AU Core Implementation Guide
2.0.1-ci-build - CI Build
AU Core Implementation Guide, published by HL7 Australia. This guide is not an authorized publication; it is the continuous build for version 2.0.1-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7au/au-fhir-core/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.org.au/fhir/core/StructureDefinition/au-core-composition | Version: 2.0.1-ci-build | |||
| Standards status: Trial-use | Maturity Level: 0 | Computable Name: AUCoreComposition | ||
Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License. HL7 Australia© 2022+; Licensed Under Creative Commons No Rights Reserved. |
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This profile sets minimum expectations for a Composition resource to record, search, and fetch documents associated with a patient. It is based on the AU Base Composition profile and identifies the additional mandatory core elements, extensions, vocabularies and value sets that SHALL be present in the Composition resource when conforming to this profile. It provides the floor for standards development for specific uses cases in an Australian context.
See Comparison with other national and international IGs for a comparison between AU Core profiles and profiles in other implementation guides.
The following are supported usage scenarios for this profile:
No guidance defined.
Usages:
You can also check for usages in the FHIR IG Statistics
Changes since version 2.0.0:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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0..* | AUBaseComposition | Composition for the Australian realm | |||||||||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||||
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SO | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
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Content/Rules for all slices | |||||||||||||
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0..* | Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization) | Who and/or what should receive a copy of the composition URL: http://hl7.org.au/fhir/StructureDefinition/information-recipient | |||||||||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||
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SOΣ | 0..1 | Identifier | Version-independent identifier for the Composition
| ||||||||||
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?!SOΣ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
| ||||||||||
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SOΣ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred)
| ||||||||||
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SOΣ | 1..1 | Reference(AU Core Patient) | Who and/or what the composition is about
| ||||||||||
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SOΣ | 1..1 | dateTime | Composition editing time
| ||||||||||
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SOΣ | 1..* | Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Patient | AU Core RelatedPerson | AU Core Organization | Device) | Who and/or what authored the composition
| ||||||||||
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SOΣ | 1..1 | string | Human Readable name/title
| ||||||||||
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SO | 0..* | BackboneElement | Attests to accuracy of composition
| ||||||||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
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SO | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
| ||||||||||
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SO | 0..1 | dateTime | When the composition was attested
| ||||||||||
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SO | 0..1 | Reference(AU Core Patient | AU Core RelatedPerson | AU Core Practitioner | AU Core PractitionerRole | AU Core Organization) | Who attested the composition
| ||||||||||
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SOΣ | 0..1 | Reference(AU Core Organization) | Organization which maintains the composition
| ||||||||||
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SOC | 1..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2
| ||||||||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
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SO | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
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SO | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
| ||||||||||
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SOC | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
Documentation for this format | ||||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Composition.status | Base | required | CompositionStatus | 📍4.0.1 | FHIR Std. |
| Composition.type | Base | preferred | FHIR Document Type Codes | 📦4.0.1 | FHIR Std. |
| Composition.attester.mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std. |
| Composition.section.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| cmp-1 | error | Composition.section | A section must contain at least one of text, entries, or sub-sections |
text.exists() or entry.exists() or section.exists()
|
| cmp-2 | error | Composition.section | A section can only have an emptyReason if it is empty |
emptyReason.empty() or entry.empty()
|
| dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Composition | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from AUBaseComposition
| Path | Status | Usage | ValueSet | Version | Source |
| Composition.type | Base | preferred | FHIR Document Type Codes | 📦4.0.1 | FHIR Std. |
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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0..* | AUBaseComposition | Composition for the Australian realm | |||||||||||
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Σ | 0..1 | id | Logical id of this artifact | ||||||||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||||||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||||
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0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||||||||
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SO | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
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0..* | Resource | Contained, inline Resources | |||||||||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
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0..* | Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization) | Who and/or what should receive a copy of the composition URL: http://hl7.org.au/fhir/StructureDefinition/information-recipient | |||||||||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||
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SOΣ | 0..1 | Identifier | Version-independent identifier for the Composition
| ||||||||||
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?!SOΣ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
| ||||||||||
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SOΣ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred)
| ||||||||||
