HL7 FHIR Implementation Guide: Breast Cancer Data, Release 1 - US Realm (Draft for Comment 2)

This page is part of the Breast Cancer Data Logical Models and FHIR Profiles (v0.2.0: STU 1 Draft) based on FHIR R3. . For a full list of available versions, see the Directory of published versions

GroupProfile


<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="cimi-entity-Group"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
  <p><b>BC Group Profile</b></p>
  <p>A set of entities (personnel, material, or places) to be considered together. May be a pool of like-type resources, a team, or combination of personnel, material and places.</p>
  <p><b>BC Mapping Summary</b></p>
  <p><pre>cimi.entity.Group maps to Group:
  ActiveFlag maps to active
  Type maps to type
  Actual maps to actual
  Title maps to name
  GroupCharacteristic maps to characteristic.value[x]
  GroupCharacteristic.GroupCharacteristicCode maps to characteristic.code
  GroupCharacteristic.ExcludeFlag maps to characteristic.exclude
  GroupCharacteristic.TimePeriod maps to characteristic.period
  Member.Patient maps to member.entity
  Member.Practitioner maps to member.entity
  Member.Device maps to member.entity
  Member.Medication maps to member.entity
  Member.Substance maps to member.entity
  Member.ParticipationPeriod maps to member.period
  Member.ActiveFlag maps to member.inactive // TODO this is an inverse TF mapping
  Count maps to quantity
</pre></p>
</div>
  </text>
  <url
       value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-entity-Group"/>
  <identifier>
    <system value="http://hl7.org/fhir/us/breastcancer"/>
    <value value="cimi.entity.Group"/>
  </identifier>
  <version value="0.2.0"/>
  <name value="GroupProfile"/>
  <title value="BC Group Profile"/>
  <status value="draft"/>
  <date value="2018-08-17T00:00:00+10:00"/>
  <publisher
             value="The HL7 Cancer Interoperability Group sponsored by Clinical Interoperability Council Work Group (CIC)"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/cic/index.cfm"/>
    </telecom>
  </contact>
  <description
               value="A set of entities (personnel, material, or places) to be considered together. May be a pool of like-type resources, a team, or combination of personnel, material and places."/>
  <fhirVersion value="3.0.1"/>
  <mapping>
    <identity value="rim"/>
    <uri value="http://hl7.org/v3"/>
    <name value="RIM Mapping"/>
  </mapping>
  <mapping>
    <identity value="w5"/>
    <uri value="http://hl7.org/fhir/w5"/>
    <name value="W5 Mapping"/>
  </mapping>
  <kind value="resource"/>
  <abstract value="false"/>
  <type value="Group"/>
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Group"/>
  <derivation value="constraint"/>
  <snapshot>
    <element id="Group:cimi-entity-Group">
      <path value="Group"/>
      <short value="BC Group Profile"/>
      <definition
                  value="A set of entities (personnel, material, or places) to be considered together. May be a pool of like-type resources, a team, or combination of personnel, material and places."/>
      <min value="0"/>
      <max value="*"/>
      <constraint>
        <key value="dom-2"/>
        <severity value="error"/>
        <human
               value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/>
        <expression value="contained.contained.empty()"/>
        <xpath value="not(parent::f:contained and f:contained)"/>
        <source value="DomainResource"/>
      </constraint>
      <constraint>
        <key value="dom-1"/>
        <severity value="error"/>
        <human
               value="If the resource is contained in another resource, it SHALL NOT contain any narrative"/>
        <expression value="contained.text.empty()"/>
        <xpath value="not(parent::f:contained and f:text)"/>
        <source value="DomainResource"/>
      </constraint>
      <constraint>
        <key value="dom-4"/>
        <severity value="error"/>
        <human
               value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"/>
        <expression
                    value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/>
        <xpath
               value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/>
        <source value="DomainResource"/>
      </constraint>
      <constraint>
        <key value="dom-3"/>
        <severity value="error"/>
        <human
               value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource"/>
        <expression
                    value="contained.where((&#39;#&#39;+id in %resource.descendants().reference).not()).empty()"/>
        <xpath
               value="not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat(&#39;#&#39;, $id))]))"/>
        <source value="DomainResource"/>
      </constraint>
      <constraint>
        <key value="grp-1"/>
        <severity value="error"/>
        <human value="Can only have members if group is &quot;actual&quot;"/>
        <expression value="member.empty() or (actual = true)"/>
        <xpath value="f:actual/@value=true() or not(exists(f:member))"/>
      </constraint>
      <mapping>
        <identity value="rim"/>
        <map value="Entity. Role, or Act"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map
             value="Entity[determinerCode=&quot;GRP&quot; or determinerCode=&quot;GRP_KIND&quot;]"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="administrative.group"/>
      </mapping>
    </element>
    <element id="Group:cimi-entity-Group.id">
      <path value="Group.id"/>
      <short value="Logical id of this artifact"/>
      <definition
                  value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/>
      <comment
               value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="Group:cimi-entity-Group.meta">
      <path value="Group.meta"/>
      <short value="Metadata about the resource"/>
      <definition
                  value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.meta"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Meta"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="Group:cimi-entity-Group.implicitRules">
      <path value="Group.implicitRules"/>
      <short value="A set of rules under which this content was created"/>
      <definition
                  value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content."/>
      <comment
               value="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. 

