ADHA Event Summary Mixed Narrative and Structure - Australian Digital Health Agency FHIR Implementation Guide v1.2.0-ci-build

A set of rules under which this content was created

language

0..1

Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional Bindings

Purpose

AllLanguages

Max Binding

0..1

Text summary of the resource, for human interpretation

contained

0..*

Resource

Contained, inline Resources

Slices for extension

0..*

Extension
Slice: Unordered, Open by value:url

informationRecipient

0..*

Information recipient
URL: http://hl7.org.au/fhir/StructureDefinition/information-recipient

0..*

Extensions that cannot be ignored

SΣ

1..1

Version-independent identifier for the Composition

status

?!SΣ

1..1

preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): The workflow/clinical status of the composition.

Required Pattern: final

SΣ

1..1

Document sub type
Binding: My Health Record Record Type

(extensible)

Slices for category

SΣ

1..*

Categorization of Composition
Slice: Unordered, Open by pattern:$this
Binding: My Health Record Record Class

(extensible)

category:es

SΣ

1..1

Summary of episode note
Binding: My Health Record Record Class

(extensible)

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 34133-9

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Reference(ADHA Core Patient)

Plain text representation of the concept

subject

SΣC

1..1

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

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

ΣC

1..1

Literal reference, Relative, internal or absolute URL

0..1

Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

0..1

Logical reference, when literal reference is not known

0..1

Text alternative for the resource

date

SΣC

1..1

dateTime

Composition editing time
inv-dh-doc-07: Date shall be at least to day

Reference(ADHA Authoring PractitionerRole)

SΣC

1..1

Who and/or what authored the composition
inv-dh-doc-04: At least reference or a valid identifier shall be present

SΣ

1..1

Human Readable name/title

attester

0..*

Attests to accuracy of composition
inv-dh-doc-05: The party shall at least have a reference or a valid identifier

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

Reference(ADHA Authoring PractitionerRole)

personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.

Fixed Value: legal

time

1..1

dateTime

When the composition was attested

party

1..1

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

0..*

Relationships to other compositions/documents

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

target[x]

1..1

Target of the relationship

targetIdentifier

Reference(ADHA Core Composition)

targetReference

event

0..*

The clinical service(s) being documented

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..*

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

0..1

Period

The period covered by the documentation

detail

0..*

The event(s) being documented

Slices for section

1..*

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

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

0..1

Label for section (e.g. for ToC)

0..1

Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

0..1

Text summary of the section, for human interpretation

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

Fixed Value: snapshot

0..1

Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

0..*

A reference to data that supports this section

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

ΣC

1..1

Literal reference, Relative, internal or absolute URL

0..1

Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

0..1

Logical reference, when literal reference is not known

0..1

Text alternative for the resource

0..1

Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.

section:allergies

0..1

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

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

Label for section (e.g. for ToC)

1..1

Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 48765-2

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

0..1

Text summary of the section, for human interpretation

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

Fixed Value: snapshot

0..1

Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

Reference(ADHA Core AllergyIntolerance)

0..*

Allergies and/or intolerances

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

ΣC

1..1

Literal reference, Relative, internal or absolute URL

0..1

Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

0..1

Logical reference, when literal reference is not known

0..1

Text alternative for the resource

0..1

Why the section is empty
Binding: Health Summary Non-Clinical Empty Reason

0..*

Nested Section

section:medicines

0..1

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

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

Label for section (e.g. for ToC)

1..1

Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 10160-0

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

0..1

Text summary of the section, for human interpretation

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

Fixed Value: snapshot

0..1

Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

0..*

Reference(ADHA Core MedicationStatement | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding)

Medicines the patient is currently taking

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

ΣC

1..1

Literal reference, Relative, internal or absolute URL

0..1

Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

0..1

Logical reference, when literal reference is not known

0..1

Text alternative for the resource

0..1

Why the section is empty
Binding: Health Summary Non-Clinical Empty Reason

0..*

Nested Section

section:problems

0..1

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

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

Label for section (e.g. for ToC)

1..1

Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 11450-4

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

0..1

Text summary of the section, for human interpretation

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

Fixed Value: snapshot

0..1

Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

0..*

Reference(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-condition-1 | ADHA Core Condition)