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Σ | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. | ||||||||||
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SOΣ | 1..1 | Reference(AU Core Patient) | Who and/or what the composition is about
| ||||||||||
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Σ | 0..1 | Reference(Encounter) | Context of the Composition | ||||||||||
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SOΣ | 1..1 | dateTime | Composition editing time
| ||||||||||
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SOΣ | 1..* | Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Patient | AU Core RelatedPerson | AU Core Organization | Device) | Who and/or what authored the composition
| ||||||||||
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SOΣ | 1..1 | string | Human Readable name/title
| ||||||||||
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Σ | 0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. | ||||||||||
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SO | 0..* | BackboneElement | Attests to accuracy of composition
| ||||||||||
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0..1 | string | Unique id for inter-element referencing | |||||||||||
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0..* | Extension | Additional content defined by implementations | |||||||||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
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SO | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
| ||||||||||
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SO | 0..1 | dateTime | When the composition was attested
| ||||||||||
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SO | 0..1 | Reference(AU Core Patient | AU Core RelatedPerson | AU Core Practitioner | AU Core PractitionerRole | AU Core Organization) | Who attested the composition
| ||||||||||
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SOΣ | 0..1 | Reference(AU Core Organization) | Organization which maintains the composition
| ||||||||||
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0..* | BackboneElement | Relationships to other compositions/documents | |||||||||||
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0..1 | string | Unique id for inter-element referencing | |||||||||||
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0..* | Extension | Additional content defined by implementations | |||||||||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
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1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | |||||||||||
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1..1 | Target of the relationship | ||||||||||||
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Identifier | |||||||||||||
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Reference(Composition) | |||||||||||||
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Σ | 0..* | BackboneElement | The clinical service(s) being documented | ||||||||||
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0..1 | string | Unique id for inter-element referencing | |||||||||||
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0..* | Extension | Additional content defined by implementations | |||||||||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
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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. | ||||||||||
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Σ | 0..1 | Period | The period covered by the documentation | ||||||||||
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Σ | 0..* | Reference(Resource) | The event(s) being documented | ||||||||||
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SOC | 1..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2
| ||||||||||
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0..1 | string | Unique id for inter-element referencing | |||||||||||
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0..* | Extension | Additional content defined by implementations | |||||||||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
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SO | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
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SO | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
| ||||||||||
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0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
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SOC | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
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0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
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0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
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C | 0..* | Reference(Resource) | A reference to data that supports this section | ||||||||||
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C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
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C | 0..* | See section (Composition) | Nested Section | ||||||||||
Documentation for this format | ||||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Composition.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Composition.status | Base | required | CompositionStatus | 📍4.0.1 | FHIR Std. |
| Composition.type | Base | preferred | FHIR Document Type Codes | 📦4.0.1 | FHIR Std. |
| Composition.category | Base | example | Document Class Value Set | 📍4.0.1 | FHIR Std. |
| Composition.confidentiality | Base | required | V3 Value SetConfidentialityClassification | 📍2014-03-26 | FHIR Std. |
| Composition.attester.mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std. |
| Composition.relatesTo.code | Base | required | DocumentRelationshipType | 📍4.0.1 | FHIR Std. |
| Composition.event.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v7.2 |
| Composition.section.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| cmp-1 | error | Composition.section | A section must contain at least one of text, entries, or sub-sections |
text.exists() or entry.exists() or section.exists()
|
| cmp-2 | error | Composition.section | A section can only have an emptyReason if it is empty |
emptyReason.empty() or entry.empty()
|
| dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Composition | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from AUBaseComposition
Summary
Mandatory: 3 elements
Must-Support: 17 elements
Structures
This structure refers to these other structures:
Maturity: 0
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
![]() |
0..* | AUBaseComposition | Composition for the Australian realm | |||||||||||
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||||
![]() ![]() |
SO | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
![]() ![]() |
Content/Rules for all slices | |||||||||||||
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0..* | Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization) | Who and/or what should receive a copy of the composition URL: http://hl7.org.au/fhir/StructureDefinition/information-recipient | |||||||||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||
