Australian Digital Health Agency FHIR Implementation Guide
1.2.0-ci-build - draft
Australian Digital Health Agency FHIR Implementation Guide
1.2.0-ci-build - draft
Australian Digital Health Agency FHIR Implementation Guide, published by Australian Digital Health Agency. This guide is not an authorized publication; it is the continuous build for version 1.2.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/AuDigitalHealth/ci-fhir-r4/ and changes regularly. See the Directory of published versions
| Official URL: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-composition-sml-1 | Version: 0.0.6 | |||
| Draft as of 2024-09-12 | Computable Name: ADHACompositionSML | |||
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The purpose of this profile is to define a representation of a Shared Medicines List document that describes a patient's medicine item use at a point in time for the electronic exchange of health information between individuals, healthcare providers, and the My Health Record system infrastructure in Australia. A composition is a set of resources composed into a single coherent clinical statement that may have clinical attestation.
This profile identifies the additional constraints, extensions, and value sets that build on and extend Composition that are supported.
This profile supports the equivalent of a HL7 CDA instance conformance Level 3A or 3B clinical document as defined in the Agency's Common Conformance Profile for Clinical Documents.
This profile is designed to set a Composition standard for:
This profile may be referred to by APIs, which will be listed here when available.
None.
This profile is not referenced by another profile in this implementation guide.
These profiles build on this profile (ADHA Shared Medicines List Composition) to define specific document compositions:
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from ADHACompositionDocument
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Composition |
0..* | ADHACompositionDocument | Shared Medicines List | |
  status |
1..1 | code | preliminary | final | amended | entered-in-error Required Pattern: final | |
| type |
1..1 | CodeableConcept | Document sub type Binding: History Of Medication Use List Type  (extensible) | |
  Slices for category |
1..* | CodeableConcept | Categorization of Composition Slice: Unordered, Open by pattern:$this | |
   category:ms |
1..1 | CodeableConcept | Medication 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: 56445-0 | |
 Slices for section |
C | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by pattern:code inv-dh-sml-01: A section shall at least have an entry or an empty reason inv-dh-sml-02: All observations shall conform to ADHA Simple Observation |
 section:allergies |
0..1 | BackboneElement | Allergies | |
  title |
1..1 | string | Label for section (e.g. for ToC) | |
 code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
 coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2 | |
 entry |
C | 0..* | Reference(ADHA Core AllergyIntolerance) | Allergies and/or intolerances |
 emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) |
| section:medicinesList |
C | 1..* | BackboneElement | Medicines List inv-dh-sml-04: If an assertion of no known current medications is provided, no other entry shall be present inv-dh-sml-05: If present, a list shall have the same code as the section |
| title |
1..1 | string | Label for section (e.g. for ToC) | |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: History Of Medication Use List Type (required) | |
| entry |
C | 0..* | Reference(ADHA Medication Use List | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding) | Medicines list |
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Composition.type | extensible | HistoryOfMedicationUseListType https://healthterminologies.gov.au/fhir/ValueSet/history-of-medication-use-list-type-1 | |
| Composition.section:allergies.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
| Composition.section:medicinesList.code | required | HistoryOfMedicationUseListType https://healthterminologies.gov.au/fhir/ValueSet/history-of-medication-use-list-type-1 | |
| Composition.section:medicinesList.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 |
| Id | Grade | Path(s) | Details | Requirements |
| inv-dh-sml-01 | error | Composition.section | A section shall at least have an entry or an empty reason : entry.exists() or emptyReason.exists() | |
| inv-dh-sml-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-sml-04 | error | Composition.section:medicinesList | If an assertion of no known current medications is provided, no other entry shall be present : entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) = '1200661000168107') | |
| inv-dh-sml-05 | error | Composition.section:medicinesList | If present, a list shall have the same code as the section : entry.resolve().where($this is List).exists() implies ((entry.resolve().code.coding.code) = code.coding.code) |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Composition |
C | 0..* | ADHACompositionDocument | Shared Medicines List 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: History Of Medication Use List Type (extensible) |
| Slices for category |
SΣ | 1..* | CodeableConcept | Categorization of Composition Slice: Unordered, Open by pattern:$this Binding: My Health Record Record Class (extensible) |
