Australian Digital Health Agency FHIR Implementation Guide

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

• Content
• Detailed Descriptions
• XML
• JSON
• TTL

Resource Profile: ADHA Personal Health Summary Composition

The purpose of this profile is to define a representation of a Personal Health 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.

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.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from ADHACompositionDocument

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	ADHACompositionDocument	Personal Health Summary
status		1..1	code	preliminary | final | amended | entered-in-error Required Pattern: final
type		1..1	CodeableConcept	Document sub type Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 100.16685
Slices for category		1..*	CodeableConcept	Categorization of Composition Slice: Unordered, Open by pattern:$this
category:phs		1..1	CodeableConcept	Personal Health Summary Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 100.16685
author		1..1	Reference(ADHA Core Patient | ADHA Authoring RelatedPerson | ADHA Authoring Care Agency Employee)	Who and/or what authored the composition
Slices for section	C	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Closed by pattern:code inv-dh-phs-01: A section shall at least have an entry or an empty reason inv-dh-phs-02: All observations shall conform to ADHA Simple Observation
section:All Slices				Content/Rules for all slices
title		1..1	string	Label for section (e.g. for ToC)
section		0..0
section:allergies		1..1	BackboneElement	Allergies
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 101.20113
entry	C	0..*	Reference(ADHA Core AllergyIntolerance)	Allergies and/or intolerances
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section:currentmedicicines	C	1..1	BackboneElement	Current Medicines inv-dh-phs-04: If an assertion of no known current medications is provided, no other entry shall be present
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 101.32009
entry	C	0..*	Reference(ADHA Core MedicationStatement | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding)	Medicines the patient is currently taking
emptyReason	C	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:currentmedicicines.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir

Name	Flags	Card.	Type	Description & Constraints
Composition	C	0..*	ADHACompositionDocument	Personal Health 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
identifier	SΣ	1..1	Identifier	Version-independent identifier for the Composition ele-1: All FHIR elements must have a @value or children
status	?!SΣ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. ele-1: All FHIR elements must have a @value or children Required Pattern: final
type	SΣ	1..1	CodeableConcept	Document sub type Binding: My Health Record Record Type (extensible) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 100.16685
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:phs	SΣ	1..1	CodeableConcept	Personal Health Summary Binding: My Health Record Record Class (extensible) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 100.16685
subject	SΣC	1..1	Reference(ADHA Core Patient)	Who and/or what the composition is about ele-1: All FHIR elements must have a @value or children inv-dh-doc-03: At least reference or a valid identifier shall be present
encounter	SΣ	0..1	Reference(ADHA Core Encounter)	Context of the Composition ele-1: All FHIR elements must have a @value or children
date	SΣC	1..1	dateTime	Composition editing time ele-1: All FHIR elements must have a @value or children inv-dh-doc-07: Date shall be at least to day
author	SΣC	1..1	Reference(ADHA Core Patient | ADHA Authoring RelatedPerson | ADHA Authoring Care Agency Employee)	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
time	S	1..1	dateTime	When the composition was attested ele-1: All FHIR elements must have a @value or children
party	SC	1..1	Reference(ADHA Authoring PractitionerRole | ADHA Core Patient | ADHA Authoring RelatedPerson | ADHA Core Organization)	Who attested the composition ele-1: All FHIR elements must have a @value or children
custodian	SΣC	1..1	Reference(ADHA Core Organization)	Organization which maintains the composition ele-1: All FHIR elements must have a @value or children inv-dh-doc-06: At least reference or a valid identifier shall be present
relatesTo	S	0..*	BackboneElement	Relationships to other compositions/documents ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	S	1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. ele-1: All FHIR elements must have a @value or children
target[x]	S	1..1		Target of the relationship ele-1: All FHIR elements must have a @value or children
targetIdentifier			Identifier
targetReference			Reference(ADHA Core Composition)
Slices for section	SC	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Closed 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-phs-01: A section shall at least have an entry or an empty reason inv-dh-phs-02: All observations shall conform to ADHA Simple 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	1..1	string	Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children
code	S	0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children
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	1..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	0..1	string	Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 101.20113
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:currentmedicicines	SC	1..1	BackboneElement	Current 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-phs-04: 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	0..1	string	Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 101.32009
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
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	Pattern: 100.16685 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:phs	extensible	Pattern: 100.16685 https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-class-1 from https://tx.ontoserver.csiro.au/fhir
Composition.attester.mode	required	CompositionAttestationMode 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.mode	required	Fixed Value: snapshot http://hl7.org/fhir/ValueSet/list-mode|4.0.1 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: 101.20113 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:allergies.mode	required	Fixed Value: snapshot http://hl7.org/fhir/ValueSet/list-mode|4.0.1 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:currentmedicicines.code	example	Pattern: 101.32009 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:currentmedicicines.mode	required	Fixed Value: snapshot http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:currentmedicicines.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir

