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

Resource Profile: ADHA Event Summary Mixed Narrative and Structure

Official URL: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-composition-es-mix-1 Version: 0.0.7
Draft as of 2024-12-19 Computable Name: ADHACompositionES

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This material contains content from LOINC (http://loinc.org). LOINC is copyright © 1995-2021, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://loinc.org/license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc.

All copies of this resource must include this copyright statement and all information contained in this statement.

The purpose of this profile is to define a representation of a mixed narrative and structured data Event 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. A composition is a set of resources composed into a single coherent clinical statement that may have clinical attestation.

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

This profile supports the equivalent of a HL7 CDA instance with a mixed conformance Level 2, Level 3A or 3B clinical document as defined in the Agency's Common Conformance Profile for Clinical Documents.

This profile is designed to set a Composition standard for:

  • Query for a mixed narrative and structured data Summary document for a patient
  • Record or update a mixed narrative and structured data Event Summary document for a patient

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

Profile specific guidance

None.

Boundaries and relationships

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

Usage:

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

Formal Views of Profile Content

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

This structure is derived from ADHACompositionDocument

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* ADHACompositionDocument Event Summary
... status 1..1 code preliminary | final | amended | entered-in-error
Required Pattern: final
... Slices for category 1..* CodeableConcept Categorization of Composition
Slice: Unordered, Open by pattern:$this
.... category:es 1..1 CodeableConcept Summary of episode note
Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 34133-9
... encounter 1..1 Reference(ADHA Core Encounter) Context of the Composition
.... reference 1..1 string Literal reference, Relative, internal or absolute URL
... attester 0..* BackboneElement Attests to accuracy of composition
.... mode 1..1 code personal | professional | legal | official
Fixed Value: legal
.... party 1..1 Reference(ADHA Authoring PractitionerRole) Who attested the composition
... Slices for section C 1..* BackboneElement Composition is broken into sections
Slice: Unordered, Open by pattern:code
inv-dh-es-01: All observations shall conform one of: ADHA Simple Observation, ADHA Diagnostic Result Observation
.... section:All Slices Content/Rules for all slices
..... section 0..0
.... 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) Allergies and/or intolerances
..... emptyReason 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-es-03: If an assertion of no known current medications is provided, no other entry 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 Core MedicationStatement | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding) Medicines the patient is currently taking
..... emptyReason 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-es-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-es-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-es-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:immunisations C 0..1 BackboneElement Immunisations
inv-dh-es-07: If an assertion of no vaccine administered during encounter is provided, no other entry 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 Core Immunization | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding) Administered vaccines
..... emptyReason 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 0..1 CodeableConcept Why the section is empty
Binding: Health Summary Non-Clinical Empty Reason . (required)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Composition.section:allergies.emptyReasonrequiredHealthSummaryNonClinicalEmptyReason .
https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2
Composition.section:medicines.emptyReasonrequiredHealthSummaryNonClinicalEmptyReason .
https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2
Composition.section:problems.emptyReasonrequiredHealthSummaryNonClinicalEmptyReason .
https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2
Composition.section:pastMedicalHistory.emptyReasonrequiredHealthSummaryNonClinicalEmptyReason .
https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2
Composition.section:procedures.emptyReasonrequiredHealthSummaryNonClinicalEmptyReason .
https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2
Composition.section:immunisations.emptyReasonrequiredHealthSummaryNonClinicalEmptyReason .
https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2
Composition.section:diagnosticInvestigations.emptyReasonrequiredHealthSummaryNonClinicalEmptyReason .
https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2

