Australian Digital Health Agency FHIR Implementation Guide
1.2.0-ci-build - draft
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
Official URL: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-composition-cocs-1 | Version: 0.0.5 | |||
Draft as of 2024-09-12 | Computable Name: ADHACompositionCOCS | |||
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The purpose of this profile is to define a representation of an Continuity of Care Summary document for a patient for the electronic exchange of health information between individuals, healthcare providers, and the My Health Record system infrastructure in Australia. This profile standardises the core, common or critical information for exchange of information between healthcare providers, and individual, to support continuity of care across encounters and healthcare settings. Specific use cases are supported by defined profiles for those use cases such as Shared Health Summary, Event Summary, Discharge Summary, Transfer Summary, Referral; where available the most specific applicable profile should be used. 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.
Where a more specific Composition profile is applicable, e.g. shared health summary, event summary, discharge summary, or transfer summary, an implementation SHALL ensure the resource conforms to that specific profile.
This profile supports the equivalent of all HL7 CDA conformance levels for a clinical document as defined in the Agency's Common Conformance Profile for Clinical Documents.
This profile is designed to set a Composition standard for:
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from ADHACompositionDocument
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Composition | 0..* | ADHACompositionDocument | Continuity of Care Summary | |
status | 1..1 | code | preliminary | final | amended | entered-in-error Required Pattern: final | |
author | 1..* | Reference(ADHA Authoring PractitionerRole) | Who and/or what authored the composition | |
Slices for section | C | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by pattern:code inv-dh-cocs-01: A section shall at least have an entry or an empty reason inv-dh-cocs-02: All observations shall conform one of: ADHA Simple Observation, ADHA Diagnostic Result Observation |
section:reasonForReferral | 0..1 | BackboneElement | Reason for referral | |
title | 1..1 | string | Label for section (e.g. for ToC) | |
code | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 42349-1 | |
entry | C | 0..* | Reference(ADHA Core ServiceRequest) | A reference to data that supports this section |
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) |
section:advanceCareDirectives | 0..1 | BackboneElement | Information on advance care directives. | |
title | 1..1 | string | Label for section (e.g. for ToC) | |
code | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 42348-3 | |
entry | C | 0..* | Reference(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-consent-core-1 | ADHA Core DocumentReference | ADHA Advance Care Planning Document DocumentReference) | A reference to data that supports this section |
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) |
section:allergies | 0..1 | BackboneElement | Allergies | |
title | 1..1 | string | Label for section (e.g. for ToC) | |
code | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2 | |
entry | C | 0..* | Reference(ADHA Core AllergyIntolerance) | A reference to data that supports this section |
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) |
section:vitalSigns | 0..1 | BackboneElement | Vital signs | |
title | 1..1 | string | Label for section (e.g. for ToC) | |
code | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8716-3 | |
entry | C | 0..* | Reference(http://hl7.org.au/fhir/core/StructureDefinition/au-core-vitalspanel | AU Core Blood Pressure | AU Core Body Weight | AU Core Body Height | http://hl7.org.au/fhir/core/StructureDefinition/au-core-bmi | http://hl7.org.au/fhir/core/StructureDefinition/au-core-oxygensat | http://hl7.org.au/fhir/core/StructureDefinition/au-core-headcircum | AU Core Heart Rate | AU Core Body Temperature | AU Core Respiration Rate) | A reference to data that supports this section |
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) |
section:medicines | C | 0..1 | BackboneElement | Medicines inv-dh-cocs-04: At most one assertion of no relevant finding shall be present and it shall assert no known current medications inv-dh-cocs-05: At most one list shall be present |
title | 1..1 | string | Label for section (e.g. for ToC) | |
code | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0 | |
entry | C | 0..* | Reference(ADHA Medication Use List | ADHA Core MedicationStatement | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding) | A reference to data that supports this section |
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) |
section:immunisations | C | 0..1 | BackboneElement | Immunisations inv-dh-cocs-08: At most one assertion of no relevant finding shall be present and it shall assert no history of vaccination inv-dh-cocs-09: At most one list shall be present |
title | 1..1 | string | Label for section (e.g. for ToC) | |
code | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11369-6 | |
entry | C | 0..* | Reference(ADHA Immunisation History List | ADHA Core Immunization | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding) | A reference to data that supports this section |
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) |
section:problems | C | 0..1 | BackboneElement | Problems or Diagnoses inv-dh-cocs-07: At most one list shall be present |
title | 1..1 | string | Label for section (e.g. for ToC) | |
code | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4 | |
entry | C | 0..* | Reference(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-condition-1 | ADHA Core Condition) | A reference to data that supports this section |
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) |
section:pastMedicalHistory | C | 0..1 | BackboneElement | Past medical history inv-dh-cocs-03: At most one list shall be present |
title | 1..1 | string | Label for section (e.g. for ToC) | |
code | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11348-0 | |
entry | C | 0..* | Reference(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-condition-1 | ADHA Core Condition) | A reference to data that supports this section |
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) |
section:procedures | C | 0..1 | BackboneElement | Procedures inv-dh-cocs-06: At most one list shall be present |
title | 1..1 | string | Label for section (e.g. for ToC) | |
code | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4 | |
entry | C | 0..* | Reference(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-procedure-1 | ADHA Core Procedure) | A reference to data that supports this section |
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) |
section:functionalStatus | 0..1 | BackboneElement | Functional Status | |
title | 1..1 | string | Label for section (e.g. for ToC) | |
code | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 46264-8 | |
entry | C | 0..* | Reference(ADHA Core Observation | ADHA Core Condition) | A reference to data that supports this section |
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) |
section:familyHistory | 0..1 | BackboneElement | Family History | |
title | 1..1 | string | Label for section (e.g. for ToC) | |
code | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10157-6 | |
entry | 0..* | Reference(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-familyhistory-core-1) | A reference to data that supports this section | |
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) |
section:socialHistory | 0..1 | BackboneElement | Social History (Lifestyle factors) | |
title | 1..1 | string | Label for section (e.g. for ToC) | |
code | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 29762-2 | |
entry | 0..* | Reference(ADHA Core Observation | http://hl7.org.au/fhir/core/StructureDefinition/au-core-alcoholstatus | AU Core Smoking Status | http://hl7.org.au/fhir/core/StructureDefinition/au-core-smokingstartdate | http://hl7.org.au/fhir/core/StructureDefinition/au-core-smokingceasedate) | A reference to data that supports this section | |
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) |
section:medicalDevices | C | 0..1 | BackboneElement | Medical devices inv-dh-cocs-10: At most one assertion of no relevant finding shall be present |
title | 1..1 | string | Label for section (e.g. for ToC) | |
code | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 46264-8 | |
entry | C | 0..* | Reference(ADHA Implantable Medical Device | http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-device-wearable-1 | http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-deviceusestatement-core-1 | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding) | A reference to data that supports this section |
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) |
section:diagnosticInvestigations | 0..1 | BackboneElement | Diagnostic Investigations (Editorial Note: The design of this section is incomplete. | |
title | 1..1 | string | Label for section (e.g. for ToC) | |
code | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2 | |
entry | C | 0..* | Reference(ADHA Core DiagnosticReport | ADHA Diagnostic Result Observation | ADHA Imaging Result Observation | ADHA Pathology Result Observation) | Diagnostic investigations |
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Composition.section:reasonForReferral.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
Composition.section:advanceCareDirectives.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
Composition.section:allergies.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
Composition.section:vitalSigns.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
Composition.section:medicines.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
Composition.section:immunisations.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
Composition.section:problems.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
Composition.section:pastMedicalHistory.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
Composition.section:procedures.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
Composition.section:functionalStatus.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
Composition.section:familyHistory.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
Composition.section:socialHistory.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
Composition.section:medicalDevices.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
Composition.section:diagnosticInvestigations.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 |
Id | Grade | Path(s) | Details | Requirements |
inv-dh-cocs-01 | error | Composition.section | A section shall at least have an entry or an empty reason : entry.exists() or emptyReason.exists() | |
inv-dh-cocs-02 | error | Composition.section | All observations shall conform one of: ADHA Simple Observation, ADHA Diagnostic Result Observation : entry.resolve().where($this is Observation).exists() implies entry.resolve().conformsTo('http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-observation-diagnosticresult-1') | |
inv-dh-cocs-03 | error | Composition.section:pastMedicalHistory | At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2 | |
inv-dh-cocs-04 | error | Composition.section:medicines | At most one assertion of no relevant finding shall be present and it shall assert no known current medications : entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) = '1200661000168107') | |