Name	Flags	Card.	Type	Description & Constraints
Composition	C	0..*	ADHACompositionDocument	Personal Health Summary inv-dh-doc-01: If present, an information recipient shall at least have a reference, an identifier or a display inv-dh-doc-02: Sections shall be unique by code
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 100.16685
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
Slices for category	SΣ	1..*	CodeableConcept	Categorization of Composition Slice: Unordered, Open by pattern:$this Binding: My Health Record Record Class (extensible)
category:phs	SΣ	1..1	CodeableConcept	Personal Health Summary Binding: My Health Record Record Class (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 100.16685
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	0..1	Reference(ADHA Core Encounter)	Context of the Composition
date	SΣC	1..1	dateTime	Composition editing time inv-dh-doc-07: Date shall be at least to day
author	SΣC	1..1	Reference(ADHA Core Patient | ADHA Authoring RelatedPerson | ADHA Authoring Care Agency Employee)	Who and/or what authored the composition inv-dh-doc-04: At least reference or a valid identifier shall be present
title	SΣ	1..1	string	Human Readable name/title
attester	SC	0..*	BackboneElement	Attests to accuracy of composition inv-dh-doc-05: The party shall at least have a reference or a valid identifier
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode	S	1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time	S	1..1	dateTime	When the composition was attested
party	SC	1..1	Reference(ADHA Authoring PractitionerRole | ADHA Core Patient | ADHA Authoring RelatedPerson | ADHA Core Organization)	Who attested the composition
custodian	SΣC	1..1	Reference(ADHA Core Organization)	Organization which maintains the composition inv-dh-doc-06: At least reference or a valid identifier shall be present
relatesTo	S	0..*	BackboneElement	Relationships to other compositions/documents
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x]	S	1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(ADHA Core Composition)
event	Σ	0..*	BackboneElement	The clinical service(s) being documented
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
Slices for section	SC	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Closed 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-phs-01: A section shall at least have an entry or an empty reason inv-dh-phs-02: All observations shall conform to ADHA Simple 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	1..1	string	Label for section (e.g. for ToC)
code	S	0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
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	1..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	0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 101.20113
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:currentmedicicines	SC	1..1	BackboneElement	Current 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-phs-04: 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	0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 101.32009
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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Composition.status	required	Pattern: final http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	extensible	Pattern: 100.16685 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:phs	extensible	Pattern: 100.16685 https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-class-1 from https://tx.ontoserver.csiro.au/fhir
Composition.attester.mode	required	CompositionAttestationMode 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.event.code	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section.mode	required	Fixed Value: snapshot http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section.entry.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types 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: 101.20113 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:allergies.mode	required	Fixed Value: snapshot http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:allergies.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:allergies.entry.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.section:allergies.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:currentmedicicines.code	example	Pattern: 101.32009 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:currentmedicicines.mode	required	Fixed Value: snapshot http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:currentmedicicines.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:currentmedicicines.entry.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.section:currentmedicicines.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir

This structure is derived from ADHACompositionDocument

Summary

Mandatory: 7 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

• ADHA Core Patient (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-patient-core-1)
• ADHA Authoring RelatedPerson (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-relatedperson-author-1)
• ADHA Authoring Care Agency Employee (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-practitionerrole-author-cae-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)