| category:ms |
SΣ | 1..1 | CodeableConcept | Medication 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: 56445-0 | |
| subject |
SΣC | 1..1 | Reference(ADHA Core Patient) | Who and/or what the composition is about inv-dh-doc-03: At least reference or a valid identifier shall be present |
| encounter |
SΣ | 0..1 | Reference(ADHA Core Encounter) | Context of the Composition |
| date |
SΣC | 1..1 | dateTime | Composition editing time inv-dh-doc-07: Date shall be at least to day |
| author |
SΣC | 1..* | Reference(ADHA Authoring PractitionerRole | ADHA System Device | ADHA Core Patient | ADHA Authoring RelatedPerson) | Who and/or what authored the composition inv-dh-doc-04: At least reference or a valid identifier shall be present |
| title |
SΣ | 1..1 | string | Human Readable name/title |
| attester |
SC | 0..* | BackboneElement | Attests to accuracy of composition inv-dh-doc-05: The party shall at least have a reference or a valid identifier |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| mode |
S | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. |
| time |
S | 1..1 | dateTime | When the composition was attested |
| party |
SC | 1..1 | Reference(ADHA Authoring PractitionerRole | ADHA Core Patient | ADHA Authoring RelatedPerson | ADHA Core Organization) | Who attested the composition |
| custodian |
SΣC | 1..1 | Reference(ADHA Core Organization) | Organization which maintains the composition inv-dh-doc-06: At least reference or a valid identifier shall be present |
| relatesTo |
S | 0..* | BackboneElement | Relationships to other compositions/documents |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
S | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. |
 target[x] |
S | 1..1 | Target of the relationship | |
| targetIdentifier |
Identifier | |||
| targetReference |
Reference(ADHA Core Composition) | |||
| Slices for section |
SC | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by pattern:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-sml-01: A section shall at least have an entry or an empty reason inv-dh-sml-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 | 0..1 | BackboneElement | Allergies cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| title |
S | 1..1 | string | Label for section (e.g. for ToC) |
| code |
S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2 | |
| text |
SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
| entry |
SC | 0..* | Reference(ADHA Core AllergyIntolerance) | Allergies and/or intolerances |
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| emptyReason |
SC | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) |
| section:medicinesList |
SC | 1..* | BackboneElement | Medicines List 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-sml-04: If an assertion of no known current medications is provided, no other entry shall be present inv-dh-sml-05: If present, a list shall have the same code as the section |
| 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: History Of Medication Use List Type (required) |
| text |
SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
| entry |
SC | 0..* | Reference(ADHA Medication Use List | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding) | Medicines list |
| 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 | ||||
| Path | Conformance | ValueSet / Code | URI |
| Composition.status | required | Pattern: finalhttp://hl7.org/fhir/ValueSet/composition-status|4.0.1from the FHIR Standard | |
| Composition.type | extensible | HistoryOfMedicationUseListType https://healthterminologies.gov.au/fhir/ValueSet/history-of-medication-use-list-type-1 | |
| Composition.category | extensible | MyHealthRecordRecordClass https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-class-1 | |
| Composition.category:ms | extensible | Pattern: LOINC Code 56445-0https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-class-1 | |
| Composition.attester.mode | required | CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1from the FHIR Standard | |
| Composition.relatesTo.code | required | DocumentRelationshipTypehttp://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1from the FHIR Standard | |
| Composition.section.code | example | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | |
| Composition.section.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard | |
| Composition.section:allergies.code | example | Pattern: LOINC Code 48765-2http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | |
| Composition.section:allergies.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
| Composition.section:medicinesList.code | required | HistoryOfMedicationUseListType https://healthterminologies.gov.au/fhir/ValueSet/history-of-medication-use-list-type-1 | |
| Composition.section:medicinesList.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 |
| Id | Grade | Path(s) | Details | Requirements |
| inv-dh-sml-01 | error | Composition.section | A section shall at least have an entry or an empty reason : entry.exists() or emptyReason.exists() | |
| inv-dh-sml-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-sml-04 | error | Composition.section:medicinesList | If an assertion of no known current medications is provided, no other entry shall be present : entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) = '1200661000168107') | |