inv-dh-cocs-05 | error | Composition.section:medicines | At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2 | |
inv-dh-cocs-06 | error | Composition.section:procedures | At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2 | |
inv-dh-cocs-07 | error | Composition.section:problems | At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2 | |
inv-dh-cocs-08 | error | Composition.section:immunisations | At most one assertion of no relevant finding shall be present and it shall assert no history of vaccination : entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) = '1234401000168109') | |
inv-dh-cocs-09 | error | Composition.section:immunisations | At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2 | |
inv-dh-cocs-10 | error | Composition.section:medicalDevices | At most one assertion of no relevant finding shall be present : entry.resolve().where($this is Observation).exists() implies entry.count() < 2 |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Composition | C | 0..* | ADHACompositionDocument | Continuity of Care Summary 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 | Document sub type Binding: My Health Record Record Type (extensible) |
category | SΣ | 1..* | CodeableConcept | Categorization of Composition Binding: My Health Record Record Class (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) | Who and/or what authored the composition 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-cocs-01: A section shall at least have an entry or an empty reason inv-dh-cocs-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:reasonForReferral | SC | 0..1 | BackboneElement | Reason for referral cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 42349-1 | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | SC | 0..* | Reference(ADHA Core ServiceRequest) | A reference to data that supports this section |
reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
emptyReason | SC | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) |
section:advanceCareDirectives | SC | 0..1 | BackboneElement | Information on advance care directives. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 42348-3 | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | SC | 0..* | Reference(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-consent-core-1 | ADHA Core DocumentReference | ADHA Advance Care Planning Document DocumentReference) | A reference to data that supports this section |
reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
emptyReason | SC | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) |
section:allergies | SC | 0..1 | BackboneElement | Allergies cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2 | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | SC | 0..* | Reference(ADHA Core AllergyIntolerance) | A reference to data that supports this section |
reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
emptyReason | SC | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) |
section:vitalSigns | SC | 0..1 | BackboneElement | Vital signs cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8716-3 | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | SC | 0..* | Reference(http://hl7.org.au/fhir/core/StructureDefinition/au-core-vitalspanel | AU Core Blood Pressure | AU Core Body Weight | AU Core Body Height | http://hl7.org.au/fhir/core/StructureDefinition/au-core-bmi | http://hl7.org.au/fhir/core/StructureDefinition/au-core-oxygensat | http://hl7.org.au/fhir/core/StructureDefinition/au-core-headcircum | AU Core Heart Rate | AU Core Body Temperature | AU Core Respiration Rate) | A reference to data that supports this section |
reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
emptyReason | SC | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) |
section:medicines | SC | 0..1 | BackboneElement | Medicines cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-cocs-04: At most one assertion of no relevant finding shall be present and it shall assert no known current medications inv-dh-cocs-05: At most one list shall be present |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0 | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | SC | 0..* | Reference(ADHA Medication Use List | ADHA Core MedicationStatement | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding) | A reference to data that supports this section |
reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
emptyReason | SC | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) |
section:immunisations | SC | 0..1 | BackboneElement | Immunisations cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-cocs-08: At most one assertion of no relevant finding shall be present and it shall assert no history of vaccination inv-dh-cocs-09: At most one list shall be present |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11369-6 | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | SC | 0..* | Reference(ADHA Immunisation History List | ADHA Core Immunization | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding) | A reference to data that supports this section |
reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
emptyReason | SC | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) |
section:problems | SC | 0..1 | BackboneElement | Problems or Diagnoses cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-cocs-07: At most one list shall be present |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4 | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | SC | 0..* | Reference(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-condition-1 | ADHA Core Condition) | A reference to data that supports this section |
reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
emptyReason | SC | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) |
section:pastMedicalHistory | SC | 0..1 | BackboneElement | Past medical history cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-cocs-03: At most one list shall be present |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11348-0 | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | SC | 0..* | Reference(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-condition-1 | ADHA Core Condition) | A reference to data that supports this section |
reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
emptyReason | SC | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) |
section:procedures | SC | 0..1 | BackboneElement | Procedures cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-cocs-06: At most one list shall be present |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4 | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | SC | 0..* | Reference(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-procedure-1 | ADHA Core Procedure) | A reference to data that supports this section |
reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
emptyReason | SC | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) |
section:functionalStatus | SC | 0..1 | BackboneElement | Functional Status cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 46264-8 | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | SC | 0..* | Reference(ADHA Core Observation | ADHA Core Condition) | 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: Health Summary Non-Clinical Empty Reason (required) |
section:familyHistory | SC | 0..1 | BackboneElement | Family History cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10157-6 | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | SC | 0..* | Reference(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-familyhistory-core-1) | 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: Health Summary Non-Clinical Empty Reason (required) |
section:socialHistory | SC | 0..1 | BackboneElement | Social History (Lifestyle factors) cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 29762-2 | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | SC | 0..* | Reference(ADHA Core Observation | http://hl7.org.au/fhir/core/StructureDefinition/au-core-alcoholstatus | AU Core Smoking Status | http://hl7.org.au/fhir/core/StructureDefinition/au-core-smokingstartdate | http://hl7.org.au/fhir/core/StructureDefinition/au-core-smokingceasedate) | 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: Health Summary Non-Clinical Empty Reason (required) |
section:medicalDevices | SC | 0..1 | BackboneElement | Medical devices cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-cocs-10: At most one assertion of no relevant finding shall be present |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 46264-8 | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | SC | 0..* | Reference(ADHA Implantable Medical Device | http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-device-wearable-1 | http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-deviceusestatement-core-1 | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding) | A reference to data that supports this section |
reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
emptyReason | SC | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) |
section:diagnosticInvestigations | SC | 0..1 | BackboneElement | Diagnostic Investigations (Editorial Note: The design of this section is incomplete. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2 | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | SC | 0..* | Reference(ADHA Core DiagnosticReport | ADHA Diagnostic Result Observation | ADHA Imaging Result Observation | ADHA Pathology Result Observation) | 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: Health Summary Non-Clinical Empty Reason (required) |
Documentation for this format |
Path | Conformance | ValueSet / Code | URI |
Composition.status | required | Pattern: finalhttp://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard | |
Composition.type | extensible | MyHealthRecordRecordType https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-type-1 | |
Composition.category | extensible | MyHealthRecordRecordClass https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-class-1 | |
Composition.attester.mode | required | CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard | |
Composition.relatesTo.code | required | DocumentRelationshipTypehttp://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard | |
Composition.section.code | example | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard | |
Composition.section:reasonForReferral.code | example | Pattern: LOINC Code 42349-1http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:reasonForReferral.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
Composition.section:advanceCareDirectives.code | example | Pattern: LOINC Code 42348-3http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:advanceCareDirectives.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
Composition.section:allergies.code | example | Pattern: LOINC Code 48765-2http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:allergies.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
Composition.section:vitalSigns.code | example | Pattern: LOINC Code 8716-3http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:vitalSigns.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
Composition.section:medicines.code | example | Pattern: LOINC Code 10160-0http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:medicines.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
Composition.section:immunisations.code | example | Pattern: LOINC Code 11369-6http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:immunisations.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
