AU Primary Care Implementation Guide - Local Development build (vnull). See the Directory of published versions
1.0 StructureDefinition-au-primarycarecomposition
AU Primary Care Composition Profile [FMM Level 0]
This profile defines a composition structure that includes core localisation concepts for use in an Australian primary care practice-to-practice record transfer context.
Example thanks to Best Practice and Jim Steel .. not yet checked for conformance to this IG
1.0.1
Formal Views of Profile Content
The official URL for this profile is:
https://aehrc.com/fhir/StructureDefinition/AUPrimaryCareComposition
This profile defines a composition structure that includes core localisation concepts for use in an Australian primary care practice-to-practice record transfer context.
This profile builds on AUBaseComposition.
This profile was published on Wed Nov 06 14:07:15 AEST 2019 as a draft by null.
Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Composition | 0..* | Composition for the Australian primary care practice-to-practice record transfer context. | ||
 status | 1..1 | code | Fixed Value: final | |
| type | ||||
   coding | 0..* | (Slice Definition) | Slice: Unordered, Open by value:system, value:code | |
   coding:loincMedicalRecords | S | 0..* | Coding | |
 system | 0..1 | uri | Fixed Value: http://loinc.org | |
| version | 0..1 | string | Fixed Value: 2.65 | |
| code | 0..1 | code | Fixed Value: 11503-0 | |
 display | 0..1 | string | Fixed Value: Medical Records | |
 subject | 0..1 | Reference(AU Primary Care Patient) | ||
| encounter | 0..0 | |||
| title | 1..1 | string | Fixed Value: Practice to Practice Patient Summary | |
| section | 1..1 | (Slice Definition) | Slice: Unordered, Open by value:code.coding.code | |
 section:medicalHistoryList | 1..1 | BackboneElement | Medical History List | |
 mode | 0..1 | code | Fixed Value: snapshot | |
| entry | S | 0..* | Reference(AU Primary Care Medical History List | AU Primary Care Procedure List | AU Primary Care Problem List) | |
| emptyReason | 0..0 | |||
| section | 0..0 | |||
| section:adverseReactionList | 1..1 | BackboneElement | Adverse Reaction List | |
| mode | 0..1 | code | Fixed Value: snapshot | |
| entry | S | 0..* | Reference(AU Primary Care Allergy Intolerance List) | |
| emptyReason | 0..0 | |||
| section | 0..0 | |||
| section:vaccinationList | 1..1 | BackboneElement | Vaccination List | |
| code | ||||
 coding | ||||
| system | 0..1 | uri | Fixed Value: http://loinc.org | |
| version | 0..1 | string | Fixed Value: 2.65 | |
| code | 0..1 | code | Fixed Value: 41291-6 | |
| display | 0..1 | string | Fixed Value: Immunization | |
| mode | 0..1 | code | Fixed Value: snapsot | |
| entry | S | 0..* | Reference(AU Primary Care Immunisation List) | |
| emptyReason | 0..0 | |||
| section | 0..0 | |||
| section:medicineList | 1..1 | BackboneElement | Active Medicines List | |
| mode | 0..1 | code | Fixed Value: snapshot | |
| entry | S | 0..* | Reference(AU Primary Care Medicine List) | |
| emptyReason | 0..0 | |||
| section | 0..0 | |||
| section:clinicalSynopsis | 0..1 | BackboneElement | Clinical Synopsis | |
| code | 0..1 | CodeableConcept | Fixed Value: As shown | |
 coding | 1..1 | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| userSelected | 1..1 | boolean | If this coding was chosen directly by the user Fixed Value: false | |
| coding | ||||
| system | 0..1 | uri | Fixed Value: http://loinc.org | |
| version | 0..1 | string | Fixed Value: 2.65 | |
| code | 0..1 | code | Fixed Value: 11329-0 | |
| display | 0..1 | string | Fixed Value: History general | |
| text | S | 0..1 | Narrative | Clinical Synopsis Text |
| section | 0..0 | |||
| section:familyHistory | 0..1 | BackboneElement | Family History List | |
| mode | 0..1 | code | Fixed Value: snapshot | |
| entry | S | 0..1 | Reference(Resource) | |
| emptyReason | 0..0 | |||
| section | 0..0 | |||
| section:socialHistory | 0..1 | BackboneElement | ||
| entry | S | 0..1 | Reference(AU Primary Care Social History List) | |
| emptyReason | 0..0 | |||
| section | 0..0 | |||
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Composition | I | 0..* | Composition for the Australian primary care practice-to-practice record transfer context. | |
 id | Σ | 0..1 | string | Logical id of this artifact |
 meta | ΣI | 0..1 | Meta | Metadata about the resource |
| implicitRules | ?!ΣI | 0..1 | uri | A set of rules under which this content was created |
| language | I | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages |
| text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
 contained | 0..* | Resource | Contained, inline Resources | |
 extension | I | 0..* | Extension | Extension Slice: Unordered, Open by value:url |
| information-recipient | I | 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 | ?!I | 0..* | Extension | Extensions that cannot be ignored |
| identifier | ΣI | 0..1 | Identifier | Version-independent identifier for the Composition |
| status | ?!ΣI | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required) Fixed Value: final |
| type | ΣI | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred) |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| coding | ΣI | 0..* | (Slice Definition) | Code defined by a terminology system Slice: Unordered, Open by value:system, value:code |