A reference to data that supports this section

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

ΣC

1..1

Literal reference, Relative, internal or absolute URL

0..1

Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

0..1

Logical reference, when literal reference is not known

0..1

Text alternative for the resource

0..1

Why the section is empty
Binding: Health Summary Non-Clinical Empty Reason

0..*

section:pastMedicalHistory

Nested Section

0..1

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

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

Label for section (e.g. for ToC)

1..1

Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 11348-0

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

0..1

Text summary of the section, for human interpretation

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

Fixed Value: snapshot

0..1

Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

0..*

Reference(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-condition-1 | ADHA Core Condition)

A reference to data that supports this section

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

ΣC

1..1

Literal reference, Relative, internal or absolute URL

0..1

Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

0..1

Logical reference, when literal reference is not known

0..1

Text alternative for the resource

0..1

Why the section is empty
Binding: Health Summary Non-Clinical Empty Reason

0..*

Nested Section

section:procedures

0..1

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

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

Label for section (e.g. for ToC)

1..1

Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 47519-4

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

0..1

Text summary of the section, for human interpretation

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

Fixed Value: snapshot

0..1

Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

0..*

Reference(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-procedure-1 | ADHA Core Procedure)

A reference to data that supports this section

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

ΣC

1..1

Literal reference, Relative, internal or absolute URL

0..1

Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

0..1

Logical reference, when literal reference is not known

0..1

Text alternative for the resource

0..1

Why the section is empty
Binding: Health Summary Non-Clinical Empty Reason

0..*

Nested Section

section:immunisations

0..1

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

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

Label for section (e.g. for ToC)

1..1

Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 11369-6

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

0..1

Text summary of the section, for human interpretation

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

Fixed Value: snapshot

0..1

Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

0..*

Reference(ADHA Core Immunization | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding)

Administered vaccines

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

ΣC

1..1

Literal reference, Relative, internal or absolute URL

0..1

Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

0..1

Logical reference, when literal reference is not known

0..1

Text alternative for the resource

0..1

Why the section is empty
Binding: Health Summary Non-Clinical Empty Reason

0..*

section:diagnosticInvestigations

Nested Section

0..1

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

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

?!Σ

0..*

Extensions that cannot be ignored even if unrecognized

1..1

Label for section (e.g. for ToC)

1..1

Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.

Required Pattern: At least the following

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..*

Code defined by a terminology system
Fixed Value: (complex)

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations

1..1

Identity of the terminology system
Fixed Value: http://loinc.org

0..1

Version of the system - if relevant

1..1

Symbol in syntax defined by the system
Fixed Value: 30954-2

0..1

Representation defined by the system

0..1

If this coding was chosen directly by the user

0..1

Plain text representation of the concept

0..*

Who and/or what authored the section

0..1

Who/what the section is about, when it is not about the subject of composition

0..1

Text summary of the section, for human interpretation

0..1

working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.

Fixed Value: snapshot

0..1

Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.

Reference(ADHA Core DiagnosticReport | ADHA Diagnostic Result Observation | ADHA Imaging Result Observation | ADHA Pathology Result Observation)

0..*

Diagnostic investigations

0..1

Unique id for inter-element referencing

0..*

Additional content defined by implementations
Slice: Unordered, Open by value:url

