Australian Digital Health Agency FHIR Implementation Guide, published by Australian Digital Health Agency. This guide is not an authorized publication; it is the continuous build for version 1.2.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/AuDigitalHealth/ci-fhir-r4/ and changes regularly. See the Directory of published versions

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Resource Profile: ADHA Aged Care Transfer Summary Composition

The purpose of this profile is to define a representation of an Aged Care Transfer Summary for a patient for the electronic exchange of health information between individuals, healthcare providers, and the My Health Record system infrastructure in Australia. A transfer summary includes critical information for exchange of information between providers of care when a patient moves between health care settings. A composition is a set of resources composed into a single coherent clinical statement that may have clinical attestation.

Usage:

• This Resource Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

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

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

This structure is derived from ADHACompositionCore

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	ADHACompositionCore	Aged Care Transfer Summary
status		1..1	code	preliminary | final | amended | entered-in-error Required Pattern: final
Slices for category		1..*	CodeableConcept	Categorization of Composition Slice: Unordered, Open by pattern:$this
category:tss		1..1	CodeableConcept	Transfer summary note 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18761-7
author		1..*	Reference(ADHA Authoring PractitionerRole)	Who and/or what authored the composition
Slices for section	C	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by pattern:code inv-dh-acts-01: A section shall at least have an entry or an empty reason inv-dh-acts-02: All observations shall conform one of: ADHA Simple Observation, ADHA Diagnostic Result Observation
section:reasonForTransfer		0..1	BackboneElement	Reason for transfer and notes
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 42349-1
entry	C	0..*	Reference(ADHA Core ServiceRequest)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section:advanceCareDirectives		0..1	BackboneElement	Information on advance care directives.
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 42348-3
entry	C	0..*	Reference(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-consent-core-1 | ADHA Core DocumentReference | ADHA Advance Care Planning Document DocumentReference)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section:allergies		0..1	BackboneElement	Allergies
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48765-2
entry	C	0..*	Reference(ADHA Core AllergyIntolerance)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section:admissionMedicines	C	0..1	BackboneElement	Medicines on admission inv-dh-cocs-04: At most one assertion of no relevant finding shall be present and it shall assert no known current medications inv-dh-cocs-05: At most one list shall be present
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 42346-7
entry	C	0..*	Reference(ADHA Medication Use List | ADHA Core MedicationStatement | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section:medicines	C	0..1	BackboneElement	Medicines inv-dh-cocs-04: At most one assertion of no relevant finding shall be present and it shall assert no known current medications inv-dh-cocs-05: At most one list shall be present
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10160-0
entry	C	0..*	Reference(ADHA Medication Use List | ADHA Core MedicationStatement | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section:vitalSigns		0..1	BackboneElement	Vital signs
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 8716-3
entry	C	0..*	Reference(http://hl7.org.au/fhir/core/StructureDefinition/au-core-vitalspanel | AU Core Blood Pressure | AU Core Body Weight | AU Core Body Height | http://hl7.org.au/fhir/core/StructureDefinition/au-core-bmi | http://hl7.org.au/fhir/core/StructureDefinition/au-core-oxygensat | http://hl7.org.au/fhir/core/StructureDefinition/au-core-headcircum | AU Core Heart Rate | AU Core Body Temperature | AU Core Respiration Rate)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section:immunisations	C	0..1	BackboneElement	Immunisations inv-dh-acts-08: At most one assertion of no relevant finding shall be present and it shall assert no history of vaccination inv-dh-acts-09: At most one list shall be present
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11369-6
entry	C	0..*	Reference(ADHA Immunisation History List | ADHA Core Immunization | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section:problems	C	0..1	BackboneElement	Problems or Diagnoses inv-dh-acts-07: At most one list shall be present
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11450-4
entry	C	0..*	Reference(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-condition-1 | ADHA Core Condition)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section:pastMedicalHistory	C	0..1	BackboneElement	Past medical history inv-dh-acts-03: At most one list shall be present
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11348-0
entry	C	0..*	Reference(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-condition-1 | ADHA Core Condition)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section:procedures	C	0..1	BackboneElement	Procedures inv-dh-acts-06: At most one list shall be present
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 47519-4
entry	C	0..*	Reference(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-procedure-1 | ADHA Core Procedure)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section:medicalDevices	C	0..1	BackboneElement	Medical devices inv-dh-acts-10: At most one assertion of no relevant finding shall be present
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 46264-8
entry	C	0..*	Reference(ADHA Implantable Medical Device | http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-device-wearable-1 | http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-deviceusestatement-core-1 | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Composition.section:reasonForTransfer.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:advanceCareDirectives.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:allergies.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:admissionMedicines.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:medicines.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:vitalSigns.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:immunisations.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:problems.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:pastMedicalHistory.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:procedures.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:medicalDevices.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-acts-01	error	Composition.section	A section shall at least have an entry or an empty reason : entry.exists() or emptyReason.exists()
inv-dh-acts-02	error	Composition.section	All observations shall conform one of: ADHA Simple Observation, ADHA Diagnostic Result Observation : entry.resolve().where($this is Observation).exists() implies entry.resolve().conformsTo('http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-observation-diagnosticresult-1')
inv-dh-acts-03	error	Composition.section:pastMedicalHistory	At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2
inv-dh-acts-06	error	Composition.section:procedures	At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2
inv-dh-acts-07	error	Composition.section:problems	At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2
inv-dh-acts-08	error	Composition.section:immunisations	At most one assertion of no relevant finding shall be present and it shall assert no history of vaccination : entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) ='1234401000168109')
inv-dh-acts-09	error	Composition.section:immunisations	At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2
inv-dh-acts-10	error	Composition.section:medicalDevices	At most one assertion of no relevant finding shall be present : entry.resolve().where($this is Observation).exists() implies entry.count() < 2
inv-dh-cocs-04	error	Composition.section:admissionMedicines, Composition.section:medicines	At most one assertion of no relevant finding shall be present and it shall assert no known current medications : entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) = '1200661000168107')
inv-dh-cocs-05	error	Composition.section:admissionMedicines, Composition.section:medicines	At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	ADHACompositionCore	Aged Care Transfer Summary
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..1	Identifier	Version-independent identifier for the Composition
status	?!SΣ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. Required Pattern: final
type	SΣ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
Slices for category	SΣ	1..*	CodeableConcept	Categorization of Composition Slice: Unordered, Open by pattern:$this Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
category:tss	SΣ	1..1	CodeableConcept	Transfer summary note Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18761-7
subject	SΣC	0..1	Reference(ADHA Core Patient)	Who and/or what the composition is about inv-dh-cmp-01: At least reference or a valid identifier shall be present
encounter	SΣ	0..1	Reference(ADHA Core Encounter)	Context of the Composition
date	SΣC	1..1	dateTime	Composition editing time inv-dh-cmp-03: Date shall be at least to day
author	SΣC	1..*	Reference(ADHA Authoring PractitionerRole)	Who and/or what authored the composition inv-dh-cmp-02: At least reference or a valid identifier shall be present
title	SΣ	1..1	string	Human Readable name/title
Slices for section	SC	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by pattern:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-acts-01: A section shall at least have an entry or an empty reason inv-dh-acts-02: All observations shall conform one of: ADHA Simple Observation, ADHA Diagnostic Result Observation
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Label for section (e.g. for ToC)
code	S	0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
entry	SC	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:reasonForTransfer	SC	0..1	BackboneElement	Reason for transfer and notes cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 42349-1
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
entry	SC	0..*	Reference(ADHA Core ServiceRequest)	A reference to data that supports this section
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section:advanceCareDirectives	SC	0..1	BackboneElement	Information on advance care directives. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 42348-3
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
entry	SC	0..*	Reference(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-consent-core-1 | ADHA Core DocumentReference | ADHA Advance Care Planning Document DocumentReference)	A reference to data that supports this section
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section:allergies	SC	0..1	BackboneElement	Allergies cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48765-2
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
entry	SC	0..*	Reference(ADHA Core AllergyIntolerance)	A reference to data that supports this section
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section:admissionMedicines	SC	0..1	BackboneElement	Medicines on admission cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-cocs-04: At most one assertion of no relevant finding shall be present and it shall assert no known current medications inv-dh-cocs-05: At most one list shall be present
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 42346-7
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