| coding:loincMedicalRecords | SΣI | 0..* | Coding | Code defined by a terminology system |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| system | ΣI | 0..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org |
| version | ΣI | 0..1 | string | Version of the system - if relevant Fixed Value: 2.65 |
| code | ΣI | 0..1 | code | Symbol in syntax defined by the system Fixed Value: 11503-0 |
| display | ΣI | 0..1 | string | Representation defined by the system Fixed Value: Medical Records |
| userSelected | ΣI | 0..1 | boolean | If this coding was chosen directly by the user |
| text | ΣI | 0..1 | string | Plain text representation of the concept |
| category | ΣI | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example) |
| subject | ΣI | 0..1 | Reference(AU Primary Care Patient) | Who and/or what the composition is about |
| date | ΣI | 1..1 | dateTime | Composition editing time |
| author | ΣI | 1..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the composition |
| title | ΣI | 1..1 | string | Human Readable name/title Fixed Value: Practice to Practice Patient Summary |
| confidentiality | ΣI | 0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required) |
| attester | I | 0..* | BackboneElement | Attests to accuracy of composition |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| mode | I | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required) |
| time | I | 0..1 | dateTime | When the composition was attested |
| party | I | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the composition |
| custodian | ΣI | 0..1 | Reference(Organization) | Organization which maintains the composition |
| relatesTo | I | 0..* | BackboneElement | Relationships to other compositions/documents |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | I | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required) |
 target[x] | I | 1..1 | Target of the relationship | |
| targetIdentifier | Identifier | |||
| targetReference | Reference(Composition) | |||
| event | ΣI | 0..* | BackboneElement | The clinical service(s) being documented |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | ΣI | 0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example) |
| period | ΣI | 0..1 | Period | The period covered by the documentation |
| detail | ΣI | 0..* | Reference(Resource) | The event(s) being documented |
| section | I | 1..1 | (Slice Definition) | Composition is broken into sections Slice: Unordered, Open by value:code.coding.code |
| section:All Slices | Content/Rules for all slices | |||
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| title | I | 0..1 | string | Label for section (e.g. for ToC) |
| code | I | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example) |
| author | I | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section |
| focus | I | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition |
| text | I | 0..1 | Narrative | Text summary of the section, for human interpretation |
| mode | I | 0..1 | code | working | snapshot | changes Binding: ListMode (required) |
| orderedBy | I | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred) |
| entry | I | 0..* | Reference(Resource) | A reference to data that supports this section |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred) |
| section | I | 0..* | Unknown reference to #Composition.section Nested Section | |
| section:medicalHistoryList | I | 1..1 | BackboneElement | Medical History List |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| title | I | 0..1 | string | Label for section (e.g. for ToC) |
| code | I | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example) |
| author | I | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section |
| focus | I | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition |
| text | I | 0..1 | Narrative | Text summary of the section, for human interpretation |
| mode | I | 0..1 | code | working | snapshot | changes Binding: ListMode (required) Fixed Value: snapshot |
| orderedBy | I | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred) |
| entry | SI | 0..* | Reference(AU Primary Care Medical History List | AU Primary Care Procedure List | AU Primary Care Problem List) | A reference to data that supports this section |
| section:adverseReactionList | I | 1..1 | BackboneElement | Adverse Reaction List |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| title | I | 0..1 | string | Label for section (e.g. for ToC) |
| code | I | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example) |
| author | I | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section |
| focus | I | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition |
| text | I | 0..1 | Narrative | Text summary of the section, for human interpretation |
| mode | I | 0..1 | code | working | snapshot | changes Binding: ListMode (required) Fixed Value: snapshot |
| orderedBy | I | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred) |
| entry | SI | 0..* | Reference(AU Primary Care Allergy Intolerance List) | A reference to data that supports this section |
| section:vaccinationList | I | 1..1 | BackboneElement | Vaccination List |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| title | I | 0..1 | string | Label for section (e.g. for ToC) |