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it&#39;s meaning or interpretation."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.implicitRules"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
    </element>
    <element id="Group:cimi-entity-Group.language">
      <path value="Group.language"/>
      <short value="Language of the resource content"/>
      <definition value="The base language in which the resource is written."/>
      <comment
               value="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)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.language"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
          <valueReference>
            <reference value="http://hl7.org/fhir/ValueSet/all-languages"/>
          </valueReference>
        </extension>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Language"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/>
        </extension>
        <strength value="extensible"/>
        <description value="A human language."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/languages"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="Group:cimi-entity-Group.text">
      <path value="Group.text"/>
      <short value="Text summary of the resource, for human interpretation"/>
      <definition
                  value="A human-readable narrative that contains a summary of the resource, and may 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 &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety."/>
      <comment
               value="Contained resources do not have 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 &quot;text blob&quot; or where text is additionally entered raw or narrated and encoded in formation is added later."/>
      <alias value="narrative"/>
      <alias value="html"/>
      <alias value="xhtml"/>
      <alias value="display"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DomainResource.text"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Narrative"/>
      </type>
      <condition value="dom-1"/>
      <mapping>
        <identity value="rim"/>
        <map value="Act.text?"/>
      </mapping>
    </element>
    <element id="Group:cimi-entity-Group.contained">
      <path value="Group.contained"/>
      <short value="Contained, inline Resources"/>
      <definition
                  value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope."/>
      <comment
               value="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."/>
      <alias value="inline resources"/>
      <alias value="anonymous resources"/>
      <alias value="contained resources"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.contained"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Resource"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Group:cimi-entity-Group.extension">
      <path value="Group.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, 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."/>
      <comment
               value="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."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Group:cimi-entity-Group.modifierExtension">
      <path value="Group.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition
                  value="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. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, 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."/>
      <comment
               value="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."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Group:cimi-entity-Group.identifier">
      <path value="Group.identifier"/>
      <short value="Unique id"/>
      <definition value="A unique business identifier for this group."/>
      <requirements
                    value="Allows the group to be referenced from external specifications."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Identifier"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map
             value="unique(./id[displayable=&quot;true&quot; and scope=&quot;OBJ&quot;])"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="id"/>
      </mapping>
    </element>
    <element id="Group:cimi-entity-Group.active">
      <path value="Group.active"/>
      <short value="Whether this group&#39;s record is in active use"/>
      <definition
                  value="Indicates whether the record for the group is available for use or is merely being retained for historical purposes."/>
      <requirements
                    value="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)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="boolean"/>
      </type>
      <defaultValueBoolean value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="./statusCode"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="status"/>
      </mapping>
    </element>
    <element id="Group:cimi-entity-Group.type">
      <path value="Group.type"/>
      <short
             value="person | animal | practitioner | device | medication | substance"/>
      <definition
                  value="Identifies the broad classification of the kind of resources the group includes."/>
      <comment
               value="Group members SHALL be of the appropriate resource type (Patient for person or animal; or Practitioner, Device, Medicaiton or Substance for the other types.)."/>
      <requirements
                    value="Identifies what type of resources the group is made up of."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="GroupType"/>
        </extension>
        <strength value="required"/>
        <description value="Types of resources that are part of group"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/group-type"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map
             value="person: ./classCode=&quot;PSN&quot;  animal: ./classCode=&quot;ANM&quot;  device: ./classCode=&quot;DEV&quot;  medication: ./classCode=&quot;MMAT&quot; and ./playedRole[isNormalRole() and classCode=&quot;THER&quot;]  food: ./classCode=&quot;FOOD&quot;"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="class"/>
