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

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• Detailed Descriptions
• Examples
• XML
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• TTL

Resource Profile: ADHA Shared Health Summary Document Composition

The purpose of this profile is to define a representation of a Shared 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	Shared 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: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 60591-5
Slices for category		1..*	CodeableConcept	Categorization of Composition Slice: Unordered, Open by pattern:$this
category:ps		1..1	CodeableConcept	Patient 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: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 60591-5
author		1..1	Reference(ADHA Authoring PractitionerRole)	Who and/or what authored the composition
attester		1..*	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, Closed by pattern:code inv-dh-shs-01: A section shall at least have an entry or an empty reason inv-dh-shs-02: All observations shall conform to ADHA Simple Observation
section:All Slices				Content/Rules for all slices
section		0..0
section:allergies		1..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	C	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section:medicines	C	1..1	BackboneElement	Current Medicines inv-dh-shs-04: 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	C	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section:medicalHistory	C	1..1	BackboneElement	Medical History inv-dh-shs-06: If an assertion of no relevant medical history 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: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 101.16117
entry	C	0..*	Reference(ADHA Core Condition | ADHA Core Procedure | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding)	Medical history
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section:immunisations	C	1..1	BackboneElement	Immunisations inv-dh-shs-08: If an assertion of no history of vaccination 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	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: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:medicalHistory.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

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-shs-01	error	Composition.section	A section shall at least have an entry or an empty reason : entry.exists() or emptyReason.exists()
inv-dh-shs-02	error	Composition.section	All observations shall conform to ADHA Simple Observation : entry.resolve().where($this is Observation).exists() implies entry.resolve().conformsTo('http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-observation-simple-1')
inv-dh-shs-04	error	Composition.section:medicines	If an assertion of no known current medications is provided, no other entry shall be present : entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) = '1234391000168107')
inv-dh-shs-06	error	Composition.section:medicalHistory	If an assertion of no relevant medical history is provided, no other entry shall be present : entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) = '1224831000168103')
inv-dh-shs-08	error	Composition.section:immunisations	If an assertion of no history of vaccination is provided, no other entry shall be present : entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) = '1234401000168109')

Name	Flags	Card.	Type	Description & Constraints
Composition	C	0..*	ADHACompositionDocument	Shared 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
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) 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: 60591-5
Slices for category	SΣ	1..*	CodeableConcept	Categorization of Composition Slice: Unordered, Open by pattern:$this Binding: My Health Record Record Class (extensible)
category:ps	SΣ	1..1	CodeableConcept	Patient summary 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: 60591-5
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 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	1..*	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, 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-shs-01: A section shall at least have an entry or an empty reason inv-dh-shs-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
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	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
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	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-shs-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
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:medicalHistory	SC	1..1	BackboneElement	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-shs-06: If an assertion of no relevant medical history 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: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 101.16117
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
entry	SC	0..*	Reference(ADHA Core Condition | ADHA Core Procedure | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding)	Medical history
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	1..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-shs-08: If an assertion of no history of vaccination 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)
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: LOINC Code 60591-5 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:ps	extensible	Pattern: LOINC Code 60591-5 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:medicalHistory.code	example	Pattern: 101.16117 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:medicalHistory.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

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-shs-01	error	Composition.section	A section shall at least have an entry or an empty reason : entry.exists() or emptyReason.exists()
inv-dh-shs-02	error	Composition.section	All observations shall conform to ADHA Simple Observation : entry.resolve().where($this is Observation).exists() implies entry.resolve().conformsTo('http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-observation-simple-1')
inv-dh-shs-04	error	Composition.section:medicines	If an assertion of no known current medications is provided, no other entry shall be present : entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) = '1234391000168107')
inv-dh-shs-06	error	Composition.section:medicalHistory	If an assertion of no relevant medical history is provided, no other entry shall be present : entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) = '1224831000168103')
inv-dh-shs-08	error	Composition.section:immunisations	If an assertion of no history of vaccination is provided, no other entry shall be present : entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) = '1234401000168109')