Composition.section:problems.code | example | Pattern: LOINC Code 11450-4http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:problems.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
Composition.section:pastMedicalHistory.code | example | Pattern: LOINC Code 11348-0http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:pastMedicalHistory.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
Composition.section:procedures.code | example | Pattern: LOINC Code 47519-4http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:procedures.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
Composition.section:functionalStatus.code | example | Pattern: LOINC Code 46264-8http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:functionalStatus.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
Composition.section:familyHistory.code | example | Pattern: LOINC Code 10157-6http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:familyHistory.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
Composition.section:socialHistory.code | example | Pattern: LOINC Code 29762-2http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:socialHistory.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
Composition.section:medicalDevices.code | example | Pattern: LOINC Code 46264-8http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:medicalDevices.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
Composition.section:diagnosticInvestigations.code | example | Pattern: LOINC Code 30954-2http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:diagnosticInvestigations.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 |
Id | Grade | Path(s) | Details | Requirements |
inv-dh-cocs-01 | error | Composition.section | A section shall at least have an entry or an empty reason : entry.exists() or emptyReason.exists() | |
inv-dh-cocs-02 | error | Composition.section | All observations shall conform one of: ADHA Simple Observation, ADHA Diagnostic Result Observation : entry.resolve().where($this is Observation).exists() implies entry.resolve().conformsTo('http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-observation-diagnosticresult-1') | |
inv-dh-cocs-03 | error | Composition.section:pastMedicalHistory | At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2 | |
inv-dh-cocs-04 | error | Composition.section:medicines | At most one assertion of no relevant finding shall be present and it shall assert no known current medications : entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) = '1200661000168107') | |
inv-dh-cocs-05 | error | Composition.section:medicines | At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2 | |
inv-dh-cocs-06 | error | Composition.section:procedures | At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2 | |
inv-dh-cocs-07 | error | Composition.section:problems | At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2 | |
inv-dh-cocs-08 | error | Composition.section:immunisations | At most one assertion of no relevant finding shall be present and it shall assert no history of vaccination : entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) = '1234401000168109') | |
inv-dh-cocs-09 | error | Composition.section:immunisations | At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2 | |
inv-dh-cocs-10 | error | Composition.section:medicalDevices | At most one assertion of no relevant finding shall be present : entry.resolve().where($this is Observation).exists() implies entry.count() < 2 |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Composition | C | 0..* | ADHACompositionDocument | Continuity of Care Summary 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.
| |||||
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 | Document sub type Binding: My Health Record Record Type (extensible) | ||||
category | SΣ | 1..* | CodeableConcept | Categorization of Composition Binding: My Health Record Record Class (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) | Who and/or what authored the composition 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-cocs-01: A section shall at least have an entry or an empty reason inv-dh-cocs-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:reasonForReferral | SC | 0..1 | BackboneElement | Reason for referral cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Label for section (e.g. for ToC) | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 42349-1 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. 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(ADHA Core ServiceRequest) | 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: Health Summary Non-Clinical Empty Reason (required) | ||||
section | C | 0..* | See section (Composition) | Nested Section | ||||
section:advanceCareDirectives | SC | 0..1 | BackboneElement | Information on advance care directives. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Label for section (e.g. for ToC) | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 42348-3 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. 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(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-consent-core-1 | ADHA Core DocumentReference | ADHA Advance Care Planning Document DocumentReference) | A reference to data that supports this section | ||||
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: Health Summary Non-Clinical Empty Reason (required) | ||||
section | C | 0..* | See section (Composition) | Nested Section | ||||
section:allergies | SC | 0..1 | BackboneElement | Allergies cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Label for section (e.g. for ToC) | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. 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(ADHA Core AllergyIntolerance) | 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: Health Summary Non-Clinical Empty Reason (required) | ||||
section | C | 0..* | See section (Composition) | Nested Section | ||||
section:vitalSigns | SC | 0..1 | BackboneElement | Vital signs cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Label for section (e.g. for ToC) | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8716-3 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. 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(http://hl7.org.au/fhir/core/StructureDefinition/au-core-vitalspanel | AU Core Blood Pressure | AU Core Body Weight | AU Core Body Height | http://hl7.org.au/fhir/core/StructureDefinition/au-core-bmi | http://hl7.org.au/fhir/core/StructureDefinition/au-core-oxygensat | http://hl7.org.au/fhir/core/StructureDefinition/au-core-headcircum | AU Core Heart Rate | AU Core Body Temperature | AU Core Respiration Rate) | A reference to data that supports this section | ||||
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: Health Summary Non-Clinical Empty Reason (required) | ||||
section | C | 0..* | See section (Composition) | Nested Section | ||||
section:medicines | SC | 0..1 | BackboneElement | Medicines cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-cocs-04: At most one assertion of no relevant finding shall be present and it shall assert no known current medications inv-dh-cocs-05: At most one list shall be present | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Label for section (e.g. for ToC) | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. 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(ADHA Medication Use List | ADHA Core MedicationStatement | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding) | A reference to data that supports this section | ||||
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: Health Summary Non-Clinical Empty Reason (required) | ||||
section | C | 0..* | See section (Composition) | Nested Section | ||||
section:immunisations | SC | 0..1 | BackboneElement | Immunisations cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-cocs-08: At most one assertion of no relevant finding shall be present and it shall assert no history of vaccination inv-dh-cocs-09: At most one list shall be present | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Label for section (e.g. for ToC) | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11369-6 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. 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(ADHA Immunisation History List | ADHA Core Immunization | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding) | A reference to data that supports this section | ||||
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: Health Summary Non-Clinical Empty Reason (required) | ||||
section | C | 0..* | See section (Composition) | Nested Section | ||||
section:problems | SC | 0..1 | BackboneElement | Problems or Diagnoses cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-cocs-07: At most one list shall be present | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Label for section (e.g. for ToC) | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. 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(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-condition-1 | ADHA Core Condition) | 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: Health Summary Non-Clinical Empty Reason (required) | ||||
section | C | 0..* | See section (Composition) | Nested Section | ||||
section:pastMedicalHistory | SC | 0..1 | BackboneElement | Past medical history cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-cocs-03: At most one list shall be present | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Label for section (e.g. for ToC) | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11348-0 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. 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(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-condition-1 | ADHA Core Condition) | 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: Health Summary Non-Clinical Empty Reason (required) | ||||
section | C | 0..* | See section (Composition) | Nested Section | ||||
section:procedures | SC | 0..1 | BackboneElement | Procedures cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-cocs-06: At most one list shall be present | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Label for section (e.g. for ToC) | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. 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(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-procedure-1 | ADHA Core Procedure) | 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: Health Summary Non-Clinical Empty Reason (required) | ||||
section | C | 0..* | See section (Composition) | Nested Section | ||||
section:functionalStatus | SC | 0..1 | BackboneElement | Functional Status cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Label for section (e.g. for ToC) | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 46264-8 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. 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(ADHA Core Observation | ADHA Core Condition) | 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: Health Summary Non-Clinical Empty Reason (required) | ||||
section | C | 0..* | See section (Composition) | Nested Section | ||||
section:familyHistory | SC | 0..1 | BackboneElement | Family History cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Label for section (e.g. for ToC) | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10157-6 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. 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(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-familyhistory-core-1) | 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: Health Summary Non-Clinical Empty Reason (required) | ||||