ΣC

1..1

Literal reference, Relative, internal or absolute URL

0..1

Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

0..1

Logical reference, when literal reference is not known

0..1

Text alternative for the resource

0..1

Why the section is empty
Binding: Health Summary Non-Clinical Empty Reason

0..*

Documentation for this format

Nested Section

Terminology Bindings

Path Conformance ValueSet / Code URI

Composition.language

CommonLanguages

Additional Bindings

Purpose

AllLanguages

Max Binding

http://hl7.org/fhir/ValueSet/languages

from the FHIR Standard

Composition.status

Pattern: final

http://hl7.org/fhir/ValueSet/composition-status|4.0.1

from the FHIR Standard

Composition.type

MyHealthRecordRecordType

https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-type-1

Composition.category

MyHealthRecordRecordClass

https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-class-1

Composition.category:es

Pattern: LOINC Code 34133-9

https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-class-1

Composition.encounter.type

http://hl7.org/fhir/ValueSet/resource-types

from the FHIR Standard

Composition.attester.mode

Fixed Value: legal

http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1

from the FHIR Standard

Composition.relatesTo.code

DocumentRelationshipType

http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1

from the FHIR Standard

Composition.event.code

ActCode

http://terminology.hl7.org/ValueSet/v3-ActCode

Composition.section.code

DocumentSectionCodes

http://hl7.org/fhir/ValueSet/doc-section-codes

from the FHIR Standard

Composition.section.mode

Fixed Value: snapshot

http://hl7.org/fhir/ValueSet/list-mode|4.0.1

from the FHIR Standard

Composition.section.orderedBy

http://hl7.org/fhir/ValueSet/list-order

from the FHIR Standard

Composition.section.entry.type

http://hl7.org/fhir/ValueSet/resource-types

from the FHIR Standard

Composition.section.emptyReason

ListEmptyReasons

http://hl7.org/fhir/ValueSet/list-empty-reason

from the FHIR Standard

Composition.section:allergies.code

Pattern: LOINC Code 48765-2

http://hl7.org/fhir/ValueSet/doc-section-codes

from the FHIR Standard

Composition.section:allergies.mode

Fixed Value: snapshot

http://hl7.org/fhir/ValueSet/list-mode|4.0.1

from the FHIR Standard

Composition.section:allergies.orderedBy

http://hl7.org/fhir/ValueSet/list-order

from the FHIR Standard

Composition.section:allergies.entry.type

http://hl7.org/fhir/ValueSet/resource-types

from the FHIR Standard

Composition.section:allergies.emptyReason

https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2

Composition.section:medicines.code

Pattern: LOINC Code 10160-0

http://hl7.org/fhir/ValueSet/doc-section-codes

from the FHIR Standard

Composition.section:medicines.mode

Fixed Value: snapshot

http://hl7.org/fhir/ValueSet/list-mode|4.0.1

from the FHIR Standard

Composition.section:medicines.orderedBy

http://hl7.org/fhir/ValueSet/list-order

from the FHIR Standard

Composition.section:medicines.entry.type

http://hl7.org/fhir/ValueSet/resource-types

from the FHIR Standard

Composition.section:medicines.emptyReason

https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2

Composition.section:problems.code

Pattern: LOINC Code 11450-4

http://hl7.org/fhir/ValueSet/doc-section-codes

from the FHIR Standard

Composition.section:problems.mode

Fixed Value: snapshot

http://hl7.org/fhir/ValueSet/list-mode|4.0.1

from the FHIR Standard

Composition.section:problems.orderedBy

http://hl7.org/fhir/ValueSet/list-order

from the FHIR Standard

Composition.section:problems.entry.type

http://hl7.org/fhir/ValueSet/resource-types

from the FHIR Standard

Composition.section:problems.emptyReason

https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2

Composition.section:pastMedicalHistory.code

Pattern: LOINC Code 11348-0

http://hl7.org/fhir/ValueSet/doc-section-codes

from the FHIR Standard

Composition.section:pastMedicalHistory.mode

Fixed Value: snapshot

http://hl7.org/fhir/ValueSet/list-mode|4.0.1

from the FHIR Standard

Composition.section:pastMedicalHistory.orderedBy

http://hl7.org/fhir/ValueSet/list-order

from the FHIR Standard

Composition.section:pastMedicalHistory.entry.type

http://hl7.org/fhir/ValueSet/resource-types

from the FHIR Standard

Composition.section:pastMedicalHistory.emptyReason

https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2

Composition.section:procedures.code

Pattern: LOINC Code 47519-4

http://hl7.org/fhir/ValueSet/doc-section-codes

from the FHIR Standard

Composition.section:procedures.mode

Fixed Value: snapshot

http://hl7.org/fhir/ValueSet/list-mode|4.0.1

from the FHIR Standard

Composition.section:procedures.orderedBy

http://hl7.org/fhir/ValueSet/list-order

from the FHIR Standard

Composition.section:procedures.entry.type

http://hl7.org/fhir/ValueSet/resource-types

from the FHIR Standard

Composition.section:procedures.emptyReason

https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2

Composition.section:immunisations.code

Pattern: LOINC Code 11369-6

http://hl7.org/fhir/ValueSet/doc-section-codes

from the FHIR Standard

Composition.section:immunisations.mode