| code | I | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example) |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| coding | ΣI | 0..* | Coding | Code defined by a terminology system |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| system | ΣI | 0..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org |
| version | ΣI | 0..1 | string | Version of the system - if relevant Fixed Value: 2.65 |
| code | ΣI | 0..1 | code | Symbol in syntax defined by the system Fixed Value: 41291-6 |
| display | ΣI | 0..1 | string | Representation defined by the system Fixed Value: Immunization |
| userSelected | ΣI | 0..1 | boolean | If this coding was chosen directly by the user |
| text | ΣI | 0..1 | string | Plain text representation of the concept |
| author | I | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section |
| focus | I | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition |
| text | I | 0..1 | Narrative | Text summary of the section, for human interpretation |
| mode | I | 0..1 | code | working | snapshot | changes Binding: ListMode (required) Fixed Value: snapsot |
| orderedBy | I | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred) |
| entry | SI | 0..* | Reference(AU Primary Care Immunisation List) | A reference to data that supports this section |
| section:medicineList | I | 1..1 | BackboneElement | Active Medicines List |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| title | I | 0..1 | string | Label for section (e.g. for ToC) |
| code | I | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example) |
| author | I | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section |
| focus | I | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition |
| text | I | 0..1 | Narrative | Text summary of the section, for human interpretation |
| mode | I | 0..1 | code | working | snapshot | changes Binding: ListMode (required) Fixed Value: snapshot |
| orderedBy | I | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred) |
| entry | SI | 0..* | Reference(AU Primary Care Medicine List) | A reference to data that supports this section |
| section:clinicalSynopsis | I | 0..1 | BackboneElement | Clinical Synopsis |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| title | I | 0..1 | string | Label for section (e.g. for ToC) |
| code | I | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example) Fixed Value: As shown |
| id | 0..0 | string | Unique id for inter-element referencing | |
| extension | 0..0 | Extension | Additional content defined by implementations | |
| coding | 1..1 | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| id | 0..0 | string | Unique id for inter-element referencing | |
| extension | 0..0 | Extension | Additional content defined by implementations | |
| system | 0..0 | uri | Identity of the terminology system | |
| version | 0..0 | string | Version of the system - if relevant | |
| code | 0..0 | code | Symbol in syntax defined by the system | |
| display | 0..0 | string | Representation defined by the system | |
| userSelected | 1..1 | boolean | If this coding was chosen directly by the user Fixed Value: false | |
| text | 0..0 | string | Plain text representation of the concept | |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| coding | ΣI | 0..* | Coding | Code defined by a terminology system |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| system | ΣI | 0..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org |
| version | ΣI | 0..1 | string | Version of the system - if relevant Fixed Value: 2.65 |
| code | ΣI | 0..1 | code | Symbol in syntax defined by the system Fixed Value: 11329-0 |
| display | ΣI | 0..1 | string | Representation defined by the system Fixed Value: History general |
| userSelected | ΣI | 0..1 | boolean | If this coding was chosen directly by the user |
| text | ΣI | 0..1 | string | Plain text representation of the concept |
| author | I | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section |
| focus | I | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition |
| text | SI | 0..1 | Narrative | Clinical Synopsis Text |
| mode | I | 0..1 | code | working | snapshot | changes Binding: ListMode (required) |
| orderedBy | I | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred) |
| entry | I | 0..* | Reference(Resource) | A reference to data that supports this section |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred) |
| section:familyHistory | I | 0..1 | BackboneElement | Family History List |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| title | I | 0..1 | string | Label for section (e.g. for ToC) |
| code | I | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example) |
| author | I | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section |
| focus | I | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition |
| text | I | 0..1 | Narrative | Text summary of the section, for human interpretation |
| mode | I | 0..1 | code | working | snapshot | changes Binding: ListMode (required) Fixed Value: snapshot |
| orderedBy | I | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred) |
| entry | SI | 0..1 | Reference(Resource) | A reference to data that supports this section |
| section:socialHistory | I | 0..1 | BackboneElement | Composition is broken into sections |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| title | I | 0..1 | string | Label for section (e.g. for ToC) |