entry	SC	0..*	Reference(ADHA Medication Use List | ADHA Core MedicationStatement | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding)	A reference to data that supports this section
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section:medicines	SC	0..1	BackboneElement	Medicines cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-cocs-04: At most one assertion of no relevant finding shall be present and it shall assert no known current medications inv-dh-cocs-05: At most one list shall be present
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10160-0
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
entry	SC	0..*	Reference(ADHA Medication Use List | ADHA Core MedicationStatement | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding)	A reference to data that supports this section
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section:vitalSigns	SC	0..1	BackboneElement	Vital signs cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 8716-3
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
entry	SC	0..*	Reference(http://hl7.org.au/fhir/core/StructureDefinition/au-core-vitalspanel | AU Core Blood Pressure | AU Core Body Weight | AU Core Body Height | http://hl7.org.au/fhir/core/StructureDefinition/au-core-bmi | http://hl7.org.au/fhir/core/StructureDefinition/au-core-oxygensat | http://hl7.org.au/fhir/core/StructureDefinition/au-core-headcircum | AU Core Heart Rate | AU Core Body Temperature | AU Core Respiration Rate)	A reference to data that supports this section
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section:immunisations	SC	0..1	BackboneElement	Immunisations cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-acts-08: At most one assertion of no relevant finding shall be present and it shall assert no history of vaccination inv-dh-acts-09: At most one list shall be present
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11369-6
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
entry	SC	0..*	Reference(ADHA Immunisation History List | ADHA Core Immunization | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding)	A reference to data that supports this section
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section:problems	SC	0..1	BackboneElement	Problems or Diagnoses cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-acts-07: At most one list shall be present
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11450-4
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
entry	SC	0..*	Reference(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-condition-1 | ADHA Core Condition)	A reference to data that supports this section
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section:pastMedicalHistory	SC	0..1	BackboneElement	Past medical history cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-acts-03: At most one list shall be present
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11348-0
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
entry	SC	0..*	Reference(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-condition-1 | ADHA Core Condition)	A reference to data that supports this section
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section:procedures	SC	0..1	BackboneElement	Procedures cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-acts-06: At most one list shall be present
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 47519-4
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
entry	SC	0..*	Reference(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-procedure-1 | ADHA Core Procedure)	A reference to data that supports this section
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section:medicalDevices	SC	0..1	BackboneElement	Medical devices cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-acts-10: At most one assertion of no relevant finding shall be present
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 46264-8
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
entry	SC	0..*	Reference(ADHA Implantable Medical Device | http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-device-wearable-1 | http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-deviceusestatement-core-1 | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding)	A reference to data that supports this section
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.status	required	Pattern: final http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	preferred	FHIRDocumentTypeCodes http://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard
Composition.category	example	DocumentClassValueSet http://hl7.org/fhir/ValueSet/document-classcodes from the FHIR Standard
Composition.category:tss	example	Pattern: LOINC Code 18761-7 http://hl7.org/fhir/ValueSet/document-classcodes from the FHIR Standard
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:reasonForTransfer.code	example	Pattern: LOINC Code 42349-1 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:reasonForTransfer.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:advanceCareDirectives.code	example	Pattern: LOINC Code 42348-3 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:advanceCareDirectives.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:allergies.code	example	Pattern: LOINC Code 48765-2 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:allergies.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:admissionMedicines.code	example	Pattern: LOINC Code 42346-7 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:admissionMedicines.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:medicines.code	example	Pattern: LOINC Code 10160-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:medicines.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:vitalSigns.code	example	Pattern: LOINC Code 8716-3 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:vitalSigns.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:immunisations.code	example	Pattern: LOINC Code 11369-6 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:immunisations.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:problems.code	example	Pattern: LOINC Code 11450-4 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:problems.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:pastMedicalHistory.code	example	Pattern: LOINC Code 11348-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:pastMedicalHistory.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:procedures.code	example	Pattern: LOINC Code 47519-4 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:procedures.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:medicalDevices.code	example	Pattern: LOINC Code 46264-8 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:medicalDevices.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-acts-01	error	Composition.section	A section shall at least have an entry or an empty reason : entry.exists() or emptyReason.exists()
inv-dh-acts-02	error	Composition.section	All observations shall conform one of: ADHA Simple Observation, ADHA Diagnostic Result Observation : entry.resolve().where($this is Observation).exists() implies entry.resolve().conformsTo('http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-observation-diagnosticresult-1')
inv-dh-acts-03	error	Composition.section:pastMedicalHistory	At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2
inv-dh-acts-06	error	Composition.section:procedures	At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2
inv-dh-acts-07	error	Composition.section:problems	At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2
inv-dh-acts-08	error	Composition.section:immunisations	At most one assertion of no relevant finding shall be present and it shall assert no history of vaccination : entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) ='1234401000168109')
inv-dh-acts-09	error	Composition.section:immunisations	At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2
inv-dh-acts-10	error	Composition.section:medicalDevices	At most one assertion of no relevant finding shall be present : entry.resolve().where($this is Observation).exists() implies entry.count() < 2
inv-dh-cocs-04	error	Composition.section:admissionMedicines, Composition.section:medicines	At most one assertion of no relevant finding shall be present and it shall assert no known current medications : entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) = '1200661000168107')
inv-dh-cocs-05	error	Composition.section:admissionMedicines, Composition.section:medicines	At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	ADHACompositionCore	Aged Care Transfer Summary
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	SΣ	1..1	Identifier	Version-independent identifier for the Composition
status	?!SΣ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. Required Pattern: final
type	SΣ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
Slices for category	SΣ	1..*	CodeableConcept	Categorization of Composition Slice: Unordered, Open by pattern:$this Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
category:tss	SΣ	1..1	CodeableConcept	Transfer summary note Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. 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://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18761-7
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
subject	SΣC	0..1	Reference(ADHA Core Patient)	Who and/or what the composition is about inv-dh-cmp-01: At least reference or a valid identifier shall be present
encounter	SΣ	0..1	Reference(ADHA Core Encounter)	Context of the Composition
date	SΣC	1..1	dateTime	Composition editing time inv-dh-cmp-03: Date shall be at least to day
author	SΣC	1..*	Reference(ADHA Authoring PractitionerRole)	Who and/or what authored the composition inv-dh-cmp-02: At least reference or a valid identifier shall be present
title	SΣ	1..1	string	Human Readable name/title
attester		0..*	BackboneElement	Attests to accuracy of composition
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
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time		0..1	dateTime	When the composition was attested
party		0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	Who attested the composition
custodian	Σ	0..1	Reference(Organization)	Organization which maintains the composition
relatesTo		0..*	BackboneElement	Relationships to other compositions/documents
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	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x]		1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(Composition)
event	Σ	0..*	BackboneElement	The clinical service(s) being documented
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	Σ	0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
Slices for section	SC	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by pattern:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-acts-01: A section shall at least have an entry or an empty reason inv-dh-acts-02: All observations shall conform one of: ADHA Simple Observation, ADHA Diagnostic Result Observation
section: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
title	S	0..1	string	Label for section (e.g. for ToC)
code	S	0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:reasonForTransfer	SC	0..1	BackboneElement	Reason for transfer and notes cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 42349-1
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
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(ADHA Core ServiceRequest)	A reference to data that supports this section
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section	C	0..*	See section (Composition)	Nested Section
section:advanceCareDirectives	SC	0..1	BackboneElement	Information on advance care directives. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 42348-3
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
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-consent-core-1 | ADHA Core DocumentReference | ADHA Advance Care Planning Document DocumentReference)	A reference to data that supports this section
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section	C	0..*	See section (Composition)	Nested Section
