Purpose

SDOHCC Group is intended to support identification of cohorts of individuals who have conditions in the same SDOH category (domain) AND are members of the same specific payer organization. (See Gravity Use Case Package Use Case 3 which involves aggregation and analysis of individual-level social risk and need data to support clinical, system, and community activities.) The two required slices on Group.characteristic can be used to identify a cohort of subjects who have coverage through a specific payer organization AND a condition that falls into a specified SDOH category/domain.

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

This structure is derived from Group

Name	Flags	Card.	Type	Description & Constraints
Group		0..*	Group	Group of SDOH patients for a payer
active		1..1	boolean	Whether this group's record is in active use Fixed Value: true
type		1..1	code	person Fixed Value: person
actual		1..1	boolean	Descriptive or actual Fixed Value: true
Slices for characteristic		2..*	BackboneElement	Include / Exclude group members by Trait Slice: Unordered, Open by pattern:code
characteristic:HasSDOHCondition	S	1..1	BackboneElement	Include / Exclude group members by Trait
code	S	1..1	CodeableConcept	Kind of characteristic Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: sdoh-condition-category
value[x]	S	1..1	Reference(ValueSet)	Value held by characteristic Required Pattern: At least the following
reference		1..1	string	Literal reference, Relative, internal or absolute URL Fixed Value: http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetSDOHCategory
exclude	S	1..1	boolean	Group includes or excludes Fixed Value: false
period		0..0
characteristic:HasPayer	S	1..1	BackboneElement	Include / Exclude group members by Trait
code	S	1..1	CodeableConcept	Kind of characteristic Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: payer-coverage
value[x]	S	1..1	Reference(US Core Organization Profile)	Value held by characteristic
exclude	S	1..1	boolean	Group includes or excludes Fixed Value: false
period		0..0
member	S	0..*	BackboneElement	Who or what is in group
entity	S	1..1	Reference(Patient | Practitioner | PractitionerRole | Device | Medication | Substance | Group)	Reference to the group member
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Group	C	0..*	Group	Group of SDOH patients for a payer grp-1: Can only have members if group is "actual"
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
active	Σ	1..1	boolean	Whether this group's record is in active use Fixed Value: true
type	Σ	1..1	code	person Binding: GroupType (required): Types of resources that are part of group. Fixed Value: person
actual	ΣC	1..1	boolean	Descriptive or actual Fixed Value: true
Slices for characteristic		2..*	BackboneElement	Include / Exclude group members by Trait Slice: Unordered, Open by pattern:code
characteristic:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Kind of characteristic Binding Description (No ValueSet): (example): List of characteristics used to describe group members; e.g. gender, age, owner, location, etc.
value[x]		1..1		Value held by characteristic Binding Description (No ValueSet): (example): Value of descriptive member characteristic; e.g. red, male, pneumonia, Caucasian, etc.
valueCodeableConcept			CodeableConcept
valueBoolean			boolean
valueQuantity			Quantity
valueRange			Range
valueReference			Reference(Any)
exclude		1..1	boolean	Group includes or excludes
characteristic:HasSDOHCondition	S	1..1	BackboneElement	Include / Exclude group members by Trait
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Kind of characteristic Binding Description (No ValueSet): (example): List of characteristics used to describe group members; e.g. gender, age, owner, location, etc. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: sdoh-condition-category
value[x]	S	1..1	Reference(ValueSet)	Value held by characteristic Required Pattern: At least the following
reference		1..1	string	Literal reference, Relative, internal or absolute URL Fixed Value: http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetSDOHCategory
exclude	S	1..1	boolean	Group includes or excludes Fixed Value: false
characteristic:HasPayer	S	1..1	BackboneElement	Include / Exclude group members by Trait
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Kind of characteristic Binding Description (No ValueSet): (example): List of characteristics used to describe group members; e.g. gender, age, owner, location, etc. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: payer-coverage
value[x]	S	1..1	Reference(US Core Organization Profile)	Value held by characteristic
exclude	S	1..1	boolean	Group includes or excludes Fixed Value: false
member	SC	0..*	BackboneElement	Who or what is in group
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
entity	S	1..1	Reference(Patient | Practitioner | PractitionerRole | Device | Medication | Substance | Group)	Reference to the group member
Documentation for this format

Terminology Bindings

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

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Group	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Group	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Group	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Group	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Group	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
grp-1	error	Group	Can only have members if group is "actual" : member.empty() or (actual = true)