Fixed Value: snapshot

http://hl7.org/fhir/ValueSet/list-mode|4.0.1

from the FHIR Standard

Composition.section:immunisations.orderedBy

http://hl7.org/fhir/ValueSet/list-order

from the FHIR Standard

Composition.section:immunisations.entry.type

http://hl7.org/fhir/ValueSet/resource-types

from the FHIR Standard

Composition.section:immunisations.emptyReason

https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2

Composition.section:diagnosticInvestigations.code

Pattern: LOINC Code 30954-2

http://hl7.org/fhir/ValueSet/doc-section-codes

from the FHIR Standard

Composition.section:diagnosticInvestigations.mode

Fixed Value: snapshot

http://hl7.org/fhir/ValueSet/list-mode|4.0.1

from the FHIR Standard

Composition.section:diagnosticInvestigations.orderedBy

http://hl7.org/fhir/ValueSet/list-order

from the FHIR Standard

Composition.section:diagnosticInvestigations.entry.type

http://hl7.org/fhir/ValueSet/resource-types

from the FHIR Standard

Composition.section:diagnosticInvestigations.emptyReason

https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2

Description & Constraints

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-es-01	error	Composition.section	All observations shall conform one of: ADHA Simple Observation, ADHA Diagnostic Result Observation : entry.resolve().where($this is Observation).exists() implies entry.resolve().conformsTo('http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-observation-diagnosticresult-1')
inv-dh-es-03	error	Composition.section:medicines, Composition.section:pastMedicalHistory	If an assertion of no known current medications is provided, no other entry shall be present : entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) = '1234391000168107')
inv-dh-es-06	error	Composition.section:procedures	At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2
inv-dh-es-07	error	Composition.section:problems, Composition.section:immunisations	At most one list shall be present : entry.resolve().where($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:

ADHA Authoring PractitionerRole (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-practitionerrole-author-1)
ADHA Core AllergyIntolerance (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-allergyintolerance-core-1)
ADHA Core MedicationStatement (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-medicationstatement-core-1)
Unable to summarise profile http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding (no profile found)
Unable to summarise profile http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-condition-1 (no profile found)
ADHA Core Condition (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-condition-core-1)
Unable to summarise profile http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-procedure-1 (no profile found)
ADHA Core Procedure (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-procedure-core-1)
ADHA Core Immunization (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-immunization-core-1)
ADHA Core DiagnosticReport (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-diagnosticreport-core-1)
ADHA Diagnostic Result Observation (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-observation-diagnosticresult-1)
ADHA Imaging Result Observation (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-observation-diagnosticresult-imag-1)
ADHA Pathology Result Observation (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-observation-diagnosticresult-path-1)

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

Name	Flags	Card.	Type	Description & Constraints
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
author		1..1	Reference(ADHA Authoring PractitionerRole)	Who and/or what authored the composition
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)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Composition.section:allergies.emptyReason	required	HealthSummaryNonClinicalEmptyReason `https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2` from https://tx.ontoserver.csiro.au/fhir
Composition.section:medicines.emptyReason	required	HealthSummaryNonClinicalEmptyReason `https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2` from https://tx.ontoserver.csiro.au/fhir
Composition.section:problems.emptyReason	required	HealthSummaryNonClinicalEmptyReason `https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2` from https://tx.ontoserver.csiro.au/fhir
Composition.section:pastMedicalHistory.emptyReason	required	HealthSummaryNonClinicalEmptyReason `https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2` from https://tx.ontoserver.csiro.au/fhir
Composition.section:procedures.emptyReason	required	HealthSummaryNonClinicalEmptyReason `https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2` from https://tx.ontoserver.csiro.au/fhir
Composition.section:immunisations.emptyReason	required	HealthSummaryNonClinicalEmptyReason `https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2` from https://tx.ontoserver.csiro.au/fhir
Composition.section:diagnosticInvestigations.emptyReason	required	HealthSummaryNonClinicalEmptyReason `https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2` from https://tx.ontoserver.csiro.au/fhir