      </mapping>
    </element>
    <element id="Group:cimi-entity-Group.actual">
      <path value="Group.actual"/>
      <short value="Descriptive or actual"/>
      <definition
                  value="If true, indicates that the resource refers to a specific group of real individuals.  If false, the group defines a set of intended individuals."/>
      <requirements
                    value="There are use-cases for groups that define specific collections of individuals, and other groups that define &quot;types&quot; of intended individuals.  The requirements for both kinds of groups are similar, so we use a single resource, distinguished by this flag."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="boolean"/>
      </type>
      <condition value="grp-1"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map
             value="true: ./determinerCode=&quot;GRP&quot;  false: ./determinerCode=&quot;GRP_KIND&quot;"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="class"/>
      </mapping>
    </element>
    <element id="Group:cimi-entity-Group.code">
      <path value="Group.code"/>
      <short value="Kind of Group members"/>
      <definition
                  value="Provides a specific type of resource the group includes; e.g. &quot;cow&quot;, &quot;syringe&quot;, etc."/>
      <comment value="This would generally be omitted for Person resources."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="GroupKind"/>
        </extension>
        <strength value="example"/>
        <description
                     value="Kind of particular resource; e.g. cow, syringe, lake, etc."/>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="./code"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="what"/>
      </mapping>
    </element>
    <element id="Group:cimi-entity-Group.name">
      <path value="Group.name"/>
      <short value="Label for Group"/>
      <definition
                  value="A label assigned to the group for human identification and communication."/>
      <requirements value="Used to identify the group in human communication."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="./name[type=&quot;ST&quot;]"/>
      </mapping>
    </element>
    <element id="Group:cimi-entity-Group.quantity">
      <path value="Group.quantity"/>
      <short value="Number of members"/>
      <definition
                  value="A count of the number of resource instances that are part of the group."/>
      <comment
               value="Note that the quantity may be less than the number of members if some of the members are not active."/>
      <requirements value="Group size is a common defining characteristic."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="unsignedInt"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="./quantity"/>
      </mapping>
    </element>
    <element id="Group:cimi-entity-Group.characteristic">
      <path value="Group.characteristic"/>
      <short value="Trait of group members"/>
      <definition value="Identifies the traits shared by members of the group."/>
      <comment
               value="All the identified characteristics must be true for an entity to a member of the group."/>
      <requirements
                    value="Needs to be a generic mechanism for identifying what individuals can be part of a group."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="hasValue() | (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="Element"/>
      </constraint>
      <mapping>
        <identity value="rim"/>
        <map
             value="./playedRole[isNormalRole()]/participation[isNormalParticipation() and typeCode=&quot;SBJ&quot;]/act[isNormalAct and classCode=&quot;OBS&quot; and moodCode=&quot;EVN&quot;]"/>
      </mapping>
    </element>
    <element id="Group:cimi-entity-Group.characteristic.id">
      <path value="Group.characteristic.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Group:cimi-entity-Group.characteristic.extension">
      <path value="Group.characteristic.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, 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."/>
      <comment
               value="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."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Group:cimi-entity-Group.characteristic.modifierExtension">
      <path value="Group.characteristic.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition
                  value="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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, 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."/>
      <comment
               value="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."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Group:cimi-entity-Group.characteristic.code">
      <path value="Group.characteristic.code"/>
      <short value="Kind of characteristic"/>
      <definition
                  value="A code that identifies the kind of trait being asserted."/>
      <requirements
                    value="Need a formal way of identifying the characteristic being described."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="GroupCharacteristicKind"/>
        </extension>
        <strength value="example"/>
        <description
                     value="List of characteristics used to describe group members; e.g. gender, age, owner, location, etc."/>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="./code"/>
      </mapping>
    </element>
    <element id="Group:cimi-entity-Group.characteristic.value[x]">
      <path value="Group.characteristic.value[x]"/>
      <short value="Value held by characteristic"/>
      <definition
                  value="The value of the trait that holds (or does not hold - see &#39;exclude&#39;) for members of the group."/>
      <comment
               value="For Range, it means members of the group have a value that falls somewhere within the specified range."/>
      <requirements
                    value="The value of the characteristic is what determines group membership."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <type>
