AU Patient Summary Implementation Guide
1.0.1-ci-build - CI Build
AU Patient Summary Implementation Guide
1.0.1-ci-build - CI Build
AU Patient Summary Implementation Guide, published by HL7 Australia. This guide is not an authorized publication; it is the continuous build for version 1.0.1-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-ps/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.org.au/fhir/ps/StructureDefinition/au-ps-composition | Version: 1.0.1-ci-build | |||
| Standards status: Trial-use | Maturity Level: 2 | Computable Name: AUPSComposition | ||
Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License. HL7 Australia© 2024+; Licensed Under Creative Commons No Rights Reserved. |
||||
This profile sets minimum expectations for a Composition resource in the context of a patient summary in an Australian context. It is based on AU Core Composition and imposes Composition (IPS). AU Patient Summary (AU PS) is specified in this guide as a HL7 FHIR document (a Bundle including a Composition), composed by a set of potentially reusable 'minimal' data blocks (the AU PS profiles).
See Comparison With Other National and International IGs for a comparison between AU Patient Summary (AU PS) profiles and profiles in other implementation guides.
Composition.section:sectionResults.entry:results-observation-radiology with Observation Results - Radiology (IPS), consider AU Base Diagnostic Imaging Report guidance.Composition.section:sectionResults.entry:results-diagnosticReport with DiagnosticReport (IPS), consider AU Base DiagnosticReport guidance.Examples for this Profile: Bundle/aups-basicsummary, Bundle/aups-gpvisit-retrieval, Bundle/aups-noknownx, Bundle/aups-patient-story, Bundle/aups-referral-endoconsult-autogen, Bundle/aups-referral-endoconsult-curated and Bundle/aups-section-emptyreason
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:  | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
  Composition |
0..* | AUCoreComposition | AU Patient Summary Composition This profile also complies with the profile Composition (IPS) | |||||||||||
  meta |
0..1 | Meta | Metadata about the resource | |||||||||||
   profile |
0..* | canonical(StructureDefinition) | Conformance claim to a specific Patient Summary specification
| |||||||||||
 implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||||||||
| text |
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
| |||||||||||
 Slices for extension |
Content/Rules for all slices | |||||||||||||
  extension:informationRecipient |
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 | |||||||||||
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||||
| identifier |
0..1 | Identifier | Version-independent identifier for the Composition
| |||||||||||
| status |
1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
| |||||||||||
| type |
1..1 | CodeableConceptIPS | Kind of composition ("Patient Summary") Binding: FHIRDocumentTypeCodes (preferred)
Required Pattern: At least the following
| |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
 coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 60591-5 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
 subject |
1..1 | Reference(AU PS Patient) | Who and/or what the composition is about
| |||||||||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||||
| date |
1..1 | dateTime | Composition editing time
| |||||||||||
| author |
1..* | Reference(AU PS Practitioner | AU PS PractitionerRole | Device | AU PS Patient | AU PS RelatedPerson | AU PS Organization) | Who and/or what authored the patient summary
| |||||||||||
| title |
1..1 | string | The title of this patient summary
| |||||||||||
| attester |
0..* | BackboneElement | Attests to accuracy of composition
| |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| mode |
1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
| |||||||||||
| time |
0..1 | dateTime | When the composition was attested
| |||||||||||
| party |
0..1 | Reference(AU PS Patient | AU PS RelatedPerson | AU PS Practitioner | AU PS PractitionerRole | AU PS Organization) | Who attested the composition
| |||||||||||
| custodian |
0..1 | Reference(AU PS Organization) | Organization which maintains the composition
| |||||||||||
| relatesTo |
0..* | BackboneElement | Relationships to other compositions/documents | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| code |
1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | |||||||||||
  target[x] |
1..1 | Target of the relationship | ||||||||||||
 targetIdentifier |
Identifier | |||||||||||||
| targetReference |
Reference(Composition | Composition (IPS) | AU PS Composition) | |||||||||||||
| Slices for event |
0..* | BackboneElement | The clinical service(s) being documented Slice: Unordered, Open by value:code Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
  event:All Slices |
Content/Rules for all slices | |||||||||||||
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
 event:careProvisioningEvent |
0..1 | BackboneElement | The care provisioning being documented
| |||||||||||
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
 code |
1..1 | CodeableConceptIPS | 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. 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://terminology.hl7.org/CodeSystem/v3-ActClass | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: PCPR | |||||||||||
| 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 | |||||||||||
 period |
0..1 | Period | The period covered by the documentation
| |||||||||||
| Slices for section |
C | 3..* | BackboneElement | Sections composing the patient summary Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| section:All Slices |
Content/Rules for all slices | |||||||||||||
 Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
| |||||||||||
| text |
C | 1..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
| ||||||||||
| section:sectionProblems |
C | 1..1 | BackboneElement | Patient Summary Problems Section Constraints: cmp-1, cmp-2, ips-comp-1
| ||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 11450-4 | |||||||||||
| 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 | |||||||||||
| text |
C | 1..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
| ||||||||||
| Slices for entry |
C | 0..* | Reference(Condition | DocumentReference) | Clinical problems or conditions currently being monitored for the patient Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:problem |
C | 0..* | Reference(AU PS Condition) | A reference to data that supports this section
| ||||||||||
| emptyReason |
C | 0..1 | CodeableConceptIPS | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
| ||||||||||
| section:sectionAllergies |
C | 1..1 | BackboneElement | Patient Summary Allergies and Intolerances Section Constraints: cmp-1, cmp-2, ips-comp-1
| ||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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 | |||||||||||
| text |
C | 1..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
| ||||||||||
| Slices for entry |
C | 0..* | Reference(AllergyIntolerance | DocumentReference) | Relevant allergies or intolerances (conditions) for that patient Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:allergyOrIntolerance |
C | 0..* | Reference(AU PS AllergyIntolerance) | A reference to data that supports this section
| ||||||||||
| emptyReason |
C | 0..1 | CodeableConceptIPS | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
| ||||||||||
| section:sectionMedications |
C | 1..1 | BackboneElement | Patient Summary Medication Summary Section Constraints: cmp-1, cmp-2, ips-comp-1
| ||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
| |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| text |
C | 1..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
| ||||||||||
| Slices for entry |
C | 0..* | Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense | DocumentReference) | Medications relevant for the scope of the patient summary Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:medicationStatementOrRequest |
C | 0..* | Reference(AU PS MedicationStatement | AU PS MedicationRequest) | A reference to data that supports this section
| ||||||||||
| emptyReason |
C | 0..1 | CodeableConceptIPS | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
| ||||||||||
| section:sectionImmunizations |
C | 0..1 | BackboneElement | Patient Summary Immunizations Section Constraints: cmp-1, cmp-2
| ||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
| |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11369-6 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| text |
C | 1..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
| ||||||||||
| Slices for entry |
C | 0..* | Reference(Immunization | DocumentReference) | Patient's immunisation status and pertinent history Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
 Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:immunization |
C | 0..* | Reference(AU PS Immunization) | A reference to data that supports this section
| ||||||||||
| section:sectionResults |
C | 0..1 | BackboneElement | Patient Summary Results Section Constraints: cmp-1, cmp-2
| ||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 30954-2 | |||||||||||
| 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 | |||||||||||
| text |
C | 1..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
| ||||||||||
| Slices for entry |
C | 0..* | Reference(Observation | DiagnosticReport | DocumentReference) | Relevant observation results collected on the patient or produced on in-vitro biologic specimens collected from the patient Slice: Unordered, Open by type:resolve(), profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:results-observation-laboratory-pathology |
C | 0..* | Reference(AU PS Pathology Result Observation) | A reference to data that supports this section
| ||||||||||
| entry:results-observation-radiology |
C | 0..* | Reference(Observation Results - Radiology (IPS)) | A reference to data that supports this section
| ||||||||||
| entry:results-diagnosticReport |
C | 0..* | Reference(DiagnosticReport (IPS)) | A reference to data that supports this section
| ||||||||||
| section:sectionProceduresHx |
C | 0..1 | BackboneElement | Patient Summary History of Procedures Section Constraints: cmp-1, cmp-2
| ||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 47519-4 | |||||||||||
| 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 | |||||||||||
| text |
C | 1..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
| ||||||||||
| Slices for entry |
C | 0..* | Reference(Procedure | DocumentReference) | Patient past procedures pertinent to the scope of this patient summary Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:procedure |
C | 0..* | Reference(AU PS Procedure) | A reference to data that supports this section
| ||||||||||
| section:sectionMedicalDevices |
C | 0..1 | BackboneElement | Patient Summary Medical Devices Section Constraints: cmp-1, cmp-2
| ||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 46264-8 | |||||||||||
| 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 | |||||||||||
| text |
C | 1..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
| ||||||||||
| Slices for entry |
C | 0..* | Reference(DeviceUseStatement | DocumentReference) | Patient history of medical device use Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:deviceStatement |
C | 0..* | Reference(DeviceUseStatement (IPS)) | A reference to data that supports this section
| ||||||||||
| section:sectionAdvanceDirectives |
C | 0..1 | BackboneElement | Patient Summary Advance Directives Section Constraints: cmp-1, cmp-2
| ||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 42348-3 | |||||||||||
| 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 | |||||||||||
| text |
C | 1..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
| ||||||||||
| Slices for entry |
C | 0..* | Reference(Consent | DocumentReference) | A patient's advance directives Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:advanceDirectivesConsent |
C | 0..* | Reference(Consent) | A reference to data that supports this section | ||||||||||
| section:sectionAlerts |
C | 0..1 | BackboneElement | Patient Summary Alerts Section Constraints: cmp-1, cmp-2
| ||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 104605-1 | |||||||||||
| 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 | |||||||||||
| text |
C | 1..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
| ||||||||||
| Slices for entry |
C | 0..* | Reference(Flag | DocumentReference) | Alert information Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:alertsFlag |
C | 0..* | Reference(Flag - Alert (IPS)) | A reference to data that supports this section | ||||||||||
| section:sectionFunctionalStatus |
C | 0..1 | BackboneElement | Patient Summary Functional Status Section Constraints: cmp-1, cmp-2
| ||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 47420-5 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| text |
C | 1..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
| ||||||||||
| Slices for entry |
C | 0..* | Reference(Condition | ClinicalImpression | DocumentReference) | Disabilities and functional assessments Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:disability |
C | 0..* | Reference(AU PS Condition) | A reference to data that supports this section | ||||||||||
| entry:functionalAssessment |
C | 0..* | Reference(ClinicalImpression) | A reference to data that supports this section | ||||||||||
| section:sectionPastProblems |
C | 0..1 | BackboneElement | Patient Summary History of Past Illness Section Constraints: cmp-1, cmp-2
| ||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 11348-0 | |||||||||||
| 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 | |||||||||||
| text |
C | 1..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
| ||||||||||
| Slices for entry |
C | 0..* | Reference(Condition | DocumentReference) | Conditions the patient suffered in the past Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:pastProblem |
C | 0..* | Reference(AU PS Condition) | A reference to data that supports this section | ||||||||||
| section:sectionPregnancyHx |
C | 0..1 | BackboneElement | Patient Summary History of Pregnancy Section Constraints: cmp-1, cmp-2
| ||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 10162-6 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| text |