Constraints

IdGradePath(s)DetailsRequirements
inv-dh-es-01errorComposition.sectionAll observations shall conform one of: ADHA Simple Observation, ADHA Diagnostic Result Observation
: entry.resolve().where($this is Observation).exists() implies entry.resolve().conformsTo('http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-observation-diagnosticresult-1')
inv-dh-es-03errorComposition.section:medicines, Composition.section:pastMedicalHistoryIf an assertion of no known current medications is provided, no other entry shall be present
: entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) = '1234391000168107')
inv-dh-es-06errorComposition.section:proceduresAt most one list shall be present
: entry.resolve().where($this is List).exists() implies entry.count() < 2
inv-dh-es-07errorComposition.section:problems, Composition.section:immunisationsAt most one list shall be present
: entry.resolve().where($this is List).exists() implies entry.count() < 2
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition C 0..* ADHACompositionDocument Event Summary
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
inv-dh-doc-01: If present, an information recipient shall at least have a reference, an identifier or a display
inv-dh-doc-02: Sections shall be unique by code
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... Slices for extension Content/Rules for all slices
.... informationRecipient SC 0..* Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization) Information recipient
URL: http://hl7.org.au/fhir/StructureDefinition/information-recipient
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... status ?!SΣ 1..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.


ele-1: All FHIR elements must have a @value or children
Required Pattern: final
... type SΣ 1..1 CodeableConcept Document sub type
Binding: My Health Record Record Type . (extensible)
ele-1: All FHIR elements must have a @value or children
... Slices for category SΣ 1..* CodeableConcept Categorization of Composition
Slice: Unordered, Open by pattern:$this
Binding: My Health Record Record Class . (extensible)
ele-1: All FHIR elements must have a @value or children
.... category:es SΣ 1..1 CodeableConcept Summary of episode note
Binding: My Health Record Record Class . (extensible)
ele-1: All FHIR elements must have a @value or children

Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 34133-9
... 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 1..1 Reference(ADHA Core Encounter) Context of the Composition
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
... date SΣC 1..1 dateTime Composition editing time
ele-1: All FHIR elements must have a @value or children
inv-dh-doc-07: Date shall be at least to day
... author SΣC 1..1 Reference(ADHA Authoring PractitionerRole) Who and/or what authored the composition
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
Fixed Value: legal
.... 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) 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-es-01: 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: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
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 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: 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
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(ADHA Core AllergyIntolerance) Allergies and/or intolerances
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: Health Summary Non-Clinical Empty Reason . (required)
ele-1: All FHIR elements must have a @value or children
.... 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
ele-1: All FHIR elements must have a @value or children
inv-dh-es-03: If an assertion of no known current medications is provided, no other entry shall be present
..... 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 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: 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
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(ADHA Core MedicationStatement | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding) Medicines the patient is currently taking
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: Health Summary Non-Clinical Empty Reason . (required)
ele-1: All FHIR elements must have a @value or children
.... 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
ele-1: All FHIR elements must have a @value or children
inv-dh-es-07: At most one list shall be present
..... 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 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: 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
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(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-condition-1 | ADHA Core Condition) 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: Health Summary Non-Clinical Empty Reason . (required)
ele-1: All FHIR elements must have a @value or children
.... 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
ele-1: All FHIR elements must have a @value or children
inv-dh-es-03: At most one list shall be present
..... 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 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: 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
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(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-condition-1 | ADHA Core Condition) 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: Health Summary Non-Clinical Empty Reason . (required)
ele-1: All FHIR elements must have a @value or children
.... 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
ele-1: All FHIR elements must have a @value or children
inv-dh-es-06: At most one list shall be present
..... 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 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: 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
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(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-procedure-1 | ADHA Core Procedure) 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: Health Summary Non-Clinical Empty Reason . (required)
ele-1: All FHIR elements must have a @value or children
.... 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
ele-1: All FHIR elements must have a @value or children
inv-dh-es-07: If an assertion of no vaccine administered during encounter is provided, no other entry shall be present
..... 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 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: 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
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(ADHA Core Immunization | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding) Administered vaccines
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: Health Summary Non-Clinical Empty Reason . (required)
ele-1: All FHIR elements must have a @value or children
.... 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
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 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: 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 0..* Reference(ADHA Core DiagnosticReport | ADHA Diagnostic Result Observation | ADHA Imaging Result Observation | ADHA Pathology Result Observation) 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: Health Summary Non-Clinical Empty Reason . (required)
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.statusrequiredPattern: final
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
Composition.typeextensibleMyHealthRecordRecordType .
https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-type-1
Composition.categoryextensibleMyHealthRecordRecordClass .
https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-class-1
Composition.category:esextensiblePattern: LOINC Code 34133-9
https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-class-1
Composition.attester.moderequiredFixed Value: legal
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
from the FHIR Standard
Composition.relatesTo.coderequiredDocumentRelationshipType
http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
from the FHIR Standard
Composition.section.codeexampleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section.moderequiredFixed Value: snapshot
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:allergies.codeexamplePattern: LOINC Code 48765-2
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:allergies.moderequiredFixed Value: snapshot
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:allergies.emptyReasonrequiredHealthSummaryNonClinicalEmptyReason .
https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2
Composition.section:medicines.codeexamplePattern: LOINC Code 10160-0
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:medicines.moderequiredFixed Value: snapshot
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:medicines.emptyReasonrequiredHealthSummaryNonClinicalEmptyReason .
https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2
Composition.section:problems.codeexamplePattern: LOINC Code 11450-4
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:problems.moderequiredFixed Value: snapshot
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:problems.emptyReasonrequiredHealthSummaryNonClinicalEmptyReason .
https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2
Composition.section:pastMedicalHistory.codeexamplePattern: LOINC Code 11348-0
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:pastMedicalHistory.moderequiredFixed Value: snapshot
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:pastMedicalHistory.emptyReasonrequiredHealthSummaryNonClinicalEmptyReason .
https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2
Composition.section:procedures.codeexamplePattern: LOINC Code 47519-4
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:procedures.moderequiredFixed Value: snapshot
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:procedures.emptyReasonrequiredHealthSummaryNonClinicalEmptyReason .
https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2
Composition.section:immunisations.codeexamplePattern: LOINC Code 11369-6
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:immunisations.moderequiredFixed Value: snapshot
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:immunisations.emptyReasonrequiredHealthSummaryNonClinicalEmptyReason .
https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2
Composition.section:diagnosticInvestigations.codeexamplePattern: LOINC Code 30954-2
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:diagnosticInvestigations.moderequiredFixed Value: snapshot
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:diagnosticInvestigations.emptyReasonrequiredHealthSummaryNonClinicalEmptyReason .
https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2