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-es-01	error	Composition.section	All observations shall conform one of: ADHA Simple Observation, ADHA Diagnostic Result Observation : entry.resolve().where($this is Observation).exists() implies entry.resolve().conformsTo('http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-observation-diagnosticresult-1')
inv-dh-es-03	error	Composition.section:medicines, Composition.section:pastMedicalHistory	If an assertion of no known current medications is provided, no other entry shall be present : entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) = '1234391000168107')
inv-dh-es-06	error	Composition.section:procedures	At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2
inv-dh-es-07	error	Composition.section:problems, Composition.section:immunisations	At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
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
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
informationRecipient	SC	0..*	Reference(Practitioner \| Device \| Patient \| RelatedPerson \| PractitionerRole \| Organization)	Information recipient URL: http://hl7.org.au/fhir/StructureDefinition/information-recipient
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..1	Identifier	Version-independent identifier for the Composition
status	?!SΣ	1..1	code	preliminary \| final \| amended \| entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. Required Pattern: final
type	SΣ	1..1	CodeableConcept	Document sub type Binding: My Health Record Record Type (extensible)
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
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 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
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
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
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
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	code	replaces \| transforms \| signs \| appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x]	S	1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(ADHA Core Composition)
Slices for section	SC	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Open by pattern:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-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
title	S	0..1	string	Label for section (e.g. for ToC)
code	S	0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
entry	SC	0..*	Reference(Resource)	A reference to data that supports this section
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:allergies	SC	0..1	BackboneElement	Allergies cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48765-2
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
entry	SC	0..*	Reference(ADHA Core AllergyIntolerance)	Allergies and/or intolerances
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section:medicines	SC	0..1	BackboneElement	Medicines cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-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
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10160-0
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
entry	SC	0..*	Reference(ADHA Core MedicationStatement \| http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding)	Medicines the patient is currently taking
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section:problems	SC	0..1	BackboneElement	Problems or Diagnoses cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-es-07: At most one list shall be present
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11450-4
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
entry	SC	0..*	Reference(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-condition-1 \| ADHA Core Condition)	A reference to data that supports this section
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section:pastMedicalHistory	SC	0..1	BackboneElement	Past medical history cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-es-03: At most one list shall be present
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11348-0
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
entry	SC	0..*	Reference(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-condition-1 \| ADHA Core Condition)	A reference to data that supports this section
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section:procedures	SC	0..1	BackboneElement	Procedures cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-es-06: At most one list shall be present
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 47519-4
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
entry	SC	0..*	Reference(http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-procedure-1 \| ADHA Core Procedure)	A reference to data that supports this section
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section: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
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11369-6
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
entry	SC	0..*	Reference(ADHA Core Immunization \| http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding)	Administered vaccines
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section:diagnosticInvestigations	SC	0..1	BackboneElement	Diagnostic Investigations (Editorial Note: The design of this section is incomplete. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 30954-2
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
entry	SC	0..*	Reference(ADHA Core DiagnosticReport \| ADHA Diagnostic Result Observation \| ADHA Imaging Result Observation \| ADHA Pathology Result Observation)	Diagnostic investigations
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.status	required	Pattern: final `http://hl7.org/fhir/ValueSet/composition-status\|4.0.1` from the FHIR Standard
Composition.type	extensible	MyHealthRecordRecordType `https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-type-1` from https://tx.ontoserver.csiro.au/fhir
Composition.category	extensible	MyHealthRecordRecordClass `https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-class-1` from https://tx.ontoserver.csiro.au/fhir
Composition.category:es	extensible	Pattern: LOINC Code 34133-9 `https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-class-1` from https://tx.ontoserver.csiro.au/fhir
Composition.attester.mode	required	Fixed Value: legal `http://hl7.org/fhir/ValueSet/composition-attestation-mode\|4.0.1` from the FHIR Standard
Composition.relatesTo.code	required	DocumentRelationshipType `http://hl7.org/fhir/ValueSet/document-relationship-type\|4.0.1` from the FHIR Standard
Composition.section.code	example	DocumentSectionCodes `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section.emptyReason	preferred	ListEmptyReasons `http://hl7.org/fhir/ValueSet/list-empty-reason` from the FHIR Standard
Composition.section:allergies.code	example	Pattern: LOINC Code 48765-2 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:allergies.emptyReason	required	HealthSummaryNonClinicalEmptyReason `https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2` from https://tx.ontoserver.csiro.au/fhir
Composition.section:medicines.code	example	Pattern: LOINC Code 10160-0 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:medicines.emptyReason	required	HealthSummaryNonClinicalEmptyReason `https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2` from https://tx.ontoserver.csiro.au/fhir
Composition.section:problems.code	example	Pattern: LOINC Code 11450-4 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:problems.emptyReason	required	HealthSummaryNonClinicalEmptyReason `https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2` from https://tx.ontoserver.csiro.au/fhir
Composition.section:pastMedicalHistory.code	example	Pattern: LOINC Code 11348-0 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:pastMedicalHistory.emptyReason	required	HealthSummaryNonClinicalEmptyReason `https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2` from https://tx.ontoserver.csiro.au/fhir
Composition.section:procedures.code	example	Pattern: LOINC Code 47519-4 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:procedures.emptyReason	required	HealthSummaryNonClinicalEmptyReason `https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2` from https://tx.ontoserver.csiro.au/fhir
Composition.section:immunisations.code	example	Pattern: LOINC Code 11369-6 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:immunisations.emptyReason	required	HealthSummaryNonClinicalEmptyReason `https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2` from https://tx.ontoserver.csiro.au/fhir
Composition.section:diagnosticInvestigations.code	example	Pattern: LOINC Code 30954-2 `http://hl7.org/fhir/ValueSet/doc-section-codes` from the FHIR Standard
Composition.section:diagnosticInvestigations.emptyReason	required	HealthSummaryNonClinicalEmptyReason `https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2` from https://tx.ontoserver.csiro.au/fhir