C | 1..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
| ||||||||||
| Slices for entry |
C | 0..* | Reference(Observation | DocumentReference) | Current pregnancy status and, optionally, information about the outcome of earlier pregnancies Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:pregnancyStatus |
C | 0..* | Reference(Observation Pregnancy - Status (IPS)) | A reference to data that supports this section | ||||||||||
| entry:pregnancyOutcome |
C | 0..* | Reference(Observation Pregnancy - Outcome (IPS)) | A reference to data that supports this section | ||||||||||
| section:sectionPatientStory |
C | 0..1 | BackboneElement | Patient Summary Patient Story Section Constraints: cmp-1, cmp-2
| ||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 81338-6 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| text |
C | 1..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
| ||||||||||
| entry |
C | 0..* | Reference(Resource) | Patient Story resources | ||||||||||
| section:sectionPlanOfCare |
C | 0..1 | BackboneElement | Patient Summary Plan of Care Section Constraints: cmp-1, cmp-2
| ||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 18776-5 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| text |
C | 1..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
| ||||||||||
| Slices for entry |
C | 0..* | Reference(CarePlan | ImmunizationRecommendation | DocumentReference) | Structured care plans Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:carePlan |
C | 0..* | Reference(CarePlan) | A reference to data that supports this section | ||||||||||
| entry:immunizationRecommendation |
C | 0..* | Reference(ImmunizationRecommendation) | A reference to data that supports this section | ||||||||||
| section:sectionSocialHistory |
C | 0..1 | BackboneElement | Patient Summary Social History Section Constraints: cmp-1, cmp-2
| ||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 29762-2 | |||||||||||
| 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 | |||||||||||
| text |
C | 1..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
| ||||||||||
| Slices for entry |
C | 0..* | Reference(Observation | DocumentReference) | Health related "lifestyle factors" or "lifestyle observations" Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:smokingTobaccoUse |
C | 0..1 | Reference(AU PS Smoking Status) | A reference to data that supports this section | ||||||||||
| entry:alcoholUse |
C | 0..1 | Reference(Observation Social History - Alcohol Use (IPS)) | A reference to data that supports this section | ||||||||||
| section:sectionVitalSigns |
C | 0..1 | BackboneElement | Patient Summary Vital Signs Section Constraints: cmp-1, cmp-2
| ||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 8716-3 | |||||||||||
| 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 | |||||||||||
| text |
C | 1..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
| ||||||||||
| Slices for entry |
C | 0..* | Reference(Observation | DocumentReference) | Notable vital signs or physical findings Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:vitalSign |
C | 0..* | Reference(Vital Signs Profile) | A reference to data that supports this section | ||||||||||
| 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.relatesTo.code | Base | required | DocumentRelationshipType | 📍4.0.1 | FHIR Std. |
| Composition.event:careProvisioningEvent.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v7.4 |
| Composition.section.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProblems.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProblems.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAllergies.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAllergies.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedications.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedications.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionImmunizations.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionResults.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProceduresHx.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedicalDevices.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAdvanceDirectives.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAlerts.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionFunctionalStatus.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPastProblems.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPregnancyHx.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPatientStory.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPlanOfCare.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionSocialHistory.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionVitalSigns.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| cmp-1 | error | Composition.section, Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionImmunizations, Composition.section:sectionResults, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAlerts, Composition.section:sectionFunctionalStatus, Composition.section:sectionPastProblems, Composition.section:sectionPregnancyHx, Composition.section:sectionPatientStory, Composition.section:sectionPlanOfCare, Composition.section:sectionSocialHistory, Composition.section:sectionVitalSigns | 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, Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionImmunizations, Composition.section:sectionResults, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAlerts, Composition.section:sectionFunctionalStatus, Composition.section:sectionPastProblems, Composition.section:sectionPregnancyHx, Composition.section:sectionPatientStory, Composition.section:sectionPlanOfCare, Composition.section:sectionSocialHistory, Composition.section:sectionVitalSigns | 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()
|
| ips-comp-1 | error | Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications | Either section.entry or emptyReason are present |
(entry.reference.exists() or emptyReason.exists())
|
This structure is derived from AUCoreComposition
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Composition |
0..* | AUCoreComposition | AU Patient Summary Composition This profile also complies with the profile Composition (IPS) | |||||||||||
| meta |
||||||||||||||
| profile |
0..* | canonical(StructureDefinition) | Conformance claim to a specific Patient Summary specification
| |||||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation
| |||||||||||
| identifier |
0..1 | Identifier | Version-independent identifier for the Composition
| |||||||||||
| status |
1..1 | code | preliminary | final | amended | entered-in-error
| |||||||||||
| type |
1..1 | CodeableConceptIPS | Kind of composition ("Patient Summary") Required Pattern: At least the following
| |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 60591-5 | |||||||||||
| subject |
1..1 | Reference(AU PS Patient) | Who and/or what the composition is about
| |||||||||||
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL
| |||||||||||
| date |
1..1 | dateTime | Composition editing time
| |||||||||||
| author |
1..* | Reference(AU PS Practitioner | AU PS PractitionerRole | Device | AU PS Patient | AU PS RelatedPerson | AU PS Organization) | Who and/or what authored the patient summary
| |||||||||||
| title |
1..1 | string | The title of this patient summary
| |||||||||||
| attester |
0..* | BackboneElement | Attests to accuracy of composition
| |||||||||||
| mode |
1..1 | code | personal | professional | legal | official
| |||||||||||
| time |
0..1 | dateTime | When the composition was attested
| |||||||||||
| party |
0..1 | Reference(AU PS Patient | AU PS RelatedPerson | AU PS Practitioner | AU PS PractitionerRole | AU PS Organization) | Who attested the composition
| |||||||||||
| custodian |
0..1 | Reference(AU PS Organization) | Organization which maintains the composition
| |||||||||||
| relatesTo |
0..* | BackboneElement | Relationships to other compositions/documents | |||||||||||
| target[x] |
1..1 | Target of the relationship | ||||||||||||
| targetIdentifier |
Identifier | |||||||||||||
| targetReference |
Reference(Composition | Composition (IPS) | AU PS Composition) | |||||||||||||
| Slices for event |
0..* | BackboneElement | The clinical service(s) being documented Slice: Unordered, Open by value:code Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| event:careProvisioningEvent |
0..1 | BackboneElement | The care provisioning being documented
| |||||||||||
| code |
1..1 | CodeableConceptIPS | Code(s) that apply to the event being documented 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://terminology.hl7.org/CodeSystem/v3-ActClass | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: PCPR | |||||||||||
| period |
0..1 | Period | The period covered by the documentation
| |||||||||||
| Slices for section |
3..* | BackboneElement | Sections composing the patient summary Slice: Unordered, Open by value:code
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| section:All Slices |
Content/Rules for all slices | |||||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended)
| |||||||||||
| text |
1..1 | Narrative | Text summary of the section, for human interpretation
| |||||||||||
| section |
0..0 | Nested Section | ||||||||||||
| section:sectionProblems |
C | 1..1 | BackboneElement | Patient Summary Problems Section Constraints: ips-comp-1
| ||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following
| |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4 | |||||||||||
| text |
1..1 | Narrative | Text summary of the section, for human interpretation
| |||||||||||
| Slices for entry |
0..* | Reference(Condition | DocumentReference) | Clinical problems or conditions currently being monitored for the patient Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:problem |
0..* | Reference(AU PS Condition) | A reference to data that supports this section
| |||||||||||
| emptyReason |
0..1 | CodeableConceptIPS | Why the section is empty
| |||||||||||
| section:sectionAllergies |
C | 1..1 | BackboneElement | Patient Summary Allergies and Intolerances Section Constraints: ips-comp-1
| ||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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 | |||||||||||
| text |
1..1 | Narrative | Text summary of the section, for human interpretation
| |||||||||||
| Slices for entry |
0..* | Reference(AllergyIntolerance | DocumentReference) | Relevant allergies or intolerances (conditions) for that patient Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:allergyOrIntolerance |
0..* | Reference(AU PS AllergyIntolerance) | A reference to data that supports this section
| |||||||||||
| emptyReason |
0..1 | CodeableConceptIPS | Why the section is empty
| |||||||||||
| section:sectionMedications |
C | 1..1 | BackboneElement | Patient Summary Medication Summary Section Constraints: ips-comp-1
| ||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following
| |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0 | |||||||||||
| text |
1..1 | Narrative | Text summary of the section, for human interpretation
| |||||||||||
| Slices for entry |
0..* | Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense | DocumentReference) | Medications relevant for the scope of the patient summary Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:medicationStatementOrRequest |
0..* | Reference(AU PS MedicationStatement | AU PS MedicationRequest) | A reference to data that supports this section
| |||||||||||
| emptyReason |
0..1 | CodeableConceptIPS | Why the section is empty
| |||||||||||
| section:sectionImmunizations |
0..1 | BackboneElement | Patient Summary Immunizations Section
| |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following
| |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11369-6 | |||||||||||
| text |
1..1 | Narrative | Text summary of the section, for human interpretation
| |||||||||||
| Slices for entry |
0..* | Reference(Immunization | DocumentReference) | Patient's immunisation status and pertinent history Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:immunization |
0..* | Reference(AU PS Immunization) | A reference to data that supports this section
| |||||||||||
| section:sectionResults |
0..1 | BackboneElement | Patient Summary Results Section
| |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following
| |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2 | |||||||||||
| text |
1..1 | Narrative | Text summary of the section, for human interpretation
| |||||||||||
| Slices for entry |
0..* | Reference(Observation | DiagnosticReport | DocumentReference) | Relevant observation results collected on the patient or produced on in-vitro biologic specimens collected from the patient Slice: Unordered, Open by type:resolve(), profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:results-observation-laboratory-pathology |
0..* | Reference(AU PS Pathology Result Observation) | A reference to data that supports this section
| |||||||||||
| entry:results-observation-radiology |
0..* | Reference(Observation Results - Radiology (IPS)) | A reference to data that supports this section
| |||||||||||
| entry:results-diagnosticReport |
0..* | Reference(DiagnosticReport (IPS)) | A reference to data that supports this section
| |||||||||||
| section:sectionProceduresHx |
0..1 | BackboneElement | Patient Summary History of Procedures Section
| |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following
| |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4 | |||||||||||
| text |
1..1 | Narrative | Text summary of the section, for human interpretation
| |||||||||||
| Slices for entry |
0..* | Reference(Procedure | DocumentReference) | Patient past procedures pertinent to the scope of this patient summary Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:procedure |
0..* | Reference(AU PS Procedure) | A reference to data that supports this section
| |||||||||||
| section:sectionMedicalDevices |
0..1 | BackboneElement | Patient Summary Medical Devices Section
| |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 46264-8 | |||||||||||
| text |
1..1 | Narrative | Text summary of the section, for human interpretation
| |||||||||||
| Slices for entry |
0..* | Reference(DeviceUseStatement | DocumentReference) | Patient history of medical device use Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:deviceStatement |