Name	Flags	Card.	Type	Description & Constraints
Composition	C	0..*	ADHACompositionDocument	Shared 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: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 60591-5
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:ps	SΣ	1..1	CodeableConcept	Patient 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: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 60591-5
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 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	1..*	BackboneElement	Attests to accuracy of composition inv-dh-doc-05: The party shall at least have a reference or a valid identifier
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode	S	1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Fixed Value: legal
time	S	1..1	dateTime	When the composition was attested
party	SC	1..1	Reference(ADHA Authoring PractitionerRole)	Who attested the composition
custodian	SΣC	1..1	Reference(ADHA Core Organization)	Organization which maintains the composition inv-dh-doc-06: At least reference or a valid identifier shall be present
relatesTo	S	0..*	BackboneElement	Relationships to other compositions/documents
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x]	S	1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(ADHA Core Composition)
event	Σ	0..*	BackboneElement	The clinical service(s) being documented
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
Slices for section	SC	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, 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-shs-01: A section shall at least have an entry or an empty reason inv-dh-shs-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	0..1	string	Label for section (e.g. for ToC)
code	S	0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. Fixed Value: snapshot
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(Resource)	A reference to data that supports this section
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:allergies	SC	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	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48765-2
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. Fixed Value: snapshot
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(ADHA Core AllergyIntolerance)	Allergies and/or intolerances
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section	C	0..*	See section (Composition)	Nested Section
section:medicines	SC	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-shs-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	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10160-0
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. Fixed Value: snapshot
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(ADHA Core MedicationStatement | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding)	Medicines the patient is currently taking
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section	C	0..*	See section (Composition)	Nested Section
section:medicalHistory	SC	1..1	BackboneElement	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-shs-06: If an assertion of no relevant medical history is provided, no other entry shall be present
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: 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: 101.16117
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 Condition | ADHA Core Procedure | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding)	Medical history
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section	C	0..*	See section (Composition)	Nested Section
section:immunisations	SC	1..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-shs-08: If an assertion of no history of vaccination is provided, no other entry shall be present
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11369-6
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. Fixed Value: snapshot
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(ADHA Core Immunization | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding)	Administered vaccines
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section	C	0..*	See section (Composition)	Nested Section
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Composition.status	required	Pattern: final http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	extensible	Pattern: LOINC Code 60591-5 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:ps	extensible	Pattern: LOINC Code 60591-5 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.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: LOINC Code 48765-2 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:medicines.code	example	Pattern: LOINC Code 10160-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:medicines.mode	required	Fixed Value: snapshot http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:medicines.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:medicines.entry.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.section:medicines.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:medicalHistory.code	example	Pattern: 101.16117 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:medicalHistory.mode	required	Fixed Value: snapshot http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:medicalHistory.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:medicalHistory.entry.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.section:medicalHistory.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.mode	required	Fixed Value: snapshot http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:immunisations.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:immunisations.entry.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.section:immunisations.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-shs-01	error	Composition.section	A section shall at least have an entry or an empty reason : entry.exists() or emptyReason.exists()
inv-dh-shs-02	error	Composition.section	All observations shall conform to ADHA Simple Observation : entry.resolve().where($this is Observation).exists() implies entry.resolve().conformsTo('http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-observation-simple-1')
inv-dh-shs-04	error	Composition.section:medicines	If an assertion of no known current medications is provided, no other entry shall be present : entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) = '1234391000168107')
inv-dh-shs-06	error	Composition.section:medicalHistory	If an assertion of no relevant medical history is provided, no other entry shall be present : entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) = '1224831000168103')
inv-dh-shs-08	error	Composition.section:immunisations	If an assertion of no history of vaccination is provided, no other entry shall be present : entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) = '1234401000168109')

This structure is derived from ADHACompositionDocument

Summary

Mandatory: 15 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)
• ADHA Core Condition (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-condition-core-1)
• 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)