section | C | 0..* | See section (Composition) | Nested Section | ||||
section:socialHistory | SC | 0..1 | BackboneElement | Social History (Lifestyle factors) cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Label for section (e.g. for ToC) | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 29762-2 | |||||
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 | 0..* | Reference(ADHA Core Observation | http://hl7.org.au/fhir/core/StructureDefinition/au-core-alcoholstatus | AU Core Smoking Status | http://hl7.org.au/fhir/core/StructureDefinition/au-core-smokingstartdate | http://hl7.org.au/fhir/core/StructureDefinition/au-core-smokingceasedate) | 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: Health Summary Non-Clinical Empty Reason (required) | ||||
section | C | 0..* | See section (Composition) | Nested Section | ||||
section:medicalDevices | SC | 0..1 | BackboneElement | Medical devices cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-cocs-10: At most one assertion of no relevant finding shall be present | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Label for section (e.g. for ToC) | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 46264-8 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. 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(ADHA Implantable Medical Device | http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-device-wearable-1 | http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-deviceusestatement-core-1 | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding) | A reference to data that supports this section | ||||
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: Health Summary Non-Clinical Empty Reason (required) | ||||
section | C | 0..* | See section (Composition) | Nested Section | ||||
section:diagnosticInvestigations | SC | 0..1 | BackboneElement | Diagnostic Investigations (Editorial Note: The design of this section is incomplete. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Label for section (e.g. for ToC) | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 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 | 0..* | Reference(ADHA Core DiagnosticReport | ADHA Diagnostic Result Observation | ADHA Imaging Result Observation | ADHA Pathology Result Observation) | 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: Health Summary Non-Clinical Empty Reason (required) | ||||
section | C | 0..* | See section (Composition) | Nested Section | ||||
Documentation for this format |
Path | Conformance | ValueSet / Code | URI | |||
Composition.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Composition.status | required | Pattern: finalhttp://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard | ||||
Composition.type | extensible | MyHealthRecordRecordType https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-type-1 | ||||
Composition.category | extensible | MyHealthRecordRecordClass https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-class-1 | ||||
Composition.attester.mode | required | CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard | ||||
Composition.relatesTo.code | required | DocumentRelationshipTypehttp://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard | ||||
Composition.event.code | example | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode | ||||
Composition.section.code | example | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section.mode | required | Fixed Value: snapshothttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard | ||||
Composition.section:reasonForReferral.code | example | Pattern: LOINC Code 42349-1http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:reasonForReferral.mode | required | Fixed Value: snapshothttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:reasonForReferral.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:reasonForReferral.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:reasonForReferral.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | ||||
Composition.section:advanceCareDirectives.code | example | Pattern: LOINC Code 42348-3http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:advanceCareDirectives.mode | required | Fixed Value: snapshothttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:advanceCareDirectives.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:advanceCareDirectives.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:advanceCareDirectives.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | ||||
Composition.section:allergies.code | example | Pattern: LOINC Code 48765-2http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:allergies.mode | required | Fixed Value: snapshothttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:allergies.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:allergies.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:allergies.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | ||||
Composition.section:vitalSigns.code | example | Pattern: LOINC Code 8716-3http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:vitalSigns.mode | required | Fixed Value: snapshothttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:vitalSigns.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:vitalSigns.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:vitalSigns.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | ||||
Composition.section:medicines.code | example | Pattern: LOINC Code 10160-0http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:medicines.mode | required | Fixed Value: snapshothttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:medicines.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:medicines.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:medicines.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | ||||
Composition.section:immunisations.code | example | Pattern: LOINC Code 11369-6http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:immunisations.mode | required | Fixed Value: snapshothttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:immunisations.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:immunisations.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:immunisations.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | ||||
Composition.section:problems.code | example | Pattern: LOINC Code 11450-4http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:problems.mode | required | Fixed Value: snapshothttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:problems.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:problems.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:problems.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | ||||
Composition.section:pastMedicalHistory.code | example | Pattern: LOINC Code 11348-0http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:pastMedicalHistory.mode | required | Fixed Value: snapshothttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:pastMedicalHistory.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:pastMedicalHistory.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:pastMedicalHistory.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | ||||
Composition.section:procedures.code | example | Pattern: LOINC Code 47519-4http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:procedures.mode | required | Fixed Value: snapshothttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:procedures.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:procedures.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:procedures.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | ||||
Composition.section:functionalStatus.code | example | Pattern: LOINC Code 46264-8http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:functionalStatus.mode | required | Fixed Value: snapshothttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:functionalStatus.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:functionalStatus.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:functionalStatus.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | ||||
Composition.section:familyHistory.code | example | Pattern: LOINC Code 10157-6http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:familyHistory.mode | required | Fixed Value: snapshothttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:familyHistory.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:familyHistory.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:familyHistory.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | ||||
Composition.section:socialHistory.code | example | Pattern: LOINC Code 29762-2http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:socialHistory.mode | required | Fixed Value: snapshothttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:socialHistory.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:socialHistory.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:socialHistory.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | ||||
Composition.section:medicalDevices.code | example | Pattern: LOINC Code 46264-8http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:medicalDevices.mode | required | Fixed Value: snapshothttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:medicalDevices.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:medicalDevices.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:medicalDevices.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | ||||
Composition.section:diagnosticInvestigations.code | example | Pattern: LOINC Code 30954-2http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:diagnosticInvestigations.mode | required | Fixed Value: snapshothttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:diagnosticInvestigations.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:diagnosticInvestigations.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:diagnosticInvestigations.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 |
Id | Grade | Path(s) | Details | Requirements |
inv-dh-cocs-01 | error | Composition.section | A section shall at least have an entry or an empty reason : entry.exists() or emptyReason.exists() | |
inv-dh-cocs-02 | error | Composition.section | All observations shall conform one of: ADHA Simple Observation, ADHA Diagnostic Result Observation : entry.resolve().where($this is Observation).exists() implies entry.resolve().conformsTo('http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-observation-diagnosticresult-1') | |
inv-dh-cocs-03 | error | Composition.section:pastMedicalHistory | At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2 | |
inv-dh-cocs-04 | error | Composition.section:medicines | At most one assertion of no relevant finding shall be present and it shall assert no known current medications : entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) = '1200661000168107') | |
inv-dh-cocs-05 | error | Composition.section:medicines | At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2 | |
inv-dh-cocs-06 | error | Composition.section:procedures | At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2 | |
inv-dh-cocs-07 | error | Composition.section:problems | At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2 | |
inv-dh-cocs-08 | error | Composition.section:immunisations | At most one assertion of no relevant finding shall be present and it shall assert no history of vaccination : entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) = '1234401000168109') | |
inv-dh-cocs-09 | error | Composition.section:immunisations | At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2 | |
inv-dh-cocs-10 | error | Composition.section:medicalDevices | At most one assertion of no relevant finding shall be present : entry.resolve().where($this is Observation).exists() implies entry.count() < 2 |
