This profile identifies the additional constraints, extensions, and value sets that build on and extend Composition that are supported.

This profile supports the equivalent of a HL7 CDA instance conformance Level 3A or 3B clinical document as defined in the Agency's Common Conformance Profile for Clinical Documents.

This profile is designed to set a Composition standard for:

• Query for a diagnostic imaging report document for a patient
• Query for a pathology report document for a patient
• Query for a specialist or other diagnostic report document for a patient
• Record or update a diagnostic imaging report document belonging to a patient
• Record or update a pathology report document belonging to a patient
• Record or update a specialist or other diagnostic report document belonging to a patient

This profile may be referred to by APIs, which will be listed here when available.

Profile specific guidance

None.

Boundaries and relationships

This profile is not referenced by another profile in this implementation guide.

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

This structure is derived from ADHACompositionDocument

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	ADHACompositionDocument	Diagnostic Report Document
status		1..1	code	preliminary | final | amended | entered-in-error Required Pattern: final
type		1..1	CodeableConcept	Sub type of diagnostic report Binding: https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-type-1 (extensible)
category		1..*	CodeableConcept	Type of diagnostic report Binding: https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-class-1 (extensible)
author		1..*	Reference(ADHA Authoring PractitionerRole)	Author of the referenced diagnostic report
Slices for section	C	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by pattern:code inv-dh-dr-01: A section shall at least have an entry or an empty reason inv-dh-dr-02: All observations shall conform one of: ADHA Simple Observation, ADHA Diagnostic Result Observation
section:diagnosticInvestigations		1..1	BackboneElement	Results of diagnostic investigations.
title		1..1	string	Label for section (e.g. for ToC)
code		0..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: 30954-2
entry	C	1..*	Reference(ADHA Core DiagnosticReport | ADHA Pathology Report)	Diagnostic investigations
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Composition.type	extensible	https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-type-1 https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-type-1
Composition.category	extensible	https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-class-1 https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-class-1

Name	Flags	Card.	Type	Description & Constraints
Composition	C	0..*	ADHACompositionDocument	Diagnostic Report Document inv-dh-doc-01: If present, an information recipient shall at least have a reference, an identifier or a display inv-dh-doc-02: Sections shall be unique by code
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
informationRecipient	SC	0..*	Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization)	Information recipient URL: http://hl7.org.au/fhir/StructureDefinition/information-recipient
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	Sub type of diagnostic report Binding: https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-type-1 (extensible)
category	SΣ	1..*	CodeableConcept	Type of diagnostic report Binding: https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-class-1 (extensible)
subject	SΣC	1..1	Reference(ADHA Core Patient)	Who and/or what the composition is about inv-dh-doc-03: 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-doc-07: Date shall be at least to day
author	SΣC	1..*	Reference(ADHA Authoring PractitionerRole)	Author of the referenced diagnostic report inv-dh-doc-04: At least reference or a valid identifier shall be present
title	SΣ	1..1	string	Human Readable name/title
attester	SC	0..*	BackboneElement	Attests to accuracy of composition inv-dh-doc-05: The party shall at least have a reference or a valid identifier
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode	S	1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time	S	1..1	dateTime	When the composition was attested
party	SC	1..1	Reference(ADHA Authoring PractitionerRole | ADHA Core Patient | ADHA Authoring RelatedPerson | ADHA Core Organization)	Who attested the composition
custodian	SΣC	1..1	Reference(ADHA Core Organization)	Organization which maintains the composition inv-dh-doc-06: At least reference or a valid identifier shall be present
relatesTo	S	0..*	BackboneElement	Relationships to other compositions/documents
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x]	S	1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(ADHA Core Composition)
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-dr-01: A section shall at least have an entry or an empty reason inv-dh-dr-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
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:diagnosticInvestigations	SC	1..1	BackboneElement	Results of diagnostic investigations. 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	0..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: 30954-2
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
entry	SC	1..*	Reference(ADHA Core DiagnosticReport | ADHA Pathology Report)	Diagnostic investigations
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
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	extensible	https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-type-1 https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-type-1
Composition.category	extensible	https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-class-1 https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-class-1
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.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:diagnosticInvestigations.code	example	Pattern: LOINC Code 30954-2 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:diagnosticInvestigations.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard

