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  1. FHIR Specification Feedback
  2. FHIR-41674

Need language that clearly defines boundaries between Group and Organization

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Medium Medium
    • FHIR Core (FHIR)
    • R5
    • FHIR Infrastructure
    • Group
      Organization
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      We will update the boundaries & relationships section from:

      "This Group resource - defines a group of specific people, animals, devices etc. by enumerating them, or by describing qualities that group members have. The group resource refers to other resources, possibly implicitly. Groups are intended to be acted upon or observed as a whole; e.g. performing therapy on a group, calculating risk for a group, etc. This resource will commonly be used for public health (e.g. describing an at-risk population), clinical trials (e.g. defining a test subject pool) and similar purposes."

      to

      "This Group resource - defines a group of specific people, animals, devices etc. by enumerating them, or by describing qualities that group members have. The group resource refers to other resources, possibly implicitly. Groups are intended to be acted upon or observed as a whole; e.g. performing therapy on a group, calculating risk for a group, etc. This resource will commonly be used for public health (e.g. describing an at-risk population), clinical trials (e.g. defining a test subject pool) and similar purposes.  It may also be used to represent patients, tribes or other collections of people or animals where all of the group members are either Patient or RelatedPerson.  In this latter case, a Group may also sometimes be an author, performer or other responsible entity."

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      We will update the boundaries & relationships section from: "This Group resource - defines a group of specific people, animals, devices etc. by enumerating them, or by describing qualities that group members have. The group resource refers to other resources, possibly implicitly. Groups are intended to be acted upon or observed as a whole; e.g. performing therapy on a group, calculating risk for a group, etc. This resource will commonly be used for public health (e.g. describing an at-risk population), clinical trials (e.g. defining a test subject pool) and similar purposes." to "This Group resource - defines a group of specific people, animals, devices etc. by enumerating them, or by describing qualities that group members have. The group resource refers to other resources, possibly implicitly. Groups are intended to be acted upon or observed as a whole; e.g. performing therapy on a group, calculating risk for a group, etc. This resource will commonly be used for public health (e.g. describing an at-risk population), clinical trials (e.g. defining a test subject pool) and similar purposes.  It may also be used to represent patients, tribes or other collections of people or animals where all of the group members are either Patient or RelatedPerson.  In this latter case, a Group may also sometimes be an author, performer or other responsible entity."

    Description

      We're now updating a number of resources to allow Group to be a 'performer' or 'author' of the resource rather than only a 'subject'.  This could create some confusion about when it's appropriate to use Group vs. Organization.  (The delineation used to be that Groups couldn't take responsibility for action.)

      Suggestion is that Groups can only take collective responsibility when they are a group of Patients/RelatedPersons.  Other collections of individuals (Practitioners, Devices, Organizations) that take collective action and responsibility are handled using Organization - even if the collection is not a distinct legal entity.

      Open question: What if there's a desire to enumerate the individual members who are undertaking the collective action?

       

      Suggest we talk about this at the Sept. WGM.

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            GrahameGrieve Grahame Grieve
            lloyd Lloyd McKenzie
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              Updated:
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