![]() ![]() |
SOΣ | 0..1 | Identifier | Version-independent identifier for the Composition
| ||||||||||
![]() ![]() |
?!SOΣ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
| ||||||||||
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SOΣ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred)
| ||||||||||
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SOΣ | 1..1 | Reference(AU Core Patient) | Who and/or what the composition is about
| ||||||||||
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SOΣ | 1..1 | dateTime | Composition editing time
| ||||||||||
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SOΣ | 1..* | Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Patient | AU Core RelatedPerson | AU Core Organization | Device) | Who and/or what authored the composition
| ||||||||||
![]() ![]() |
SOΣ | 1..1 | string | Human Readable name/title
| ||||||||||
![]() ![]() |
SO | 0..* | BackboneElement | Attests to accuracy of composition
| ||||||||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
![]() ![]() ![]() |
SO | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
| ||||||||||
![]() ![]() ![]() |
SO | 0..1 | dateTime | When the composition was attested
| ||||||||||
![]() ![]() ![]() |
SO | 0..1 | Reference(AU Core Patient | AU Core RelatedPerson | AU Core Practitioner | AU Core PractitionerRole | AU Core Organization) | Who attested the composition
| ||||||||||
![]() ![]() |
SOΣ | 0..1 | Reference(AU Core Organization) | Organization which maintains the composition
| ||||||||||
![]() ![]() |
SOC | 1..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2
| ||||||||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
![]() ![]() ![]() |
SO | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
![]() ![]() ![]() |
SO | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
| ||||||||||
![]() ![]() ![]() |
SOC | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| ||||||||||
Documentation for this format | ||||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Composition.status | Base | required | CompositionStatus | 📍4.0.1 | FHIR Std. |
| Composition.type | Base | preferred | FHIR Document Type Codes | 📦4.0.1 | FHIR Std. |
| Composition.attester.mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std. |
| Composition.section.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| cmp-1 | error | Composition.section | A section must contain at least one of text, entries, or sub-sections |
text.exists() or entry.exists() or section.exists()
|
| cmp-2 | error | Composition.section | A section can only have an emptyReason if it is empty |
emptyReason.empty() or entry.empty()
|
| dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Composition | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Differential View
This structure is derived from AUBaseComposition
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
![]() |
0..* | AUBaseComposition | Composition for the Australian realm | |||||||||||
![]() ![]() |
SO | 0..1 | Narrative | Text summary of the resource, for human interpretation
| ||||||||||
![]() ![]() |
SO | 0..1 | Identifier | Version-independent identifier for the Composition
| ||||||||||
![]() ![]() |
SO | 1..1 | code | preliminary | final | amended | entered-in-error
| ||||||||||
![]() ![]() |
SO | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred)
| ||||||||||
![]() ![]() |
SO | 1..1 | Reference(AU Core Patient) | Who and/or what the composition is about
| ||||||||||
![]() ![]() |
SO | 1..1 | dateTime | Composition editing time
| ||||||||||
![]() ![]() |
SO | 1..* | Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Patient | AU Core RelatedPerson | AU Core Organization | Device) | Who and/or what authored the composition
| ||||||||||
![]() ![]() |
SO | 1..1 | string | Human Readable name/title
| ||||||||||
![]() ![]() |
SO | 0..* | BackboneElement | Attests to accuracy of composition
| ||||||||||
![]() ![]() ![]() |
SO | 1..1 | code | personal | professional | legal | official
| ||||||||||
![]() ![]() ![]() |
SO | 0..1 | dateTime | When the composition was attested
| ||||||||||
![]() ![]() ![]() |
SO | 0..1 | Reference(AU Core Patient | AU Core RelatedPerson | AU Core Practitioner | AU Core PractitionerRole | AU Core Organization) | Who attested the composition
| ||||||||||
![]() ![]() |
SO | 0..1 | Reference(AU Core Organization) | Organization which maintains the composition
| ||||||||||
![]() ![]() |
SO | 1..* | BackboneElement | Composition is broken into sections
| ||||||||||
![]() ![]() ![]() |
SO | 1..1 | string | Label for section (e.g. for ToC)
| ||||||||||
![]() ![]() ![]() |
SO | 0..1 | CodeableConcept | Classification of section (recommended)
| ||||||||||
![]() ![]() ![]() |
SO | 0..1 | Narrative | Text summary of the section, for human interpretation
| ||||||||||
Documentation for this format | ||||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Composition.type | Base | preferred | FHIR Document Type Codes | 📦4.0.1 | FHIR Std. |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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0..* | AUBaseComposition | Composition for the Australian realm | |||||||||||
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Σ | 0..1 | id | Logical id of this artifact | ||||||||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||||||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||||
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0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
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SO | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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0..* | Resource | Contained, inline Resources | |||||||||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
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0..* | Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization) | Who and/or what should receive a copy of the composition URL: http://hl7.org.au/fhir/StructureDefinition/information-recipient | |||||||||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||
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SOΣ | 0..1 | Identifier | Version-independent identifier for the Composition
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?!SOΣ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
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SOΣ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred)
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Σ | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. | ||||||||||
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SOΣ | 1..1 | Reference(AU Core Patient) | Who and/or what the composition is about
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Σ | 0..1 | Reference(Encounter) | Context of the Composition | ||||||||||
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SOΣ | 1..1 | dateTime | Composition editing time