Name	Flags	Card.	Type	Description & Constraints
Group	C	0..*	Group	Group of SDOH patients for a payer grp-1: Can only have members if group is "actual"
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Unique id
active	Σ	1..1	boolean	Whether this group's record is in active use Fixed Value: true
type	Σ	1..1	code	person Binding: GroupType (required): Types of resources that are part of group. Fixed Value: person
actual	ΣC	1..1	boolean	Descriptive or actual Fixed Value: true
code	Σ	0..1	CodeableConcept	Kind of Group members Binding Description (No ValueSet): (example): Kind of particular resource; e.g. cow, syringe, lake, etc.
name	Σ	0..1	string	Label for Group
quantity	Σ	0..1	unsignedInt	Number of members
managingEntity	Σ	0..1	Reference(Organization | RelatedPerson | Practitioner | PractitionerRole)	Entity that is the custodian of the Group's definition
Slices for characteristic		2..*	BackboneElement	Include / Exclude group members by Trait Slice: Unordered, Open by pattern:code
characteristic:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Kind of characteristic Binding Description (No ValueSet): (example): List of characteristics used to describe group members; e.g. gender, age, owner, location, etc.
value[x]		1..1		Value held by characteristic Binding Description (No ValueSet): (example): Value of descriptive member characteristic; e.g. red, male, pneumonia, Caucasian, etc.
valueCodeableConcept			CodeableConcept
valueBoolean			boolean
valueQuantity			Quantity
valueRange			Range
valueReference			Reference(Any)
exclude		1..1	boolean	Group includes or excludes
period		0..1	Period	Period over which characteristic is tested
characteristic:HasSDOHCondition	S	1..1	BackboneElement	Include / Exclude group members by Trait
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Kind of characteristic Binding Description (No ValueSet): (example): List of characteristics used to describe group members; e.g. gender, age, owner, location, etc. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: sdoh-condition-category
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	Reference(ValueSet)	Value held by characteristic Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
reference		1..1	string	Literal reference, Relative, internal or absolute URL Fixed Value: http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetSDOHCategory
type		0..1	uri	Type the reference refers to (e.g. "Patient")
identifier		0..1	Identifier	Logical reference, when literal reference is not known
display		0..1	string	Text alternative for the resource
exclude	S	1..1	boolean	Group includes or excludes Fixed Value: false
characteristic:HasPayer	S	1..1	BackboneElement	Include / Exclude group members by Trait
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Kind of characteristic Binding Description (No ValueSet): (example): List of characteristics used to describe group members; e.g. gender, age, owner, location, etc. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: payer-coverage
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	Reference(US Core Organization Profile)	Value held by characteristic
exclude	S	1..1	boolean	Group includes or excludes Fixed Value: false
member	SC	0..*	BackboneElement	Who or what is in group
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
entity	S	1..1	Reference(Patient | Practitioner | PractitionerRole | Device | Medication | Substance | Group)	Reference to the group member
period		0..1	Period	Period member belonged to the group
inactive		0..1	boolean	If member is no longer in group
Documentation for this format

Terminology Bindings

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

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Group	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Group	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Group	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Group	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Group	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
grp-1	error	Group	Can only have members if group is "actual" : member.empty() or (actual = true)

Differential View

This structure is derived from Group

Name	Flags	Card.	Type	Description & Constraints
Group		0..*	Group	Group of SDOH patients for a payer
active		1..1	boolean	Whether this group's record is in active use Fixed Value: true
type		1..1	code	person Fixed Value: person
actual		1..1	boolean	Descriptive or actual Fixed Value: true
Slices for characteristic		2..*	BackboneElement	Include / Exclude group members by Trait Slice: Unordered, Open by pattern:code
characteristic:HasSDOHCondition	S	1..1	BackboneElement	Include / Exclude group members by Trait
code	S	1..1	CodeableConcept	Kind of characteristic Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: sdoh-condition-category
value[x]	S	1..1	Reference(ValueSet)	Value held by characteristic Required Pattern: At least the following
reference		1..1	string	Literal reference, Relative, internal or absolute URL Fixed Value: http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetSDOHCategory
exclude	S	1..1	boolean	Group includes or excludes Fixed Value: false
period		0..0
characteristic:HasPayer	S	1..1	BackboneElement	Include / Exclude group members by Trait
code	S	1..1	CodeableConcept	Kind of characteristic Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: payer-coverage
value[x]	S	1..1	Reference(US Core Organization Profile)	Value held by characteristic
exclude	S	1..1	boolean	Group includes or excludes Fixed Value: false
period		0..0
member	S	0..*	BackboneElement	Who or what is in group
entity	S	1..1	Reference(Patient | Practitioner | PractitionerRole | Device | Medication | Substance | Group)	Reference to the group member
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Group	C	0..*	Group	Group of SDOH patients for a payer grp-1: Can only have members if group is "actual"
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
active	Σ	1..1	boolean	Whether this group's record is in active use Fixed Value: true
type	Σ	1..1	code	person Binding: GroupType (required): Types of resources that are part of group. Fixed Value: person
actual	ΣC	1..1	boolean	Descriptive or actual Fixed Value: true
Slices for characteristic		2..*	BackboneElement	Include / Exclude group members by Trait Slice: Unordered, Open by pattern:code
characteristic:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Kind of characteristic Binding Description (No ValueSet): (example): List of characteristics used to describe group members; e.g. gender, age, owner, location, etc.
value[x]		1..1		Value held by characteristic Binding Description (No ValueSet): (example): Value of descriptive member characteristic; e.g. red, male, pneumonia, Caucasian, etc.
valueCodeableConcept			CodeableConcept
valueBoolean			boolean
valueQuantity			Quantity
valueRange			Range
valueReference			Reference(Any)
exclude		1..1	boolean	Group includes or excludes
characteristic:HasSDOHCondition	S	1..1	BackboneElement	Include / Exclude group members by Trait
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Kind of characteristic Binding Description (No ValueSet): (example): List of characteristics used to describe group members; e.g. gender, age, owner, location, etc. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: sdoh-condition-category
value[x]	S	1..1	Reference(ValueSet)	Value held by characteristic Required Pattern: At least the following
reference		1..1	string	Literal reference, Relative, internal or absolute URL Fixed Value: http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetSDOHCategory
exclude	S	1..1	boolean	Group includes or excludes Fixed Value: false
characteristic:HasPayer	S	1..1	BackboneElement	Include / Exclude group members by Trait
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Kind of characteristic Binding Description (No ValueSet): (example): List of characteristics used to describe group members; e.g. gender, age, owner, location, etc. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: payer-coverage
value[x]	S	1..1	Reference(US Core Organization Profile)	Value held by characteristic
exclude	S	1..1	boolean	Group includes or excludes Fixed Value: false
member	SC	0..*	BackboneElement	Who or what is in group
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
entity	S	1..1	Reference(Patient | Practitioner | PractitionerRole | Device | Medication | Substance | Group)	Reference to the group member
Documentation for this format