| inv-dh-sml-05 | error | Composition.section:medicinesList | If present, a list shall have the same code as the section : entry.resolve().where($this is List).exists() implies ((entry.resolve().code.coding.code) = code.coding.code) |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Composition |
C | 0..* | ADHACompositionDocument | Shared Medicines List inv-dh-doc-01: If present, an information recipient shall at least have a reference, an identifier or a display inv-dh-doc-02: Sections shall be unique by code | ||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
 Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| informationRecipient |
SC | 0..* | Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization) | Information recipient URL: http://hl7.org.au/fhir/StructureDefinition/information-recipient | ||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
SΣ | 1..1 | Identifier | Version-independent identifier for the Composition | ||||
| status |
?!SΣ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. Required Pattern: final | ||||
| type |
SΣ | 1..1 | CodeableConcept | Document sub type Binding: History Of Medication Use List Type (extensible) | ||||
| Slices for category |
SΣ | 1..* | CodeableConcept | Categorization of Composition Slice: Unordered, Open by pattern:$this Binding: My Health Record Record Class (extensible) | ||||
| category:ms |
SΣ | 1..1 | CodeableConcept | Medication 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: 56445-0 | |||||
| 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 | |||||
| subject |
SΣC | 1..1 | Reference(ADHA Core Patient) | Who and/or what the composition is about inv-dh-doc-03: At least reference or a valid identifier shall be present | ||||
| encounter |
SΣ | 0..1 | Reference(ADHA Core Encounter) | Context of the Composition | ||||
| date |
SΣC | 1..1 | dateTime | Composition editing time inv-dh-doc-07: Date shall be at least to day | ||||
| author |
SΣC | 1..* | Reference(ADHA Authoring PractitionerRole | ADHA System Device | ADHA Core Patient | ADHA Authoring RelatedPerson) | Who and/or what authored the composition inv-dh-doc-04: At least reference or a valid identifier shall be present | ||||
| title |
SΣ | 1..1 | string | Human Readable name/title | ||||
| attester |
SC | 0..* | BackboneElement | Attests to accuracy of composition inv-dh-doc-05: The party shall at least have a reference or a valid identifier | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| mode |
S | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. | ||||
| time |
S | 1..1 | dateTime | When the composition was attested | ||||
| party |
SC | 1..1 | Reference(ADHA Authoring PractitionerRole | ADHA Core Patient | ADHA Authoring RelatedPerson | ADHA Core Organization) | Who attested the composition | ||||
| custodian |
SΣC | 1..1 | Reference(ADHA Core Organization) | Organization which maintains the composition inv-dh-doc-06: At least reference or a valid identifier shall be present | ||||
| relatesTo |
S | 0..* | BackboneElement | Relationships to other compositions/documents | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
S | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | ||||
| target[x] |
S | 1..1 | Target of the relationship | |||||
| targetIdentifier |
Identifier | |||||||
| targetReference |
Reference(ADHA Core Composition) | |||||||
| event |
Σ | 0..* | BackboneElement | The clinical service(s) being documented | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
Σ | 0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented. | ||||
| period |
Σ | 0..1 | Period | The period covered by the documentation | ||||
| detail |
Σ | 0..* | Reference(Resource) | The event(s) being documented | ||||
| Slices for section |
SC | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by pattern:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-sml-01: A section shall at least have an entry or an empty reason inv-dh-sml-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 |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:allergies |
SC | 0..1 | BackboneElement | Allergies cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title |
S | 1..1 | string | Label for section (e.g. for ToC) | ||||
| code |
S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2 | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. Fixed Value: snapshot | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
SC | 0..* | Reference(ADHA Core AllergyIntolerance) | Allergies and/or intolerances | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| emptyReason |
SC | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:medicinesList |
SC | 1..* | BackboneElement | Medicines List 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-sml-04: If an assertion of no known current medications is provided, no other entry shall be present inv-dh-sml-05: If present, a list shall have the same code as the section | ||||
| 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: History Of Medication Use List Type (required) | ||||
| 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 Medication Use List | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding) | Medicines list | ||||