0..* | Reference(DeviceUseStatement (IPS)) | A reference to data that supports this section
| |||||||||||
| section:sectionAdvanceDirectives |
0..1 | BackboneElement | Patient Summary Advance Directives Section
| |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 42348-3 | |||||||||||
| text |
1..1 | Narrative | Text summary of the section, for human interpretation
| |||||||||||
| Slices for entry |
0..* | Reference(Consent | DocumentReference) | A patient's advance directives Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:advanceDirectivesConsent |
0..* | Reference(Consent) | A reference to data that supports this section | |||||||||||
| section:sectionAlerts |
0..1 | BackboneElement | Patient Summary Alerts Section
| |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 104605-1 | |||||||||||
| text |
1..1 | Narrative | Text summary of the section, for human interpretation
| |||||||||||
| Slices for entry |
0..* | Reference(Flag | DocumentReference) | Alert information Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:alertsFlag |
0..* | Reference(Flag - Alert (IPS)) | A reference to data that supports this section | |||||||||||
| section:sectionFunctionalStatus |
0..1 | BackboneElement | Patient Summary Functional Status Section
| |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 47420-5 | |||||||||||
| text |
1..1 | Narrative | Text summary of the section, for human interpretation
| |||||||||||
| Slices for entry |
0..* | Reference(Condition | ClinicalImpression | DocumentReference) | Disabilities and functional assessments Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:disability |
0..* | Reference(AU PS Condition) | A reference to data that supports this section | |||||||||||
| entry:functionalAssessment |
0..* | Reference(ClinicalImpression) | A reference to data that supports this section | |||||||||||
| section:sectionPastProblems |
0..1 | BackboneElement | Patient Summary History of Past Illness Section
| |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following
| |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11348-0 | |||||||||||
| text |
1..1 | Narrative | Text summary of the section, for human interpretation
| |||||||||||
| Slices for entry |
0..* | Reference(Condition | DocumentReference) | Conditions the patient suffered in the past Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:pastProblem |
0..* | Reference(AU PS Condition) | A reference to data that supports this section | |||||||||||
| section:sectionPregnancyHx |
0..1 | BackboneElement | Patient Summary History of Pregnancy Section
| |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 10162-6 | |||||||||||
| text |
1..1 | Narrative | Text summary of the section, for human interpretation
| |||||||||||
| Slices for entry |
0..* | Reference(Observation | DocumentReference) | Current pregnancy status and, optionally, information about the outcome of earlier pregnancies Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:pregnancyStatus |
0..* | Reference(Observation Pregnancy - Status (IPS)) | A reference to data that supports this section | |||||||||||
| entry:pregnancyOutcome |
0..* | Reference(Observation Pregnancy - Outcome (IPS)) | A reference to data that supports this section | |||||||||||
| section:sectionPatientStory |
0..1 | BackboneElement | Patient Summary Patient Story Section
| |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 81338-6 | |||||||||||
| text |
1..1 | Narrative | Text summary of the section, for human interpretation
| |||||||||||
| entry |
0..* | Reference(Resource) | Patient Story resources | |||||||||||
| section:sectionPlanOfCare |
0..1 | BackboneElement | Patient Summary Plan of Care Section
| |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 18776-5 | |||||||||||
| text |
1..1 | Narrative | Text summary of the section, for human interpretation
| |||||||||||
| Slices for entry |
0..* | Reference(CarePlan | ImmunizationRecommendation | DocumentReference) | Structured care plans Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:carePlan |
0..* | Reference(CarePlan) | A reference to data that supports this section | |||||||||||
| entry:immunizationRecommendation |
0..* | Reference(ImmunizationRecommendation) | A reference to data that supports this section | |||||||||||
| section:sectionSocialHistory |
0..1 | BackboneElement | Patient Summary Social History Section
| |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 29762-2 | |||||||||||
| text |
1..1 | Narrative | Text summary of the section, for human interpretation
| |||||||||||
| Slices for entry |
0..* | Reference(Observation | DocumentReference) | Health related "lifestyle factors" or "lifestyle observations" Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:smokingTobaccoUse |
0..1 | Reference(AU PS Smoking Status) | A reference to data that supports this section | |||||||||||
| entry:alcoholUse |
0..1 | Reference(Observation Social History - Alcohol Use (IPS)) | A reference to data that supports this section | |||||||||||
| section:sectionVitalSigns |
0..1 | BackboneElement | Patient Summary Vital Signs Section
| |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 8716-3 | |||||||||||
| text |
1..1 | Narrative | Text summary of the section, for human interpretation
| |||||||||||
| Slices for entry |
0..* | Reference(Observation | DocumentReference) | Notable vital signs or physical findings Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:vitalSign |
0..* | Reference(Vital Signs Profile) | A reference to data that supports this section | |||||||||||
| Documentation for this format | ||||||||||||||
| Id | Grade | Path(s) | Description | Expression |
| ips-comp-1 | error | Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications | Either section.entry or emptyReason are present |
(entry.reference.exists() or emptyReason.exists())
|
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Composition |
0..* | AUCoreComposition | AU Patient Summary Composition This profile also complies with the profile Composition (IPS) | |||||||||||
| id |
0..1 | id | Logical id of this artifact | |||||||||||
| meta |
0..1 | Meta | Metadata about the resource | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||
| versionId |
0..1 | id | Version specific identifier | |||||||||||
| lastUpdated |
0..1 | instant | When the resource version last changed | |||||||||||
| source |
0..1 | uri | Identifies where the resource comes from | |||||||||||
| profile |
0..* | canonical(StructureDefinition) | Conformance claim to a specific Patient Summary specification
| |||||||||||
| security |
0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | |||||||||||
| tag |
0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | |||||||||||
| implicitRules |
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| |||||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:informationRecipient |
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 | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||||
| identifier |
0..1 | Identifier | Version-independent identifier for the Composition
| |||||||||||
| status |
1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
| |||||||||||
| type |
1..1 | CodeableConceptIPS | Kind of composition ("Patient Summary") Binding: FHIRDocumentTypeCodes (preferred)
Required Pattern: At least the following
| |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 60591-5 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| category |
0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. | |||||||||||
| subject |
1..1 | Reference(AU PS Patient) | Who and/or what the composition is about
| |||||||||||
| 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 |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||||
| type |
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 |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||||||||
| display |
0..1 | string | Text alternative for the resource | |||||||||||
| encounter |
0..1 | Reference(Encounter) | Context of the Composition | |||||||||||
| date |
1..1 | dateTime | Composition editing time
| |||||||||||
| author |
1..* | Reference(AU PS Practitioner | AU PS PractitionerRole | Device | AU PS Patient | AU PS RelatedPerson | AU PS Organization) | Who and/or what authored the patient summary
| |||||||||||
| title |
1..1 | string | The title of this patient summary
| |||||||||||
| confidentiality |
0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. | |||||||||||
| attester |
0..* | BackboneElement | Attests to accuracy of composition
| |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| mode |
1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
| |||||||||||
| time |
0..1 | dateTime | When the composition was attested
| |||||||||||
| party |
0..1 | Reference(AU PS Patient | AU PS RelatedPerson | AU PS Practitioner | AU PS PractitionerRole | AU PS Organization) | Who attested the composition
| |||||||||||
| custodian |
0..1 | Reference(AU PS Organization) | Organization which maintains the composition
| |||||||||||
| relatesTo |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| code |
1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | |||||||||||
| target[x] |
1..1 | Target of the relationship | ||||||||||||
| targetIdentifier |
Identifier | |||||||||||||
| targetReference |
Reference(Composition | Composition (IPS) | AU PS Composition) | |||||||||||||
| Slices for event |
0..* | BackboneElement | The clinical service(s) being documented Slice: Unordered, Open by value:code Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| event: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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| code |
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 |
0..1 | Period | The period covered by the documentation | |||||||||||
| detail |
0..* | Reference(Resource) | The event(s) being documented | |||||||||||
| event:careProvisioningEvent |
0..1 | BackboneElement | The care provisioning being documented
| |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| code |
1..1 | CodeableConceptIPS | 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. 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://terminology.hl7.org/CodeSystem/v3-ActClass | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: PCPR | |||||||||||
| 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 | |||||||||||
| period |
0..1 | Period | The period covered by the documentation
| |||||||||||
| detail |
0..* | Reference(Resource) | The event(s) being documented | |||||||||||
| Slices for section |
C | 3..* | BackboneElement | Sections composing the patient summary Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| section:All Slices |
Content/Rules for all slices | |||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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 |
C | 1..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
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section:sectionProblems |
C | 1..1 | BackboneElement | Patient Summary Problems Section Constraints: cmp-1, cmp-2, ips-comp-1
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 11450-4 | |||||||||||
| 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 |
C | 1..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
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(Condition | DocumentReference) | Clinical problems or conditions currently being monitored for the patient Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:problem |
C | 0..* | Reference(AU PS Condition) | A reference to data that supports this section
| ||||||||||
| emptyReason |
C | 0..1 | CodeableConceptIPS | 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:sectionAllergies |
C | 1..1 | BackboneElement | Patient Summary Allergies and Intolerances Section Constraints: cmp-1, cmp-2, ips-comp-1
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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 |
C | 1..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
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(AllergyIntolerance | DocumentReference) | Relevant allergies or intolerances (conditions) for that patient Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:allergyOrIntolerance |
C | 0..* | Reference(AU PS AllergyIntolerance) | A reference to data that supports this section
| ||||||||||
| emptyReason |
C | 0..1 | CodeableConceptIPS | 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:sectionMedications |
C | 1..1 | BackboneElement | Patient Summary Medication Summary Section Constraints: cmp-1, cmp-2, ips-comp-1
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
| |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
C | 1..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
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense | DocumentReference) | Medications relevant for the scope of the patient summary Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:medicationStatementOrRequest |
C | 0..* | Reference(AU PS MedicationStatement | AU PS MedicationRequest) | A reference to data that supports this section
| ||||||||||
| emptyReason |
C | 0..1 | CodeableConceptIPS | 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:sectionImmunizations |
C | 0..1 | BackboneElement | Patient Summary Immunizations Section Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
| |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11369-6 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
C | 1..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
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(Immunization | DocumentReference) | Patient's immunisation status and pertinent history Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:immunization |
C | 0..* | Reference(AU PS Immunization) | A reference to data that supports this section
| ||||||||||
| emptyReason |
C | 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:sectionResults |
C | 0..1 | BackboneElement | Patient Summary Results Section Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 30954-2 | |||||||||||
| 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 |
C | 1..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
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(Observation | DiagnosticReport | DocumentReference) | Relevant observation results collected on the patient or produced on in-vitro biologic specimens collected from the patient Slice: Unordered, Open by type:resolve(), profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:results-observation-laboratory-pathology |