This structure is derived from ADHACompositionDocument
Summary
Mandatory: 0 element(28 nested mandatory elements)
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from ADHACompositionDocument
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Composition | 0..* | ADHACompositionDocument | Continuity of Care Summary | |
status | 1..1 | code | preliminary | final | amended | entered-in-error Required Pattern: final | |
author | 1..* | Reference(ADHA Authoring PractitionerRole) | Who and/or what authored the composition | |
Slices for section | C | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by pattern:code inv-dh-cocs-01: A section shall at least have an entry or an empty reason inv-dh-cocs-02: All observations shall conform one of: ADHA Simple Observation, ADHA Diagnostic Result Observation |
section:reasonForReferral | 0..1 | BackboneElement | Reason for referral | |
title | 1..1 | string | Label for section (e.g. for ToC) | |
code | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 42349-1 | |
entry | C | 0..* | Reference(ADHA Core ServiceRequest) | A reference to data that supports this section |
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) |
section:advanceCareDirectives | 0..1 | BackboneElement | Information on advance care directives. | |
title | 1..1 | string | Label for section (e.g. for ToC) | |
code | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 42348-3 | |
entry | C | 0..* | Reference(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-consent-core-1 | ADHA Core DocumentReference | ADHA Advance Care Planning Document DocumentReference) | A reference to data that supports this section |
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) |
section:allergies | 0..1 | BackboneElement | Allergies | |
title | 1..1 | string | Label for section (e.g. for ToC) | |
code | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2 | |
entry | C | 0..* | Reference(ADHA Core AllergyIntolerance) | A reference to data that supports this section |
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) |
section:vitalSigns | 0..1 | BackboneElement | Vital signs | |
title | 1..1 | string | Label for section (e.g. for ToC) | |
code | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8716-3 | |
entry | C | 0..* | Reference(http://hl7.org.au/fhir/core/StructureDefinition/au-core-vitalspanel | AU Core Blood Pressure | AU Core Body Weight | AU Core Body Height | http://hl7.org.au/fhir/core/StructureDefinition/au-core-bmi | http://hl7.org.au/fhir/core/StructureDefinition/au-core-oxygensat | http://hl7.org.au/fhir/core/StructureDefinition/au-core-headcircum | AU Core Heart Rate | AU Core Body Temperature | AU Core Respiration Rate) | A reference to data that supports this section |
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) |
section:medicines | C | 0..1 | BackboneElement | Medicines inv-dh-cocs-04: At most one assertion of no relevant finding shall be present and it shall assert no known current medications inv-dh-cocs-05: At most one list shall be present |
title | 1..1 | string | Label for section (e.g. for ToC) | |
code | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0 | |
entry | C | 0..* | Reference(ADHA Medication Use List | ADHA Core MedicationStatement | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding) | A reference to data that supports this section |
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) |
section:immunisations | C | 0..1 | BackboneElement | Immunisations inv-dh-cocs-08: At most one assertion of no relevant finding shall be present and it shall assert no history of vaccination inv-dh-cocs-09: At most one list shall be present |
title | 1..1 | string | Label for section (e.g. for ToC) | |
code | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11369-6 | |
entry | C | 0..* | Reference(ADHA Immunisation History List | ADHA Core Immunization | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding) | A reference to data that supports this section |
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) |
section:problems | C | 0..1 | BackboneElement | Problems or Diagnoses inv-dh-cocs-07: At most one list shall be present |
title | 1..1 | string | Label for section (e.g. for ToC) | |
code | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4 | |
entry | C | 0..* | Reference(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-condition-1 | ADHA Core Condition) | A reference to data that supports this section |
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) |
section:pastMedicalHistory | C | 0..1 | BackboneElement | Past medical history inv-dh-cocs-03: At most one list shall be present |
title | 1..1 | string | Label for section (e.g. for ToC) | |
code | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11348-0 | |
entry | C | 0..* | Reference(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-condition-1 | ADHA Core Condition) | A reference to data that supports this section |
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) |
section:procedures | C | 0..1 | BackboneElement | Procedures inv-dh-cocs-06: At most one list shall be present |
title | 1..1 | string | Label for section (e.g. for ToC) | |
code | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4 | |
entry | C | 0..* | Reference(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-procedure-1 | ADHA Core Procedure) | A reference to data that supports this section |
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) |
section:functionalStatus | 0..1 | BackboneElement | Functional Status | |
title | 1..1 | string | Label for section (e.g. for ToC) | |
code | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 46264-8 | |
entry | C | 0..* | Reference(ADHA Core Observation | ADHA Core Condition) | A reference to data that supports this section |
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) |
section:familyHistory | 0..1 | BackboneElement | Family History | |
title | 1..1 | string | Label for section (e.g. for ToC) | |
code | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10157-6 | |
entry | 0..* | Reference(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-familyhistory-core-1) | A reference to data that supports this section | |
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) |
section:socialHistory | 0..1 | BackboneElement | Social History (Lifestyle factors) | |
title | 1..1 | string | Label for section (e.g. for ToC) | |
code | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 29762-2 | |
entry | 0..* | Reference(ADHA Core Observation | http://hl7.org.au/fhir/core/StructureDefinition/au-core-alcoholstatus | AU Core Smoking Status | http://hl7.org.au/fhir/core/StructureDefinition/au-core-smokingstartdate | http://hl7.org.au/fhir/core/StructureDefinition/au-core-smokingceasedate) | A reference to data that supports this section | |
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) |
section:medicalDevices | C | 0..1 | BackboneElement | Medical devices inv-dh-cocs-10: At most one assertion of no relevant finding shall be present |
title | 1..1 | string | Label for section (e.g. for ToC) | |
code | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 46264-8 | |
entry | C | 0..* | Reference(ADHA Implantable Medical Device | http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-device-wearable-1 | http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-deviceusestatement-core-1 | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding) | A reference to data that supports this section |
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) |
section:diagnosticInvestigations | 0..1 | BackboneElement | Diagnostic Investigations (Editorial Note: The design of this section is incomplete. | |
title | 1..1 | string | Label for section (e.g. for ToC) | |
code | 1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2 | |
entry | C | 0..* | Reference(ADHA Core DiagnosticReport | ADHA Diagnostic Result Observation | ADHA Imaging Result Observation | ADHA Pathology Result Observation) | Diagnostic investigations |
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Composition.section:reasonForReferral.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
Composition.section:advanceCareDirectives.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
Composition.section:allergies.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
Composition.section:vitalSigns.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
Composition.section:medicines.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
Composition.section:immunisations.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
Composition.section:problems.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
Composition.section:pastMedicalHistory.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
Composition.section:procedures.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
Composition.section:functionalStatus.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
Composition.section:familyHistory.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
Composition.section:socialHistory.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
Composition.section:medicalDevices.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
Composition.section:diagnosticInvestigations.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 |
Id | Grade | Path(s) | Details | Requirements |
inv-dh-cocs-01 | error | Composition.section | A section shall at least have an entry or an empty reason : entry.exists() or emptyReason.exists() | |
inv-dh-cocs-02 | error | Composition.section | All observations shall conform one of: ADHA Simple Observation, ADHA Diagnostic Result Observation : entry.resolve().where($this is Observation).exists() implies entry.resolve().conformsTo('http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-observation-diagnosticresult-1') | |
inv-dh-cocs-03 | error | Composition.section:pastMedicalHistory | At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2 | |
inv-dh-cocs-04 | error | Composition.section:medicines | At most one assertion of no relevant finding shall be present and it shall assert no known current medications : entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) = '1200661000168107') | |
inv-dh-cocs-05 | error | Composition.section:medicines | At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2 | |
inv-dh-cocs-06 | error | Composition.section:procedures | At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2 | |
inv-dh-cocs-07 | error | Composition.section:problems | At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2 | |
inv-dh-cocs-08 | error | Composition.section:immunisations | At most one assertion of no relevant finding shall be present and it shall assert no history of vaccination : entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) = '1234401000168109') | |
inv-dh-cocs-09 | error | Composition.section:immunisations | At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2 | |
inv-dh-cocs-10 | error | Composition.section:medicalDevices | At most one assertion of no relevant finding shall be present : entry.resolve().where($this is Observation).exists() implies entry.count() < 2 |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Composition | C | 0..* | ADHACompositionDocument | Continuity of Care Summary 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 | Document sub type Binding: My Health Record Record Type (extensible) |