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 (Closed)

Differential View

This structure is derived from ADHACompositionDocument

Name	Flags	Card.	Type	Description & Constraints
Composition		0..*	ADHACompositionDocument	Personal Health Summary
status		1..1	code	preliminary | final | amended | entered-in-error Required Pattern: final
type		1..1	CodeableConcept	Document sub type Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 100.16685
Slices for category		1..*	CodeableConcept	Categorization of Composition Slice: Unordered, Open by pattern:$this
category:phs		1..1	CodeableConcept	Personal Health Summary Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 100.16685
author		1..1	Reference(ADHA Core Patient | ADHA Authoring RelatedPerson | ADHA Authoring Care Agency Employee)	Who and/or what authored the composition
Slices for section	C	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Closed by pattern:code inv-dh-phs-01: A section shall at least have an entry or an empty reason inv-dh-phs-02: All observations shall conform to ADHA Simple Observation
section:All Slices				Content/Rules for all slices
title		1..1	string	Label for section (e.g. for ToC)
section		0..0
section:allergies		1..1	BackboneElement	Allergies
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 101.20113
entry	C	0..*	Reference(ADHA Core AllergyIntolerance)	Allergies and/or intolerances
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section:currentmedicicines	C	1..1	BackboneElement	Current Medicines inv-dh-phs-04: If an assertion of no known current medications is provided, no other entry shall be present
code		1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 101.32009
entry	C	0..*	Reference(ADHA Core MedicationStatement | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding)	Medicines the patient is currently taking
emptyReason	C	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:currentmedicicines.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Composition	C	0..*	ADHACompositionDocument	Personal Health 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
identifier	SΣ	1..1	Identifier	Version-independent identifier for the Composition ele-1: All FHIR elements must have a @value or children
status	?!SΣ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. ele-1: All FHIR elements must have a @value or children Required Pattern: final
type	SΣ	1..1	CodeableConcept	Document sub type Binding: My Health Record Record Type (extensible) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 100.16685
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:phs	SΣ	1..1	CodeableConcept	Personal Health Summary Binding: My Health Record Record Class (extensible) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 100.16685
subject	SΣC	1..1	Reference(ADHA Core Patient)	Who and/or what the composition is about ele-1: All FHIR elements must have a @value or children inv-dh-doc-03: At least reference or a valid identifier shall be present
encounter	SΣ	0..1	Reference(ADHA Core Encounter)	Context of the Composition ele-1: All FHIR elements must have a @value or children
date	SΣC	1..1	dateTime	Composition editing time ele-1: All FHIR elements must have a @value or children inv-dh-doc-07: Date shall be at least to day
author	SΣC	1..1	Reference(ADHA Core Patient | ADHA Authoring RelatedPerson | ADHA Authoring Care Agency Employee)	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
time	S	1..1	dateTime	When the composition was attested ele-1: All FHIR elements must have a @value or children
party	SC	1..1	Reference(ADHA Authoring PractitionerRole | ADHA Core Patient | ADHA Authoring RelatedPerson | ADHA Core Organization)	Who attested the composition ele-1: All FHIR elements must have a @value or children
custodian	SΣC	1..1	Reference(ADHA Core Organization)	Organization which maintains the composition ele-1: All FHIR elements must have a @value or children inv-dh-doc-06: At least reference or a valid identifier shall be present
relatesTo	S	0..*	BackboneElement	Relationships to other compositions/documents ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	S	1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. ele-1: All FHIR elements must have a @value or children
target[x]	S	1..1		Target of the relationship ele-1: All FHIR elements must have a @value or children
targetIdentifier			Identifier
targetReference			Reference(ADHA Core Composition)
Slices for section	SC	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Closed 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-phs-01: A section shall at least have an entry or an empty reason inv-dh-phs-02: All observations shall conform to ADHA Simple 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	1..1	string	Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children
code	S	0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children
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	1..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	0..1	string	Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 101.20113
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:currentmedicicines	SC	1..1	BackboneElement	Current 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-phs-04: 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	0..1	string	Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 101.32009
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
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	Pattern: 100.16685 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:phs	extensible	Pattern: 100.16685 https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-class-1 from https://tx.ontoserver.csiro.au/fhir