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	Shared 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: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 60591-5
Slices for category		1..*	CodeableConcept	Categorization of Composition Slice: Unordered, Open by pattern:$this
category:ps		1..1	CodeableConcept	Patient 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: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 60591-5
author		1..1	Reference(ADHA Authoring PractitionerRole)	Who and/or what authored the composition
attester		1..*	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, Closed by pattern:code inv-dh-shs-01: A section shall at least have an entry or an empty reason inv-dh-shs-02: All observations shall conform to ADHA Simple Observation
section:All Slices				Content/Rules for all slices
section		0..0
section:allergies		1..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	C	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section:medicines	C	1..1	BackboneElement	Current Medicines inv-dh-shs-04: 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	C	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section:medicalHistory	C	1..1	BackboneElement	Medical History inv-dh-shs-06: If an assertion of no relevant medical history 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: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 101.16117
entry	C	0..*	Reference(ADHA Core Condition | ADHA Core Procedure | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding)	Medical history
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section:immunisations	C	1..1	BackboneElement	Immunisations inv-dh-shs-08: If an assertion of no history of vaccination 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	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: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:medicalHistory.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

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-shs-01	error	Composition.section	A section shall at least have an entry or an empty reason : entry.exists() or emptyReason.exists()
inv-dh-shs-02	error	Composition.section	All observations shall conform to ADHA Simple Observation : entry.resolve().where($this is Observation).exists() implies entry.resolve().conformsTo('http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-observation-simple-1')
inv-dh-shs-04	error	Composition.section:medicines	If an assertion of no known current medications is provided, no other entry shall be present : entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) = '1234391000168107')
inv-dh-shs-06	error	Composition.section:medicalHistory	If an assertion of no relevant medical history is provided, no other entry shall be present : entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) = '1224831000168103')
inv-dh-shs-08	error	Composition.section:immunisations	If an assertion of no history of vaccination is provided, no other entry shall be present : entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) = '1234401000168109')

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Composition	C	0..*	ADHACompositionDocument	Shared 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
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) 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: 60591-5
Slices for category	SΣ	1..*	CodeableConcept	Categorization of Composition Slice: Unordered, Open by pattern:$this Binding: My Health Record Record Class (extensible)
category:ps	SΣ	1..1	CodeableConcept	Patient summary 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: 60591-5
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 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	1..*	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, 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-shs-01: A section shall at least have an entry or an empty reason inv-dh-shs-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
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	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
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	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-shs-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
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:medicalHistory	SC	1..1	BackboneElement	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-shs-06: If an assertion of no relevant medical history 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: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 101.16117
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
entry	SC	0..*	Reference(ADHA Core Condition | ADHA Core Procedure | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding)	Medical history
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	1..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-shs-08: If an assertion of no history of vaccination 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)
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: LOINC Code 60591-5 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:ps	extensible	Pattern: LOINC Code 60591-5 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:medicalHistory.code	example	Pattern: 101.16117 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:medicalHistory.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

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-shs-01	error	Composition.section	A section shall at least have an entry or an empty reason : entry.exists() or emptyReason.exists()
inv-dh-shs-02	error	Composition.section	All observations shall conform to ADHA Simple Observation : entry.resolve().where($this is Observation).exists() implies entry.resolve().conformsTo('http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-observation-simple-1')
inv-dh-shs-04	error	Composition.section:medicines	If an assertion of no known current medications is provided, no other entry shall be present : entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) = '1234391000168107')
inv-dh-shs-06	error	Composition.section:medicalHistory	If an assertion of no relevant medical history is provided, no other entry shall be present : entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) = '1224831000168103')
inv-dh-shs-08	error	Composition.section:immunisations	If an assertion of no history of vaccination is provided, no other entry shall be present : entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) = '1234401000168109')