Name	Flags	Card.	Type	Description & Constraints
Composition	C	0..*	ADHACompositionDocument	Diagnostic Report Document inv-dh-doc-01: If present, an information recipient shall at least have a reference, an identifier or a display inv-dh-doc-02: Sections shall be unique by code
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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
informationRecipient	SC	0..*	Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization)	Information recipient URL: http://hl7.org.au/fhir/StructureDefinition/information-recipient
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	Sub type of diagnostic report Binding: https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-type-1 (extensible)
category	SΣ	1..*	CodeableConcept	Type of diagnostic report Binding: https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-class-1 (extensible)
subject	SΣC	1..1	Reference(ADHA Core Patient)	Who and/or what the composition is about inv-dh-doc-03: 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-doc-07: Date shall be at least to day
author	SΣC	1..*	Reference(ADHA Authoring PractitionerRole)	Author of the referenced diagnostic report inv-dh-doc-04: At least reference or a valid identifier shall be present
title	SΣ	1..1	string	Human Readable name/title
attester	SC	0..*	BackboneElement	Attests to accuracy of composition inv-dh-doc-05: The party shall at least have a reference or a valid identifier
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	S	1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time	S	1..1	dateTime	When the composition was attested
party	SC	1..1	Reference(ADHA Authoring PractitionerRole | ADHA Core Patient | ADHA Authoring RelatedPerson | ADHA Core Organization)	Who attested the composition
custodian	SΣC	1..1	Reference(ADHA Core Organization)	Organization which maintains the composition inv-dh-doc-06: At least reference or a valid identifier shall be present
relatesTo	S	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	S	1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x]	S	1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(ADHA Core 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-dr-01: A section shall at least have an entry or an empty reason inv-dh-dr-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. Fixed Value: snapshot
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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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:diagnosticInvestigations	SC	1..1	BackboneElement	Results of diagnostic investigations. 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	0..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: 30954-2
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. Fixed Value: snapshot
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	1..*	Reference(ADHA Core DiagnosticReport | ADHA Pathology Report)	Diagnostic investigations
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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
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	extensible	https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-type-1 https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-type-1
Composition.category	extensible	https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-class-1 https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-class-1
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	Fixed Value: snapshot 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.entry.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.section.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:diagnosticInvestigations.code	example	Pattern: LOINC Code 30954-2 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:diagnosticInvestigations.mode	required	Fixed Value: snapshot http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:diagnosticInvestigations.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:diagnosticInvestigations.entry.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.section:diagnosticInvestigations.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard

Differential View

This structure is derived from ADHACompositionDocument

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	ADHACompositionDocument	Diagnostic Report Document
status		1..1	code	preliminary | final | amended | entered-in-error Required Pattern: final
type		1..1	CodeableConcept	Sub type of diagnostic report Binding: https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-type-1 (extensible)
category		1..*	CodeableConcept	Type of diagnostic report Binding: https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-class-1 (extensible)
author		1..*	Reference(ADHA Authoring PractitionerRole)	Author of the referenced diagnostic report
Slices for section	C	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by pattern:code inv-dh-dr-01: A section shall at least have an entry or an empty reason inv-dh-dr-02: All observations shall conform one of: ADHA Simple Observation, ADHA Diagnostic Result Observation
section:diagnosticInvestigations		1..1	BackboneElement	Results of diagnostic investigations.
title		1..1	string	Label for section (e.g. for ToC)
code		0..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: 30954-2
entry	C	1..*	Reference(ADHA Core DiagnosticReport | ADHA Pathology Report)	Diagnostic investigations
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Composition.type	extensible	https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-type-1 https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-type-1
Composition.category	extensible	https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-class-1 https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-class-1