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-es-01	error	Composition.section	All observations shall conform one of: ADHA Simple Observation, ADHA Diagnostic Result Observation : entry.resolve().where($this is Observation).exists() implies entry.resolve().conformsTo('http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-observation-diagnosticresult-1')
inv-dh-es-03	error	Composition.section:medicines, Composition.section:pastMedicalHistory	If an assertion of no known current medications is provided, no other entry shall be present : entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) = '1234391000168107')
inv-dh-es-06	error	Composition.section:procedures	At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2
inv-dh-es-07	error	Composition.section:problems, Composition.section:immunisations	At most one list shall be present : entry.resolve().where($this is List).exists() implies entry.count() < 2

Snapshot View

Composition

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

0..1

Logical id of this artifact

Terminology Bindings

Path Conformance ValueSet / Code URI

Composition.language

CommonLanguages

Additional Bindings

Purpose

AllLanguages

Max Binding

http://hl7.org/fhir/ValueSet/languages

from the FHIR Standard

Composition.status

Pattern: final

http://hl7.org/fhir/ValueSet/composition-status|4.0.1

from the FHIR Standard

Composition.type

MyHealthRecordRecordType

https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-type-1

Composition.category

MyHealthRecordRecordClass

https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-class-1

Composition.category:es

Pattern: LOINC Code 34133-9

https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-class-1

Composition.encounter.type

http://hl7.org/fhir/ValueSet/resource-types

from the FHIR Standard

Composition.attester.mode

Fixed Value: legal

http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1

from the FHIR Standard

Composition.relatesTo.code

DocumentRelationshipType

http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1

from the FHIR Standard

Composition.event.code

ActCode

http://terminology.hl7.org/ValueSet/v3-ActCode

Composition.section.code

DocumentSectionCodes

http://hl7.org/fhir/ValueSet/doc-section-codes

from the FHIR Standard

Composition.section.mode

Fixed Value: snapshot

http://hl7.org/fhir/ValueSet/list-mode|4.0.1

from the FHIR Standard

Composition.section.orderedBy

http://hl7.org/fhir/ValueSet/list-order

from the FHIR Standard

Composition.section.entry.type

http://hl7.org/fhir/ValueSet/resource-types

from the FHIR Standard

Composition.section.emptyReason

ListEmptyReasons

http://hl7.org/fhir/ValueSet/list-empty-reason

from the FHIR Standard

Composition.section:allergies.code

Pattern: LOINC Code 48765-2

http://hl7.org/fhir/ValueSet/doc-section-codes

from the FHIR Standard

Composition.section:allergies.mode

Fixed Value: snapshot

http://hl7.org/fhir/ValueSet/list-mode|4.0.1

from the FHIR Standard

Composition.section:allergies.orderedBy

http://hl7.org/fhir/ValueSet/list-order

from the FHIR Standard

Composition.section:allergies.entry.type

http://hl7.org/fhir/ValueSet/resource-types

from the FHIR Standard

Composition.section:allergies.emptyReason

https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2

Composition.section:medicines.code

Pattern: LOINC Code 10160-0

http://hl7.org/fhir/ValueSet/doc-section-codes

from the FHIR Standard

Composition.section:medicines.mode