C | 0..* | Reference(AU PS Pathology Result Observation) | A reference to data that supports this section
| ||||||||||
| entry:results-observation-radiology |
C | 0..* | Reference(Observation Results - Radiology (IPS)) | A reference to data that supports this section
| ||||||||||
| entry:results-diagnosticReport |
C | 0..* | Reference(DiagnosticReport (IPS)) | A reference to data that supports this section
| ||||||||||
| emptyReason |
C | 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:sectionProceduresHx |
C | 0..1 | BackboneElement | Patient Summary History of Procedures Section Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 47519-4 | |||||||||||
| 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 |
C | 1..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
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(Procedure | DocumentReference) | Patient past procedures pertinent to the scope of this patient summary Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:procedure |
C | 0..* | Reference(AU PS Procedure) | A reference to data that supports this section
| ||||||||||
| emptyReason |
C | 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:sectionMedicalDevices |
C | 0..1 | BackboneElement | Patient Summary Medical Devices Section Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 46264-8 | |||||||||||
| 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 |
C | 1..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
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(DeviceUseStatement | DocumentReference) | Patient history of medical device use Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:deviceStatement |
C | 0..* | Reference(DeviceUseStatement (IPS)) | A reference to data that supports this section
| ||||||||||
| emptyReason |
C | 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:sectionAdvanceDirectives |
C | 0..1 | BackboneElement | Patient Summary Advance Directives Section Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 42348-3 | |||||||||||
| 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 |
C | 1..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
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(Consent | DocumentReference) | A patient's advance directives Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:advanceDirectivesConsent |
C | 0..* | Reference(Consent) | A reference to data that supports this section | ||||||||||
| emptyReason |
C | 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:sectionAlerts |
C | 0..1 | BackboneElement | Patient Summary Alerts Section Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 104605-1 | |||||||||||
| 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 |
C | 1..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
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(Flag | DocumentReference) | Alert information Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:alertsFlag |
C | 0..* | Reference(Flag - Alert (IPS)) | A reference to data that supports this section | ||||||||||
| emptyReason |
C | 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:sectionFunctionalStatus |
C | 0..1 | BackboneElement | Patient Summary Functional Status Section Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 47420-5 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| 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 |
C | 1..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
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(Condition | ClinicalImpression | DocumentReference) | Disabilities and functional assessments Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:disability |
C | 0..* | Reference(AU PS Condition) | A reference to data that supports this section | ||||||||||
| entry:functionalAssessment |
C | 0..* | Reference(ClinicalImpression) | A reference to data that supports this section | ||||||||||
| emptyReason |
C | 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:sectionPastProblems |
C | 0..1 | BackboneElement | Patient Summary History of Past Illness Section Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 11348-0 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
C | 1..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
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(Condition | DocumentReference) | Conditions the patient suffered in the past Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:pastProblem |
C | 0..* | Reference(AU PS Condition) | A reference to data that supports this section | ||||||||||
| emptyReason |
C | 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:sectionPregnancyHx |
C | 0..1 | BackboneElement | Patient Summary History of Pregnancy Section Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 10162-6 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
C | 1..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
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(Observation | DocumentReference) | Current pregnancy status and, optionally, information about the outcome of earlier pregnancies Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:pregnancyStatus |
C | 0..* | Reference(Observation Pregnancy - Status (IPS)) | A reference to data that supports this section | ||||||||||
| entry:pregnancyOutcome |
C | 0..* | Reference(Observation Pregnancy - Outcome (IPS)) | A reference to data that supports this section | ||||||||||
| emptyReason |
C | 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:sectionPatientStory |
C | 0..1 | BackboneElement | Patient Summary Patient Story Section Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 81338-6 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
C | 1..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
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| entry |
C | 0..* | Reference(Resource) | Patient Story resources | ||||||||||
| emptyReason |
C | 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:sectionPlanOfCare |
C | 0..1 | BackboneElement | Patient Summary Plan of Care Section Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 18776-5 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| 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 |
C | 1..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
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(CarePlan | ImmunizationRecommendation | DocumentReference) | Structured care plans Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:carePlan |
C | 0..* | Reference(CarePlan) | A reference to data that supports this section | ||||||||||
| entry:immunizationRecommendation |
C | 0..* | Reference(ImmunizationRecommendation) | A reference to data that supports this section | ||||||||||
| emptyReason |
C | 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:sectionSocialHistory |
C | 0..1 | BackboneElement | Patient Summary Social History Section Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 29762-2 | |||||||||||
| 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 |
C | 1..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
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(Observation | DocumentReference) | Health related "lifestyle factors" or "lifestyle observations" Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:smokingTobaccoUse |
C | 0..1 | Reference(AU PS Smoking Status) | A reference to data that supports this section | ||||||||||
| entry:alcoholUse |
C | 0..1 | Reference(Observation Social History - Alcohol Use (IPS)) | A reference to data that supports this section | ||||||||||
| emptyReason |
C | 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:sectionVitalSigns |
C | 0..1 | BackboneElement | Patient Summary Vital Signs Section Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 8716-3 | |||||||||||
| 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 |
C | 1..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
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(Observation | DocumentReference) | Notable vital signs or physical findings Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:vitalSign |
C | 0..* | Reference(Vital Signs Profile) | A reference to data that supports this section | ||||||||||
| emptyReason |
C | 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 | ||||||||||
| Documentation for this format | ||||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Composition.meta.security | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std. |
| Composition.meta.tag | Base | example | Common Tags | 📍4.0.1 | FHIR Std. |
| 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.subject.type | Base | extensible | ResourceType | 📍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 v7.4 |
| Composition.event:careProvisioningEvent.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v7.4 |
| 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. |
| Composition.section:sectionProblems.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProblems.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProblems.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProblems.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAllergies.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAllergies.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAllergies.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAllergies.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedications.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedications.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedications.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedications.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionImmunizations.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionImmunizations.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionImmunizations.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionImmunizations.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionResults.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionResults.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionResults.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionResults.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProceduresHx.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProceduresHx.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProceduresHx.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProceduresHx.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedicalDevices.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedicalDevices.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedicalDevices.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedicalDevices.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAdvanceDirectives.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAdvanceDirectives.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAdvanceDirectives.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAdvanceDirectives.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAlerts.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAlerts.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAlerts.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAlerts.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionFunctionalStatus.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionFunctionalStatus.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionFunctionalStatus.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionFunctionalStatus.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPastProblems.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPastProblems.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPastProblems.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPastProblems.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPregnancyHx.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPregnancyHx.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPregnancyHx.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPregnancyHx.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPatientStory.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPatientStory.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPatientStory.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPatientStory.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPlanOfCare.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPlanOfCare.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPlanOfCare.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPlanOfCare.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionSocialHistory.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionSocialHistory.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionSocialHistory.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionSocialHistory.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionVitalSigns.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionVitalSigns.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionVitalSigns.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionVitalSigns.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| cmp-1 | error | Composition.section, Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionImmunizations, Composition.section:sectionResults, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAlerts, Composition.section:sectionFunctionalStatus, Composition.section:sectionPastProblems, Composition.section:sectionPregnancyHx, Composition.section:sectionPatientStory, Composition.section:sectionPlanOfCare, Composition.section:sectionSocialHistory, Composition.section:sectionVitalSigns | 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, Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionImmunizations, Composition.section:sectionResults, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAlerts, Composition.section:sectionFunctionalStatus, Composition.section:sectionPastProblems, Composition.section:sectionPregnancyHx, Composition.section:sectionPatientStory, Composition.section:sectionPlanOfCare, Composition.section:sectionSocialHistory, Composition.section:sectionVitalSigns | 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()
|
| ips-comp-1 | error | Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications | Either section.entry or emptyReason are present |
(entry.reference.exists() or emptyReason.exists())