| 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 | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| Composition.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Composition.status | required | Pattern: finalhttp://hl7.org/fhir/ValueSet/composition-status|4.0.1from the FHIR Standard | ||||
| Composition.type | extensible | HistoryOfMedicationUseListType https://healthterminologies.gov.au/fhir/ValueSet/history-of-medication-use-list-type-1 | ||||
| Composition.category | extensible | MyHealthRecordRecordClass https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-class-1 | ||||
| Composition.category:ms | extensible | Pattern: LOINC Code 56445-0https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-class-1 | ||||
| Composition.attester.mode | required | CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1from the FHIR Standard | ||||
| Composition.relatesTo.code | required | DocumentRelationshipTypehttp://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1from the FHIR Standard | ||||
| Composition.event.code | example | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode | ||||
| Composition.section.code | example | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section.mode | required | Fixed Value: snapshothttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard | ||||
| Composition.section.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard | ||||
| Composition.section:allergies.code | example | Pattern: LOINC Code 48765-2http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:allergies.mode | required | Fixed Value: snapshothttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section:allergies.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:allergies.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard | ||||
| Composition.section:allergies.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | ||||
| Composition.section:medicinesList.code | required | HistoryOfMedicationUseListType https://healthterminologies.gov.au/fhir/ValueSet/history-of-medication-use-list-type-1 | ||||
| Composition.section:medicinesList.mode | required | Fixed Value: snapshothttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section:medicinesList.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:medicinesList.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard | ||||
| Composition.section:medicinesList.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 |
| Id | Grade | Path(s) | Details | Requirements |
| inv-dh-sml-01 | error | Composition.section | A section shall at least have an entry or an empty reason : entry.exists() or emptyReason.exists() | |
| inv-dh-sml-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-sml-04 | error | Composition.section:medicinesList | If an assertion of no known current medications is provided, no other entry shall be present : entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) = '1200661000168107') | |
| inv-dh-sml-05 | error | Composition.section:medicinesList | If present, a list shall have the same code as the section : entry.resolve().where($this is List).exists() implies ((entry.resolve().code.coding.code) = code.coding.code) |
This structure is derived from ADHACompositionDocument
Summary
Mandatory: 4 elements(2 nested mandatory elements)
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from ADHACompositionDocument
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Composition |
0..* | ADHACompositionDocument | Shared Medicines List | |
| status |
1..1 | code | preliminary | final | amended | entered-in-error Required Pattern: final | |
| type |
1..1 | CodeableConcept | Document sub type Binding: History Of Medication Use List Type (extensible) | |
| Slices for category |
1..* | CodeableConcept | Categorization of Composition Slice: Unordered, Open by pattern:$this | |
| category:ms |
1..1 | CodeableConcept | Medication 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: 56445-0 | |
| Slices for section |
C | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by pattern:code inv-dh-sml-01: A section shall at least have an entry or an empty reason inv-dh-sml-02: All observations shall conform to ADHA Simple Observation |
| section:allergies |
0..1 | BackboneElement | Allergies | |
| title |
1..1 | string | Label for section (e.g. for ToC) | |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2 | |
| entry |
C | 0..* | Reference(ADHA Core AllergyIntolerance) | Allergies and/or intolerances |
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) |
| section:medicinesList |
C | 1..* | BackboneElement | Medicines List inv-dh-sml-04: If an assertion of no known current medications is provided, no other entry shall be present inv-dh-sml-05: If present, a list shall have the same code as the section |
| title |
1..1 | string | Label for section (e.g. for ToC) | |
| code |
1..1 | CodeableConcept | Classification of section (recommended) Binding: History Of Medication Use List Type (required) | |
| entry |
C | 0..* | Reference(ADHA Medication Use List | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding) | Medicines list |
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Composition.type | extensible | HistoryOfMedicationUseListType https://healthterminologies.gov.au/fhir/ValueSet/history-of-medication-use-list-type-1 | |