category | SΣ | 1..* | CodeableConcept | Categorization of Composition Binding: My Health Record Record Class (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) | Who and/or what authored the composition 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-cocs-01: A section shall at least have an entry or an empty reason inv-dh-cocs-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:reasonForReferral | SC | 0..1 | BackboneElement | Reason for referral cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 42349-1 | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | SC | 0..* | Reference(ADHA Core ServiceRequest) | A reference to data that supports this section |
reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
emptyReason | SC | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) |
section:advanceCareDirectives | SC | 0..1 | BackboneElement | Information on advance care directives. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 42348-3 | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | SC | 0..* | Reference(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-consent-core-1 | ADHA Core DocumentReference | ADHA Advance Care Planning Document DocumentReference) | A reference to data that supports this section |
reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
emptyReason | SC | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) |
section:allergies | SC | 0..1 | BackboneElement | Allergies cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2 | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | SC | 0..* | Reference(ADHA Core AllergyIntolerance) | A reference to data that supports this section |
reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
emptyReason | SC | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) |
section:vitalSigns | SC | 0..1 | BackboneElement | Vital signs cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8716-3 | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | SC | 0..* | Reference(http://hl7.org.au/fhir/core/StructureDefinition/au-core-vitalspanel | AU Core Blood Pressure | AU Core Body Weight | AU Core Body Height | http://hl7.org.au/fhir/core/StructureDefinition/au-core-bmi | http://hl7.org.au/fhir/core/StructureDefinition/au-core-oxygensat | http://hl7.org.au/fhir/core/StructureDefinition/au-core-headcircum | AU Core Heart Rate | AU Core Body Temperature | AU Core Respiration Rate) | A reference to data that supports this section |
reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
emptyReason | SC | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) |
section:medicines | SC | 0..1 | BackboneElement | Medicines cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-cocs-04: At most one assertion of no relevant finding shall be present and it shall assert no known current medications inv-dh-cocs-05: At most one list shall be present |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0 | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | SC | 0..* | Reference(ADHA Medication Use List | ADHA Core MedicationStatement | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding) | A reference to data that supports this section |
reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
emptyReason | SC | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) |
section:immunisations | SC | 0..1 | BackboneElement | Immunisations cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-cocs-08: At most one assertion of no relevant finding shall be present and it shall assert no history of vaccination inv-dh-cocs-09: At most one list shall be present |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11369-6 | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | SC | 0..* | Reference(ADHA Immunisation History List | ADHA Core Immunization | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding) | A reference to data that supports this section |
reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
emptyReason | SC | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) |
section:problems | SC | 0..1 | BackboneElement | Problems or Diagnoses cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-cocs-07: At most one list shall be present |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4 | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | SC | 0..* | Reference(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-condition-1 | ADHA Core Condition) | A reference to data that supports this section |
reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
emptyReason | SC | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) |
section:pastMedicalHistory | SC | 0..1 | BackboneElement | Past medical history cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-cocs-03: At most one list shall be present |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11348-0 | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | SC | 0..* | Reference(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-condition-1 | ADHA Core Condition) | A reference to data that supports this section |
reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
emptyReason | SC | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) |
section:procedures | SC | 0..1 | BackboneElement | Procedures cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-cocs-06: At most one list shall be present |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4 | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | SC | 0..* | Reference(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-procedure-1 | ADHA Core Procedure) | A reference to data that supports this section |
reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
emptyReason | SC | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) |
section:functionalStatus | SC | 0..1 | BackboneElement | Functional Status cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 46264-8 | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | SC | 0..* | Reference(ADHA Core Observation | ADHA Core Condition) | 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: Health Summary Non-Clinical Empty Reason (required) |
section:familyHistory | SC | 0..1 | BackboneElement | Family History cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10157-6 | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | SC | 0..* | Reference(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-familyhistory-core-1) | 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: Health Summary Non-Clinical Empty Reason (required) |
section:socialHistory | SC | 0..1 | BackboneElement | Social History (Lifestyle factors) cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 29762-2 | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | SC | 0..* | Reference(ADHA Core Observation | http://hl7.org.au/fhir/core/StructureDefinition/au-core-alcoholstatus | AU Core Smoking Status | http://hl7.org.au/fhir/core/StructureDefinition/au-core-smokingstartdate | http://hl7.org.au/fhir/core/StructureDefinition/au-core-smokingceasedate) | 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: Health Summary Non-Clinical Empty Reason (required) |
section:medicalDevices | SC | 0..1 | BackboneElement | Medical devices cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-cocs-10: At most one assertion of no relevant finding shall be present |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 46264-8 | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | SC | 0..* | Reference(ADHA Implantable Medical Device | http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-device-wearable-1 | http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-deviceusestatement-core-1 | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding) | A reference to data that supports this section |
reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
emptyReason | SC | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) |
section:diagnosticInvestigations | SC | 0..1 | BackboneElement | Diagnostic Investigations (Editorial Note: The design of this section is incomplete. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
title | S | 1..1 | string | Label for section (e.g. for ToC) |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2 | |
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
entry | SC | 0..* | Reference(ADHA Core DiagnosticReport | ADHA Diagnostic Result Observation | ADHA Imaging Result Observation | ADHA Pathology Result Observation) | 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: Health Summary Non-Clinical Empty Reason (required) |
Documentation for this format |
Path | Conformance | ValueSet / Code | URI |
Composition.status | required | Pattern: finalhttp://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard | |
Composition.type | extensible | MyHealthRecordRecordType https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-type-1 | |
Composition.category | extensible | MyHealthRecordRecordClass https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-class-1 | |
Composition.attester.mode | required | CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard | |
Composition.relatesTo.code | required | DocumentRelationshipTypehttp://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard | |
Composition.section.code | example | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard | |
Composition.section:reasonForReferral.code | example | Pattern: LOINC Code 42349-1http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:reasonForReferral.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
Composition.section:advanceCareDirectives.code | example | Pattern: LOINC Code 42348-3http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:advanceCareDirectives.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
Composition.section:allergies.code | example | Pattern: LOINC Code 48765-2http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:allergies.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
Composition.section:vitalSigns.code | example | Pattern: LOINC Code 8716-3http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:vitalSigns.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
Composition.section:medicines.code | example | Pattern: LOINC Code 10160-0http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:medicines.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
Composition.section:immunisations.code | example | Pattern: LOINC Code 11369-6http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:immunisations.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
Composition.section:problems.code | example | Pattern: LOINC Code 11450-4http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:problems.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
Composition.section:pastMedicalHistory.code | example | Pattern: LOINC Code 11348-0http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:pastMedicalHistory.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
Composition.section:procedures.code | example | Pattern: LOINC Code 47519-4http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:procedures.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
Composition.section:functionalStatus.code | example | Pattern: LOINC Code 46264-8http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:functionalStatus.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
Composition.section:familyHistory.code | example | Pattern: LOINC Code 10157-6http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:familyHistory.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
Composition.section:socialHistory.code | example | Pattern: LOINC Code 29762-2http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:socialHistory.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
Composition.section:medicalDevices.code | example | Pattern: LOINC Code 46264-8http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:medicalDevices.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
