaticFunction
        Definition

        Identifies traits whose presence r absence is shared by members of the group.

        ShortInclude / Exclude group members by Trait
        Comments

        All the identified characteristics must be true for an entity to a member of the group.

        Control0..1
        TypeBackboneElement
        Is Modifierfalse
        Must Supportfalse
        Summarytrue
        Requirements

        Needs to be a generic mechanism for identifying what individuals can be part of a group.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        150. Group.characteristic:hepaticFunction.id
        Definition

        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        ShortUnique id for inter-element referencing
        Control0..1
        This element is affected by the following invariants: ele-1
        Typestring
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        152. Group.characteristic:hepaticFunction.extension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

        ShortAdditional content defined by implementations
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        154. Group.characteristic:hepaticFunction.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        Requirements

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        Alternate Namesextensions, user content, modifiers
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        156. Group.characteristic:hepaticFunction.code
        Definition

        A code that identifies the kind of trait being asserted.

        ShortKind of characteristic
        Control1..1
        Binding

        List of characteristics used to describe group members; e.g. gender, age, owner, location, etc.

        TypeCodeableConcept
        Is Modifierfalse
        Must Supportfalse
        Summarytrue
        Requirements

        Need a formal way of identifying the characteristic being described.

        Pattern Value{
          "coding" : [{
            "system" : "http://hl7.org/fhir/uv/emedicinal-product-info/CodeSystem/epi-group-characteristic-type",
            "code" : "hepatic-function"
          }]
        }
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        158. Group.characteristic:hepaticFunction.value[x]
        Definition

        The value of the trait that holds (or does not hold - see 'exclude') for members of the group.

        ShortValue held by characteristic
        Comments

        For Range, it means members of the group have a value that falls somewhere within the specified range.

        Control1..1
        BindingUnless not suitable, these codes SHALL be taken from Group Hepatic Function Value (ePI)
        (extensible to http://hl7.org/fhir/uv/emedicinal-product-info/ValueSet/group-hepatic-function-value)
        TypeCodeableConcept
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        Is Modifierfalse
        Must Supportfalse
        Summarytrue
        Requirements

        The value of the characteristic is what determines group membership.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        160. Group.characteristic:hepaticFunction.exclude
        Definition

        If true, indicates the characteristic is one that is NOT held by members of the group.

        ShortGroup includes or excludes
        Comments

        This is labeled as "Is Modifier" because applications cannot wrongly include excluded members as included or vice versa.

        Control1..1
        Typeboolean
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supportfalse
        Summarytrue
        Requirements

        Sometimes group membership is determined by characteristics not possessed.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        162. Group.characteristic:hepaticFunction.period
        Definition

        The period over which the characteristic is tested; e.g. the patient had an operation during the month of June.

        ShortPeriod over which characteristic is tested
        Control0..1
        TypePeriod
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        164. Group.characteristic:immuneStatus
        Slice NameimmuneStatus
        Definition

        Identifies traits whose presence r absence is shared by members of the group.

        ShortInclude / Exclude group members by Trait
        Comments

        All the identified characteristics must be true for an entity to a member of the group.

        Control0..*
        TypeBackboneElement
        Is Modifierfalse
        Must Supportfalse
        Summarytrue
        Requirements

        Needs to be a generic mechanism for identifying what individuals can be part of a group.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        166. Group.characteristic:immuneStatus.id
        Definition

        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        ShortUnique id for inter-element referencing
        Control0..1
        This element is affected by the following invariants: ele-1
        Typestring
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        168. Group.characteristic:immuneStatus.extension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

        ShortAdditional content defined by implementations
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        170. Group.characteristic:immuneStatus.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        Requirements

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        Alternate Namesextensions, user content, modifiers
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        172. Group.characteristic:immuneStatus.code
        Definition

        A code that identifies the kind of trait being asserted.

        ShortKind of characteristic
        Control1..1
        Binding

        List of characteristics used to describe group members; e.g. gender, age, owner, location, etc.

        TypeCodeableConcept
        Is Modifierfalse
        Must Supportfalse
        Summarytrue
        Requirements

        Need a formal way of identifying the characteristic being described.

        Pattern Value{
          "coding" : [{
            "system" : "http://hl7.org/fhir/uv/emedicinal-product-info/CodeSystem/epi-group-characteristic-type",
            "code" : "immune-status"
          }]
        }
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        174. Group.characteristic:immuneStatus.value[x]
        Definition

        The value of the trait that holds (or does not hold - see 'exclude') for members of the group.

        ShortValue held by characteristic
        Comments

        For Range, it means members of the group have a value that falls somewhere within the specified range.

        Control1..1
        BindingUnless not suitable, these codes SHALL be taken from Group Immune Status Value (ePI)
        (extensible to http://hl7.org/fhir/uv/emedicinal-product-info/ValueSet/group-immune-status-value)
        TypeCodeableConcept
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        Is Modifierfalse
        Must Supportfalse
        Summarytrue
        Requirements

        The value of the characteristic is what determines group membership.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        176. Group.characteristic:immuneStatus.exclude
        Definition

        If true, indicates the characteristic is one that is NOT held by members of the group.

        ShortGroup includes or excludes
        Comments

        This is labeled as "Is Modifier" because applications cannot wrongly include excluded members as included or vice versa.

        Control1..1
        Typeboolean
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supportfalse
        Summarytrue
        Requirements

        Sometimes group membership is determined by characteristics not possessed.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        178. Group.characteristic:immuneStatus.period
        Definition

        The period over which the characteristic is tested; e.g. the patient had an operation during the month of June.

        ShortPeriod over which characteristic is tested
        Control0..1
        TypePeriod
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        180. Group.member
        Definition

        Identifies the resource instances that are members of the group.

        ShortWho or what is in group
        Control0..*
        TypeBackboneElement
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Requirements

        Often the only thing of interest about a group is "who's in it".

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        182. Group.member.id
        Definition

        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        ShortUnique id for inter-element referencing
        Control0..1
        This element is affected by the following invariants: ele-1
        Typestring
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        184. Group.member.extension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

        ShortAdditional content defined by implementations
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        186. Group.member.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        Requirements

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        Alternate Namesextensions, user content, modifiers
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        188. Group.member.entity
        Definition

        A reference to the entity that is a member of the group. Must be consistent with Group.type. If the entity is another group, then the type must be the same.

        ShortReference to the group member
        Control1..1
        TypeReference(CareTeam, Device, Group, HealthcareService, Location, Organization, Patient, Practitioner, PractitionerRole, RelatedPerson, Specimen)
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        190. Group.member.period
        Definition

        The period that the member was in the group, if known.

        ShortPeriod member belonged to the group
        Control0..1
        TypePeriod
        Is Modifierfalse
        Must Supportfalse
        Summaryfalse
        Requirements

        Need to track who was in a group at a particular time.

        Meaning if MissingThe member is in the group at this time
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        192. Group.member.inactive
        Definition

        A flag to indicate that the member is no longer in the group, but previously may have been a member.

        ShortIf member is no longer in group
        Control0..1
        Typeboolean
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supportfalse
        Summaryfalse
        Requirements

        Sometimes you don't know when someone stopped being in a group, but not when.

        Meaning if MissingMembers are considered active unless explicitly specified otherwise
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))