| Composition.section:allergies.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
| Composition.section:medicinesList.code | required | HistoryOfMedicationUseListType https://healthterminologies.gov.au/fhir/ValueSet/history-of-medication-use-list-type-1 | |
| Composition.section:medicinesList.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 |
| Id | Grade | Path(s) | Details | Requirements |
| inv-dh-sml-01 | error | Composition.section | A section shall at least have an entry or an empty reason : entry.exists() or emptyReason.exists() | |
| inv-dh-sml-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-sml-04 | error | Composition.section:medicinesList | If an assertion of no known current medications is provided, no other entry shall be present : entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) = '1200661000168107') | |
| inv-dh-sml-05 | error | Composition.section:medicinesList | If present, a list shall have the same code as the section : entry.resolve().where($this is List).exists() implies ((entry.resolve().code.coding.code) = code.coding.code) |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Composition |
C | 0..* | ADHACompositionDocument | Shared Medicines List 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: History Of Medication Use List Type (extensible) |
| Slices for category |
SΣ | 1..* | CodeableConcept | Categorization of Composition Slice: Unordered, Open by pattern:$this Binding: My Health Record Record Class (extensible) |
| category:ms |
SΣ | 1..1 | CodeableConcept | Medication 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: 56445-0 | |
| subject |
SΣC | 1..1 | Reference(ADHA Core Patient) | Who and/or what the composition is about inv-dh-doc-03: At least reference or a valid identifier shall be present |
| encounter |
SΣ | 0..1 | Reference(ADHA Core Encounter) | Context of the Composition |
| date |
SΣC | 1..1 | dateTime | Composition editing time inv-dh-doc-07: Date shall be at least to day |
| author |
SΣC | 1..* | Reference(ADHA Authoring PractitionerRole | ADHA System Device | ADHA Core Patient | ADHA Authoring RelatedPerson) | Who and/or what authored the composition inv-dh-doc-04: At least reference or a valid identifier shall be present |
| title |
SΣ | 1..1 | string | Human Readable name/title |
| attester |
SC | 0..* | BackboneElement | Attests to accuracy of composition inv-dh-doc-05: The party shall at least have a reference or a valid identifier |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| mode |
S | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. |
| time |
S | 1..1 | dateTime | When the composition was attested |
| party |
SC | 1..1 | Reference(ADHA Authoring PractitionerRole | ADHA Core Patient | ADHA Authoring RelatedPerson | ADHA Core Organization) | Who attested the composition |
| custodian |
SΣC | 1..1 | Reference(ADHA Core Organization) | Organization which maintains the composition inv-dh-doc-06: At least reference or a valid identifier shall be present |
| relatesTo |
S | 0..* | BackboneElement | Relationships to other compositions/documents |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
S | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. |
| target[x] |
S | 1..1 | Target of the relationship | |
| targetIdentifier |
Identifier | |||
| targetReference |
Reference(ADHA Core Composition) | |||
| Slices for section |
SC | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by pattern:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-sml-01: A section shall at least have an entry or an empty reason inv-dh-sml-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 | 0..1 | BackboneElement | Allergies cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| title |
S | 1..1 | string | Label for section (e.g. for ToC) |
| code |
S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2 | |
| text |
SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
| entry |
SC | 0..* | Reference(ADHA Core AllergyIntolerance) | Allergies and/or intolerances |
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| emptyReason |
SC | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) |
| section:medicinesList |
SC | 1..* | BackboneElement | Medicines List 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-sml-04: If an assertion of no known current medications is provided, no other entry shall be present inv-dh-sml-05: If present, a list shall have the same code as the section |
| 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: History Of Medication Use List Type (required) |
| text |
SC | 0..1 | Narrative | Text summary of the section, for human interpretation |
| entry |
SC | 0..* | Reference(ADHA Medication Use List | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding) | Medicines list |
| 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 | ||||
| Path | Conformance | ValueSet / Code | URI |
| Composition.status | required | Pattern: finalhttp://hl7.org/fhir/ValueSet/composition-status|4.0.1from the FHIR Standard | |
| Composition.type | extensible | HistoryOfMedicationUseListType https://healthterminologies.gov.au/fhir/ValueSet/history-of-medication-use-list-type-1 | |
| Composition.category | extensible | MyHealthRecordRecordClass https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-class-1 | |