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Composition	C	0..*	ADHACompositionDocument	Diagnostic Report Document inv-dh-doc-01: If present, an information recipient shall at least have a reference, an identifier or a display inv-dh-doc-02: Sections shall be unique by code
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
informationRecipient	SC	0..*	Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization)	Information recipient URL: http://hl7.org.au/fhir/StructureDefinition/information-recipient
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	Sub type of diagnostic report Binding: https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-type-1 (extensible)
category	SΣ	1..*	CodeableConcept	Type of diagnostic report Binding: https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-class-1 (extensible)
subject	SΣC	1..1	Reference(ADHA Core Patient)	Who and/or what the composition is about inv-dh-doc-03: 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-doc-07: Date shall be at least to day
author	SΣC	1..*	Reference(ADHA Authoring PractitionerRole)	Author of the referenced diagnostic report inv-dh-doc-04: At least reference or a valid identifier shall be present
title	SΣ	1..1	string	Human Readable name/title
attester	SC	0..*	BackboneElement	Attests to accuracy of composition inv-dh-doc-05: The party shall at least have a reference or a valid identifier
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode	S	1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time	S	1..1	dateTime	When the composition was attested
party	SC	1..1	Reference(ADHA Authoring PractitionerRole | ADHA Core Patient | ADHA Authoring RelatedPerson | ADHA Core Organization)	Who attested the composition
custodian	SΣC	1..1	Reference(ADHA Core Organization)	Organization which maintains the composition inv-dh-doc-06: At least reference or a valid identifier shall be present
relatesTo	S	0..*	BackboneElement	Relationships to other compositions/documents
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x]	S	1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(ADHA Core Composition)
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-dr-01: A section shall at least have an entry or an empty reason inv-dh-dr-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
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:diagnosticInvestigations	SC	1..1	BackboneElement	Results of diagnostic investigations. 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	0..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: 30954-2
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
entry	SC	1..*	Reference(ADHA Core DiagnosticReport | ADHA Pathology Report)	Diagnostic investigations
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
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	extensible	https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-type-1 https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-type-1
Composition.category	extensible	https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-class-1 https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-class-1
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.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:diagnosticInvestigations.code	example	Pattern: LOINC Code 30954-2 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:diagnosticInvestigations.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Composition	C	0..*	ADHACompositionDocument	Diagnostic Report Document inv-dh-doc-01: If present, an information recipient shall at least have a reference, an identifier or a display inv-dh-doc-02: Sections shall be unique by code
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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
informationRecipient	SC	0..*	Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization)	Information recipient URL: http://hl7.org.au/fhir/StructureDefinition/information-recipient
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	Sub type of diagnostic report Binding: https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-type-1 (extensible)
category	SΣ	1..*	CodeableConcept	Type of diagnostic report Binding: https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-class-1 (extensible)
subject	SΣC	1..1	Reference(ADHA Core Patient)	Who and/or what the composition is about inv-dh-doc-03: 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-doc-07: Date shall be at least to day
author	SΣC	1..*	Reference(ADHA Authoring PractitionerRole)	Author of the referenced diagnostic report inv-dh-doc-04: At least reference or a valid identifier shall be present
title	SΣ	1..1	string	Human Readable name/title
attester	SC	0..*	BackboneElement	Attests to accuracy of composition inv-dh-doc-05: The party shall at least have a reference or a valid identifier
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	S	1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time	S	1..1	dateTime	When the composition was attested
party	SC	1..1	Reference(ADHA Authoring PractitionerRole | ADHA Core Patient | ADHA Authoring RelatedPerson | ADHA Core Organization)	Who attested the composition
custodian	SΣC	1..1	Reference(ADHA Core Organization)	Organization which maintains the composition inv-dh-doc-06: At least reference or a valid identifier shall be present
relatesTo	S	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	S	1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x]	S	1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(ADHA Core 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-dr-01: A section shall at least have an entry or an empty reason inv-dh-dr-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. Fixed Value: snapshot
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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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:diagnosticInvestigations	SC	1..1	BackboneElement	Results of diagnostic investigations. 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	0..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: 30954-2
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. Fixed Value: snapshot
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	1..*	Reference(ADHA Core DiagnosticReport | ADHA Pathology Report)	Diagnostic investigations
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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
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	extensible	https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-type-1 https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-type-1
Composition.category	extensible	https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-class-1 https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-class-1
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	Fixed Value: snapshot 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.entry.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.section.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:diagnosticInvestigations.code	example	Pattern: LOINC Code 30954-2 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:diagnosticInvestigations.mode	required	Fixed Value: snapshot http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:diagnosticInvestigations.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:diagnosticInvestigations.entry.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.section:diagnosticInvestigations.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard

This structure is derived from ADHACompositionDocument

Summary

Mandatory: 4 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 DiagnosticReport (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-diagnosticreport-core-1)
• ADHA Pathology Report (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-diagnosticreport-path-1)

Slices

This structure defines the following Slices:

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

Below is an overview of the mandatory and optional search parameters. FHIR search operations and the syntax used to describe the interactions is described here.

Mandatory Search Parameters

The following search parameters and search parameter combinations SHALL be supported:

1. SHALL support searching for all compositions for a patient using the subject:identifier search parameter:

   GET [base]/Composition?subject:identifier={system|}[code]

   Example:

    GET [base]/Composition?subject:identifier=http://ns.electronichealth.net.au/id/hi/ihi/1.0|8003608000228437
   

   Implementation Notes: Fetches a bundle of all Composition resources for the specified patient (how to search by :identifier)

2. SHALL support searching using the identifier search parameter:

   GET [base]/Composition?identifier={system|}[code]

   Example:

    GET [base]/Composition?identifier=urn:ietf:rfc:3986|urn:uuid:b487469d-810c-40ae-b5a9-c0beb9001c9f
   

   Implementation Notes: Fetches a bundle containing any Composition resources matching the identifier (how to search by token)

3. SHALL support searching using the combination subject:identifier and category search parameter:

   GET [base]/Composition?subject:identifier={system|}[code]&category[code]

   Example:

    GET [base]/Composition?subject:identifier=http://ns.electronichealth.net.au/id/hi/ihi/1.0|8003608000228437&category=http://loinc.org|47045-0
   

   Implementation Notes: Fetches a bundle of all Composition resources with the category of "Diagnostic Study" for the specified patient (how to search by :identifier and how to search by token)

4. SHALL support searching using the combination subject:identifier and type search parameter:

   GET [base]/Composition?subject:identifier={system|}[code]&type={system|}[code]

   Example:

    GET [base]/Composition?subject:identifier=http://ns.electronichealth.net.au/id/hi/ihi/1.0|8003608000228437&type=https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1|100.16957
   

   Implementation Notes: Fetches a bundle of all Composition resources with the type of an 100.16957 (Diagnostic Imaging Report) for the specified patient (how to search by :identifier and how to search by token)

5. SHALL support searching using the combination of the subject:identifier and date search parameters:

   GET [base]/Composition?subject:identifier={system|}[code]&date=[date]

   Example:

    GET [base]/Composition?subject:identifier=http://ns.electronichealth.net.au/id/hi/ihi/1.0|8003608000228437&date=ge2013-03-14
   

   Implementation Notes: Fetches a bundle of all Composition resources for the specified patient that have a date greater than or equal to 21st Jan 2013. (how to search by :identifier and how to search by date)