|
This structure is derived from AUCoreComposition
Summary
Mandatory: 15 elements(40 nested mandatory elements)
Must-Support: 81 elements
Prohibited: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Maturity: 2
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Composition |
0..* | AUCoreComposition | AU Patient Summary Composition This profile also complies with the profile Composition (IPS) | |||||||||||
| meta |
0..1 | Meta | Metadata about the resource | |||||||||||
| profile |
0..* | canonical(StructureDefinition) | Conformance claim to a specific Patient Summary specification
| |||||||||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||||||||
| text |
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
| |||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||
| extension:informationRecipient |
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 | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||||
| identifier |
0..1 | Identifier | Version-independent identifier for the Composition
| |||||||||||
| status |
1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
| |||||||||||
| type |
1..1 | CodeableConceptIPS | Kind of composition ("Patient Summary") Binding: FHIRDocumentTypeCodes (preferred)
Required Pattern: At least the following
| |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 60591-5 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| subject |
1..1 | Reference(AU PS Patient) | Who and/or what the composition is about
| |||||||||||
| reference |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||||
| date |
1..1 | dateTime | Composition editing time
| |||||||||||
| author |
1..* | Reference(AU PS Practitioner | AU PS PractitionerRole | Device | AU PS Patient | AU PS RelatedPerson | AU PS Organization) | Who and/or what authored the patient summary
| |||||||||||
| title |
1..1 | string | The title of this patient summary
| |||||||||||
| attester |
0..* | BackboneElement | Attests to accuracy of composition
| |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| mode |
1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
| |||||||||||
| time |
0..1 | dateTime | When the composition was attested
| |||||||||||
| party |
0..1 | Reference(AU PS Patient | AU PS RelatedPerson | AU PS Practitioner | AU PS PractitionerRole | AU PS Organization) | Who attested the composition
| |||||||||||
| custodian |
0..1 | Reference(AU PS Organization) | Organization which maintains the composition
| |||||||||||
| relatesTo |
0..* | BackboneElement | Relationships to other compositions/documents | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| code |
1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | |||||||||||
| target[x] |
1..1 | Target of the relationship | ||||||||||||
| targetIdentifier |
Identifier | |||||||||||||
| targetReference |
Reference(Composition | Composition (IPS) | AU PS Composition) | |||||||||||||
| Slices for event |
0..* | BackboneElement | The clinical service(s) being documented Slice: Unordered, Open by value:code Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| event:All Slices |
Content/Rules for all slices | |||||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| event:careProvisioningEvent |
0..1 | BackboneElement | The care provisioning being documented
| |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| code |
1..1 | CodeableConceptIPS | 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. 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://terminology.hl7.org/CodeSystem/v3-ActClass | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: PCPR | |||||||||||
| 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 | |||||||||||
| period |
0..1 | Period | The period covered by the documentation
| |||||||||||
| Slices for section |
C | 3..* | BackboneElement | Sections composing the patient summary Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| section:All Slices |
Content/Rules for all slices | |||||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
| |||||||||||
| text |
C | 1..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
| ||||||||||
| section:sectionProblems |
C | 1..1 | BackboneElement | Patient Summary Problems Section Constraints: cmp-1, cmp-2, ips-comp-1
| ||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 11450-4 | |||||||||||
| 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 | |||||||||||
| text |
C | 1..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
| ||||||||||
| Slices for entry |
C | 0..* | Reference(Condition | DocumentReference) | Clinical problems or conditions currently being monitored for the patient Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:problem |
C | 0..* | Reference(AU PS Condition) | A reference to data that supports this section
| ||||||||||
| emptyReason |
C | 0..1 | CodeableConceptIPS | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
| ||||||||||
| section:sectionAllergies |
C | 1..1 | BackboneElement | Patient Summary Allergies and Intolerances Section Constraints: cmp-1, cmp-2, ips-comp-1
| ||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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 | |||||||||||
| text |
C | 1..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
| ||||||||||
| Slices for entry |
C | 0..* | Reference(AllergyIntolerance | DocumentReference) | Relevant allergies or intolerances (conditions) for that patient Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:allergyOrIntolerance |
C | 0..* | Reference(AU PS AllergyIntolerance) | A reference to data that supports this section
| ||||||||||
| emptyReason |
C | 0..1 | CodeableConceptIPS | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
| ||||||||||
| section:sectionMedications |
C | 1..1 | BackboneElement | Patient Summary Medication Summary Section Constraints: cmp-1, cmp-2, ips-comp-1
| ||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
| |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| text |
C | 1..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
| ||||||||||
| Slices for entry |
C | 0..* | Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense | DocumentReference) | Medications relevant for the scope of the patient summary Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:medicationStatementOrRequest |
C | 0..* | Reference(AU PS MedicationStatement | AU PS MedicationRequest) | A reference to data that supports this section
| ||||||||||
| emptyReason |
C | 0..1 | CodeableConceptIPS | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
| ||||||||||
| section:sectionImmunizations |
C | 0..1 | BackboneElement | Patient Summary Immunizations Section Constraints: cmp-1, cmp-2
| ||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
| |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11369-6 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| text |
C | 1..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
| ||||||||||
| Slices for entry |
C | 0..* | Reference(Immunization | DocumentReference) | Patient's immunisation status and pertinent history Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:immunization |
C | 0..* | Reference(AU PS Immunization) | A reference to data that supports this section
| ||||||||||
| section:sectionResults |
C | 0..1 | BackboneElement | Patient Summary Results Section Constraints: cmp-1, cmp-2
| ||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 30954-2 | |||||||||||
| 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 | |||||||||||
| text |
C | 1..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
| ||||||||||
| Slices for entry |
C | 0..* | Reference(Observation | DiagnosticReport | DocumentReference) | Relevant observation results collected on the patient or produced on in-vitro biologic specimens collected from the patient Slice: Unordered, Open by type:resolve(), profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:results-observation-laboratory-pathology |
C | 0..* | Reference(AU PS Pathology Result Observation) | A reference to data that supports this section
| ||||||||||
| entry:results-observation-radiology |
C | 0..* | Reference(Observation Results - Radiology (IPS)) | A reference to data that supports this section
| ||||||||||
| entry:results-diagnosticReport |
C | 0..* | Reference(DiagnosticReport (IPS)) | A reference to data that supports this section
| ||||||||||
| section:sectionProceduresHx |
C | 0..1 | BackboneElement | Patient Summary History of Procedures Section Constraints: cmp-1, cmp-2
| ||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 47519-4 | |||||||||||
| 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 | |||||||||||
| text |
C | 1..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
| ||||||||||
| Slices for entry |
C | 0..* | Reference(Procedure | DocumentReference) | Patient past procedures pertinent to the scope of this patient summary Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:procedure |
C | 0..* | Reference(AU PS Procedure) | A reference to data that supports this section
| ||||||||||
| section:sectionMedicalDevices |
C | 0..1 | BackboneElement | Patient Summary Medical Devices Section Constraints: cmp-1, cmp-2
| ||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 46264-8 | |||||||||||
| 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 | |||||||||||
| text |
C | 1..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
| ||||||||||
| Slices for entry |
C | 0..* | Reference(DeviceUseStatement | DocumentReference) | Patient history of medical device use Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:deviceStatement |
C | 0..* | Reference(DeviceUseStatement (IPS)) | A reference to data that supports this section
| ||||||||||
| section:sectionAdvanceDirectives |
C | 0..1 | BackboneElement | Patient Summary Advance Directives Section Constraints: cmp-1, cmp-2
| ||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 42348-3 | |||||||||||
| 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 | |||||||||||
| text |
C | 1..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
| ||||||||||
| Slices for entry |
C | 0..* | Reference(Consent | DocumentReference) | A patient's advance directives Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:advanceDirectivesConsent |
C | 0..* | Reference(Consent) | A reference to data that supports this section | ||||||||||
| section:sectionAlerts |
C | 0..1 | BackboneElement | Patient Summary Alerts Section Constraints: cmp-1, cmp-2
| ||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 104605-1 | |||||||||||
| 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 | |||||||||||
| text |
C | 1..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
| ||||||||||
| Slices for entry |
C | 0..* | Reference(Flag | DocumentReference) | Alert information Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:alertsFlag |
C | 0..* | Reference(Flag - Alert (IPS)) | A reference to data that supports this section | ||||||||||
| section:sectionFunctionalStatus |
C | 0..1 | BackboneElement | Patient Summary Functional Status Section Constraints: cmp-1, cmp-2
| ||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 47420-5 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| text |
C | 1..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
| ||||||||||
| Slices for entry |
C | 0..* | Reference(Condition | ClinicalImpression | DocumentReference) | Disabilities and functional assessments Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:disability |
C | 0..* | Reference(AU PS Condition) | A reference to data that supports this section | ||||||||||
| entry:functionalAssessment |
C | 0..* | Reference(ClinicalImpression) | A reference to data that supports this section | ||||||||||
| section:sectionPastProblems |
C | 0..1 | BackboneElement | Patient Summary History of Past Illness Section Constraints: cmp-1, cmp-2
| ||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 11348-0 | |||||||||||
| 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 | |||||||||||
| text |
C | 1..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
| ||||||||||
| Slices for entry |
C | 0..* | Reference(Condition | DocumentReference) | Conditions the patient suffered in the past Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:pastProblem |
C | 0..* | Reference(AU PS Condition) | A reference to data that supports this section | ||||||||||
| section:sectionPregnancyHx |
C | 0..1 | BackboneElement | Patient Summary History of Pregnancy Section Constraints: cmp-1, cmp-2
| ||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 10162-6 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| text |
C | 1..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
| ||||||||||
| Slices for entry |
C | 0..* | Reference(Observation | DocumentReference) | Current pregnancy status and, optionally, information about the outcome of earlier pregnancies Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:pregnancyStatus |
C | 0..* | Reference(Observation Pregnancy - Status (IPS)) | A reference to data that supports this section | ||||||||||
| entry:pregnancyOutcome |
C | 0..* | Reference(Observation Pregnancy - Outcome (IPS)) | A reference to data that supports this section | ||||||||||
| section:sectionPatientStory |
C | 0..1 | BackboneElement | Patient Summary Patient Story Section Constraints: cmp-1, cmp-2
| ||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 81338-6 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| text |
C | 1..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
| ||||||||||
| entry |
C | 0..* | Reference(Resource) | Patient Story resources | ||||||||||
| section:sectionPlanOfCare |
C | 0..1 | BackboneElement | Patient Summary Plan of Care Section Constraints: cmp-1, cmp-2
| ||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 18776-5 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| text |
C | 1..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
| ||||||||||
| Slices for entry |
C | 0..* | Reference(CarePlan | ImmunizationRecommendation | DocumentReference) | Structured care plans Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:carePlan |
C | 0..* | Reference(CarePlan) | A reference to data that supports this section | ||||||||||
| entry:immunizationRecommendation |
C | 0..* | Reference(ImmunizationRecommendation) | A reference to data that supports this section | ||||||||||
| section:sectionSocialHistory |
C | 0..1 | BackboneElement | Patient Summary Social History Section Constraints: cmp-1, cmp-2
