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-dr-1 | Version: 0.0.1 | |||
| Draft as of 2024-12-19 | Computable Name: ADHACompositionDR | |||
Copyright/Legal: Copyright © 2022 Australian Digital Health Agency - All rights reserved. This content is licensed under a Creative Commons Attribution 4.0 International License. See https://creativecommons.org/licenses/by/4.0/. |
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The purpose of this profile is to define a representation of a Diagnostic Report document for the electronic exchange of health information between individuals, healthcare providers, and the My Health Record system infrastructure in Australia. A composition is a set of resources composed into a single coherent clinical statement that may have clinical attestation. This profile is intended to be capable of supporting reporting for specialist and other diagnostic disciplines, pathology disciplines, and imaging disciplines.
This profile identifies the additional constraints, extensions, and value sets that build on and extend Composition that are supported.
This profile supports the equivalent of a HL7 CDA instance conformance Level 3A or 3B clinical document as defined in the Agency's Common Conformance Profile for Clinical Documents.
This profile is designed to set a Composition standard for:
This profile may be referred to by APIs, which will be listed here when available.
None.
This profile is not referenced by another profile in this implementation guide.
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 | Diagnostic Report Document | |
  status |
1..1 | code | preliminary | final | amended | entered-in-error Required Pattern: final | |
| type |
1..1 | CodeableConcept | Sub type of diagnostic report Binding: https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-type-1 (extensible) | |
| category |
1..* | CodeableConcept | Type of diagnostic report Binding: https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-class-1 (extensible) | |
 author |
1..* | Reference(ADHA Authoring PractitionerRole) | Author of the referenced diagnostic report | |
  Slices for section |
C | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by pattern:code inv-dh-dr-01: A section shall at least have an entry or an empty reason inv-dh-dr-02: All observations shall conform one of: ADHA Simple Observation, ADHA Diagnostic Result Observation |
   section:diagnosticInvestigations |
1..1 | BackboneElement | Results of diagnostic investigations. | |
 title |
1..1 | string | Label for section (e.g. for ToC) | |
 code |
0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
  coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
 code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2 | |
 entry |
C | 1..* | Reference(ADHA Core DiagnosticReport | ADHA Pathology Report) | Diagnostic investigations |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Composition.type | extensible | https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-type-1https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-type-1 | |
| Composition.category | extensible | https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-class-1https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-class-1 |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Composition |
C | 0..* | ADHACompositionDocument | Diagnostic Report Document dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management inv-dh-doc-01: If present, an information recipient shall at least have a reference, an identifier or a display inv-dh-doc-02: Sections shall be unique by code |
 implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children |
 Slices for extension |
Content/Rules for all slices | |||
  informationRecipient |
SC | 0..* | Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization) | Information recipient URL: http://hl7.org.au/fhir/StructureDefinition/information-recipient ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
 identifier |
SΣ | 1..1 | Identifier | Version-independent identifier for the Composition ele-1: All FHIR elements must have a @value or children |
| status |
?!SΣ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. ele-1: All FHIR elements must have a @value or children Required Pattern: final |
| type |
SΣ | 1..1 | CodeableConcept | Sub type of diagnostic report Binding: https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-type-1 (extensible) ele-1: All FHIR elements must have a @value or children |
| category |
SΣ | 1..* | CodeableConcept | Type of diagnostic report Binding: https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-class-1 (extensible) ele-1: All FHIR elements must have a @value or children |
| subject |
SΣC | 1..1 | Reference(ADHA Core Patient) | Who and/or what the composition is about ele-1: All FHIR elements must have a @value or children inv-dh-doc-03: At least reference or a valid identifier shall be present |
| encounter |
SΣ | 0..1 | Reference(ADHA Core Encounter) | Context of the Composition ele-1: All FHIR elements must have a @value or children |
| date |
SΣC | 1..1 | dateTime | Composition editing time ele-1: All FHIR elements must have a @value or children inv-dh-doc-07: Date shall be at least to day |
| author |
SΣC | 1..* | Reference(ADHA Authoring PractitionerRole) | Author of the referenced diagnostic report ele-1: All FHIR elements must have a @value or children inv-dh-doc-04: At least reference or a valid identifier shall be present |
| title |
SΣ | 1..1 | string | Human Readable name/title ele-1: All FHIR elements must have a @value or children |
| attester |