Composition.section:diagnosticInvestigations.code | example | Pattern: LOINC Code 30954-2http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:diagnosticInvestigations.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 |
Id | Grade | Path(s) | Details | Requirements |
inv-dh-cocs-01 | error | Composition.section | A section shall at least have an entry or an empty reason : entry.exists() or emptyReason.exists() | |
inv-dh-cocs-02 | error | Composition.section | All observations shall conform one of: ADHA Simple Observation, ADHA Diagnostic Result Observation : entry.resolve().where($this is Observation).exists() implies entry.resolve().conformsTo('http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-observation-diagnosticresult-1') | |
inv-dh-cocs-03 | error | Composition.section:pastMedicalHistory | At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2 | |
inv-dh-cocs-04 | error | Composition.section:medicines | At most one assertion of no relevant finding shall be present and it shall assert no known current medications : entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) = '1200661000168107') | |
inv-dh-cocs-05 | error | Composition.section:medicines | At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2 | |
inv-dh-cocs-06 | error | Composition.section:procedures | At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2 | |
inv-dh-cocs-07 | error | Composition.section:problems | At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2 | |
inv-dh-cocs-08 | error | Composition.section:immunisations | At most one assertion of no relevant finding shall be present and it shall assert no history of vaccination : entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) = '1234401000168109') | |
inv-dh-cocs-09 | error | Composition.section:immunisations | At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2 | |
inv-dh-cocs-10 | error | Composition.section:medicalDevices | At most one assertion of no relevant finding shall be present : entry.resolve().where($this is Observation).exists() implies entry.count() < 2 |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Composition | C | 0..* | ADHACompositionDocument | Continuity of Care Summary 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.
| |||||
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 | Document sub type Binding: My Health Record Record Type (extensible) | ||||
category | SΣ | 1..* | CodeableConcept | Categorization of Composition Binding: My Health Record Record Class (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) | Who and/or what authored the composition 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-cocs-01: A section shall at least have an entry or an empty reason inv-dh-cocs-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:reasonForReferral | SC | 0..1 | BackboneElement | Reason for referral cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Label for section (e.g. for ToC) | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 42349-1 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. 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(ADHA Core ServiceRequest) | 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: Health Summary Non-Clinical Empty Reason (required) | ||||
section | C | 0..* | See section (Composition) | Nested Section | ||||
section:advanceCareDirectives | SC | 0..1 | BackboneElement | Information on advance care directives. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Label for section (e.g. for ToC) | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 42348-3 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. 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(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-consent-core-1 | ADHA Core DocumentReference | ADHA Advance Care Planning Document DocumentReference) | A reference to data that supports this section | ||||
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: Health Summary Non-Clinical Empty Reason (required) | ||||
section | C | 0..* | See section (Composition) | Nested Section | ||||
section:allergies | SC | 0..1 | BackboneElement | Allergies cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Label for section (e.g. for ToC) | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. 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(ADHA Core AllergyIntolerance) | 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: Health Summary Non-Clinical Empty Reason (required) | ||||
section | C | 0..* | See section (Composition) | Nested Section | ||||
section:vitalSigns | SC | 0..1 | BackboneElement | Vital signs cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Label for section (e.g. for ToC) | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8716-3 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. 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(http://hl7.org.au/fhir/core/StructureDefinition/au-core-vitalspanel | AU Core Blood Pressure | AU Core Body Weight | AU Core Body Height | http://hl7.org.au/fhir/core/StructureDefinition/au-core-bmi | http://hl7.org.au/fhir/core/StructureDefinition/au-core-oxygensat | http://hl7.org.au/fhir/core/StructureDefinition/au-core-headcircum | AU Core Heart Rate | AU Core Body Temperature | AU Core Respiration Rate) | A reference to data that supports this section | ||||
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: Health Summary Non-Clinical Empty Reason (required) | ||||
section | C | 0..* | See section (Composition) | Nested Section | ||||
section:medicines | SC | 0..1 | BackboneElement | Medicines cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-cocs-04: At most one assertion of no relevant finding shall be present and it shall assert no known current medications inv-dh-cocs-05: At most one list shall be present | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Label for section (e.g. for ToC) | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. 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(ADHA Medication Use List | ADHA Core MedicationStatement | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding) | A reference to data that supports this section | ||||
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: Health Summary Non-Clinical Empty Reason (required) | ||||
section | C | 0..* | See section (Composition) | Nested Section | ||||
section:immunisations | SC | 0..1 | BackboneElement | Immunisations cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-cocs-08: At most one assertion of no relevant finding shall be present and it shall assert no history of vaccination inv-dh-cocs-09: At most one list shall be present | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Label for section (e.g. for ToC) | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11369-6 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. 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(ADHA Immunisation History List | ADHA Core Immunization | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding) | A reference to data that supports this section | ||||
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: Health Summary Non-Clinical Empty Reason (required) | ||||
section | C | 0..* | See section (Composition) | Nested Section | ||||
section:problems | SC | 0..1 | BackboneElement | Problems or Diagnoses cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-cocs-07: At most one list shall be present | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Label for section (e.g. for ToC) | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. 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(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-condition-1 | ADHA Core Condition) | 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: Health Summary Non-Clinical Empty Reason (required) | ||||
section | C | 0..* | See section (Composition) | Nested Section | ||||
section:pastMedicalHistory | SC | 0..1 | BackboneElement | Past medical history cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-cocs-03: At most one list shall be present | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Label for section (e.g. for ToC) | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 11348-0 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. 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(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-condition-1 | ADHA Core Condition) | 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: Health Summary Non-Clinical Empty Reason (required) | ||||
section | C | 0..* | See section (Composition) | Nested Section | ||||
section:procedures | SC | 0..1 | BackboneElement | Procedures cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-cocs-06: At most one list shall be present | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Label for section (e.g. for ToC) | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. 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(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-procedure-1 | ADHA Core Procedure) | 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: Health Summary Non-Clinical Empty Reason (required) | ||||
section | C | 0..* | See section (Composition) | Nested Section | ||||
section:functionalStatus | SC | 0..1 | BackboneElement | Functional Status cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Label for section (e.g. for ToC) | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 46264-8 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. 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(ADHA Core Observation | ADHA Core Condition) | 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: Health Summary Non-Clinical Empty Reason (required) | ||||
section | C | 0..* | See section (Composition) | Nested Section | ||||
section:familyHistory | SC | 0..1 | BackboneElement | Family History cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Label for section (e.g. for ToC) | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 10157-6 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. 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(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-familyhistory-core-1) | 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: Health Summary Non-Clinical Empty Reason (required) | ||||
section | C | 0..* | See section (Composition) | Nested Section | ||||
section:socialHistory | SC | 0..1 | BackboneElement | Social History (Lifestyle factors) cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Label for section (e.g. for ToC) | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 29762-2 | |||||
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 | 0..* | Reference(ADHA Core Observation | http://hl7.org.au/fhir/core/StructureDefinition/au-core-alcoholstatus | AU Core Smoking Status | http://hl7.org.au/fhir/core/StructureDefinition/au-core-smokingstartdate | http://hl7.org.au/fhir/core/StructureDefinition/au-core-smokingceasedate) | 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: Health Summary Non-Clinical Empty Reason (required) | ||||
section | C | 0..* | See section (Composition) | Nested Section | ||||
section:medicalDevices | SC | 0..1 | BackboneElement | Medical devices cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-cocs-10: At most one assertion of no relevant finding shall be present | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Label for section (e.g. for ToC) | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 46264-8 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. 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(ADHA Implantable Medical Device | http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-device-wearable-1 | http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-deviceusestatement-core-1 | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding) | A reference to data that supports this section | ||||