section:allergies	SC	0..1	BackboneElement	Allergies cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48765-2
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
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(ADHA Core AllergyIntolerance)	A reference to data that supports this section
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section	C	0..*	See section (Composition)	Nested Section
section:admissionMedicines	SC	0..1	BackboneElement	Medicines on admission cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-cocs-04: At most one assertion of no relevant finding shall be present and it shall assert no known current medications inv-dh-cocs-05: At most one list shall be present
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
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 42346-7
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
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(ADHA Medication Use List | ADHA Core MedicationStatement | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding)	A reference to data that supports this section
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section	C	0..*	See section (Composition)	Nested Section
section:medicines	SC	0..1	BackboneElement	Medicines cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-cocs-04: At most one assertion of no relevant finding shall be present and it shall assert no known current medications inv-dh-cocs-05: At most one list shall be present
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
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10160-0
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
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(ADHA Medication Use List | ADHA Core MedicationStatement | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding)	A reference to data that supports this section
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section	C	0..*	See section (Composition)	Nested Section
section:vitalSigns	SC	0..1	BackboneElement	Vital signs cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 8716-3
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
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(http://hl7.org.au/fhir/core/StructureDefinition/au-core-vitalspanel | AU Core Blood Pressure | AU Core Body Weight | AU Core Body Height | http://hl7.org.au/fhir/core/StructureDefinition/au-core-bmi | http://hl7.org.au/fhir/core/StructureDefinition/au-core-oxygensat | http://hl7.org.au/fhir/core/StructureDefinition/au-core-headcircum | AU Core Heart Rate | AU Core Body Temperature | AU Core Respiration Rate)	A reference to data that supports this section
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section	C	0..*	See section (Composition)	Nested Section
section:immunisations	SC	0..1	BackboneElement	Immunisations cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-acts-08: At most one assertion of no relevant finding shall be present and it shall assert no history of vaccination inv-dh-acts-09: At most one list shall be present
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
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11369-6
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
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(ADHA Immunisation History List | ADHA Core Immunization | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding)	A reference to data that supports this section
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section	C	0..*	See section (Composition)	Nested Section
section:problems	SC	0..1	BackboneElement	Problems or Diagnoses cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-acts-07: At most one list shall be present
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
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11450-4
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
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-condition-1 | ADHA Core Condition)	A reference to data that supports this section
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section	C	0..*	See section (Composition)	Nested Section
section:pastMedicalHistory	SC	0..1	BackboneElement	Past medical history cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-acts-03: At most one list shall be present
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
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11348-0
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
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-condition-1 | ADHA Core Condition)	A reference to data that supports this section
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section	C	0..*	See section (Composition)	Nested Section
section:procedures	SC	0..1	BackboneElement	Procedures cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-acts-06: At most one list shall be present
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
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 47519-4
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
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-procedure-1 | ADHA Core Procedure)	A reference to data that supports this section
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section	C	0..*	See section (Composition)	Nested Section
section:medicalDevices	SC	0..1	BackboneElement	Medical devices cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-acts-10: At most one assertion of no relevant finding shall be present
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
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 46264-8
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
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(ADHA Implantable Medical Device | http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-device-wearable-1 | http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-deviceusestatement-core-1 | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding)	A reference to data that supports this section
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section	C	0..*	See section (Composition)	Nested Section
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Composition.status	required	Pattern: final http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	preferred	FHIRDocumentTypeCodes http://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard
Composition.category	example	DocumentClassValueSet http://hl7.org/fhir/ValueSet/document-classcodes from the FHIR Standard
Composition.category:tss	example	Pattern: LOINC Code 18761-7 http://hl7.org/fhir/ValueSet/document-classcodes from the FHIR Standard
Composition.attester.mode	required	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.relatesTo.code	required	DocumentRelationshipType http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard
Composition.event.code	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:reasonForTransfer.code	example	Pattern: LOINC Code 42349-1 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:reasonForTransfer.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:reasonForTransfer.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:reasonForTransfer.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:advanceCareDirectives.code	example	Pattern: LOINC Code 42348-3 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:advanceCareDirectives.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:advanceCareDirectives.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:advanceCareDirectives.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:allergies.code	example	Pattern: LOINC Code 48765-2 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:allergies.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:allergies.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:allergies.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:admissionMedicines.code	example	Pattern: LOINC Code 42346-7 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:admissionMedicines.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:admissionMedicines.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:admissionMedicines.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:medicines.code	example	Pattern: LOINC Code 10160-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:medicines.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:medicines.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:medicines.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:vitalSigns.code	example	Pattern: LOINC Code 8716-3 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:vitalSigns.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:vitalSigns.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:vitalSigns.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:immunisations.code	example	Pattern: LOINC Code 11369-6 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:immunisations.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:immunisations.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:immunisations.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:problems.code	example	Pattern: LOINC Code 11450-4 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:problems.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:problems.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:problems.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:pastMedicalHistory.code	example	Pattern: LOINC Code 11348-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:pastMedicalHistory.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:pastMedicalHistory.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:pastMedicalHistory.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:procedures.code	example	Pattern: LOINC Code 47519-4 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:procedures.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:procedures.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:procedures.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:medicalDevices.code	example	Pattern: LOINC Code 46264-8 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:medicalDevices.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:medicalDevices.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:medicalDevices.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-acts-01	error	Composition.section	A section shall at least have an entry or an empty reason : entry.exists() or emptyReason.exists()
inv-dh-acts-02	error	Composition.section	All observations shall conform one of: ADHA Simple Observation, ADHA Diagnostic Result Observation : entry.resolve().where($this is Observation).exists() implies entry.resolve().conformsTo('http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-observation-diagnosticresult-1')
inv-dh-acts-03	error	Composition.section:pastMedicalHistory	At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2
inv-dh-acts-06	error	Composition.section:procedures	At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2
inv-dh-acts-07	error	Composition.section:problems	At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2
inv-dh-acts-08	error	Composition.section:immunisations	At most one assertion of no relevant finding shall be present and it shall assert no history of vaccination : entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) ='1234401000168109')
inv-dh-acts-09	error	Composition.section:immunisations	At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2
inv-dh-acts-10	error	Composition.section:medicalDevices	At most one assertion of no relevant finding shall be present : entry.resolve().where($this is Observation).exists() implies entry.count() < 2
inv-dh-cocs-04	error	Composition.section:admissionMedicines, Composition.section:medicines	At most one assertion of no relevant finding shall be present and it shall assert no known current medications : entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) = '1200661000168107')
inv-dh-cocs-05	error	Composition.section:admissionMedicines, Composition.section:medicines	At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2