| ||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 29762-2 | |||||||||||
| 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 | |||||||||||
| text |
C | 1..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
| ||||||||||
| Slices for entry |
C | 0..* | Reference(Observation | DocumentReference) | Health related "lifestyle factors" or "lifestyle observations" Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:smokingTobaccoUse |
C | 0..1 | Reference(AU PS Smoking Status) | A reference to data that supports this section | ||||||||||
| entry:alcoholUse |
C | 0..1 | Reference(Observation Social History - Alcohol Use (IPS)) | A reference to data that supports this section | ||||||||||
| section:sectionVitalSigns |
C | 0..1 | BackboneElement | Patient Summary Vital Signs Section Constraints: cmp-1, cmp-2
| ||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 8716-3 | |||||||||||
| 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 | |||||||||||
| text |
C | 1..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
| ||||||||||
| Slices for entry |
C | 0..* | Reference(Observation | DocumentReference) | Notable vital signs or physical findings Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:vitalSign |
C | 0..* | Reference(Vital Signs Profile) | A reference to data that supports this section | ||||||||||
| 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.relatesTo.code | Base | required | DocumentRelationshipType | 📍4.0.1 | FHIR Std. |
| Composition.event:careProvisioningEvent.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v7.4 |
| Composition.section.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProblems.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProblems.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAllergies.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAllergies.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedications.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedications.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionImmunizations.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionResults.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProceduresHx.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedicalDevices.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAdvanceDirectives.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAlerts.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionFunctionalStatus.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPastProblems.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPregnancyHx.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPatientStory.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPlanOfCare.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionSocialHistory.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionVitalSigns.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| cmp-1 | error | Composition.section, Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionImmunizations, Composition.section:sectionResults, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAlerts, Composition.section:sectionFunctionalStatus, Composition.section:sectionPastProblems, Composition.section:sectionPregnancyHx, Composition.section:sectionPatientStory, Composition.section:sectionPlanOfCare, Composition.section:sectionSocialHistory, Composition.section:sectionVitalSigns | 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, Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionImmunizations, Composition.section:sectionResults, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAlerts, Composition.section:sectionFunctionalStatus, Composition.section:sectionPastProblems, Composition.section:sectionPregnancyHx, Composition.section:sectionPatientStory, Composition.section:sectionPlanOfCare, Composition.section:sectionSocialHistory, Composition.section:sectionVitalSigns | 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()
|
| ips-comp-1 | error | Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications | Either section.entry or emptyReason are present |
(entry.reference.exists() or emptyReason.exists())
|
Differential View
This structure is derived from AUCoreComposition
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Composition |
0..* | AUCoreComposition | AU Patient Summary Composition This profile also complies with the profile Composition (IPS) | |||||||||||
| meta |
||||||||||||||
| profile |
0..* | canonical(StructureDefinition) | Conformance claim to a specific Patient Summary specification
| |||||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation
| |||||||||||
| identifier |
0..1 | Identifier | Version-independent identifier for the Composition
| |||||||||||
| status |
1..1 | code | preliminary | final | amended | entered-in-error
| |||||||||||
| type |
1..1 | CodeableConceptIPS | Kind of composition ("Patient Summary") Required Pattern: At least the following
| |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 60591-5 | |||||||||||
| subject |
1..1 | Reference(AU PS Patient) | Who and/or what the composition is about
| |||||||||||
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL
| |||||||||||
| date |
1..1 | dateTime | Composition editing time
| |||||||||||
| author |
1..* | Reference(AU PS Practitioner | AU PS PractitionerRole | Device | AU PS Patient | AU PS RelatedPerson | AU PS Organization) | Who and/or what authored the patient summary
| |||||||||||
| title |
1..1 | string | The title of this patient summary
| |||||||||||
| attester |
0..* | BackboneElement | Attests to accuracy of composition
| |||||||||||
| mode |
1..1 | code | personal | professional | legal | official
| |||||||||||
| time |
0..1 | dateTime | When the composition was attested
| |||||||||||
| party |
0..1 | Reference(AU PS Patient | AU PS RelatedPerson | AU PS Practitioner | AU PS PractitionerRole | AU PS Organization) | Who attested the composition
| |||||||||||
| custodian |
0..1 | Reference(AU PS Organization) | Organization which maintains the composition
| |||||||||||
| relatesTo |
0..* | BackboneElement | Relationships to other compositions/documents | |||||||||||
| target[x] |
1..1 | Target of the relationship | ||||||||||||
| targetIdentifier |
Identifier | |||||||||||||
| targetReference |
Reference(Composition | Composition (IPS) | AU PS Composition) | |||||||||||||
| Slices for event |
0..* | BackboneElement | The clinical service(s) being documented Slice: Unordered, Open by value:code Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| event:careProvisioningEvent |
0..1 | BackboneElement | The care provisioning being documented
| |||||||||||
| code |
1..1 | CodeableConceptIPS | Code(s) that apply to the event being documented 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://terminology.hl7.org/CodeSystem/v3-ActClass | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: PCPR | |||||||||||
| period |
0..1 | Period | The period covered by the documentation
| |||||||||||
| Slices for section |
3..* | BackboneElement | Sections composing the patient summary Slice: Unordered, Open by value:code
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| section:All Slices |
Content/Rules for all slices | |||||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended)
| |||||||||||
| text |
1..1 | Narrative | Text summary of the section, for human interpretation
| |||||||||||
| section |
0..0 | Nested Section | ||||||||||||
| section:sectionProblems |
C | 1..1 | BackboneElement | Patient Summary Problems Section Constraints: ips-comp-1
| ||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following
| |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4 | |||||||||||
| text |
1..1 | Narrative | Text summary of the section, for human interpretation
| |||||||||||
| Slices for entry |
0..* | Reference(Condition | DocumentReference) | Clinical problems or conditions currently being monitored for the patient Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:problem |
0..* | Reference(AU PS Condition) | A reference to data that supports this section
| |||||||||||
| emptyReason |
0..1 | CodeableConceptIPS | Why the section is empty
| |||||||||||
| section:sectionAllergies |
C | 1..1 | BackboneElement | Patient Summary Allergies and Intolerances Section Constraints: ips-comp-1
| ||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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 | |||||||||||
| text |
1..1 | Narrative | Text summary of the section, for human interpretation
| |||||||||||
| Slices for entry |
0..* | Reference(AllergyIntolerance | DocumentReference) | Relevant allergies or intolerances (conditions) for that patient Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:allergyOrIntolerance |
0..* | Reference(AU PS AllergyIntolerance) | A reference to data that supports this section
| |||||||||||
| emptyReason |
0..1 | CodeableConceptIPS | Why the section is empty
| |||||||||||
| section:sectionMedications |
C | 1..1 | BackboneElement | Patient Summary Medication Summary Section Constraints: ips-comp-1
| ||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following
| |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0 | |||||||||||
| text |
1..1 | Narrative | Text summary of the section, for human interpretation
| |||||||||||
| Slices for entry |
0..* | Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense | DocumentReference) | Medications relevant for the scope of the patient summary Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:medicationStatementOrRequest |
0..* | Reference(AU PS MedicationStatement | AU PS MedicationRequest) | A reference to data that supports this section
| |||||||||||
| emptyReason |
0..1 | CodeableConceptIPS | Why the section is empty
| |||||||||||
| section:sectionImmunizations |
0..1 | BackboneElement | Patient Summary Immunizations Section
| |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following
| |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11369-6 | |||||||||||
| text |
1..1 | Narrative | Text summary of the section, for human interpretation
| |||||||||||
| Slices for entry |
0..* | Reference(Immunization | DocumentReference) | Patient's immunisation status and pertinent history Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:immunization |
0..* | Reference(AU PS Immunization) | A reference to data that supports this section
| |||||||||||
| section:sectionResults |
0..1 | BackboneElement | Patient Summary Results Section
| |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following
| |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2 | |||||||||||
| text |
1..1 | Narrative | Text summary of the section, for human interpretation
| |||||||||||
| Slices for entry |
0..* | Reference(Observation | DiagnosticReport | DocumentReference) | Relevant observation results collected on the patient or produced on in-vitro biologic specimens collected from the patient Slice: Unordered, Open by type:resolve(), profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:results-observation-laboratory-pathology |
0..* | Reference(AU PS Pathology Result Observation) | A reference to data that supports this section
| |||||||||||
| entry:results-observation-radiology |
0..* | Reference(Observation Results - Radiology (IPS)) | A reference to data that supports this section
| |||||||||||
| entry:results-diagnosticReport |
0..* | Reference(DiagnosticReport (IPS)) | A reference to data that supports this section
| |||||||||||
| section:sectionProceduresHx |
0..1 | BackboneElement | Patient Summary History of Procedures Section
| |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following
| |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4 | |||||||||||
| text |
1..1 | Narrative | Text summary of the section, for human interpretation
| |||||||||||
| Slices for entry |
0..* | Reference(Procedure | DocumentReference) | Patient past procedures pertinent to the scope of this patient summary Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:procedure |
0..* | Reference(AU PS Procedure) | A reference to data that supports this section
| |||||||||||
| section:sectionMedicalDevices |
0..1 | BackboneElement | Patient Summary Medical Devices Section
| |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 46264-8 | |||||||||||
| text |
1..1 | Narrative | Text summary of the section, for human interpretation
| |||||||||||
| Slices for entry |
0..* | Reference(DeviceUseStatement | DocumentReference) | Patient history of medical device use Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:deviceStatement |
0..* | Reference(DeviceUseStatement (IPS)) | A reference to data that supports this section
| |||||||||||
| section:sectionAdvanceDirectives |
0..1 | BackboneElement | Patient Summary Advance Directives Section
| |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 42348-3 | |||||||||||
| text |
1..1 | Narrative | Text summary of the section, for human interpretation
| |||||||||||
| Slices for entry |
0..* | Reference(Consent | DocumentReference) | A patient's advance directives Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:advanceDirectivesConsent |
0..* | Reference(Consent) | A reference to data that supports this section | |||||||||||
| section:sectionAlerts |
0..1 | BackboneElement | Patient Summary Alerts Section
| |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 104605-1 | |||||||||||
| text |
1..1 | Narrative | Text summary of the section, for human interpretation
| |||||||||||
| Slices for entry |
0..* | Reference(Flag | DocumentReference) | Alert information Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:alertsFlag |
0..* | Reference(Flag - Alert (IPS)) | A reference to data that supports this section | |||||||||||
| section:sectionFunctionalStatus |
0..1 | BackboneElement | Patient Summary Functional Status Section
| |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 47420-5 | |||||||||||
| text |
1..1 | Narrative | Text summary of the section, for human interpretation
| |||||||||||
| Slices for entry |
0..* | Reference(Condition | ClinicalImpression | DocumentReference) | Disabilities and functional assessments Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:disability |
0..* | Reference(AU PS Condition) | A reference to data that supports this section | |||||||||||
| entry:functionalAssessment |
0..* | Reference(ClinicalImpression) | A reference to data that supports this section | |||||||||||