SC | 0..* | BackboneElement | Attests to accuracy of composition ele-1: All FHIR elements must have a @value or children inv-dh-doc-05: The party shall at least have a reference or a valid identifier |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| mode |
S | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. ele-1: All FHIR elements must have a @value or children |
| time |
S | 1..1 | dateTime | When the composition was attested ele-1: All FHIR elements must have a @value or children |
| party |
SC | 1..1 | Reference(ADHA Authoring PractitionerRole | ADHA Core Patient | ADHA Authoring RelatedPerson | ADHA Core Organization) | Who attested the composition ele-1: All FHIR elements must have a @value or children |
| custodian |
SΣC | 1..1 | Reference(ADHA Core Organization) | Organization which maintains the composition ele-1: All FHIR elements must have a @value or children inv-dh-doc-06: At least reference or a valid identifier shall be present |
| relatesTo |
S | 0..* | BackboneElement | Relationships to other compositions/documents ele-1: All FHIR elements must have a @value or children |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| code |
S | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. ele-1: All FHIR elements must have a @value or children |
 target[x] |
S | 1..1 | Target of the relationship ele-1: All FHIR elements must have a @value or children | |
| targetIdentifier |
Identifier | |||
| targetReference |
Reference(ADHA Core Composition) | |||
| 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 ele-1: All FHIR elements must have a @value or children inv-dh-dr-01: A section shall at least have an entry or an empty reason inv-dh-dr-02: All observations shall conform one of: ADHA Simple Observation, ADHA Diagnostic Result Observation |
 section:All Slices |
Content/Rules for all slices | |||
  modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| title |
S | 0..1 | string | Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children |
| code |
S | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children |
| text |
SC | 0..1 | Narrative | Text summary of the section, for human interpretation ele-1: All FHIR elements must have a @value or children |
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. ele-1: All FHIR elements must have a @value or children Fixed Value: snapshot | |
| entry |
SC | 0..* | Reference(Resource) | A reference to data that supports this section ele-1: All FHIR elements must have a @value or children |
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children |
| emptyReason |
SC | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. ele-1: All FHIR elements must have a @value or children |
| section:diagnosticInvestigations |
SC | 1..1 | BackboneElement | Results of diagnostic investigations. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| title |
S | 1..1 | string | Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children |
| code |
S | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: 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 ele-1: All FHIR elements must have a @value or children |
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. ele-1: All FHIR elements must have a @value or children Fixed Value: snapshot | |
| entry |
SC | 1..* | Reference(ADHA Core DiagnosticReport | ADHA Pathology Report) | Diagnostic investigations ele-1: All FHIR elements must have a @value or children |
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children |
| emptyReason |
SC | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. ele-1: All FHIR elements must have a @value or children |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Composition.status | required | Pattern: finalhttp://hl7.org/fhir/ValueSet/composition-status|4.0.1from the FHIR Standard | |
| Composition.type | extensible | https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-type-1https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-type-1 | |
| Composition.category | extensible | https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-class-1https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-class-1 | |
| Composition.attester.mode | required | CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1from the FHIR Standard | |
| Composition.relatesTo.code | required | DocumentRelationshipTypehttp://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1from the FHIR Standard | |
| Composition.section.code | example | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | |
| Composition.section.mode | required | Fixed Value: snapshothttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | |
| Composition.section.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard | |
| Composition.section:diagnosticInvestigations.code | example | Pattern: LOINC Code 30954-2http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | |
| Composition.section:diagnosticInvestigations.mode | required | Fixed Value: snapshothttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | |
| Composition.section:diagnosticInvestigations.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Composition |
C | 0..* | ADHACompositionDocument | Diagnostic Report Document inv-dh-doc-01: If present, an information recipient shall at least have a reference, an identifier or a display inv-dh-doc-02: Sections shall be unique by code | ||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
 Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| informationRecipient |
SC | 0..* | Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization) | Information recipient URL: http://hl7.org.au/fhir/StructureDefinition/information-recipient | ||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