This structure is derived from ADHACompositionCore

Summary

Mandatory: 1 element(22 nested mandatory elements)

Structures

This structure refers to these other structures:

• ADHA Authoring PractitionerRole (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-practitionerrole-author-1)
• ADHA Core ServiceRequest (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-servicerequest-core-1)
• Unable to summarise profile http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-consent-core-1 (no profile found)
• ADHA Core DocumentReference (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-documentreference-core-1)
• ADHA Advance Care Planning Document DocumentReference (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-documentreference-acp-1)
• ADHA Core AllergyIntolerance (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-allergyintolerance-core-1)
• ADHA Medication Use List (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-medication-use-1)
• ADHA Core MedicationStatement (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-medicationstatement-core-1)
• Unable to summarise profile http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding (no profile found)
• Unable to summarise profile http://hl7.org.au/fhir/core/StructureDefinition/au-core-vitalspanel (no profile found)
• AU Core Blood Pressure (http://hl7.org.au/fhir/core/StructureDefinition/au-core-bloodpressure)
• AU Core Body Weight (http://hl7.org.au/fhir/core/StructureDefinition/au-core-bodyweight)
• AU Core Body Height (http://hl7.org.au/fhir/core/StructureDefinition/au-core-bodyheight)
• Unable to summarise profile http://hl7.org.au/fhir/core/StructureDefinition/au-core-bmi (no profile found)
• Unable to summarise profile http://hl7.org.au/fhir/core/StructureDefinition/au-core-oxygensat (no profile found)
• Unable to summarise profile http://hl7.org.au/fhir/core/StructureDefinition/au-core-headcircum (no profile found)
• AU Core Heart Rate (http://hl7.org.au/fhir/core/StructureDefinition/au-core-heartrate)
• AU Core Body Temperature (http://hl7.org.au/fhir/core/StructureDefinition/au-core-bodytemp)
• AU Core Respiration Rate (http://hl7.org.au/fhir/core/StructureDefinition/au-core-resprate)
• ADHA Immunisation History List (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-immunization-1)
• ADHA Core Immunization (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-immunization-core-1)
• Unable to summarise profile http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-condition-1 (no profile found)
• ADHA Core Condition (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-condition-core-1)
• Unable to summarise profile http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-procedure-1 (no profile found)
• ADHA Core Procedure (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-procedure-core-1)
• ADHA Implantable Medical Device (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-device-implantable-1)
• Unable to summarise profile http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-device-wearable-1 (no profile found)
• Unable to summarise profile http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-deviceusestatement-core-1 (no profile found)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Composition.category
• The element 1 is sliced based on the value of Composition.section