        <code value="boolean"/>
      </type>
      <type>
        <code value="Quantity"/>
      </type>
      <type>
        <code value="Range"/>
      </type>
      <binding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="GroupCharacteristicValue"/>
        </extension>
        <strength value="example"/>
        <description
                     value="Value of descriptive member characteristic; e.g. red, male, pneumonia, Caucasian, etc."/>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value="./value"/>
      </mapping>
    </element>
    <element id="Group:cimi-entity-Group.characteristic.exclude">
      <path value="Group.characteristic.exclude"/>
      <short value="Group includes or excludes"/>
      <definition
                  value="If true, indicates the characteristic is one that is NOT held by members of the group."/>
      <comment
               value="This is labeled as &quot;Is Modifier&quot; because applications cannot wrongly include excluded members as included or vice versa."/>
      <requirements
                    value="Sometimes group membership is determined by characteristics not possessed."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="boolean"/>
      </type>
      <isModifier value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="./valueNegationInd"/>
      </mapping>
    </element>
    <element id="Group:cimi-entity-Group.characteristic.period">
      <path value="Group.characteristic.period"/>
      <short value="Period over which characteristic is tested"/>
      <definition
                  value="The period over which the characteristic is tested; e.g. the patient had an operation during the month of June."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Period"/>
      </type>
    </element>
    <element id="Group:cimi-entity-Group.member">
      <path value="Group.member"/>
      <short value="Who or what is in group"/>
      <definition
                  value="Identifies the resource instances that are members of the group."/>
      <requirements
                    value="Often the only thing of interest about a group is &quot;who&#39;s in it&quot;."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <condition value="grp-1"/>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="hasValue() | (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="Element"/>
      </constraint>
      <mapping>
        <identity value="rim"/>
        <map
             value="./scopedRole[isNormalRole() and classCode=&quot;MBR&quot;]/player"/>
      </mapping>
    </element>
    <element id="Group:cimi-entity-Group.member.id">
      <path value="Group.member.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Group:cimi-entity-Group.member.extension">
      <path value="Group.member.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, 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."/>
      <comment
               value="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."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Group:cimi-entity-Group.member.modifierExtension">
      <path value="Group.member.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition
                  value="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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, 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."/>
      <comment
               value="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."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Group:cimi-entity-Group.member.entity">
      <path value="Group.member.entity"/>
      <short value="Reference to the group member"/>
      <definition
                  value="A reference to the entity that is a member of the group. Must be consistent with Group.type."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-entity-Practitioner"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-device"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-entity-Medication"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-entity-Substance"/>
      </type>
    </element>
    <element id="Group:cimi-entity-Group.member.period">
      <path value="Group.member.period"/>
      <short value="Period member belonged to the group"/>
      <definition value="The period that the member was in the group, if known."/>
      <requirements
                    value="Need to track who was in a group at a  particular time."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Period"/>
      </type>
      <meaningWhenMissing value="The member is in the group at this time"/>
    </element>
    <element id="Group:cimi-entity-Group.member.inactive">
      <path value="Group.member.inactive"/>
      <short value="If member is no longer in group"/>
      <definition
                  value="A flag to indicate that the member is no longer in the group, but previously may have been a member."/>
      <requirements
                    value="Sometimes you don&#39;t know when someone stopped being in a group, but not when."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="boolean"/>
      </type>
      <defaultValueBoolean value="false"/>
    </element>
  </snapshot>
  <differential>
    <element id="Group:cimi-entity-Group">
      <path value="Group"/>
      <short value="BC Group Profile"/>
      <definition
                  value="A set of entities (personnel, material, or places) to be considered together. May be a pool of like-type resources, a team, or combination of personnel, material and places."/>
    </element>
    <element id="Group:cimi-entity-Group.member">
      <path value="Group.member"/>
    </element>
    <element id="Group:cimi-entity-Group.member.entity">
      <path value="Group.member.entity"/>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-entity-Practitioner"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-device"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-entity-Medication"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-entity-Substance"/>
      </type>
    </element>
  </differential>
</StructureDefinition>