SΣ | 1..1 | Identifier | Version-independent identifier for the Composition | ||||
| status |
?!SΣ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. Required Pattern: final | ||||
| type |
SΣ | 1..1 | CodeableConcept | Sub type of diagnostic report Binding: https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-type-1 (extensible) | ||||
| category |
SΣ | 1..* | CodeableConcept | Type of diagnostic report Binding: https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-class-1 (extensible) | ||||
| subject |
SΣC | 1..1 | Reference(ADHA Core Patient) | Who and/or what the composition is about inv-dh-doc-03: At least reference or a valid identifier shall be present | ||||
| encounter |
SΣ | 0..1 | Reference(ADHA Core Encounter) | Context of the Composition | ||||
| date |
SΣC | 1..1 | dateTime | Composition editing time inv-dh-doc-07: Date shall be at least to day | ||||
| author |
SΣC | 1..* | Reference(ADHA Authoring PractitionerRole) | Author of the referenced diagnostic report inv-dh-doc-04: At least reference or a valid identifier shall be present | ||||
| title |
SΣ | 1..1 | string | Human Readable name/title | ||||
| attester |
SC | 0..* | BackboneElement | Attests to accuracy of composition inv-dh-doc-05: The party shall at least have a reference or a valid identifier | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| mode |
S | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. | ||||
| time |
S | 1..1 | dateTime | When the composition was attested | ||||
| party |
SC | 1..1 | Reference(ADHA Authoring PractitionerRole | ADHA Core Patient | ADHA Authoring RelatedPerson | ADHA Core Organization) | Who attested the composition | ||||
| custodian |
SΣC | 1..1 | Reference(ADHA Core Organization) | Organization which maintains the composition inv-dh-doc-06: At least reference or a valid identifier shall be present | ||||
| relatesTo |
S | 0..* | BackboneElement | Relationships to other compositions/documents | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
S | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | ||||
| target[x] |
S | 1..1 | Target of the relationship | |||||
| targetIdentifier |
Identifier | |||||||
| targetReference |
Reference(ADHA Core Composition) | |||||||
| event |
Σ | 0..* | BackboneElement | The clinical service(s) being documented | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
Σ | 0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented. | ||||
| period |
Σ | 0..1 | Period | The period covered by the documentation | ||||
| detail |
Σ | 0..* | Reference(Resource) | The event(s) being documented | ||||
| Slices for section |
SC | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by pattern:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-dr-01: A section shall at least have an entry or an empty reason inv-dh-dr-02: All observations shall conform one of: ADHA Simple Observation, ADHA Diagnostic Result Observation | ||||
| section:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title |
S | 0..1 | string | Label for section (e.g. for ToC) | ||||
| code |
S | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | ||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. Fixed Value: snapshot | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
SC | 0..* | Reference(Resource) | A reference to data that supports this section | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| emptyReason |
SC | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:diagnosticInvestigations |
SC | 1..1 | BackboneElement | Results of diagnostic investigations. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title |
S | 1..1 | string | Label for section (e.g. for ToC) | ||||
| code |
S | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2 | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. Fixed Value: snapshot | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
SC | 1..* | Reference(ADHA Core DiagnosticReport | ADHA Pathology Report) | Diagnostic investigations | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| emptyReason |
SC | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| Composition.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard
| ||||
| Composition.status | required | Pattern: finalhttp://hl7.org/fhir/ValueSet/composition-status|4.0.1from the FHIR Standard | ||||
| Composition.type | extensible | https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-type-1https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-type-1 | ||||
| Composition.category | extensible | https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-class-1https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-class-1 | ||||
| Composition.attester.mode | required | CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1from the FHIR Standard | ||||
| Composition.relatesTo.code | required | DocumentRelationshipTypehttp://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1from 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-codesfrom the FHIR Standard | ||||
| Composition.section.mode | required | Fixed Value: snapshothttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard | ||||
| Composition.section.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard | ||||
| Composition.section:diagnosticInvestigations.code | example | Pattern: LOINC Code 30954-2http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:diagnosticInvestigations.mode | required | Fixed Value: snapshothttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section:diagnosticInvestigations.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:diagnosticInvestigations.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard | ||||