Differential View

This structure is derived from ADHACompositionCore

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	ADHACompositionCore	Aged Care Transfer Summary
status		1..1	code	preliminary | final | amended | entered-in-error Required Pattern: final
Slices for category		1..*	CodeableConcept	Categorization of Composition Slice: Unordered, Open by pattern:$this
category:tss		1..1	CodeableConcept	Transfer summary note 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18761-7
author		1..*	Reference(ADHA Authoring PractitionerRole)	Who and/or what authored the composition
Slices for section	C	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by pattern:code inv-dh-acts-01: A section shall at least have an entry or an empty reason inv-dh-acts-02: All observations shall conform one of: ADHA Simple Observation, ADHA Diagnostic Result Observation
section:reasonForTransfer		0..1	BackboneElement	Reason for transfer and notes
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 42349-1
entry	C	0..*	Reference(ADHA Core ServiceRequest)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section:advanceCareDirectives		0..1	BackboneElement	Information on advance care directives.
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 42348-3
entry	C	0..*	Reference(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-consent-core-1 | ADHA Core DocumentReference | ADHA Advance Care Planning Document DocumentReference)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section:allergies		0..1	BackboneElement	Allergies
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48765-2
entry	C	0..*	Reference(ADHA Core AllergyIntolerance)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section:admissionMedicines	C	0..1	BackboneElement	Medicines on admission inv-dh-cocs-04: At most one assertion of no relevant finding shall be present and it shall assert no known current medications inv-dh-cocs-05: At most one list shall be present
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 42346-7
entry	C	0..*	Reference(ADHA Medication Use List | ADHA Core MedicationStatement | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section:medicines	C	0..1	BackboneElement	Medicines inv-dh-cocs-04: At most one assertion of no relevant finding shall be present and it shall assert no known current medications inv-dh-cocs-05: At most one list shall be present
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10160-0
entry	C	0..*	Reference(ADHA Medication Use List | ADHA Core MedicationStatement | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section:vitalSigns		0..1	BackboneElement	Vital signs
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 8716-3
entry	C	0..*	Reference(http://hl7.org.au/fhir/core/StructureDefinition/au-core-vitalspanel | AU Core Blood Pressure | AU Core Body Weight | AU Core Body Height | http://hl7.org.au/fhir/core/StructureDefinition/au-core-bmi | http://hl7.org.au/fhir/core/StructureDefinition/au-core-oxygensat | http://hl7.org.au/fhir/core/StructureDefinition/au-core-headcircum | AU Core Heart Rate | AU Core Body Temperature | AU Core Respiration Rate)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section:immunisations	C	0..1	BackboneElement	Immunisations inv-dh-acts-08: At most one assertion of no relevant finding shall be present and it shall assert no history of vaccination inv-dh-acts-09: At most one list shall be present
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11369-6
entry	C	0..*	Reference(ADHA Immunisation History List | ADHA Core Immunization | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section:problems	C	0..1	BackboneElement	Problems or Diagnoses inv-dh-acts-07: At most one list shall be present
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11450-4
entry	C	0..*	Reference(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-condition-1 | ADHA Core Condition)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section:pastMedicalHistory	C	0..1	BackboneElement	Past medical history inv-dh-acts-03: At most one list shall be present
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11348-0
entry	C	0..*	Reference(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-condition-1 | ADHA Core Condition)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section:procedures	C	0..1	BackboneElement	Procedures inv-dh-acts-06: At most one list shall be present
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 47519-4
entry	C	0..*	Reference(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-procedure-1 | ADHA Core Procedure)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section:medicalDevices	C	0..1	BackboneElement	Medical devices inv-dh-acts-10: At most one assertion of no relevant finding shall be present
title		1..1	string	Label for section (e.g. for ToC)
code		1..1	CodeableConcept	Classification of section (recommended) 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 46264-8
entry	C	0..*	Reference(ADHA Implantable Medical Device | http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-device-wearable-1 | http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-deviceusestatement-core-1 | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Composition.section:reasonForTransfer.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:advanceCareDirectives.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:allergies.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:admissionMedicines.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:medicines.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:vitalSigns.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:immunisations.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:problems.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:pastMedicalHistory.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:procedures.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:medicalDevices.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-acts-01	error	Composition.section	A section shall at least have an entry or an empty reason : entry.exists() or emptyReason.exists()
inv-dh-acts-02	error	Composition.section	All observations shall conform one of: ADHA Simple Observation, ADHA Diagnostic Result Observation : entry.resolve().where($this is Observation).exists() implies entry.resolve().conformsTo('http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-observation-diagnosticresult-1')
inv-dh-acts-03	error	Composition.section:pastMedicalHistory	At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2
inv-dh-acts-06	error	Composition.section:procedures	At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2
inv-dh-acts-07	error	Composition.section:problems	At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2
inv-dh-acts-08	error	Composition.section:immunisations	At most one assertion of no relevant finding shall be present and it shall assert no history of vaccination : entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) ='1234401000168109')
inv-dh-acts-09	error	Composition.section:immunisations	At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2
inv-dh-acts-10	error	Composition.section:medicalDevices	At most one assertion of no relevant finding shall be present : entry.resolve().where($this is Observation).exists() implies entry.count() < 2
inv-dh-cocs-04	error	Composition.section:admissionMedicines, Composition.section:medicines	At most one assertion of no relevant finding shall be present and it shall assert no known current medications : entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) = '1200661000168107')
inv-dh-cocs-05	error	Composition.section:admissionMedicines, Composition.section:medicines	At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	ADHACompositionCore	Aged Care Transfer Summary
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..1	Identifier	Version-independent identifier for the Composition
status	?!SΣ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. Required Pattern: final
type	SΣ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
Slices for category	SΣ	1..*	CodeableConcept	Categorization of Composition Slice: Unordered, Open by pattern:$this Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
category:tss	SΣ	1..1	CodeableConcept	Transfer summary note Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18761-7
subject	SΣC	0..1	Reference(ADHA Core Patient)	Who and/or what the composition is about inv-dh-cmp-01: At least reference or a valid identifier shall be present
encounter	SΣ	0..1	Reference(ADHA Core Encounter)	Context of the Composition
date	SΣC	1..1	dateTime	Composition editing time inv-dh-cmp-03: Date shall be at least to day
author	SΣC	1..*	Reference(ADHA Authoring PractitionerRole)	Who and/or what authored the composition inv-dh-cmp-02: At least reference or a valid identifier shall be present
title	SΣ	1..1	string	Human Readable name/title
Slices for section	SC	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by pattern:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-acts-01: A section shall at least have an entry or an empty reason inv-dh-acts-02: All observations shall conform one of: ADHA Simple Observation, ADHA Diagnostic Result Observation
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	0..1	string	Label for section (e.g. for ToC)
code	S	0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
entry	SC	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:reasonForTransfer	SC	0..1	BackboneElement	Reason for transfer and notes cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 42349-1
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
entry	SC	0..*	Reference(ADHA Core ServiceRequest)	A reference to data that supports this section
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section:advanceCareDirectives	SC	0..1	BackboneElement	Information on advance care directives. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 42348-3
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
entry	SC	0..*	Reference(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-consent-core-1 | ADHA Core DocumentReference | ADHA Advance Care Planning Document DocumentReference)	A reference to data that supports this section
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section:allergies	SC	0..1	BackboneElement	Allergies cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48765-2
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
entry	SC	0..*	Reference(ADHA Core AllergyIntolerance)	A reference to data that supports this section
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section:admissionMedicines	SC	0..1	BackboneElement	Medicines on admission cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-cocs-04: At most one assertion of no relevant finding shall be present and it shall assert no known current medications inv-dh-cocs-05: At most one list shall be present
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 42346-7
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
entry	SC	0..*	Reference(ADHA Medication Use List | ADHA Core MedicationStatement | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding)	A reference to data that supports this section
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section:medicines	SC	0..1	BackboneElement	Medicines cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-cocs-04: At most one assertion of no relevant finding shall be present and it shall assert no known current medications inv-dh-cocs-05: At most one list shall be present
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10160-0
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
entry	SC	0..*	Reference(ADHA Medication Use List | ADHA Core MedicationStatement | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding)	A reference to data that supports this section