Constraints

IdGradePath(s)DetailsRequirements
inv-dh-es-01errorComposition.sectionAll observations shall conform one of: ADHA Simple Observation, ADHA Diagnostic Result Observation
: entry.resolve().where($this is Observation).exists() implies entry.resolve().conformsTo('http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-observation-diagnosticresult-1')
inv-dh-es-03errorComposition.section:medicines, Composition.section:pastMedicalHistoryIf an assertion of no known current medications is provided, no other entry shall be present
: entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) = '1234391000168107')
inv-dh-es-06errorComposition.section:proceduresAt most one list shall be present
: entry.resolve().where($this is List).exists() implies entry.count() < 2
inv-dh-es-07errorComposition.section:problems, Composition.section:immunisationsAt most one list shall be present
: entry.resolve().where($this is List).exists() implies entry.count() < 2
NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition C 0..* ADHACompositionDocument Event 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
... 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)
... Slices for category SΣ 1..* CodeableConcept Categorization of Composition
Slice: Unordered, Open by pattern:$this
Binding: My Health Record Record Class . (extensible)
.... category:es SΣ 1..1 CodeableConcept Summary of episode note
Binding: My Health Record Record Class . (extensible)

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: 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: 34133-9
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... subject SΣC 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 1..1 Reference(ADHA Core Encounter) Context of the Composition
.... 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
... date SΣC 1..1 dateTime Composition editing time
inv-dh-doc-07: Date shall be at least to day
... author SΣC 1..1 Reference(ADHA Authoring PractitionerRole) 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.