| Composition.section:diagnosticInvestigations.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard |
This structure is derived from ADHACompositionDocument
Summary
Mandatory: 4 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 | Diagnostic Report Document | |
| status |
1..1 | code | preliminary | final | amended | entered-in-error Required Pattern: final | |
| type |
1..1 | CodeableConcept | Sub type of diagnostic report Binding: https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-type-1 (extensible) | |
| category |
1..* | CodeableConcept | Type of diagnostic report Binding: https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-class-1 (extensible) | |
| author |
1..* | Reference(ADHA Authoring PractitionerRole) | Author of the referenced diagnostic report | |
| Slices for section |
C | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by pattern:code inv-dh-dr-01: A section shall at least have an entry or an empty reason inv-dh-dr-02: All observations shall conform one of: ADHA Simple Observation, ADHA Diagnostic Result Observation |
| section:diagnosticInvestigations |
1..1 | BackboneElement | Results of diagnostic investigations. | |
| title |
1..1 | string | Label for section (e.g. for ToC) | |
| code |
0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2 | |
| entry |
C | 1..* | Reference(ADHA Core DiagnosticReport | ADHA Pathology Report) | Diagnostic investigations |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Composition.type | extensible | https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-type-1https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-type-1 | |
| Composition.category | extensible | https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-class-1https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-class-1 |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Composition |
C | 0..* | ADHACompositionDocument | Diagnostic Report Document dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management inv-dh-doc-01: If present, an information recipient shall at least have a reference, an identifier or a display inv-dh-doc-02: Sections shall be unique by code |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children |
| Slices for extension |
Content/Rules for all slices | |||
| informationRecipient |
SC | 0..* | Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization) | Information recipient URL: http://hl7.org.au/fhir/StructureDefinition/information-recipient ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| identifier |
SΣ | 1..1 | Identifier | Version-independent identifier for the Composition ele-1: All FHIR elements must have a @value or children |
| status |
?!SΣ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. ele-1: All FHIR elements must have a @value or children Required Pattern: final |
| type |
SΣ | 1..1 | CodeableConcept | Sub type of diagnostic report Binding: https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-type-1 (extensible) ele-1: All FHIR elements must have a @value or children |
| category |
SΣ | 1..* | CodeableConcept | Type of diagnostic report Binding: https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-class-1 (extensible) ele-1: All FHIR elements must have a @value or children |
| subject |
SΣC | 1..1 | Reference(ADHA Core Patient) | Who and/or what the composition is about ele-1: All FHIR elements must have a @value or children inv-dh-doc-03: At least reference or a valid identifier shall be present |
| encounter |
SΣ | 0..1 | Reference(ADHA Core Encounter) | Context of the Composition ele-1: All FHIR elements must have a @value or children |
| date |
SΣC | 1..1 | dateTime | Composition editing time ele-1: All FHIR elements must have a @value or children inv-dh-doc-07: Date shall be at least to day |
| author |
SΣC | 1..* | Reference(ADHA Authoring PractitionerRole) | Author of the referenced diagnostic report ele-1: All FHIR elements must have a @value or children inv-dh-doc-04: At least reference or a valid identifier shall be present |
| title |
SΣ | 1..1 | string | Human Readable name/title ele-1: All FHIR elements must have a @value or children |
| attester |
SC | 0..* | BackboneElement | Attests to accuracy of composition ele-1: All FHIR elements must have a @value or children inv-dh-doc-05: The party shall at least have a reference or a valid identifier |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| mode |
S | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. ele-1: All FHIR elements must have a @value or children |
| time |
S | 1..1 | dateTime | When the composition was attested ele-1: All FHIR elements must have a @value or children |
| party |
SC | 1..1 | Reference(ADHA Authoring PractitionerRole | ADHA Core Patient | ADHA Authoring RelatedPerson | ADHA Core Organization) | Who attested the composition ele-1: All FHIR elements must have a @value or children |
| custodian |
SΣC | 1..1 | Reference(ADHA Core Organization) | Organization which maintains the composition ele-1: All FHIR elements must have a @value or children inv-dh-doc-06: At least reference or a valid identifier shall be present |
| relatesTo |
S | 0..* | BackboneElement | Relationships to other compositions/documents ele-1: All FHIR elements must have a @value or children |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| code |
S | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. ele-1: All FHIR elements must have a @value or children |
| target[x] |