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SOΣ | 1..* | Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Patient | AU Core RelatedPerson | AU Core Organization | Device) | Who and/or what authored the composition
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SOΣ | 1..1 | string | Human Readable name/title
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Σ | 0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. | ||||||||||
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SO | 0..* | BackboneElement | Attests to accuracy of composition
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0..1 | string | Unique id for inter-element referencing | |||||||||||
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0..* | Extension | Additional content defined by implementations | |||||||||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
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SO | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
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SO | 0..1 | dateTime | When the composition was attested
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SO | 0..1 | Reference(AU Core Patient | AU Core RelatedPerson | AU Core Practitioner | AU Core PractitionerRole | AU Core Organization) | Who attested the composition
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SOΣ | 0..1 | Reference(AU Core Organization) | Organization which maintains the composition
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0..* | BackboneElement | Relationships to other compositions/documents | |||||||||||
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0..1 | string | Unique id for inter-element referencing | |||||||||||
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0..* | Extension | Additional content defined by implementations | |||||||||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
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1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | |||||||||||
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1..1 | Target of the relationship | ||||||||||||
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Identifier | |||||||||||||
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Reference(Composition) | |||||||||||||
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Σ | 0..* | BackboneElement | The clinical service(s) being documented | ||||||||||
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0..1 | string | Unique id for inter-element referencing | |||||||||||
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0..* | Extension | Additional content defined by implementations | |||||||||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
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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. | ||||||||||
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Σ | 0..1 | Period | The period covered by the documentation | ||||||||||
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Σ | 0..* | Reference(Resource) | The event(s) being documented | ||||||||||
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SOC | 1..* | BackboneElement | Composition is broken into sections Constraints: cmp-1, cmp-2
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0..1 | string | Unique id for inter-element referencing | |||||||||||
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0..* | Extension | Additional content defined by implementations | |||||||||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||
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SO | 1..1 | string | Label for section (e.g. for ToC)
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SO | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
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0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
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0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
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SOC | 0..1 | Narrative | Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
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0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
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C | 0..* | Reference(Resource) | A reference to data that supports this section | ||||||||||
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C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
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C | 0..* | See section (Composition) | Nested Section | ||||||||||
Documentation for this format | ||||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Composition.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Composition.status | Base | required | CompositionStatus | 📍4.0.1 | FHIR Std. |
| Composition.type | Base | preferred | FHIR Document Type Codes | 📦4.0.1 | FHIR Std. |
| Composition.category | Base | example | Document Class Value Set | 📍4.0.1 | FHIR Std. |
| Composition.confidentiality | Base | required | V3 Value SetConfidentialityClassification | 📍2014-03-26 | FHIR Std. |
| Composition.attester.mode | Base | required | CompositionAttestationMode | 📍4.0.1 | FHIR Std. |
| Composition.relatesTo.code | Base | required | DocumentRelationshipType | 📍4.0.1 | FHIR Std. |
| Composition.event.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v7.2 |
| Composition.section.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| cmp-1 | error | Composition.section | A section must contain at least one of text, entries, or sub-sections |
text.exists() or entry.exists() or section.exists()
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| cmp-2 | error | Composition.section | A section can only have an emptyReason if it is empty |
emptyReason.empty() or entry.empty()
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| dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
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| dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
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| dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
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| dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
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| dom-6 | best practice | Composition | A resource should have narrative for robust management |
text.`div`.exists()
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| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
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| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
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This structure is derived from AUBaseComposition
Summary
Mandatory: 3 elements
Must-Support: 17 elements
Structures
This structure refers to these other structures:
Maturity: 0
Other representations of profile: CSV, Excel, Schematron
Below is an overview of the mandatory and optional search parameters and combined search parameters. See the AU Core CapabilityStatements for a complete list of supported RESTful interactions for this IG.