Terminology Bindings

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

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Group	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Group	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Group	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Group	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Group	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
grp-1	error	Group	Can only have members if group is "actual" : member.empty() or (actual = true)

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Group	C	0..*	Group	Group of SDOH patients for a payer grp-1: Can only have members if group is "actual"
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Unique id
active	Σ	1..1	boolean	Whether this group's record is in active use Fixed Value: true
type	Σ	1..1	code	person Binding: GroupType (required): Types of resources that are part of group. Fixed Value: person
actual	ΣC	1..1	boolean	Descriptive or actual Fixed Value: true
code	Σ	0..1	CodeableConcept	Kind of Group members Binding Description (No ValueSet): (example): Kind of particular resource; e.g. cow, syringe, lake, etc.
name	Σ	0..1	string	Label for Group
quantity	Σ	0..1	unsignedInt	Number of members
managingEntity	Σ	0..1	Reference(Organization | RelatedPerson | Practitioner | PractitionerRole)	Entity that is the custodian of the Group's definition
Slices for characteristic		2..*	BackboneElement	Include / Exclude group members by Trait Slice: Unordered, Open by pattern:code
characteristic:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Kind of characteristic Binding Description (No ValueSet): (example): List of characteristics used to describe group members; e.g. gender, age, owner, location, etc.
value[x]		1..1		Value held by characteristic Binding Description (No ValueSet): (example): Value of descriptive member characteristic; e.g. red, male, pneumonia, Caucasian, etc.
valueCodeableConcept			CodeableConcept
valueBoolean			boolean
valueQuantity			Quantity
valueRange			Range
valueReference			Reference(Any)
exclude		1..1	boolean	Group includes or excludes
period		0..1	Period	Period over which characteristic is tested
characteristic:HasSDOHCondition	S	1..1	BackboneElement	Include / Exclude group members by Trait
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Kind of characteristic Binding Description (No ValueSet): (example): List of characteristics used to describe group members; e.g. gender, age, owner, location, etc. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: sdoh-condition-category
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	Reference(ValueSet)	Value held by characteristic Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
reference		1..1	string	Literal reference, Relative, internal or absolute URL Fixed Value: http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetSDOHCategory
type		0..1	uri	Type the reference refers to (e.g. "Patient")
identifier		0..1	Identifier	Logical reference, when literal reference is not known
display		0..1	string	Text alternative for the resource
exclude	S	1..1	boolean	Group includes or excludes Fixed Value: false
characteristic:HasPayer	S	1..1	BackboneElement	Include / Exclude group members by Trait
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Kind of characteristic Binding Description (No ValueSet): (example): List of characteristics used to describe group members; e.g. gender, age, owner, location, etc. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: payer-coverage
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	S	1..1	Reference(US Core Organization Profile)	Value held by characteristic
exclude	S	1..1	boolean	Group includes or excludes Fixed Value: false
member	SC	0..*	BackboneElement	Who or what is in group
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
entity	S	1..1	Reference(Patient | Practitioner | PractitionerRole | Device | Medication | Substance | Group)	Reference to the group member
period		0..1	Period	Period member belonged to the group
inactive		0..1	boolean	If member is no longer in group
Documentation for this format

Terminology Bindings

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

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Group	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Group	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Group	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Group	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Group	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
grp-1	error	Group	Can only have members if group is "actual" : member.empty() or (actual = true)

This structure is derived from Group

Summary

Mandatory: 3 elements
Must-Support: 10 elements
Fixed: 5 elements
Prohibited: 2 elements

Structures

This structure refers to these other structures:

• US Core Organization Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Group.characteristic