S | 1..1 | Target of the relationship ele-1: All FHIR elements must have a @value or children | |
| targetIdentifier |
Identifier | |||
| targetReference |
Reference(ADHA Core Composition) | |||
| 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 ele-1: All FHIR elements must have a @value or children inv-dh-dr-01: A section shall at least have an entry or an empty reason inv-dh-dr-02: All observations shall conform one of: ADHA Simple Observation, ADHA Diagnostic Result Observation |
| section:All Slices |
Content/Rules for all slices | |||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| title |
S | 0..1 | string | Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children |
| code |
S | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children |
| text |
SC | 0..1 | Narrative | Text summary of the section, for human interpretation ele-1: All FHIR elements must have a @value or children |
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. ele-1: All FHIR elements must have a @value or children Fixed Value: snapshot | |
| entry |
SC | 0..* | Reference(Resource) | A reference to data that supports this section ele-1: All FHIR elements must have a @value or children |
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children |
| emptyReason |
SC | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. ele-1: All FHIR elements must have a @value or children |
| section:diagnosticInvestigations |
SC | 1..1 | BackboneElement | Results of diagnostic investigations. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| title |
S | 1..1 | string | Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children |
| code |
S | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: 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 ele-1: All FHIR elements must have a @value or children |
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. ele-1: All FHIR elements must have a @value or children Fixed Value: snapshot | |
| entry |
SC | 1..* | Reference(ADHA Core DiagnosticReport | ADHA Pathology Report) | Diagnostic investigations ele-1: All FHIR elements must have a @value or children |
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children |
| emptyReason |
SC | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. ele-1: All FHIR elements must have a @value or children |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Composition.status | required | Pattern: finalhttp://hl7.org/fhir/ValueSet/composition-status|4.0.1from the FHIR Standard | |
| Composition.type | extensible | https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-type-1https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-type-1 | |
| Composition.category | extensible | https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-class-1https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-class-1 | |
| Composition.attester.mode | required | CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1from the FHIR Standard | |
| Composition.relatesTo.code | required | DocumentRelationshipTypehttp://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1from the FHIR Standard | |
| Composition.section.code | example | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | |
| Composition.section.mode | required | Fixed Value: snapshothttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | |
| Composition.section.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard | |
| Composition.section:diagnosticInvestigations.code | example | Pattern: LOINC Code 30954-2http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | |
| Composition.section:diagnosticInvestigations.mode | required | Fixed Value: snapshothttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | |
| Composition.section:diagnosticInvestigations.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Composition |
C | 0..* | ADHACompositionDocument | Diagnostic Report Document inv-dh-doc-01: If present, an information recipient shall at least have a reference, an identifier or a display inv-dh-doc-02: Sections shall be unique by code | ||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| informationRecipient |
SC | 0..* | Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization) | Information recipient URL: http://hl7.org.au/fhir/StructureDefinition/information-recipient | ||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
SΣ | 1..1 | Identifier | Version-independent identifier for the Composition | ||||
| status |
?!SΣ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. Required Pattern: final | ||||
| type |
SΣ | 1..1 | CodeableConcept | Sub type of diagnostic report Binding: https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-type-1 (extensible) | ||||
| category |
SΣ | 1..* | CodeableConcept | Type of diagnostic report Binding: https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-class-1 (extensible) | ||||
| subject |
SΣC | 1..1 | Reference(ADHA Core Patient) | Who and/or what the composition is about inv-dh-doc-03: At least reference or a valid identifier shall be present | ||||
| encounter |
SΣ | 0..1 | Reference(ADHA Core Encounter) | Context of the Composition | ||||
| date |
SΣC | 1..1 | dateTime | Composition editing time inv-dh-doc-07: Date shall be at least to day | ||||
| author |
SΣC | 1..* | Reference(ADHA Authoring PractitionerRole) | Author of the referenced diagnostic report inv-dh-doc-04: At least reference or a valid identifier shall be present | ||||
| title |
SΣ | 1..1 | string | Human Readable name/title | ||||
| attester |
SC | 0..* | BackboneElement | Attests to accuracy of composition inv-dh-doc-05: The party shall at least have a reference or a valid identifier | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| mode |
S | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. | ||||
| time |
S | 1..1 | dateTime | When the composition was attested | ||||
| party |
SC | 1..1 | Reference(ADHA Authoring PractitionerRole | ADHA Core Patient | ADHA Authoring RelatedPerson | ADHA Core Organization) | Who attested the composition | ||||
| custodian |
SΣC | 1..1 | Reference(ADHA Core Organization) | Organization which maintains the composition inv-dh-doc-06: At least reference or a valid identifier shall be present | ||||
| relatesTo |
S | 0..* | BackboneElement | Relationships to other compositions/documents | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
S | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | ||||
| target[x] |
S | 1..1 | Target of the relationship | |||||
| targetIdentifier |
Identifier | |||||||
| targetReference |
Reference(ADHA Core Composition) | |||||||
| event |
Σ | 0..* | BackboneElement | The clinical service(s) being documented | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
Σ | 0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented. | ||||
| period |
Σ | 0..1 | Period | The period covered by the documentation | ||||
| detail |
Σ | 0..* | Reference(Resource) | The event(s) being documented | ||||
| Slices for section |
SC | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by pattern:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-dr-01: A section shall at least have an entry or an empty reason inv-dh-dr-02: All observations shall conform one of: ADHA Simple Observation, ADHA Diagnostic Result Observation | ||||
| section:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title |
S | 0..1 | string | Label for section (e.g. for ToC) | ||||
| code |
S | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | ||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. Fixed Value: snapshot | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
SC | 0..* | Reference(Resource) | A reference to data that supports this section | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| emptyReason |
SC | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:diagnosticInvestigations |
SC | 1..1 | BackboneElement | Results of diagnostic investigations. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title |
S | 1..1 | string | Label for section (e.g. for ToC) | ||||
| code |
S | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2 | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. Fixed Value: snapshot | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
SC | 1..* | Reference(ADHA Core DiagnosticReport | ADHA Pathology Report) | Diagnostic investigations | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| emptyReason |
SC | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| Composition.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard
| ||||
| Composition.status | required | Pattern: finalhttp://hl7.org/fhir/ValueSet/composition-status|4.0.1from the FHIR Standard | ||||
| Composition.type | extensible | https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-type-1https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-type-1 | ||||
| Composition.category | extensible | https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-class-1https://healthterminologies.gov.au/fhir/ValueSet/diagnostic-report-class-1 | ||||
| Composition.attester.mode | required | CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1from the FHIR Standard | ||||
| Composition.relatesTo.code | required | DocumentRelationshipTypehttp://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1from 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-codesfrom the FHIR Standard | ||||
| Composition.section.mode | required | Fixed Value: snapshothttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard | ||||
| Composition.section.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard | ||||
| Composition.section:diagnosticInvestigations.code | example | Pattern: LOINC Code 30954-2http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:diagnosticInvestigations.mode | required | Fixed Value: snapshothttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section:diagnosticInvestigations.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:diagnosticInvestigations.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard | ||||
| Composition.section:diagnosticInvestigations.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard |
This structure is derived from ADHACompositionDocument
Summary
Mandatory: 4 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|47045-0
Implementation Notes: Fetches a bundle of all Composition resources with the category of "Diagnostic Study" for the specified patient (how to search by :identifier and how to search by token)
SHALL support searching using the combination subject:identifier and type search parameter:
GET [base]/Composition?subject:identifier={system|}[code]&type={system|}[code]
Example:
GET [base]/Composition?subject:identifier=http://ns.electronichealth.net.au/id/hi/ihi/1.0|8003608000228437&type=https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1|100.16957
Implementation Notes: Fetches a bundle of all Composition resources with the type of an 100.16957 (Diagnostic Imaging Report) for the specified patient (how to search by :identifier and how to search by token)
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)
IG © 2023+ Australian Digital Health Agency. Package au.digitalhealth.r4#1.2.0-ci-build based on FHIR 4.0.1. Generated 2024-12-19
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