FHIR search operations are described here and the syntax used to describe AU Core interactions is defined here.
Any search parameter defined in FHIR may be 'allowed' by the system unless explicitly marked as "SHALL NOT". A few items are marked as MAY in this implementation guide to highlight their potential relevance.
| Parameter(s) | Conformance | Type(s) | Requirements (when used alone or in combination) |
|---|---|---|---|
| patient | SHALL | reference |
The requester SHALL provide at least an id value and MAY provide both the Type and id values. The responder SHALL support both. The requester SHOULD support chained search patient.identifier using IHI, Medicare Number, and DVA Number identifiers as defined in the AU Core Patient profile. The responder SHOULD support chained search patient.identifier using IHI, Medicare Number, and DVA Number identifiers as defined in the AU Core Patient profile. |
| patient+date | SHALL | reference+date |
|
| patient+type | SHALL | reference+token |
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| patient+author | SHOULD | reference+reference |
|
| author | MAY | reference |
|
| date | MAY | date |
A requester SHALL provide a value precise to the second + time offset. A responder SHALL support a value precise to the second + time offset. The requester SHALL support these search comparators gt, lt, ge, le. The responder SHALL support these search comparators gt, lt, ge, le.The requester SHOULD support multipleAnd, and if multipleAnd is supported, SHALL support the search comparators gt, lt, ge, le. The responder SHOULD support multipleAnd, and if multipleAnd is supported, SHALL support the search comparators gt, lt, ge, le. |
| type | MAY | token |
The requester SHALL provide at least a code value and MAY provide both the system and code values. The responder SHALL support both. |
The following search parameters and search parameter combinations SHALL be supported:
patient search parameter:
patient.identifier (e.g. patient.identifier=[system|][code])GET [base]/Composition?patient={Type/}[id] or optionally GET [base]/Composition?patient.identifier=[system|][code]
Example:
Implementation Notes: Fetches a bundle of all Composition resources for the specified patient (how to search by reference and how to search by token)
patient and date search parameters:
patient.identifier (e.g. patient.identifier=[system|][code])date comparators: gt,lt,ge,ledate (e.g.date=[date]&date=[date]&...), and if multipleAnd is supported, SHALL support the search comparators gt,lt,ge,leGET [base]/Composition?patient={Type/}[id]&date={gt|lt|ge|le}[date]{&date={gt|lt|ge|le}[date]&...}
Example:
Implementation Notes: Fetches a bundle of all Composition resources for the specified patient and date (how to search by reference and how to search by date)
patient and type search parameters:
patient.identifier (e.g. patient.identifier=[system|][code])GET [base]/Composition?patient={Type/}[id]&type={system|}[code]
Example:
Implementation Notes: Fetches a bundle of all Composition resources for the specified patient and type (how to search by reference and how to search by token)
The following search parameters and search parameter combinations SHOULD be supported:
patient and author search parameters:
patient.identifier (e.g. patient.identifier=[system|][code])GET [base]/Composition?patient={Type/}[id]&author={Type/}[id]
Example:
Implementation Notes: Fetches a bundle of all Composition resources for the specified patient and author (how to search by reference)