Fixed Value: snapshot

http://hl7.org/fhir/ValueSet/list-mode|4.0.1

from the FHIR Standard

Composition.section:medicines.orderedBy

http://hl7.org/fhir/ValueSet/list-order

from the FHIR Standard

Composition.section:medicines.entry.type

http://hl7.org/fhir/ValueSet/resource-types

from the FHIR Standard

Composition.section:medicines.emptyReason

https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2

Composition.section:problems.code

Pattern: LOINC Code 11450-4

http://hl7.org/fhir/ValueSet/doc-section-codes

from the FHIR Standard

Composition.section:problems.mode

Fixed Value: snapshot

http://hl7.org/fhir/ValueSet/list-mode|4.0.1

from the FHIR Standard

Composition.section:problems.orderedBy

http://hl7.org/fhir/ValueSet/list-order

from the FHIR Standard

Composition.section:problems.entry.type

http://hl7.org/fhir/ValueSet/resource-types

from the FHIR Standard

Composition.section:problems.emptyReason

https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2

Composition.section:pastMedicalHistory.code

Pattern: LOINC Code 11348-0

http://hl7.org/fhir/ValueSet/doc-section-codes

from the FHIR Standard

Composition.section:pastMedicalHistory.mode

Fixed Value: snapshot

http://hl7.org/fhir/ValueSet/list-mode|4.0.1

from the FHIR Standard

Composition.section:pastMedicalHistory.orderedBy

http://hl7.org/fhir/ValueSet/list-order

from the FHIR Standard

Composition.section:pastMedicalHistory.entry.type

http://hl7.org/fhir/ValueSet/resource-types

from the FHIR Standard

Composition.section:pastMedicalHistory.emptyReason

https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2

Composition.section:procedures.code

Pattern: LOINC Code 47519-4

http://hl7.org/fhir/ValueSet/doc-section-codes

from the FHIR Standard

Composition.section:procedures.mode

Fixed Value: snapshot

http://hl7.org/fhir/ValueSet/list-mode|4.0.1

from the FHIR Standard

Composition.section:procedures.orderedBy

http://hl7.org/fhir/ValueSet/list-order

from the FHIR Standard

Composition.section:procedures.entry.type

http://hl7.org/fhir/ValueSet/resource-types

from the FHIR Standard

Composition.section:procedures.emptyReason

https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2

Composition.section:immunisations.code

Pattern: LOINC Code 11369-6

http://hl7.org/fhir/ValueSet/doc-section-codes

from the FHIR Standard

Composition.section:immunisations.mode

Fixed Value: snapshot

http://hl7.org/fhir/ValueSet/list-mode|4.0.1

from the FHIR Standard

Composition.section:immunisations.orderedBy

http://hl7.org/fhir/ValueSet/list-order

from the FHIR Standard

Composition.section:immunisations.entry.type

http://hl7.org/fhir/ValueSet/resource-types

from the FHIR Standard

Composition.section:immunisations.emptyReason

https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2

Composition.section:diagnosticInvestigations.code

Pattern: LOINC Code 30954-2

http://hl7.org/fhir/ValueSet/doc-section-codes

from the FHIR Standard

Composition.section:diagnosticInvestigations.mode

Fixed Value: snapshot

http://hl7.org/fhir/ValueSet/list-mode|4.0.1

from the FHIR Standard

Composition.section:diagnosticInvestigations.orderedBy

http://hl7.org/fhir/ValueSet/list-order

from the FHIR Standard

Composition.section:diagnosticInvestigations.entry.type

http://hl7.org/fhir/ValueSet/resource-types

from the FHIR Standard

Composition.section:diagnosticInvestigations.emptyReason

https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2