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

Resource Profile: ADHA Advance Care Planning Document Composition

Official URL: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-composition-acp-1 Version: 0.0.4
Draft as of 2024-12-19 Computable Name: ADHACompositionACP

Copyright/Legal: Copyright © 2022 Australian Digital Health Agency - All rights reserved. This content is licensed under a Creative Commons Attribution 4.0 International License. See https://creativecommons.org/licenses/by/4.0/.

The purpose of this profile is to define a representation of an Advance Care Planning document that includes an attached Advance Care Plan for a patient for the electronic exchange of health information between individuals, healthcare providers, and the My Health Record system infrastructure in Australia. A composition is a set of resources composed into a single coherent clinical statement that may have clinical attestation.

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 an advance care planning document composition for a patient
  • Query for a Goals of Care document for a patient
  • Record or update a advance care planning document composition belonging to a patient
  • Record of update a Goals of Care document for 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.

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.

This structure is derived from ADHACompositionDocument

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* ADHACompositionDocument Advance Care Planning Document
... status 1..1 code preliminary | final | amended | entered-in-error
Required Pattern: final
... type 1..1 CodeableConcept Sub type of advance care planning document
Binding: Advance Care Planning Document Type . (required)
... Slices for category 1..* CodeableConcept Categorization of Composition
Slice: Unordered, Open by pattern:$this
.... category:aci 1..1 CodeableConcept Advance Care Information
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: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 100.16975
..... coding 1..* Coding Code defined by a terminology system
...... system 1..1 uri Identity of the terminology system
Fixed Value: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 100.16975
... section 1..1 BackboneElement Advance Care Information
.... 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: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 100.16975
.... entry 1..1 Reference(ADHA Advance Care Planning Document DocumentReference) Advance care planning document reference

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Composition.typerequiredAdvanceCarePlanningDocumentType .
https://healthterminologies.gov.au/fhir/ValueSet/advance-care-planning-document-type-1
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition C 0..* ADHACompositionDocument Advance Care Planning Document
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
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
ele-1: All FHIR elements must have a @value or children
... 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
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... status ?!SΣ 1..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.


ele-1: All FHIR elements must have a @value or children
Required Pattern: final
... type SΣ 1..1 CodeableConcept Sub type of advance care planning document
Binding: Advance Care Planning Document Type . (required)
ele-1: All FHIR elements must have a @value or children
... Slices for category SΣ 1..* CodeableConcept Categorization of Composition
Slice: Unordered, Open by pattern:$this
Binding: My Health Record Record Class . (extensible)
ele-1: All FHIR elements must have a @value or children
.... category:aci SΣ 1..1 CodeableConcept Advance Care Information
Binding: My Health Record Record Class . (extensible)
ele-1: All FHIR elements must have a @value or children

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: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 100.16975
..... coding Σ 1..* Coding Code defined by a terminology system
ele-1: All FHIR elements must have a @value or children
...... system Σ 1..1 uri Identity of the terminology system
ele-1: All FHIR elements must have a @value or children
Fixed Value: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
...... code Σ 1..1 code Symbol in syntax defined by the system
ele-1: All FHIR elements must have a @value or children
Fixed Value: 100.16975
... subject SΣC 1..1 Reference(ADHA Core Patient) Who and/or what the composition is about
ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
... date SΣC 1..1 dateTime Composition editing time
ele-1: All FHIR elements must have a @value or children
inv-dh-doc-07: Date shall be at least to day
... author SΣC 1..1 Reference(ADHA Authoring PractitionerRole | ADHA Core Patient | ADHA Authoring RelatedPerson) Author of the composition, may not be the author of the attached advance care planning document
ele-1: All FHIR elements must have a @value or children
inv-dh-doc-04: At least reference or a valid identifier shall be present
... title SΣ 1..1 string Human Readable name/title
ele-1: All FHIR elements must have a @value or children
... attester SC 0..* BackboneElement Attests to accuracy of composition
ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... mode S 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.


ele-1: All FHIR elements must have a @value or children
.... time S 1..1 dateTime When the composition was attested
ele-1: All FHIR elements must have a @value or children
.... party SC 1..1 Reference(ADHA Authoring PractitionerRole | ADHA Core Patient | ADHA Authoring RelatedPerson | ADHA Core Organization) Who attested the composition
ele-1: All FHIR elements must have a @value or children
... custodian SΣC 1..1 Reference(ADHA Core Organization) Organization which maintains the composition
ele-1: All FHIR elements must have a @value or children
inv-dh-doc-06: At least reference or a valid identifier shall be present
... relatesTo S 0..* BackboneElement Relationships to other compositions/documents
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... code S 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.


ele-1: All FHIR elements must have a @value or children
.... target[x] S 1..1 Target of the relationship
ele-1: All FHIR elements must have a @value or children
..... targetIdentifier Identifier
..... targetReference Reference(ADHA Core Composition)
... section SC 1..1 BackboneElement Advance Care Information
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
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... title S 0..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
.... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 100.16975
.... text SC 0..1 Narrative Text summary of the section, for human interpretation
ele-1: All FHIR elements must have a @value or children
.... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.


ele-1: All FHIR elements must have a @value or children
Fixed Value: snapshot
.... entry SC 1..1 Reference(ADHA Advance Care Planning Document DocumentReference) Advance care planning document reference
ele-1: All FHIR elements must have a @value or children
..... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
ele-1: All FHIR elements must have a @value or children
.... emptyReason SC 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.


ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.statusrequiredPattern: final
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
Composition.typerequiredAdvanceCarePlanningDocumentType .
https://healthterminologies.gov.au/fhir/ValueSet/advance-care-planning-document-type-1
Composition.categoryextensibleMyHealthRecordRecordClass .
https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-class-1
Composition.category:aciextensiblePattern: 100.16975
https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-class-1
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
from the FHIR Standard
Composition.relatesTo.coderequiredDocumentRelationshipType
http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
from the FHIR Standard
Composition.section.codeexamplePattern: 100.16975
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section.moderequiredFixed Value: snapshot
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition C 0..* ADHACompositionDocument Advance Care Planning 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
... 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 advance care planning document
Binding: Advance Care Planning Document Type . (required)
... Slices for category SΣ 1..* CodeableConcept Categorization of Composition
Slice: Unordered, Open by pattern:$this
Binding: My Health Record Record Class . (extensible)
.... category:aci SΣ 1..1 CodeableConcept Advance Care Information
Binding: My Health Record Record Class . (extensible)

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: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 100.16975
...... 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
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 1..* Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 100.16975
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
... 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..1 Reference(ADHA Authoring PractitionerRole | ADHA Core Patient | ADHA Authoring RelatedPerson) Author of the composition, may not be the author of the attached advance care planning document
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
... section SC 1..1 BackboneElement Advance Care Information
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 0..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: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 100.16975
...... 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..1 Reference(ADHA Advance Care Planning Document DocumentReference) Advance care planning document reference
..... 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Composition.statusrequiredPattern: final
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
Composition.typerequiredAdvanceCarePlanningDocumentType .
https://healthterminologies.gov.au/fhir/ValueSet/advance-care-planning-document-type-1
Composition.categoryextensibleMyHealthRecordRecordClass .
https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-class-1
Composition.category:aciextensiblePattern: 100.16975
https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-class-1
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
from the FHIR Standard
Composition.relatesTo.coderequiredDocumentRelationshipType
http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
from the FHIR Standard
Composition.event.codeexampleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.codeexamplePattern: 100.16975
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section.moderequiredFixed Value: snapshot
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section.entry.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard

Differential View

This structure is derived from ADHACompositionDocument

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* ADHACompositionDocument Advance Care Planning Document
... status 1..1 code preliminary | final | amended | entered-in-error
Required Pattern: final
... type 1..1 CodeableConcept Sub type of advance care planning document
Binding: Advance Care Planning Document Type . (required)
... Slices for category 1..* CodeableConcept Categorization of Composition
Slice: Unordered, Open by pattern:$this
.... category:aci 1..1 CodeableConcept Advance Care Information
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: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 100.16975
..... coding 1..* Coding Code defined by a terminology system
...... system 1..1 uri Identity of the terminology system
Fixed Value: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 100.16975
... section 1..1 BackboneElement Advance Care Information
.... 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: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 100.16975
.... entry 1..1 Reference(ADHA Advance Care Planning Document DocumentReference) Advance care planning document reference

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Composition.typerequiredAdvanceCarePlanningDocumentType .
https://healthterminologies.gov.au/fhir/ValueSet/advance-care-planning-document-type-1

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition C 0..* ADHACompositionDocument Advance Care Planning Document
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
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
ele-1: All FHIR elements must have a @value or children
... 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
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... status ?!SΣ 1..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.


ele-1: All FHIR elements must have a @value or children
Required Pattern: final
... type SΣ 1..1 CodeableConcept Sub type of advance care planning document
Binding: Advance Care Planning Document Type . (required)
ele-1: All FHIR elements must have a @value or children
... Slices for category SΣ 1..* CodeableConcept Categorization of Composition
Slice: Unordered, Open by pattern:$this
Binding: My Health Record Record Class . (extensible)
ele-1: All FHIR elements must have a @value or children
.... category:aci SΣ 1..1 CodeableConcept Advance Care Information
Binding: My Health Record Record Class . (extensible)
ele-1: All FHIR elements must have a @value or children

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: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 100.16975
..... coding Σ 1..* Coding Code defined by a terminology system
ele-1: All FHIR elements must have a @value or children
...... system Σ 1..1 uri Identity of the terminology system
ele-1: All FHIR elements must have a @value or children
Fixed Value: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
...... code Σ 1..1 code Symbol in syntax defined by the system
ele-1: All FHIR elements must have a @value or children
Fixed Value: 100.16975
... subject SΣC 1..1 Reference(ADHA Core Patient) Who and/or what the composition is about
ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
... date SΣC 1..1 dateTime Composition editing time
ele-1: All FHIR elements must have a @value or children
inv-dh-doc-07: Date shall be at least to day
... author SΣC 1..1 Reference(ADHA Authoring PractitionerRole | ADHA Core Patient | ADHA Authoring RelatedPerson) Author of the composition, may not be the author of the attached advance care planning document
ele-1: All FHIR elements must have a @value or children
inv-dh-doc-04: At least reference or a valid identifier shall be present
... title SΣ 1..1 string Human Readable name/title
ele-1: All FHIR elements must have a @value or children
... attester SC 0..* BackboneElement Attests to accuracy of composition
ele-1: All FHIR elements must have a @value or children
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
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... mode S 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.