| section:sectionPastProblems |
0..1 | BackboneElement | Patient Summary History of Past Illness Section
| |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Required Pattern: At least the following
| |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11348-0 | |||||||||||
| text |
1..1 | Narrative | Text summary of the section, for human interpretation
| |||||||||||
| Slices for entry |
0..* | Reference(Condition | DocumentReference) | Conditions the patient suffered in the past Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:pastProblem |
0..* | Reference(AU PS Condition) | A reference to data that supports this section | |||||||||||
| section:sectionPregnancyHx |
0..1 | BackboneElement | Patient Summary History of Pregnancy Section
| |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 10162-6 | |||||||||||
| text |
1..1 | Narrative | Text summary of the section, for human interpretation
| |||||||||||
| Slices for entry |
0..* | Reference(Observation | DocumentReference) | Current pregnancy status and, optionally, information about the outcome of earlier pregnancies Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:pregnancyStatus |
0..* | Reference(Observation Pregnancy - Status (IPS)) | A reference to data that supports this section | |||||||||||
| entry:pregnancyOutcome |
0..* | Reference(Observation Pregnancy - Outcome (IPS)) | A reference to data that supports this section | |||||||||||
| section:sectionPatientStory |
0..1 | BackboneElement | Patient Summary Patient Story Section
| |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 81338-6 | |||||||||||
| text |
1..1 | Narrative | Text summary of the section, for human interpretation
| |||||||||||
| entry |
0..* | Reference(Resource) | Patient Story resources | |||||||||||
| section:sectionPlanOfCare |
0..1 | BackboneElement | Patient Summary Plan of Care Section
| |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 18776-5 | |||||||||||
| text |
1..1 | Narrative | Text summary of the section, for human interpretation
| |||||||||||
| Slices for entry |
0..* | Reference(CarePlan | ImmunizationRecommendation | DocumentReference) | Structured care plans Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:carePlan |
0..* | Reference(CarePlan) | A reference to data that supports this section | |||||||||||
| entry:immunizationRecommendation |
0..* | Reference(ImmunizationRecommendation) | A reference to data that supports this section | |||||||||||
| section:sectionSocialHistory |
0..1 | BackboneElement | Patient Summary Social History Section
| |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 29762-2 | |||||||||||
| text |
1..1 | Narrative | Text summary of the section, for human interpretation
| |||||||||||
| Slices for entry |
0..* | Reference(Observation | DocumentReference) | Health related "lifestyle factors" or "lifestyle observations" Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:smokingTobaccoUse |
0..1 | Reference(AU PS Smoking Status) | A reference to data that supports this section | |||||||||||
| entry:alcoholUse |
0..1 | Reference(Observation Social History - Alcohol Use (IPS)) | A reference to data that supports this section | |||||||||||
| section:sectionVitalSigns |
0..1 | BackboneElement | Patient Summary Vital Signs Section
| |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 8716-3 | |||||||||||
| text |
1..1 | Narrative | Text summary of the section, for human interpretation
| |||||||||||
| Slices for entry |
0..* | Reference(Observation | DocumentReference) | Notable vital signs or physical findings Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:vitalSign |
0..* | Reference(Vital Signs Profile) | A reference to data that supports this section | |||||||||||
| Documentation for this format | ||||||||||||||
| Id | Grade | Path(s) | Description | Expression |
| ips-comp-1 | error | Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications | Either section.entry or emptyReason are present |
(entry.reference.exists() or emptyReason.exists())
|
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Composition |
0..* | AUCoreComposition | AU Patient Summary Composition This profile also complies with the profile Composition (IPS) | |||||||||||
| id |
0..1 | id | Logical id of this artifact | |||||||||||
| meta |
0..1 | Meta | Metadata about the resource | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||
| versionId |
0..1 | id | Version specific identifier | |||||||||||
| lastUpdated |
0..1 | instant | When the resource version last changed | |||||||||||
| source |
0..1 | uri | Identifies where the resource comes from | |||||||||||
| profile |
0..* | canonical(StructureDefinition) | Conformance claim to a specific Patient Summary specification
| |||||||||||
| security |
0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | |||||||||||
| tag |
0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | |||||||||||
| implicitRules |
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
| |||||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
| extension:informationRecipient |
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 | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||||
| identifier |
0..1 | Identifier | Version-independent identifier for the Composition
| |||||||||||
| status |
1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition.
| |||||||||||
| type |
1..1 | CodeableConceptIPS | Kind of composition ("Patient Summary") Binding: FHIRDocumentTypeCodes (preferred)
Required Pattern: At least the following
| |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 60591-5 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| category |
0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. | |||||||||||
| subject |
1..1 | Reference(AU PS Patient) | Who and/or what the composition is about
| |||||||||||
| 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 |
C | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||||
| type |
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 |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||||||||
| display |
0..1 | string | Text alternative for the resource | |||||||||||
| encounter |
0..1 | Reference(Encounter) | Context of the Composition | |||||||||||
| date |
1..1 | dateTime | Composition editing time
| |||||||||||
| author |
1..* | Reference(AU PS Practitioner | AU PS PractitionerRole | Device | AU PS Patient | AU PS RelatedPerson | AU PS Organization) | Who and/or what authored the patient summary
| |||||||||||
| title |
1..1 | string | The title of this patient summary
| |||||||||||
| confidentiality |
0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. | |||||||||||
| attester |
0..* | BackboneElement | Attests to accuracy of composition
| |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| mode |
1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
| |||||||||||
| time |
0..1 | dateTime | When the composition was attested
| |||||||||||
| party |
0..1 | Reference(AU PS Patient | AU PS RelatedPerson | AU PS Practitioner | AU PS PractitionerRole | AU PS Organization) | Who attested the composition
| |||||||||||
| custodian |
0..1 | Reference(AU PS Organization) | Organization which maintains the composition
| |||||||||||
| relatesTo |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| code |
1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | |||||||||||
| target[x] |
1..1 | Target of the relationship | ||||||||||||
| targetIdentifier |
Identifier | |||||||||||||
| targetReference |
Reference(Composition | Composition (IPS) | AU PS Composition) | |||||||||||||
| Slices for event |
0..* | BackboneElement | The clinical service(s) being documented Slice: Unordered, Open by value:code Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| event: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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| code |
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 |
0..1 | Period | The period covered by the documentation | |||||||||||
| detail |
0..* | Reference(Resource) | The event(s) being documented | |||||||||||
| event:careProvisioningEvent |
0..1 | BackboneElement | The care provisioning being documented
| |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| code |
1..1 | CodeableConceptIPS | 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. 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://terminology.hl7.org/CodeSystem/v3-ActClass | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: PCPR | |||||||||||
| 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 | |||||||||||
| period |
0..1 | Period | The period covered by the documentation
| |||||||||||
| detail |
0..* | Reference(Resource) | The event(s) being documented | |||||||||||
| Slices for section |
C | 3..* | BackboneElement | Sections composing the patient summary Slice: Unordered, Open by value:code Constraints: cmp-1, cmp-2
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| section:All Slices |
Content/Rules for all slices | |||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||||
| extension:section-note |
0..* | Annotation | Additional notes that apply to the section (but not to specific resource) URL: http://hl7.org/fhir/StructureDefinition/note | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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 |
C | 1..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
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| entry |
C | 0..* | Reference(Resource) | A reference to data that supports this section | ||||||||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||||||||
| section:sectionProblems |
C | 1..1 | BackboneElement | Patient Summary Problems Section Constraints: cmp-1, cmp-2, ips-comp-1
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 11450-4 | |||||||||||
| 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 |
C | 1..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
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(Condition | DocumentReference) | Clinical problems or conditions currently being monitored for the patient Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:problem |
C | 0..* | Reference(AU PS Condition) | A reference to data that supports this section
| ||||||||||
| emptyReason |
C | 0..1 | CodeableConceptIPS | 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:sectionAllergies |
C | 1..1 | BackboneElement | Patient Summary Allergies and Intolerances Section Constraints: cmp-1, cmp-2, ips-comp-1
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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 |
C | 1..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
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(AllergyIntolerance | DocumentReference) | Relevant allergies or intolerances (conditions) for that patient Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:allergyOrIntolerance |
C | 0..* | Reference(AU PS AllergyIntolerance) | A reference to data that supports this section
| ||||||||||
| emptyReason |
C | 0..1 | CodeableConceptIPS | 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:sectionMedications |
C | 1..1 | BackboneElement | Patient Summary Medication Summary Section Constraints: cmp-1, cmp-2, ips-comp-1
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
| |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
C | 1..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
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense | DocumentReference) | Medications relevant for the scope of the patient summary Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:medicationStatementOrRequest |
C | 0..* | Reference(AU PS MedicationStatement | AU PS MedicationRequest) | A reference to data that supports this section
| ||||||||||
| emptyReason |
C | 0..1 | CodeableConceptIPS | 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:sectionImmunizations |
C | 0..1 | BackboneElement | Patient Summary Immunizations Section Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following
| |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11369-6 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
C | 1..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
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(Immunization | DocumentReference) | Patient's immunisation status and pertinent history Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:immunization |
C | 0..* | Reference(AU PS Immunization) | A reference to data that supports this section
| ||||||||||
| emptyReason |
C | 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:sectionResults |
C | 0..1 | BackboneElement | Patient Summary Results Section Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 30954-2 | |||||||||||
| 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 |
C | 1..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
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(Observation | DiagnosticReport | DocumentReference) | Relevant observation results collected on the patient or produced on in-vitro biologic specimens collected from the patient Slice: Unordered, Open by type:resolve(), profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:results-observation-laboratory-pathology |
C | 0..* | Reference(AU PS Pathology Result Observation) | A reference to data that supports this section
| ||||||||||
| entry:results-observation-radiology |
C | 0..* | Reference(Observation Results - Radiology (IPS)) | A reference to data that supports this section
| ||||||||||
| entry:results-diagnosticReport |
C | 0..* | Reference(DiagnosticReport (IPS)) | A reference to data that supports this section
| ||||||||||
| emptyReason |
C | 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:sectionProceduresHx |
C | 0..1 | BackboneElement | Patient Summary History of Procedures Section Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 47519-4 | |||||||||||
| 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 |
C | 1..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
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(Procedure | DocumentReference) | Patient past procedures pertinent to the scope of this patient summary Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:procedure |
C | 0..* | Reference(AU PS Procedure) | A reference to data that supports this section
| ||||||||||
| emptyReason |
C | 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:sectionMedicalDevices |