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section:vitalSigns	SC	0..1	BackboneElement	Vital signs cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 8716-3
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
entry	SC	0..*	Reference(http://hl7.org.au/fhir/core/StructureDefinition/au-core-vitalspanel | AU Core Blood Pressure | AU Core Body Weight | AU Core Body Height | http://hl7.org.au/fhir/core/StructureDefinition/au-core-bmi | http://hl7.org.au/fhir/core/StructureDefinition/au-core-oxygensat | http://hl7.org.au/fhir/core/StructureDefinition/au-core-headcircum | AU Core Heart Rate | AU Core Body Temperature | AU Core Respiration Rate)	A reference to data that supports this section
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section:immunisations	SC	0..1	BackboneElement	Immunisations cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-acts-08: At most one assertion of no relevant finding shall be present and it shall assert no history of vaccination inv-dh-acts-09: At most one list shall be present
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11369-6
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
entry	SC	0..*	Reference(ADHA Immunisation History List | ADHA Core Immunization | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding)	A reference to data that supports this section
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section:problems	SC	0..1	BackboneElement	Problems or Diagnoses cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-acts-07: At most one list shall be present
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11450-4
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
entry	SC	0..*	Reference(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-condition-1 | ADHA Core Condition)	A reference to data that supports this section
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section:pastMedicalHistory	SC	0..1	BackboneElement	Past medical history cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-acts-03: At most one list shall be present
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11348-0
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
entry	SC	0..*	Reference(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-condition-1 | ADHA Core Condition)	A reference to data that supports this section
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section:procedures	SC	0..1	BackboneElement	Procedures cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-acts-06: At most one list shall be present
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 47519-4
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
entry	SC	0..*	Reference(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-procedure-1 | ADHA Core Procedure)	A reference to data that supports this section
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section:medicalDevices	SC	0..1	BackboneElement	Medical devices cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-acts-10: At most one assertion of no relevant finding shall be present
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 46264-8
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
entry	SC	0..*	Reference(ADHA Implantable Medical Device | http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-device-wearable-1 | http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-deviceusestatement-core-1 | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding)	A reference to data that supports this section
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.status	required	Pattern: final http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	preferred	FHIRDocumentTypeCodes http://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard
Composition.category	example	DocumentClassValueSet http://hl7.org/fhir/ValueSet/document-classcodes from the FHIR Standard
Composition.category:tss	example	Pattern: LOINC Code 18761-7 http://hl7.org/fhir/ValueSet/document-classcodes from the FHIR Standard
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:reasonForTransfer.code	example	Pattern: LOINC Code 42349-1 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:reasonForTransfer.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:advanceCareDirectives.code	example	Pattern: LOINC Code 42348-3 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:advanceCareDirectives.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:allergies.code	example	Pattern: LOINC Code 48765-2 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:allergies.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:admissionMedicines.code	example	Pattern: LOINC Code 42346-7 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:admissionMedicines.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:medicines.code	example	Pattern: LOINC Code 10160-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:medicines.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:vitalSigns.code	example	Pattern: LOINC Code 8716-3 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:vitalSigns.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:immunisations.code	example	Pattern: LOINC Code 11369-6 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:immunisations.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:problems.code	example	Pattern: LOINC Code 11450-4 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:problems.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:pastMedicalHistory.code	example	Pattern: LOINC Code 11348-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:pastMedicalHistory.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:procedures.code	example	Pattern: LOINC Code 47519-4 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:procedures.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:medicalDevices.code	example	Pattern: LOINC Code 46264-8 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:medicalDevices.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-acts-01	error	Composition.section	A section shall at least have an entry or an empty reason : entry.exists() or emptyReason.exists()
inv-dh-acts-02	error	Composition.section	All observations shall conform one of: ADHA Simple Observation, ADHA Diagnostic Result Observation : entry.resolve().where($this is Observation).exists() implies entry.resolve().conformsTo('http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-observation-diagnosticresult-1')
inv-dh-acts-03	error	Composition.section:pastMedicalHistory	At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2
inv-dh-acts-06	error	Composition.section:procedures	At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2
inv-dh-acts-07	error	Composition.section:problems	At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2
inv-dh-acts-08	error	Composition.section:immunisations	At most one assertion of no relevant finding shall be present and it shall assert no history of vaccination : entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) ='1234401000168109')
inv-dh-acts-09	error	Composition.section:immunisations	At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2
inv-dh-acts-10	error	Composition.section:medicalDevices	At most one assertion of no relevant finding shall be present : entry.resolve().where($this is Observation).exists() implies entry.count() < 2
inv-dh-cocs-04	error	Composition.section:admissionMedicines, Composition.section:medicines	At most one assertion of no relevant finding shall be present and it shall assert no known current medications : entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) = '1200661000168107')
inv-dh-cocs-05	error	Composition.section:admissionMedicines, Composition.section:medicines	At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	ADHACompositionCore	Aged Care Transfer Summary
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	SΣ	1..1	Identifier	Version-independent identifier for the Composition
status	?!SΣ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. Required Pattern: final
type	SΣ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
Slices for category	SΣ	1..*	CodeableConcept	Categorization of Composition Slice: Unordered, Open by pattern:$this Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
category:tss	SΣ	1..1	CodeableConcept	Transfer summary note Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. 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://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18761-7
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
subject	SΣC	0..1	Reference(ADHA Core Patient)	Who and/or what the composition is about inv-dh-cmp-01: At least reference or a valid identifier shall be present
encounter	SΣ	0..1	Reference(ADHA Core Encounter)	Context of the Composition
date	SΣC	1..1	dateTime	Composition editing time inv-dh-cmp-03: Date shall be at least to day
author	SΣC	1..*	Reference(ADHA Authoring PractitionerRole)	Who and/or what authored the composition inv-dh-cmp-02: At least reference or a valid identifier shall be present
title	SΣ	1..1	string	Human Readable name/title
attester		0..*	BackboneElement	Attests to accuracy of composition
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
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time		0..1	dateTime	When the composition was attested
party		0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	Who attested the composition
custodian	Σ	0..1	Reference(Organization)	Organization which maintains the composition
relatesTo		0..*	BackboneElement	Relationships to other compositions/documents
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	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x]		1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(Composition)
event	Σ	0..*	BackboneElement	The clinical service(s) being documented
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	Σ	0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
Slices for section	SC	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by pattern:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-acts-01: A section shall at least have an entry or an empty reason inv-dh-acts-02: All observations shall conform one of: ADHA Simple Observation, ADHA Diagnostic Result Observation
section: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
title	S	0..1	string	Label for section (e.g. for ToC)
code	S	0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:reasonForTransfer	SC	0..1	BackboneElement	Reason for transfer and notes cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 42349-1
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
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(ADHA Core ServiceRequest)	A reference to data that supports this section
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section	C	0..*	See section (Composition)	Nested Section
section:advanceCareDirectives	SC	0..1	BackboneElement	Information on advance care directives. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 42348-3
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
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-consent-core-1 | ADHA Core DocumentReference | ADHA Advance Care Planning Document DocumentReference)	A reference to data that supports this section
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section	C	0..*	See section (Composition)	Nested Section
section:allergies	SC	0..1	BackboneElement	Allergies cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48765-2
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
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(ADHA Core AllergyIntolerance)	A reference to data that supports this section
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section	C	0..*	See section (Composition)	Nested Section