Fixed Value: legal
.... time S 1..1 dateTime When the composition was attested
.... party SC 1..1 Reference(ADHA Authoring PractitionerRole) 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-es-01: 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: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) Allergies and/or intolerances
...... 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-es-03: If an assertion of no known current medications is provided, no other entry 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 Core MedicationStatement | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding) Medicines the patient is currently taking
...... 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-es-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-es-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-es-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: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-es-07: If an assertion of no vaccine administered during encounter is provided, no other entry 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 Core Immunization | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding) Administered vaccines
...... 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Composition.statusrequiredPattern: final
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
Composition.typeextensibleMyHealthRecordRecordType .
https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-type-1
Composition.categoryextensibleMyHealthRecordRecordClass .
https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-class-1
Composition.category:esextensiblePattern: LOINC Code 34133-9
https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-class-1
Composition.encounter.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.attester.moderequiredFixed Value: legal
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
from the FHIR Standard
Composition.relatesTo.coderequiredDocumentRelationshipType
http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
from the FHIR Standard
Composition.event.codeexampleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.codeexampleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section.moderequiredFixed Value: snapshot
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section.entry.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:allergies.codeexamplePattern: LOINC Code 48765-2
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:allergies.moderequiredFixed Value: snapshot
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:allergies.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:allergies.entry.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.section:allergies.emptyReasonrequiredHealthSummaryNonClinicalEmptyReason .
https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2
Composition.section:medicines.codeexamplePattern: LOINC Code 10160-0
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:medicines.moderequiredFixed Value: snapshot
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:medicines.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:medicines.entry.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.section:medicines.emptyReasonrequiredHealthSummaryNonClinicalEmptyReason .
https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2
Composition.section:problems.codeexamplePattern: LOINC Code 11450-4
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:problems.moderequiredFixed Value: snapshot
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:problems.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:problems.entry.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.section:problems.emptyReasonrequiredHealthSummaryNonClinicalEmptyReason .
https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2
Composition.section:pastMedicalHistory.codeexamplePattern: LOINC Code 11348-0
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:pastMedicalHistory.moderequiredFixed Value: snapshot
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:pastMedicalHistory.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:pastMedicalHistory.entry.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.section:pastMedicalHistory.emptyReasonrequiredHealthSummaryNonClinicalEmptyReason .
https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2
Composition.section:procedures.codeexamplePattern: LOINC Code 47519-4
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:procedures.moderequiredFixed Value: snapshot
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:procedures.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:procedures.entry.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.section:procedures.emptyReasonrequiredHealthSummaryNonClinicalEmptyReason .
https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2
Composition.section:immunisations.codeexamplePattern: LOINC Code 11369-6
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:immunisations.moderequiredFixed Value: snapshot
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:immunisations.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:immunisations.entry.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.section:immunisations.emptyReasonrequiredHealthSummaryNonClinicalEmptyReason .
https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2
Composition.section:diagnosticInvestigations.codeexamplePattern: LOINC Code 30954-2
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:diagnosticInvestigations.moderequiredFixed Value: snapshot
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:diagnosticInvestigations.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:diagnosticInvestigations.entry.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.section:diagnosticInvestigations.emptyReasonrequiredHealthSummaryNonClinicalEmptyReason .
https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2

Constraints

IdGradePath(s)DetailsRequirements
inv-dh-es-01errorComposition.sectionAll observations shall conform one of: ADHA Simple Observation, ADHA Diagnostic Result Observation
: entry.resolve().where($this is Observation).exists() implies entry.resolve().conformsTo('http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-observation-diagnosticresult-1')
inv-dh-es-03errorComposition.section:medicines, Composition.section:pastMedicalHistoryIf an assertion of no known current medications is provided, no other entry shall be present
: entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) = '1234391000168107')
inv-dh-es-06errorComposition.section:proceduresAt most one list shall be present
: entry.resolve().where($this is List).exists() implies entry.count() < 2
inv-dh-es-07errorComposition.section:problems, Composition.section:immunisationsAt most one list shall be present
: entry.resolve().where($this is List).exists() implies entry.count() < 2

This structure is derived from ADHACompositionDocument

Summary

Mandatory: 4 elements(14 nested mandatory elements)
Fixed: 1 element
Prohibited: 1 element