ele-1: All FHIR elements must have a @value or children
.... time S 1..1 dateTime When the composition was attested
ele-1: All FHIR elements must have a @value or children
.... party SC 1..1 Reference(ADHA Authoring PractitionerRole | ADHA Core Patient | ADHA Authoring RelatedPerson | ADHA Core Organization) Who attested the composition
ele-1: All FHIR elements must have a @value or children
... custodian SΣC 1..1 Reference(ADHA Core Organization) Organization which maintains the composition
ele-1: All FHIR elements must have a @value or children
inv-dh-doc-06: At least reference or a valid identifier shall be present
... relatesTo S 0..* BackboneElement Relationships to other compositions/documents
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... code S 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.


ele-1: All FHIR elements must have a @value or children
.... target[x] S 1..1 Target of the relationship
ele-1: All FHIR elements must have a @value or children
..... targetIdentifier Identifier
..... targetReference Reference(ADHA Core Composition)
... section SC 1..1 BackboneElement Advance Care Information
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
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... title S 0..1 string Label for section (e.g. for ToC)
ele-1: All FHIR elements must have a @value or children
.... code S 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
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: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 100.16975
.... text SC 0..1 Narrative Text summary of the section, for human interpretation
ele-1: All FHIR elements must have a @value or children
.... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.


ele-1: All FHIR elements must have a @value or children
Fixed Value: snapshot
.... entry SC 1..1 Reference(ADHA Advance Care Planning Document DocumentReference) Advance care planning document reference
ele-1: All FHIR elements must have a @value or children
..... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
ele-1: All FHIR elements must have a @value or children
.... emptyReason SC 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.


ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.statusrequiredPattern: final
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
Composition.typerequiredAdvanceCarePlanningDocumentType .
https://healthterminologies.gov.au/fhir/ValueSet/advance-care-planning-document-type-1
Composition.categoryextensibleMyHealthRecordRecordClass .
https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-class-1
Composition.category:aciextensiblePattern: 100.16975
https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-class-1
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
from the FHIR Standard
Composition.relatesTo.coderequiredDocumentRelationshipType
http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
from the FHIR Standard
Composition.section.codeexamplePattern: 100.16975
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section.moderequiredFixed Value: snapshot
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition C 0..* ADHACompositionDocument Advance Care Planning 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
... 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 advance care planning document
Binding: Advance Care Planning Document Type . (required)
... Slices for category SΣ 1..* CodeableConcept Categorization of Composition
Slice: Unordered, Open by pattern:$this
Binding: My Health Record Record Class . (extensible)
.... category:aci SΣ 1..1 CodeableConcept Advance Care Information
Binding: My Health Record Record Class . (extensible)

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: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 100.16975
...... 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
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 1..* Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 100.16975
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
... 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..1 Reference(ADHA Authoring PractitionerRole | ADHA Core Patient | ADHA Authoring RelatedPerson) Author of the composition, may not be the author of the attached advance care planning document
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
... section SC 1..1 BackboneElement Advance Care Information
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 0..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: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 100.16975
...... 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..1 Reference(ADHA Advance Care Planning Document DocumentReference) Advance care planning document reference
..... 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Composition.statusrequiredPattern: final
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
Composition.typerequiredAdvanceCarePlanningDocumentType .
https://healthterminologies.gov.au/fhir/ValueSet/advance-care-planning-document-type-1
Composition.categoryextensibleMyHealthRecordRecordClass .
https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-class-1
Composition.category:aciextensiblePattern: 100.16975
https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-class-1
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
from the FHIR Standard
Composition.relatesTo.coderequiredDocumentRelationshipType
http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
from the FHIR Standard
Composition.event.codeexampleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.codeexamplePattern: 100.16975
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section.moderequiredFixed Value: snapshot
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section.entry.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard

 

Other representations of profile: CSV, Excel, Schematron

Notes:

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.

Name Type Conformance Description Path
identifier token SHALL An identifier for the report Composition.identifier
category token SHALL Categorization of Composition Composition.category
subject:identifier token SHALL Who and/or what the composition is about Composition.subject.identifier
type token SHALL Kind of composition (LOINC if possible) Composition.code
date date SHALL Composition editing time Composition.effective
status token SHOULD preliminary | final | amended | entered-in-error Composition.status

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=https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1|100.16975
    

    Implementation Notes: Fetches a bundle of all Composition resources with the category of "Advance Care Information" 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|100.32016
    

    Implementation Notes: Fetches a bundle of all Composition resources with the type of an 100.32016 (Goals of Care) 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)