Composition.attester.mode	required	CompositionAttestationMode 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.mode	required	Fixed Value: snapshot http://hl7.org/fhir/ValueSet/list-mode|4.0.1 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: 101.20113 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:allergies.mode	required	Fixed Value: snapshot http://hl7.org/fhir/ValueSet/list-mode|4.0.1 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:currentmedicicines.code	example	Pattern: 101.32009 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:currentmedicicines.mode	required	Fixed Value: snapshot http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:currentmedicicines.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Composition	C	0..*	ADHACompositionDocument	Personal Health Summary inv-dh-doc-01: If present, an information recipient shall at least have a reference, an identifier or a display inv-dh-doc-02: Sections shall be unique by code
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 100.16685
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
Slices for category	SΣ	1..*	CodeableConcept	Categorization of Composition Slice: Unordered, Open by pattern:$this Binding: My Health Record Record Class (extensible)
category:phs	SΣ	1..1	CodeableConcept	Personal Health Summary Binding: My Health Record Record Class (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 100.16685
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	0..1	Reference(ADHA Core Encounter)	Context of the Composition
date	SΣC	1..1	dateTime	Composition editing time inv-dh-doc-07: Date shall be at least to day
author	SΣC	1..1	Reference(ADHA Core Patient | ADHA Authoring RelatedPerson | ADHA Authoring Care Agency Employee)	Who and/or what authored the composition inv-dh-doc-04: At least reference or a valid identifier shall be present
title	SΣ	1..1	string	Human Readable name/title
attester	SC	0..*	BackboneElement	Attests to accuracy of composition inv-dh-doc-05: The party shall at least have a reference or a valid identifier
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode	S	1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time	S	1..1	dateTime	When the composition was attested
party	SC	1..1	Reference(ADHA Authoring PractitionerRole | ADHA Core Patient | ADHA Authoring RelatedPerson | ADHA Core Organization)	Who attested the composition
custodian	SΣC	1..1	Reference(ADHA Core Organization)	Organization which maintains the composition inv-dh-doc-06: At least reference or a valid identifier shall be present
relatesTo	S	0..*	BackboneElement	Relationships to other compositions/documents
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x]	S	1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(ADHA Core Composition)
event	Σ	0..*	BackboneElement	The clinical service(s) being documented
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
Slices for section	SC	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, Closed 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-phs-01: A section shall at least have an entry or an empty reason inv-dh-phs-02: All observations shall conform to ADHA Simple 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	1..1	string	Label for section (e.g. for ToC)
code	S	0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
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	1..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	0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 101.20113
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:currentmedicicines	SC	1..1	BackboneElement	Current 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-phs-04: 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	0..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 101.32009
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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Composition.status	required	Pattern: final http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	extensible	Pattern: 100.16685 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:phs	extensible	Pattern: 100.16685 https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-class-1 from https://tx.ontoserver.csiro.au/fhir
Composition.attester.mode	required	CompositionAttestationMode 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.event.code	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section.mode	required	Fixed Value: snapshot http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section.entry.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types 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: 101.20113 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:allergies.mode	required	Fixed Value: snapshot http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:allergies.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:allergies.entry.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.section:allergies.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:currentmedicicines.code	example	Pattern: 101.32009 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:currentmedicicines.mode	required	Fixed Value: snapshot http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:currentmedicicines.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:currentmedicicines.entry.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.section:currentmedicicines.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir

This structure is derived from ADHACompositionDocument

Summary

Mandatory: 7 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

• ADHA Core Patient (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-patient-core-1)
• ADHA Authoring RelatedPerson (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-relatedperson-author-1)
• ADHA Authoring Care Agency Employee (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-practitionerrole-author-cae-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)

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 (Closed)