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

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

Differential View

This structure is derived from ADHACompositionDocument

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition 0..* ADHACompositionDocument Event Summary
... status 1..1 code preliminary | final | amended | entered-in-error
Required Pattern: final
... Slices for category 1..* CodeableConcept Categorization of Composition
Slice: Unordered, Open by pattern:$this
.... category:es 1..1 CodeableConcept Summary of episode note
Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 34133-9
... encounter 1..1 Reference(ADHA Core Encounter) Context of the Composition
.... reference 1..1 string Literal reference, Relative, internal or absolute URL
... attester 0..* BackboneElement Attests to accuracy of composition
.... mode 1..1 code personal | professional | legal | official
Fixed Value: legal
.... party 1..1 Reference(ADHA Authoring PractitionerRole) Who attested the composition
... Slices for section C 1..* BackboneElement Composition is broken into sections
Slice: Unordered, Open by pattern:code
inv-dh-es-01: All observations shall conform one of: ADHA Simple Observation, ADHA Diagnostic Result Observation
.... section:All Slices Content/Rules for all slices
..... section 0..0
.... 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) Allergies and/or intolerances
..... emptyReason 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-es-03: If an assertion of no known current medications is provided, no other entry 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 Core MedicationStatement | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding) Medicines the patient is currently taking
..... emptyReason 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-es-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-es-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-es-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:immunisations C 0..1 BackboneElement Immunisations
inv-dh-es-07: If an assertion of no vaccine administered during encounter is provided, no other entry 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 Core Immunization | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding) Administered vaccines
..... emptyReason 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 0..1 CodeableConcept Why the section is empty
Binding: Health Summary Non-Clinical Empty Reason . (required)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Composition.section:allergies.emptyReasonrequiredHealthSummaryNonClinicalEmptyReason .
https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2
Composition.section:medicines.emptyReasonrequiredHealthSummaryNonClinicalEmptyReason .
https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2
Composition.section:problems.emptyReasonrequiredHealthSummaryNonClinicalEmptyReason .
https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2
Composition.section:pastMedicalHistory.emptyReasonrequiredHealthSummaryNonClinicalEmptyReason .
https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2
Composition.section:procedures.emptyReasonrequiredHealthSummaryNonClinicalEmptyReason .
https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2
Composition.section:immunisations.emptyReasonrequiredHealthSummaryNonClinicalEmptyReason .
https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2
Composition.section:diagnosticInvestigations.emptyReasonrequiredHealthSummaryNonClinicalEmptyReason .
https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2

Constraints

IdGradePath(s)DetailsRequirements
inv-dh-es-01errorComposition.sectionAll observations shall conform one of: ADHA Simple Observation, ADHA Diagnostic Result Observation
: entry.resolve().where($this is Observation).exists() implies entry.resolve().conformsTo('http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-observation-diagnosticresult-1')
inv-dh-es-03errorComposition.section:medicines, Composition.section:pastMedicalHistoryIf an assertion of no known current medications is provided, no other entry shall be present
: entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) = '1234391000168107')
inv-dh-es-06errorComposition.section:proceduresAt most one list shall be present
: entry.resolve().where($this is List).exists() implies entry.count() < 2
inv-dh-es-07errorComposition.section:problems, Composition.section:immunisationsAt most one list shall be present
: entry.resolve().where($this is List).exists() implies entry.count() < 2

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition C 0..* ADHACompositionDocument Event Summary
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
inv-dh-doc-01: If present, an information recipient shall at least have a reference, an identifier or a display
inv-dh-doc-02: Sections shall be unique by code
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... Slices for extension Content/Rules for all slices
.... informationRecipient SC 0..* Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization) Information recipient
URL: http://hl7.org.au/fhir/StructureDefinition/information-recipient
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... status ?!SΣ 1..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.