| Composition.category:ms | extensible | Pattern: LOINC Code 56445-0https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-class-1 | |
| Composition.attester.mode | required | CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1from the FHIR Standard | |
| Composition.relatesTo.code | required | DocumentRelationshipTypehttp://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1from the FHIR Standard | |
| Composition.section.code | example | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | |
| Composition.section.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard | |
| Composition.section:allergies.code | example | Pattern: LOINC Code 48765-2http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | |
| Composition.section:allergies.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | |
| Composition.section:medicinesList.code | required | HistoryOfMedicationUseListType https://healthterminologies.gov.au/fhir/ValueSet/history-of-medication-use-list-type-1 | |
| Composition.section:medicinesList.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 |
| Id | Grade | Path(s) | Details | Requirements |
| inv-dh-sml-01 | error | Composition.section | A section shall at least have an entry or an empty reason : entry.exists() or emptyReason.exists() | |
| inv-dh-sml-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-sml-04 | error | Composition.section:medicinesList | If an assertion of no known current medications is provided, no other entry shall be present : entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) = '1200661000168107') | |
| inv-dh-sml-05 | error | Composition.section:medicinesList | If present, a list shall have the same code as the section : entry.resolve().where($this is List).exists() implies ((entry.resolve().code.coding.code) = code.coding.code) |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Composition |
C | 0..* | ADHACompositionDocument | Shared Medicines List inv-dh-doc-01: If present, an information recipient shall at least have a reference, an identifier or a display inv-dh-doc-02: Sections shall be unique by code | ||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| informationRecipient |
SC | 0..* | Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization) | Information recipient URL: http://hl7.org.au/fhir/StructureDefinition/information-recipient | ||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
SΣ | 1..1 | Identifier | Version-independent identifier for the Composition | ||||
| status |
?!SΣ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. Required Pattern: final | ||||
| type |
SΣ | 1..1 | CodeableConcept | Document sub type Binding: History Of Medication Use List Type (extensible) | ||||
| Slices for category |
SΣ | 1..* | CodeableConcept | Categorization of Composition Slice: Unordered, Open by pattern:$this Binding: My Health Record Record Class (extensible) | ||||
| category:ms |
SΣ | 1..1 | CodeableConcept | Medication 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: 56445-0 | |||||
| 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 | |||||
| subject |
SΣC | 1..1 | Reference(ADHA Core Patient) | Who and/or what the composition is about inv-dh-doc-03: At least reference or a valid identifier shall be present | ||||
| encounter |
SΣ | 0..1 | Reference(ADHA Core Encounter) | Context of the Composition | ||||
| date |
SΣC | 1..1 | dateTime | Composition editing time inv-dh-doc-07: Date shall be at least to day | ||||
| author |
SΣC | 1..* | Reference(ADHA Authoring PractitionerRole | ADHA System Device | ADHA Core Patient | ADHA Authoring RelatedPerson) | Who and/or what authored the composition inv-dh-doc-04: At least reference or a valid identifier shall be present | ||||
| title |
SΣ | 1..1 | string | Human Readable name/title | ||||
| attester |
SC | 0..* | BackboneElement | Attests to accuracy of composition inv-dh-doc-05: The party shall at least have a reference or a valid identifier | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| mode |
S | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. | ||||
| time |
S | 1..1 | dateTime | When the composition was attested | ||||
| party |
SC | 1..1 | Reference(ADHA Authoring PractitionerRole | ADHA Core Patient | ADHA Authoring RelatedPerson | ADHA Core Organization) | Who attested the composition | ||||
| custodian |
SΣC | 1..1 | Reference(ADHA Core Organization) | Organization which maintains the composition inv-dh-doc-06: At least reference or a valid identifier shall be present | ||||
| relatesTo |
S | 0..* | BackboneElement | Relationships to other compositions/documents | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
S | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | ||||
| target[x] |
S | 1..1 | Target of the relationship | |||||
| targetIdentifier |
Identifier | |||||||
| targetReference |
Reference(ADHA Core Composition) | |||||||
| event |
Σ | 0..* | BackboneElement | The clinical service(s) being documented | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
Σ | 0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented. | ||||
| period |
Σ | 0..1 | Period | The period covered by the documentation | ||||
| detail |
Σ | 0..* | Reference(Resource) | The event(s) being documented | ||||
| Slices for section |