| code | I | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example) |
| author | I | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section |
| focus | I | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition |
| text | I | 0..1 | Narrative | Text summary of the section, for human interpretation |
| mode | I | 0..1 | code | working | snapshot | changes Binding: ListMode (required) |
| orderedBy | I | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred) |
| entry | SI | 0..1 | Reference(AU Primary Care Social History List) | A reference to data that supports this section |
| Documentation for this format | ||||
Differential View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Composition | 0..* | Composition for the Australian primary care practice-to-practice record transfer context. | ||
| status | 1..1 | code | Fixed Value: final | |
| type | ||||
| coding | 0..* | (Slice Definition) | Slice: Unordered, Open by value:system, value:code | |
| coding:loincMedicalRecords | S | 0..* | Coding | |
| system | 0..1 | uri | Fixed Value: http://loinc.org | |
| version | 0..1 | string | Fixed Value: 2.65 | |
| code | 0..1 | code | Fixed Value: 11503-0 | |
| display | 0..1 | string | Fixed Value: Medical Records | |
| subject | 0..1 | Reference(AU Primary Care Patient) | ||
| encounter | 0..0 | |||
| title | 1..1 | string | Fixed Value: Practice to Practice Patient Summary | |
| section | 1..1 | (Slice Definition) | Slice: Unordered, Open by value:code.coding.code | |
| section:medicalHistoryList | 1..1 | BackboneElement | Medical History List | |
| mode | 0..1 | code | Fixed Value: snapshot | |
| entry | S | 0..* | Reference(AU Primary Care Medical History List | AU Primary Care Procedure List | AU Primary Care Problem List) | |
| emptyReason | 0..0 | |||
| section | 0..0 | |||
| section:adverseReactionList | 1..1 | BackboneElement | Adverse Reaction List | |
| mode | 0..1 | code | Fixed Value: snapshot | |
| entry | S | 0..* | Reference(AU Primary Care Allergy Intolerance List) | |
| emptyReason | 0..0 | |||
| section | 0..0 | |||
| section:vaccinationList | 1..1 | BackboneElement | Vaccination List | |
| code | ||||
| coding | ||||
| system | 0..1 | uri | Fixed Value: http://loinc.org | |
| version | 0..1 | string | Fixed Value: 2.65 | |
| code | 0..1 | code | Fixed Value: 41291-6 | |
| display | 0..1 | string | Fixed Value: Immunization | |
| mode | 0..1 | code | Fixed Value: snapsot | |
| entry | S | 0..* | Reference(AU Primary Care Immunisation List) | |
| emptyReason | 0..0 | |||
| section | 0..0 | |||
| section:medicineList | 1..1 | BackboneElement | Active Medicines List | |
| mode | 0..1 | code | Fixed Value: snapshot | |
| entry | S | 0..* | Reference(AU Primary Care Medicine List) | |
| emptyReason | 0..0 | |||
| section | 0..0 | |||
| section:clinicalSynopsis | 0..1 | BackboneElement | Clinical Synopsis | |
| code | 0..1 | CodeableConcept | Fixed Value: As shown | |
| coding | 1..1 | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| userSelected | 1..1 | boolean | If this coding was chosen directly by the user Fixed Value: false | |
| coding | ||||
| system | 0..1 | uri | Fixed Value: http://loinc.org | |
| version | 0..1 | string | Fixed Value: 2.65 | |
| code | 0..1 | code | Fixed Value: 11329-0 | |
| display | 0..1 | string | Fixed Value: History general | |
| text | S | 0..1 | Narrative | Clinical Synopsis Text |
| section | 0..0 | |||
| section:familyHistory | 0..1 | BackboneElement | Family History List | |
| mode | 0..1 | code | Fixed Value: snapshot | |
| entry | S | 0..1 | Reference(Resource) | |
| emptyReason | 0..0 | |||
| section | 0..0 | |||
| section:socialHistory | 0..1 | BackboneElement | ||
| entry | S | 0..1 | Reference(AU Primary Care Social History List) | |
| emptyReason | 0..0 | |||
| section | 0..0 | |||
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Composition | I | 0..* | Composition for the Australian primary care practice-to-practice record transfer context. | |
| id | Σ | 0..1 | string | Logical id of this artifact |
| meta | ΣI | 0..1 | Meta | Metadata about the resource |
| implicitRules | ?!ΣI | 0..1 | uri | A set of rules under which this content was created |
| language | I | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages |
| text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
| contained | 0..* | Resource | Contained, inline Resources | |
| extension | I | 0..* | Extension | Extension Slice: Unordered, Open by value:url |
| information-recipient | I | 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 | ?!I | 0..* | Extension | Extensions that cannot be ignored |
| identifier | ΣI | 0..1 | Identifier | Version-independent identifier for the Composition |
| status | ?!ΣI | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required) Fixed Value: final |
| type | ΣI | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred) |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| coding | ΣI | 0..* | (Slice Definition) | Code defined by a terminology system Slice: Unordered, Open by value:system, value:code |
| coding:loincMedicalRecords | SΣI | 0..* | Coding | Code defined by a terminology system |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| system | ΣI | 0..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org |
| version | ΣI | 0..1 | string | Version of the system - if relevant Fixed Value: 2.65 |