ele-1: All FHIR elements must have a @value or children
Required Pattern: final
... type SΣ 1..1 CodeableConcept Document sub type
Binding: My Health Record Record Type . (extensible)
ele-1: All FHIR elements must have a @value or children
... Slices for category SΣ 1..* CodeableConcept Categorization of Composition
Slice: Unordered, Open by pattern:$this
Binding: My Health Record Record Class . (extensible)
ele-1: All FHIR elements must have a @value or children
.... category:es SΣ 1..1 CodeableConcept Summary of episode note
Binding: My Health Record Record Class . (extensible)
ele-1: All FHIR elements must have a @value or children

Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 34133-9
... 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 1..1 Reference(ADHA Core Encounter) Context of the Composition
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
... date SΣC 1..1 dateTime Composition editing time
ele-1: All FHIR elements must have a @value or children
inv-dh-doc-07: Date shall be at least to day
... author SΣC 1..1 Reference(ADHA Authoring PractitionerRole) Who and/or what authored the composition
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
Fixed Value: legal
.... 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) 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-es-01: 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: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
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 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: 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
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(ADHA Core AllergyIntolerance) Allergies and/or intolerances
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: Health Summary Non-Clinical Empty Reason . (required)
ele-1: All FHIR elements must have a @value or children
.... 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
ele-1: All FHIR elements must have a @value or children
inv-dh-es-03: If an assertion of no known current medications is provided, no other entry shall be present
..... 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 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: 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
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(ADHA Core MedicationStatement | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding) Medicines the patient is currently taking
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: Health Summary Non-Clinical Empty Reason . (required)
ele-1: All FHIR elements must have a @value or children
.... 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
ele-1: All FHIR elements must have a @value or children
inv-dh-es-07: At most one list shall be present
..... 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 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: 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
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(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-condition-1 | ADHA Core Condition) 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: Health Summary Non-Clinical Empty Reason . (required)
ele-1: All FHIR elements must have a @value or children
.... 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
ele-1: All FHIR elements must have a @value or children
inv-dh-es-03: At most one list shall be present
..... 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 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: 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
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(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-condition-1 | ADHA Core Condition) 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: Health Summary Non-Clinical Empty Reason . (required)
ele-1: All FHIR elements must have a @value or children
.... 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
ele-1: All FHIR elements must have a @value or children
inv-dh-es-06: At most one list shall be present
..... 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 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: 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
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(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-procedure-1 | ADHA Core Procedure) 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: Health Summary Non-Clinical Empty Reason . (required)
ele-1: All FHIR elements must have a @value or children
.... 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
ele-1: All FHIR elements must have a @value or children
inv-dh-es-07: If an assertion of no vaccine administered during encounter is provided, no other entry shall be present
..... 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 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: 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
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(ADHA Core Immunization | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding) Administered vaccines
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: Health Summary Non-Clinical Empty Reason . (required)
ele-1: All FHIR elements must have a @value or children
.... 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
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 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: 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 0..* Reference(ADHA Core DiagnosticReport | ADHA Diagnostic Result Observation | ADHA Imaging Result Observation | ADHA Pathology Result Observation) 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: Health Summary Non-Clinical Empty Reason . (required)
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.statusrequiredPattern: final
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
Composition.typeextensibleMyHealthRecordRecordType .
https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-type-1
Composition.categoryextensibleMyHealthRecordRecordClass .
https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-class-1
Composition.category:esextensiblePattern: LOINC Code 34133-9
https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-class-1
Composition.attester.moderequiredFixed Value: legal
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
from the FHIR Standard
Composition.relatesTo.coderequiredDocumentRelationshipType
http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
from the FHIR Standard
Composition.section.codeexampleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section.moderequiredFixed Value: snapshot
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:allergies.codeexamplePattern: LOINC Code 48765-2
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:allergies.moderequiredFixed Value: snapshot
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:allergies.emptyReasonrequiredHealthSummaryNonClinicalEmptyReason .
https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2
Composition.section:medicines.codeexamplePattern: LOINC Code 10160-0
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:medicines.moderequiredFixed Value: snapshot
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:medicines.emptyReasonrequiredHealthSummaryNonClinicalEmptyReason .
https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2
Composition.section:problems.codeexamplePattern: LOINC Code 11450-4
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:problems.moderequiredFixed Value: snapshot
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:problems.emptyReasonrequiredHealthSummaryNonClinicalEmptyReason .
https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2
Composition.section:pastMedicalHistory.codeexamplePattern: LOINC Code 11348-0
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:pastMedicalHistory.moderequiredFixed Value: snapshot
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:pastMedicalHistory.emptyReasonrequiredHealthSummaryNonClinicalEmptyReason .
https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2
Composition.section:procedures.codeexamplePattern: LOINC Code 47519-4
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:procedures.moderequiredFixed Value: snapshot
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:procedures.emptyReasonrequiredHealthSummaryNonClinicalEmptyReason .
https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2
Composition.section:immunisations.codeexamplePattern: LOINC Code 11369-6
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:immunisations.moderequiredFixed Value: snapshot
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:immunisations.emptyReasonrequiredHealthSummaryNonClinicalEmptyReason .
https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2
Composition.section:diagnosticInvestigations.codeexamplePattern: LOINC Code 30954-2
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:diagnosticInvestigations.moderequiredFixed Value: snapshot
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:diagnosticInvestigations.emptyReasonrequiredHealthSummaryNonClinicalEmptyReason .
https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2