C | 0..1 | BackboneElement | Patient Summary Medical Devices Section Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 46264-8 | |||||||||||
| 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 |
C | 1..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
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(DeviceUseStatement | DocumentReference) | Patient history of medical device use Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:deviceStatement |
C | 0..* | Reference(DeviceUseStatement (IPS)) | A reference to data that supports this section
| ||||||||||
| emptyReason |
C | 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:sectionAdvanceDirectives |
C | 0..1 | BackboneElement | Patient Summary Advance Directives Section Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 42348-3 | |||||||||||
| 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 |
C | 1..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
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(Consent | DocumentReference) | A patient's advance directives Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:advanceDirectivesConsent |
C | 0..* | Reference(Consent) | A reference to data that supports this section | ||||||||||
| emptyReason |
C | 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:sectionAlerts |
C | 0..1 | BackboneElement | Patient Summary Alerts Section Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 104605-1 | |||||||||||
| 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 |
C | 1..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
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(Flag | DocumentReference) | Alert information Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:alertsFlag |
C | 0..* | Reference(Flag - Alert (IPS)) | A reference to data that supports this section | ||||||||||
| emptyReason |
C | 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:sectionFunctionalStatus |
C | 0..1 | BackboneElement | Patient Summary Functional Status Section Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 47420-5 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| 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 |
C | 1..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
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(Condition | ClinicalImpression | DocumentReference) | Disabilities and functional assessments Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:disability |
C | 0..* | Reference(AU PS Condition) | A reference to data that supports this section | ||||||||||
| entry:functionalAssessment |
C | 0..* | Reference(ClinicalImpression) | A reference to data that supports this section | ||||||||||
| emptyReason |
C | 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:sectionPastProblems |
C | 0..1 | BackboneElement | Patient Summary History of Past Illness Section Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 11348-0 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
C | 1..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
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(Condition | DocumentReference) | Conditions the patient suffered in the past Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:pastProblem |
C | 0..* | Reference(AU PS Condition) | A reference to data that supports this section | ||||||||||
| emptyReason |
C | 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:sectionPregnancyHx |
C | 0..1 | BackboneElement | Patient Summary History of Pregnancy Section Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 10162-6 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
C | 1..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
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(Observation | DocumentReference) | Current pregnancy status and, optionally, information about the outcome of earlier pregnancies Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:pregnancyStatus |
C | 0..* | Reference(Observation Pregnancy - Status (IPS)) | A reference to data that supports this section | ||||||||||
| entry:pregnancyOutcome |
C | 0..* | Reference(Observation Pregnancy - Outcome (IPS)) | A reference to data that supports this section | ||||||||||
| emptyReason |
C | 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:sectionPatientStory |
C | 0..1 | BackboneElement | Patient Summary Patient Story Section Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 81338-6 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||||||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||||||||
| text |
C | 1..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
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| entry |
C | 0..* | Reference(Resource) | Patient Story resources | ||||||||||
| emptyReason |
C | 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:sectionPlanOfCare |
C | 0..1 | BackboneElement | Patient Summary Plan of Care Section Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 18776-5 | |||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||
| 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 |
C | 1..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
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(CarePlan | ImmunizationRecommendation | DocumentReference) | Structured care plans Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:carePlan |
C | 0..* | Reference(CarePlan) | A reference to data that supports this section | ||||||||||
| entry:immunizationRecommendation |
C | 0..* | Reference(ImmunizationRecommendation) | A reference to data that supports this section | ||||||||||
| emptyReason |
C | 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:sectionSocialHistory |
C | 0..1 | BackboneElement | Patient Summary Social History Section Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 29762-2 | |||||||||||
| 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 |
C | 1..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
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(Observation | DocumentReference) | Health related "lifestyle factors" or "lifestyle observations" Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:smokingTobaccoUse |
C | 0..1 | Reference(AU PS Smoking Status) | A reference to data that supports this section | ||||||||||
| entry:alcoholUse |
C | 0..1 | Reference(Observation Social History - Alcohol Use (IPS)) | A reference to data that supports this section | ||||||||||
| emptyReason |
C | 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:sectionVitalSigns |
C | 0..1 | BackboneElement | Patient Summary Vital Signs Section Constraints: cmp-1, cmp-2
| ||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| title |
1..1 | string | Label for section (e.g. for ToC)
| |||||||||||
| code |
1..1 | CodeableConceptIPS | 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: 8716-3 | |||||||||||
| 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 |
C | 1..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
| ||||||||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||||||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||||||||
| Slices for entry |
C | 0..* | Reference(Observation | DocumentReference) | Notable vital signs or physical findings Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| Slices for entry |
Content/Rules for all slices | |||||||||||||
| entry:vitalSign |
C | 0..* | Reference(Vital Signs Profile) | A reference to data that supports this section | ||||||||||
| emptyReason |
C | 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 | ||||||||||
| Documentation for this format | ||||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Composition.meta.security | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std. |
| Composition.meta.tag | Base | example | Common Tags | 📍4.0.1 | FHIR Std. |
| 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.subject.type | Base | extensible | ResourceType | 📍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 v7.4 |
| Composition.event:careProvisioningEvent.code | Base | example | v3 Code System ActCode | 📦3.0.0 | THO v7.4 |
| 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. |
| Composition.section:sectionProblems.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProblems.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProblems.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProblems.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAllergies.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAllergies.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAllergies.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAllergies.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedications.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedications.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedications.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedications.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionImmunizations.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionImmunizations.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionImmunizations.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionImmunizations.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionResults.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionResults.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionResults.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionResults.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProceduresHx.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProceduresHx.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProceduresHx.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionProceduresHx.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedicalDevices.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedicalDevices.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedicalDevices.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionMedicalDevices.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAdvanceDirectives.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAdvanceDirectives.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAdvanceDirectives.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAdvanceDirectives.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAlerts.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAlerts.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAlerts.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionAlerts.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionFunctionalStatus.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionFunctionalStatus.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionFunctionalStatus.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionFunctionalStatus.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPastProblems.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPastProblems.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPastProblems.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPastProblems.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPregnancyHx.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPregnancyHx.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPregnancyHx.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPregnancyHx.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPatientStory.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPatientStory.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPatientStory.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPatientStory.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPlanOfCare.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPlanOfCare.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPlanOfCare.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionPlanOfCare.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionSocialHistory.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionSocialHistory.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionSocialHistory.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionSocialHistory.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionVitalSigns.code | Base | example | Document Section Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionVitalSigns.mode | Base | required | ListMode | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionVitalSigns.orderedBy | Base | preferred | List Order Codes | 📍4.0.1 | FHIR Std. |
| Composition.section:sectionVitalSigns.emptyReason | Base | preferred | List Empty Reasons | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| cmp-1 | error | Composition.section, Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionImmunizations, Composition.section:sectionResults, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAlerts, Composition.section:sectionFunctionalStatus, Composition.section:sectionPastProblems, Composition.section:sectionPregnancyHx, Composition.section:sectionPatientStory, Composition.section:sectionPlanOfCare, Composition.section:sectionSocialHistory, Composition.section:sectionVitalSigns | 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, Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications, Composition.section:sectionImmunizations, Composition.section:sectionResults, Composition.section:sectionProceduresHx, Composition.section:sectionMedicalDevices, Composition.section:sectionAdvanceDirectives, Composition.section:sectionAlerts, Composition.section:sectionFunctionalStatus, Composition.section:sectionPastProblems, Composition.section:sectionPregnancyHx, Composition.section:sectionPatientStory, Composition.section:sectionPlanOfCare, Composition.section:sectionSocialHistory, Composition.section:sectionVitalSigns | 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()
|
| ips-comp-1 | error | Composition.section:sectionProblems, Composition.section:sectionAllergies, Composition.section:sectionMedications | Either section.entry or emptyReason are present |
(entry.reference.exists() or emptyReason.exists())
|
This structure is derived from AUCoreComposition
Summary
Mandatory: 15 elements(40 nested mandatory elements)
Must-Support: 81 elements
Prohibited: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Maturity: 2
Other representations of profile: CSV, Excel, Schematron
IG © 2024+ HL7 Australia. Package hl7.fhir.au.ps#1.0.1-ci-build based on FHIR 4.0.1. Generated 2026-10-11
Links: Table of Contents |
QA Report
| Version History |
|
Propose a change