SC | 1..* | BackboneElement | Composition is broken into sections Slice: Unordered, Open by pattern:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty inv-dh-sml-01: A section shall at least have an entry or an empty reason inv-dh-sml-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 |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:allergies |
SC | 0..1 | BackboneElement | Allergies cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| title |
S | 1..1 | string | Label for section (e.g. for ToC) | ||||
| code |
S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2 | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
SC | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. Fixed Value: snapshot | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
SC | 0..* | Reference(ADHA Core AllergyIntolerance) | Allergies and/or intolerances | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| emptyReason |
SC | 0..1 | CodeableConcept | Why the section is empty Binding: Health Summary Non-Clinical Empty Reason (required) | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:medicinesList |
SC | 1..* | BackboneElement | Medicines List 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-sml-04: If an assertion of no known current medications is provided, no other entry shall be present inv-dh-sml-05: If present, a list shall have the same code as the section | ||||
| 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: History Of Medication Use List Type (required) | ||||
| 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 Medication Use List | http://hl7.org.au/fhir/core/StructureDefinition/au-core-norelevantfinding) | Medicines list | ||||
| 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 | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| Composition.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Composition.status | required | Pattern: finalhttp://hl7.org/fhir/ValueSet/composition-status|4.0.1from the FHIR Standard | ||||
| Composition.type | extensible | HistoryOfMedicationUseListType https://healthterminologies.gov.au/fhir/ValueSet/history-of-medication-use-list-type-1 | ||||
| Composition.category | extensible | MyHealthRecordRecordClass https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-class-1 | ||||
| Composition.category:ms | extensible | Pattern: LOINC Code 56445-0https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-class-1 | ||||
| Composition.attester.mode | required | CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1from the FHIR Standard | ||||
| Composition.relatesTo.code | required | DocumentRelationshipTypehttp://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1from the FHIR Standard | ||||
| Composition.event.code | example | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode | ||||
| Composition.section.code | example | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section.mode | required | Fixed Value: snapshothttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard | ||||
| Composition.section.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard | ||||
| Composition.section:allergies.code | example | Pattern: LOINC Code 48765-2http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:allergies.mode | required | Fixed Value: snapshothttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section:allergies.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:allergies.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard | ||||
| Composition.section:allergies.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 | ||||
| Composition.section:medicinesList.code | required | HistoryOfMedicationUseListType https://healthterminologies.gov.au/fhir/ValueSet/history-of-medication-use-list-type-1 | ||||
| Composition.section:medicinesList.mode | required | Fixed Value: snapshothttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section:medicinesList.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:medicinesList.entry.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard | ||||
| Composition.section:medicinesList.emptyReason | required | HealthSummaryNonClinicalEmptyReason https://healthterminologies.gov.au/fhir/ValueSet/health-summary-non-clinical-empty-reason-2 |
| Id | Grade | Path(s) | Details | Requirements |
| inv-dh-sml-01 | error | Composition.section | A section shall at least have an entry or an empty reason : entry.exists() or emptyReason.exists() | |
| inv-dh-sml-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-sml-04 | error | Composition.section:medicinesList | If an assertion of no known current medications is provided, no other entry shall be present : entry.resolve().where($this is Observation).exists() implies (entry.count() < 2 and (entry.resolve().valueCodeableConcept.coding.code) = '1200661000168107') | |
| inv-dh-sml-05 | error | Composition.section:medicinesList | If present, a list shall have the same code as the section : entry.resolve().where($this is List).exists() implies ((entry.resolve().code.coding.code) = code.coding.code) |
This structure is derived from ADHACompositionDocument
Summary
Mandatory: 4 elements(2 nested mandatory elements)
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
Below is an overview of the mandatory and optional search parameters. FHIR search operations and the syntax used to describe the interactions is described here.