Constraints

IdGradePath(s)DetailsRequirements
inv-dh-es-01errorComposition.sectionAll observations shall conform one of: ADHA Simple Observation, ADHA Diagnostic Result Observation
: entry.resolve().where($this is Observation).exists() implies entry.resolve().conformsTo('http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-observation-diagnosticresult-1')
inv-dh-es-03errorComposition.section:medicines, Composition.section:pastMedicalHistoryIf an assertion of no known current medications is provided, no other entry shall be present
: entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) = '1234391000168107')
inv-dh-es-06errorComposition.section:proceduresAt most one list shall be present
: entry.resolve().where($this is List).exists() implies entry.count() < 2
inv-dh-es-07errorComposition.section:problems, Composition.section:immunisationsAt most one list shall be present
: entry.resolve().where($this is List).exists() implies entry.count() < 2

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Composition C 0..* ADHACompositionDocument Event 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
... 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)
... Slices for category SΣ 1..* CodeableConcept Categorization of Composition
Slice: Unordered, Open by pattern:$this
Binding: My Health Record Record Class . (extensible)
.... category:es SΣ 1..1 CodeableConcept Summary of episode note
Binding: My Health Record Record Class . (extensible)

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: 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: 34133-9
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... subject SΣC 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 1..1 Reference(ADHA Core Encounter) Context of the Composition
.... 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
... date SΣC 1..1 dateTime Composition editing time
inv-dh-doc-07: Date shall be at least to day
... author SΣC 1..1 Reference(ADHA Authoring PractitionerRole) 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.