section:admissionMedicines	SC	0..1	BackboneElement	Medicines on admission cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-cocs-04: At most one assertion of no relevant finding shall be present and it shall assert no known current medications inv-dh-cocs-05: At most one list shall be present
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
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 42346-7
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
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(ADHA Medication Use List | ADHA Core MedicationStatement | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding)	A reference to data that supports this section
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section	C	0..*	See section (Composition)	Nested Section
section:medicines	SC	0..1	BackboneElement	Medicines cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-cocs-04: At most one assertion of no relevant finding shall be present and it shall assert no known current medications inv-dh-cocs-05: At most one list shall be present
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
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10160-0
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
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(ADHA Medication Use List | ADHA Core MedicationStatement | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding)	A reference to data that supports this section
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section	C	0..*	See section (Composition)	Nested Section
section:vitalSigns	SC	0..1	BackboneElement	Vital signs cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
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
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 8716-3
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
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(http://hl7.org.au/fhir/core/StructureDefinition/au-core-vitalspanel | AU Core Blood Pressure | AU Core Body Weight | AU Core Body Height | http://hl7.org.au/fhir/core/StructureDefinition/au-core-bmi | http://hl7.org.au/fhir/core/StructureDefinition/au-core-oxygensat | http://hl7.org.au/fhir/core/StructureDefinition/au-core-headcircum | AU Core Heart Rate | AU Core Body Temperature | AU Core Respiration Rate)	A reference to data that supports this section
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section	C	0..*	See section (Composition)	Nested Section
section:immunisations	SC	0..1	BackboneElement	Immunisations cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-acts-08: At most one assertion of no relevant finding shall be present and it shall assert no history of vaccination inv-dh-acts-09: At most one list shall be present
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
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11369-6
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
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(ADHA Immunisation History List | ADHA Core Immunization | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding)	A reference to data that supports this section
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section	C	0..*	See section (Composition)	Nested Section
section:problems	SC	0..1	BackboneElement	Problems or Diagnoses cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-acts-07: At most one list shall be present
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
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11450-4
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
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-condition-1 | ADHA Core Condition)	A reference to data that supports this section
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section	C	0..*	See section (Composition)	Nested Section
section:pastMedicalHistory	SC	0..1	BackboneElement	Past medical history cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-acts-03: At most one list shall be present
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
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11348-0
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
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-condition-1 | ADHA Core Condition)	A reference to data that supports this section
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section	C	0..*	See section (Composition)	Nested Section
section:procedures	SC	0..1	BackboneElement	Procedures cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-acts-06: At most one list shall be present
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
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 47519-4
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
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-procedure-1 | ADHA Core Procedure)	A reference to data that supports this section
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section	C	0..*	See section (Composition)	Nested Section
section:medicalDevices	SC	0..1	BackboneElement	Medical devices cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-acts-10: At most one assertion of no relevant finding shall be present
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
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. 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://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 46264-8
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
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(ADHA Implantable Medical Device | http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-device-wearable-1 | http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-deviceusestatement-core-1 | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding)	A reference to data that supports this section
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section	C	0..*	See section (Composition)	Nested Section
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Composition.status	required	Pattern: final http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	preferred	FHIRDocumentTypeCodes http://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard
Composition.category	example	DocumentClassValueSet http://hl7.org/fhir/ValueSet/document-classcodes from the FHIR Standard
Composition.category:tss	example	Pattern: LOINC Code 18761-7 http://hl7.org/fhir/ValueSet/document-classcodes from the FHIR Standard
Composition.attester.mode	required	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.relatesTo.code	required	DocumentRelationshipType http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard
Composition.event.code	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:reasonForTransfer.code	example	Pattern: LOINC Code 42349-1 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:reasonForTransfer.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:reasonForTransfer.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:reasonForTransfer.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:advanceCareDirectives.code	example	Pattern: LOINC Code 42348-3 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:advanceCareDirectives.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:advanceCareDirectives.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:advanceCareDirectives.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:allergies.code	example	Pattern: LOINC Code 48765-2 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:allergies.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:allergies.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:allergies.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:admissionMedicines.code	example	Pattern: LOINC Code 42346-7 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:admissionMedicines.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:admissionMedicines.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:admissionMedicines.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:medicines.code	example	Pattern: LOINC Code 10160-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:medicines.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:medicines.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:medicines.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:vitalSigns.code	example	Pattern: LOINC Code 8716-3 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:vitalSigns.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:vitalSigns.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:vitalSigns.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:immunisations.code	example	Pattern: LOINC Code 11369-6 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:immunisations.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:immunisations.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:immunisations.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:problems.code	example	Pattern: LOINC Code 11450-4 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:problems.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:problems.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:problems.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:pastMedicalHistory.code	example	Pattern: LOINC Code 11348-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:pastMedicalHistory.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:pastMedicalHistory.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:pastMedicalHistory.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:procedures.code	example	Pattern: LOINC Code 47519-4 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:procedures.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:procedures.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:procedures.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:medicalDevices.code	example	Pattern: LOINC Code 46264-8 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:medicalDevices.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:medicalDevices.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:medicalDevices.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-acts-01	error	Composition.section	A section shall at least have an entry or an empty reason : entry.exists() or emptyReason.exists()
inv-dh-acts-02	error	Composition.section	All observations shall conform one of: ADHA Simple Observation, ADHA Diagnostic Result Observation : entry.resolve().where($this is Observation).exists() implies entry.resolve().conformsTo('http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-observation-diagnosticresult-1')
inv-dh-acts-03	error	Composition.section:pastMedicalHistory	At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2
inv-dh-acts-06	error	Composition.section:procedures	At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2
inv-dh-acts-07	error	Composition.section:problems	At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2
inv-dh-acts-08	error	Composition.section:immunisations	At most one assertion of no relevant finding shall be present and it shall assert no history of vaccination : entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) ='1234401000168109')
inv-dh-acts-09	error	Composition.section:immunisations	At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2
inv-dh-acts-10	error	Composition.section:medicalDevices	At most one assertion of no relevant finding shall be present : entry.resolve().where($this is Observation).exists() implies entry.count() < 2
inv-dh-cocs-04	error	Composition.section:admissionMedicines, Composition.section:medicines	At most one assertion of no relevant finding shall be present and it shall assert no known current medications : entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) = '1200661000168107')
inv-dh-cocs-05	error	Composition.section:admissionMedicines, Composition.section:medicines	At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2