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: Health Summary Non-Clinical Empty Reason (required) | ||||
section | C | 0..* | See section (Composition) | Nested Section | ||||
section:diagnosticInvestigations | SC | 0..1 | BackboneElement | Diagnostic Investigations (Editorial Note: The design of this section is incomplete. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | S | 1..1 | string | Label for section (e.g. for ToC) | ||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 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 | 0..* | Reference(ADHA Core DiagnosticReport | ADHA Diagnostic Result Observation | ADHA Imaging Result Observation | ADHA Pathology Result Observation) | 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: Health Summary Non-Clinical Empty Reason (required) | ||||
section | C | 0..* | See section (Composition) | Nested Section | ||||
Documentation for this format |
Path | Conformance | ValueSet / Code | URI | |||
Composition.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Composition.status | required | Pattern: finalhttp://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard | ||||
Composition.type | extensible | MyHealthRecordRecordType https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-type-1 | ||||
Composition.category | extensible | MyHealthRecordRecordClass https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-class-1 | ||||
Composition.attester.mode | required | CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard | ||||
Composition.relatesTo.code | required | DocumentRelationshipTypehttp://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard | ||||
Composition.event.code | example | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode | ||||
Composition.section.code | example | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section.mode | required | Fixed Value: snapshothttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard | ||||
Composition.section:reasonForReferral.code | example | Pattern: LOINC Code 42349-1http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:reasonForReferral.mode | required | Fixed Value: snapshothttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:reasonForReferral.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:reasonForReferral.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:reasonForReferral.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | ||||
Composition.section:advanceCareDirectives.code | example | Pattern: LOINC Code 42348-3http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:advanceCareDirectives.mode | required | Fixed Value: snapshothttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:advanceCareDirectives.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:advanceCareDirectives.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:advanceCareDirectives.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | ||||
Composition.section:allergies.code | example | Pattern: LOINC Code 48765-2http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:allergies.mode | required | Fixed Value: snapshothttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:allergies.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:allergies.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:allergies.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | ||||
Composition.section:vitalSigns.code | example | Pattern: LOINC Code 8716-3http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:vitalSigns.mode | required | Fixed Value: snapshothttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:vitalSigns.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:vitalSigns.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:vitalSigns.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | ||||
Composition.section:medicines.code | example | Pattern: LOINC Code 10160-0http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:medicines.mode | required | Fixed Value: snapshothttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:medicines.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:medicines.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:medicines.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | ||||
Composition.section:immunisations.code | example | Pattern: LOINC Code 11369-6http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:immunisations.mode | required | Fixed Value: snapshothttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:immunisations.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:immunisations.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:immunisations.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | ||||
Composition.section:problems.code | example | Pattern: LOINC Code 11450-4http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:problems.mode | required | Fixed Value: snapshothttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:problems.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:problems.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:problems.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | ||||
Composition.section:pastMedicalHistory.code | example | Pattern: LOINC Code 11348-0http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:pastMedicalHistory.mode | required | Fixed Value: snapshothttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:pastMedicalHistory.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:pastMedicalHistory.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:pastMedicalHistory.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | ||||
Composition.section:procedures.code | example | Pattern: LOINC Code 47519-4http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:procedures.mode | required | Fixed Value: snapshothttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:procedures.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:procedures.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:procedures.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | ||||
Composition.section:functionalStatus.code | example | Pattern: LOINC Code 46264-8http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:functionalStatus.mode | required | Fixed Value: snapshothttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:functionalStatus.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:functionalStatus.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:functionalStatus.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | ||||
Composition.section:familyHistory.code | example | Pattern: LOINC Code 10157-6http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:familyHistory.mode | required | Fixed Value: snapshothttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:familyHistory.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:familyHistory.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:familyHistory.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | ||||
Composition.section:socialHistory.code | example | Pattern: LOINC Code 29762-2http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:socialHistory.mode | required | Fixed Value: snapshothttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:socialHistory.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:socialHistory.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:socialHistory.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | ||||
Composition.section:medicalDevices.code | example | Pattern: LOINC Code 46264-8http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:medicalDevices.mode | required | Fixed Value: snapshothttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:medicalDevices.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:medicalDevices.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:medicalDevices.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | ||||
Composition.section:diagnosticInvestigations.code | example | Pattern: LOINC Code 30954-2http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | ||||
Composition.section:diagnosticInvestigations.mode | required | Fixed Value: snapshothttp://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard | ||||
Composition.section:diagnosticInvestigations.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-order from the FHIR Standard | ||||
Composition.section:diagnosticInvestigations.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
Composition.section:diagnosticInvestigations.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 |
Id | Grade | Path(s) | Details | Requirements |
inv-dh-cocs-01 | error | Composition.section | A section shall at least have an entry or an empty reason : entry.exists() or emptyReason.exists() | |
inv-dh-cocs-02 | error | Composition.section | All observations shall conform one of: ADHA Simple Observation, ADHA Diagnostic Result Observation : entry.resolve().where($this is Observation).exists() implies entry.resolve().conformsTo('http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-observation-diagnosticresult-1') | |
inv-dh-cocs-03 | error | Composition.section:pastMedicalHistory | At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2 | |
inv-dh-cocs-04 | error | Composition.section:medicines | At most one assertion of no relevant finding shall be present and it shall assert no known current medications : entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) = '1200661000168107') | |
inv-dh-cocs-05 | error | Composition.section:medicines | At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2 | |
inv-dh-cocs-06 | error | Composition.section:procedures | At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2 | |
inv-dh-cocs-07 | error | Composition.section:problems | At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2 | |
inv-dh-cocs-08 | error | Composition.section:immunisations | At most one assertion of no relevant finding shall be present and it shall assert no history of vaccination : entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) = '1234401000168109') | |
inv-dh-cocs-09 | error | Composition.section:immunisations | At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2 | |
inv-dh-cocs-10 | error | Composition.section:medicalDevices | At most one assertion of no relevant finding shall be present : entry.resolve().where($this is Observation).exists() implies entry.count() < 2 |
This structure is derived from ADHACompositionDocument
Summary
Mandatory: 0 element(28 nested mandatory elements)
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
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 |
The following search parameters and search parameter combinations SHALL be supported:
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)
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)
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|18842-5
Implementation Notes: Fetches a bundle of all Composition resources with the category of "Discharge summary" for the specified patient (how to search by :identifier and how to search by token)
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=http://loinc.org|18842-5
Implementation Notes: Fetches a bundle of all Composition resources with the type of an 18842-5 (Discharge summary) for the specified patient (how to search by :identifier and how to search by token)
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)