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Composition	C	0..*	ADHACompositionDocument	Shared 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: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 60591-5
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:ps	SΣ	1..1	CodeableConcept	Patient 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: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 60591-5
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 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	1..*	BackboneElement	Attests to accuracy of composition inv-dh-doc-05: The party shall at least have a reference or a valid identifier
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode	S	1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Fixed Value: legal
time	S	1..1	dateTime	When the composition was attested
party	SC	1..1	Reference(ADHA Authoring PractitionerRole)	Who attested the composition
custodian	SΣC	1..1	Reference(ADHA Core Organization)	Organization which maintains the composition inv-dh-doc-06: At least reference or a valid identifier shall be present
relatesTo	S	0..*	BackboneElement	Relationships to other compositions/documents
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x]	S	1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(ADHA Core Composition)
event	Σ	0..*	BackboneElement	The clinical service(s) being documented
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
Slices for section	SC	1..*	BackboneElement	Composition is broken into sections Slice: Unordered, 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-shs-01: A section shall at least have an entry or an empty reason inv-dh-shs-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	0..1	string	Label for section (e.g. for ToC)
code	S	0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. Fixed Value: snapshot
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(Resource)	A reference to data that supports this section
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section:allergies	SC	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	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 48765-2
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. Fixed Value: snapshot
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(ADHA Core AllergyIntolerance)	Allergies and/or intolerances
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section	C	0..*	See section (Composition)	Nested Section
section:medicines	SC	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-shs-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	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10160-0
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. Fixed Value: snapshot
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(ADHA Core MedicationStatement | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding)	Medicines the patient is currently taking
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section	C	0..*	See section (Composition)	Nested Section
section:medicalHistory	SC	1..1	BackboneElement	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-shs-06: If an assertion of no relevant medical history is provided, no other entry shall be present
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: 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: 101.16117
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 Condition | ADHA Core Procedure | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding)	Medical history
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section	C	0..*	See section (Composition)	Nested Section
section:immunisations	SC	1..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-shs-08: If an assertion of no history of vaccination is provided, no other entry shall be present
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Label for section (e.g. for ToC)
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11369-6
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Text summary of the section, for human interpretation
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. Fixed Value: snapshot
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(ADHA Core Immunization | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding)	Administered vaccines
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
emptyReason	SC	0..1	CodeableConcept	Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required)
section	C	0..*	See section (Composition)	Nested Section
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Composition.status	required	Pattern: final http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	extensible	Pattern: LOINC Code 60591-5 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:ps	extensible	Pattern: LOINC Code 60591-5 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.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: LOINC Code 48765-2 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:medicines.code	example	Pattern: LOINC Code 10160-0 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:medicines.mode	required	Fixed Value: snapshot http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:medicines.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:medicines.entry.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.section:medicines.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir
Composition.section:medicalHistory.code	example	Pattern: 101.16117 http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:medicalHistory.mode	required	Fixed Value: snapshot http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:medicalHistory.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:medicalHistory.entry.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.section:medicalHistory.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.mode	required	Fixed Value: snapshot http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:immunisations.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:immunisations.entry.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Composition.section:immunisations.emptyReason	required	HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 from https://tx.ontoserver.csiro.au/fhir

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-shs-01	error	Composition.section	A section shall at least have an entry or an empty reason : entry.exists() or emptyReason.exists()
inv-dh-shs-02	error	Composition.section	All observations shall conform to ADHA Simple Observation : entry.resolve().where($this is Observation).exists() implies entry.resolve().conformsTo('http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-observation-simple-1')
inv-dh-shs-04	error	Composition.section:medicines	If an assertion of no known current medications is provided, no other entry shall be present : entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) = '1234391000168107')
inv-dh-shs-06	error	Composition.section:medicalHistory	If an assertion of no relevant medical history is provided, no other entry shall be present : entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) = '1224831000168103')
inv-dh-shs-08	error	Composition.section:immunisations	If an assertion of no history of vaccination is provided, no other entry shall be present : entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) = '1234401000168109')

This structure is derived from ADHACompositionDocument

Summary

Mandatory: 15 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)
• ADHA Core Condition (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-condition-core-1)
• 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)

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)