This structure is derived from ADHACompositionCore

Summary

Mandatory: 1 element(22 nested mandatory elements)

Structures

This structure refers to these other structures:

• ADHA Authoring PractitionerRole (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-practitionerrole-author-1)
• ADHA Core ServiceRequest (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-servicerequest-core-1)
• Unable to summarise profile http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-consent-core-1 (no profile found)
• ADHA Core DocumentReference (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-documentreference-core-1)
• ADHA Advance Care Planning Document DocumentReference (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-documentreference-acp-1)
• ADHA Core AllergyIntolerance (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-allergyintolerance-core-1)
• ADHA Medication Use List (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-medication-use-1)
• ADHA Core MedicationStatement (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-medicationstatement-core-1)
• Unable to summarise profile http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding (no profile found)
• Unable to summarise profile http://hl7.org.au/fhir/core/StructureDefinition/au-core-vitalspanel (no profile found)
• AU Core Blood Pressure (http://hl7.org.au/fhir/core/StructureDefinition/au-core-bloodpressure)
• AU Core Body Weight (http://hl7.org.au/fhir/core/StructureDefinition/au-core-bodyweight)
• AU Core Body Height (http://hl7.org.au/fhir/core/StructureDefinition/au-core-bodyheight)
• Unable to summarise profile http://hl7.org.au/fhir/core/StructureDefinition/au-core-bmi (no profile found)
• Unable to summarise profile http://hl7.org.au/fhir/core/StructureDefinition/au-core-oxygensat (no profile found)
• Unable to summarise profile http://hl7.org.au/fhir/core/StructureDefinition/au-core-headcircum (no profile found)
• AU Core Heart Rate (http://hl7.org.au/fhir/core/StructureDefinition/au-core-heartrate)
• AU Core Body Temperature (http://hl7.org.au/fhir/core/StructureDefinition/au-core-bodytemp)
• AU Core Respiration Rate (http://hl7.org.au/fhir/core/StructureDefinition/au-core-resprate)
• ADHA Immunisation History List (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-immunization-1)
• ADHA Core Immunization (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-immunization-core-1)
• Unable to summarise profile http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-condition-1 (no profile found)
• ADHA Core Condition (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-condition-core-1)
• Unable to summarise profile http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-procedure-1 (no profile found)
• ADHA Core Procedure (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-procedure-core-1)
• ADHA Implantable Medical Device (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-device-implantable-1)
• Unable to summarise profile http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-device-wearable-1 (no profile found)
• Unable to summarise profile http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-deviceusestatement-core-1 (no profile found)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Composition.category
• The element 1 is sliced based on the value of Composition.section