Fixed Value: legal
.... time S 1..1 dateTime When the composition was attested
.... party SC 1..1 Reference(ADHA Authoring PractitionerRole) 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-es-01: 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: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) Allergies and/or intolerances
...... 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-es-03: If an assertion of no known current medications is provided, no other entry 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 Core MedicationStatement | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding) Medicines the patient is currently taking
...... 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-es-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-es-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-es-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: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-es-07: If an assertion of no vaccine administered during encounter is provided, no other entry 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 Core Immunization | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding) Administered vaccines
...... 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Composition.statusrequiredPattern: final
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
from the FHIR Standard
Composition.typeextensibleMyHealthRecordRecordType .
https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-type-1
Composition.categoryextensibleMyHealthRecordRecordClass .
https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-class-1
Composition.category:esextensiblePattern: LOINC Code 34133-9
https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-class-1
Composition.encounter.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.attester.moderequiredFixed Value: legal
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
from the FHIR Standard
Composition.relatesTo.coderequiredDocumentRelationshipType
http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
from the FHIR Standard
Composition.event.codeexampleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.codeexampleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section.moderequiredFixed Value: snapshot
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section.entry.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
from the FHIR Standard
Composition.section:allergies.codeexamplePattern: LOINC Code 48765-2
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:allergies.moderequiredFixed Value: snapshot
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:allergies.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:allergies.entry.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.section:allergies.emptyReasonrequiredHealthSummaryNonClinicalEmptyReason .
https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2
Composition.section:medicines.codeexamplePattern: LOINC Code 10160-0
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:medicines.moderequiredFixed Value: snapshot
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:medicines.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:medicines.entry.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.section:medicines.emptyReasonrequiredHealthSummaryNonClinicalEmptyReason .
https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2
Composition.section:problems.codeexamplePattern: LOINC Code 11450-4
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:problems.moderequiredFixed Value: snapshot
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:problems.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:problems.entry.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.section:problems.emptyReasonrequiredHealthSummaryNonClinicalEmptyReason .
https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2
Composition.section:pastMedicalHistory.codeexamplePattern: LOINC Code 11348-0
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:pastMedicalHistory.moderequiredFixed Value: snapshot
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:pastMedicalHistory.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:pastMedicalHistory.entry.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.section:pastMedicalHistory.emptyReasonrequiredHealthSummaryNonClinicalEmptyReason .
https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2
Composition.section:procedures.codeexamplePattern: LOINC Code 47519-4
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:procedures.moderequiredFixed Value: snapshot
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:procedures.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:procedures.entry.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.section:procedures.emptyReasonrequiredHealthSummaryNonClinicalEmptyReason .
https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2
Composition.section:immunisations.codeexamplePattern: LOINC Code 11369-6
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:immunisations.moderequiredFixed Value: snapshot
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:immunisations.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:immunisations.entry.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.section:immunisations.emptyReasonrequiredHealthSummaryNonClinicalEmptyReason .
https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2
Composition.section:diagnosticInvestigations.codeexamplePattern: LOINC Code 30954-2
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:diagnosticInvestigations.moderequiredFixed Value: snapshot
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
from the FHIR Standard
Composition.section:diagnosticInvestigations.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
from the FHIR Standard
Composition.section:diagnosticInvestigations.entry.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Composition.section:diagnosticInvestigations.emptyReasonrequiredHealthSummaryNonClinicalEmptyReason .
https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2

Constraints

IdGradePath(s)DetailsRequirements
inv-dh-es-01errorComposition.sectionAll observations shall conform one of: ADHA Simple Observation, ADHA Diagnostic Result Observation
: entry.resolve().where($this is Observation).exists() implies entry.resolve().conformsTo('http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-observation-diagnosticresult-1')
inv-dh-es-03errorComposition.section:medicines, Composition.section:pastMedicalHistoryIf an assertion of no known current medications is provided, no other entry shall be present
: entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) = '1234391000168107')
inv-dh-es-06errorComposition.section:proceduresAt most one list shall be present
: entry.resolve().where($this is List).exists() implies entry.count() < 2
inv-dh-es-07errorComposition.section:problems, Composition.section:immunisationsAt most one list shall be present
: entry.resolve().where($this is List).exists() implies entry.count() < 2

This structure is derived from ADHACompositionDocument

Summary

Mandatory: 4 elements(14 nested mandatory elements)
Fixed: 1 element
Prohibited: 1 element

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

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

 

Other representations of profile: CSV, Excel, Schematron

Notes:

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

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

Mandatory Search Parameters

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

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

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

    Example:

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

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

  2. SHALL support searching using the identifier search parameter:

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

    Example:

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

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

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

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

    Example:

     GET [base]/Composition?subject:identifier=http://ns.electronichealth.net.au/id/hi/ihi/1.0|8003608000228437&category=http://loinc.org|34133-9

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

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

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

    Example:

     GET [base]/Composition?subject:identifier=http://ns.electronichealth.net.au/id/hi/ihi/1.0|8003608000228437&type=http://loinc.org|34133-9

    Implementation Notes: Fetches a bundle of all Composition resources with the type of an 34133-9 (Summary of episode note) for the specified patient (how to search by :identifier and how to search by token)

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

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

    Example:

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

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