| Name | Type | Conformance | Description | Path |
|---|---|---|---|---|
| identifier | token | SHALL | An identifier for the report | Composition.identifier |
| category | token | SHALL | Categorization of Composition | Composition.category |
| subject:identifier | token | SHALL | Who and/or what the composition is about | Composition.subject.identifier |
| type | token | SHALL | Kind of composition (LOINC if possible) | Composition.code |
| date | date | SHALL | Composition editing time | Composition.effective |
| status | token | SHOULD | preliminary | final | amended | entered-in-error | Composition.status |
The following search parameters and search parameter combinations SHALL be supported:
SHALL support searching for all compositions for a patient using the subject:identifier search parameter:
GET [base]/Composition?subject:identifier={system|}[code]
Example:
GET [base]/Composition?subject:identifier=http://ns.electronichealth.net.au/id/hi/ihi/1.0|8003608000228437
Implementation Notes: Fetches a bundle of all Composition resources for the specified patient (how to search by :identifier)
SHALL support searching using the identifier search parameter:
GET [base]/Composition?identifier={system|}[code]
Example:
GET [base]/Composition?identifier=urn:ietf:rfc:3986|urn:uuid:b487469d-810c-40ae-b5a9-c0beb9001c9f
Implementation Notes: Fetches a bundle containing any Composition resources matching the identifier (how to search by token)
SHALL support searching using the combination subject:identifier and category search parameter:
GET [base]/Composition?subject:identifier={system|}[code]&category[code]
Example:
GET [base]/Composition?subject:identifier=http://ns.electronichealth.net.au/id/hi/ihi/1.0|8003608000228437&category=http://loinc.org|56445-0
Implementation Notes: Fetches a bundle of all Composition resources with the category of "Shared Medicines List" for the specified patient (how to search by :identifier and how to search by token)
SHALL support searching using the combination subject:identifier and type search parameter:
GET [base]/Composition?subject:identifier={system|}[code]&type={system|}[code]
Example:
GET [base]/Composition?subject:identifier=http://ns.electronichealth.net.au/id/hi/ihi/1.0|8003608000228437&type=https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1|101.32009
Implementation Notes: Fetches a bundle of all Composition resources with the type of an 101.32009 (Current Medicine) for the specified patient (how to search by :identifier and how to search by token)
SHALL support searching using the combination of the subject:identifier and date search parameters:
GET [base]/Composition?subject:identifier={system|}[code]&date=[date]
Example:
GET [base]/Composition?subject:identifier=http://ns.electronichealth.net.au/id/hi/ihi/1.0|8003608000228437&date=ge2013-03-14
Implementation Notes: Fetches a bundle of all Composition resources for the specified patient that have a date greater than or equal to 21st Jan 2013. (how to search by :identifier and how to search by date)
IG © 2023+ Australian Digital Health Agency. Package au.digitalhealth.r4#1.2.0-ci-build based on FHIR 4.0.1. Generated 2024-09-12
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