| code | ΣI | 0..1 | code | Symbol in syntax defined by the system Fixed Value: 11503-0 |
| display | ΣI | 0..1 | string | Representation defined by the system Fixed Value: Medical Records |
| userSelected | ΣI | 0..1 | boolean | If this coding was chosen directly by the user |
| text | ΣI | 0..1 | string | Plain text representation of the concept |
| category | ΣI | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example) |
| subject | ΣI | 0..1 | Reference(AU Primary Care Patient) | Who and/or what the composition is about |
| date | ΣI | 1..1 | dateTime | Composition editing time |
| author | ΣI | 1..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the composition |
| title | ΣI | 1..1 | string | Human Readable name/title Fixed Value: Practice to Practice Patient Summary |
| confidentiality | ΣI | 0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required) |
| attester | I | 0..* | BackboneElement | Attests to accuracy of composition |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| mode | I | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required) |
| time | I | 0..1 | dateTime | When the composition was attested |
| party | I | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the composition |
| custodian | ΣI | 0..1 | Reference(Organization) | Organization which maintains the composition |
| relatesTo | I | 0..* | BackboneElement | Relationships to other compositions/documents |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | I | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required) |
| target[x] | I | 1..1 | Target of the relationship | |
| targetIdentifier | Identifier | |||
| targetReference | Reference(Composition) | |||
| event | ΣI | 0..* | BackboneElement | The clinical service(s) being documented |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | ΣI | 0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example) |
| period | ΣI | 0..1 | Period | The period covered by the documentation |
| detail | ΣI | 0..* | Reference(Resource) | The event(s) being documented |
| section | I | 1..1 | (Slice Definition) | Composition is broken into sections Slice: Unordered, Open by value:code.coding.code |
| section:All Slices | Content/Rules for all slices | |||
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| title | I | 0..1 | string | Label for section (e.g. for ToC) |
| code | I | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example) |
| author | I | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section |
| focus | I | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition |
| text | I | 0..1 | Narrative | Text summary of the section, for human interpretation |
| mode | I | 0..1 | code | working | snapshot | changes Binding: ListMode (required) |
| orderedBy | I | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred) |
| entry | I | 0..* | Reference(Resource) | A reference to data that supports this section |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred) |
| section | I | 0..* | Unknown reference to #Composition.section Nested Section | |
| section:medicalHistoryList | I | 1..1 | BackboneElement | Medical History List |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| title | I | 0..1 | string | Label for section (e.g. for ToC) |
| code | I | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example) |
| author | I | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section |
| focus | I | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition |
| text | I | 0..1 | Narrative | Text summary of the section, for human interpretation |
| mode | I | 0..1 | code | working | snapshot | changes Binding: ListMode (required) Fixed Value: snapshot |
| orderedBy | I | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred) |
| entry | SI | 0..* | Reference(AU Primary Care Medical History List | AU Primary Care Procedure List | AU Primary Care Problem List) | A reference to data that supports this section |
| section:adverseReactionList | I | 1..1 | BackboneElement | Adverse Reaction List |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| title | I | 0..1 | string | Label for section (e.g. for ToC) |
| code | I | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example) |
| author | I | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section |
| focus | I | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition |
| text | I | 0..1 | Narrative | Text summary of the section, for human interpretation |
| mode | I | 0..1 | code | working | snapshot | changes Binding: ListMode (required) Fixed Value: snapshot |
| orderedBy | I | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred) |
| entry | SI | 0..* | Reference(AU Primary Care Allergy Intolerance List) | A reference to data that supports this section |
| section:vaccinationList | I | 1..1 | BackboneElement | Vaccination List |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| title | I | 0..1 | string | Label for section (e.g. for ToC) |
| code | I | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example) |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| coding | ΣI | 0..* | Coding | Code defined by a terminology system |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| system | ΣI | 0..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org |
| version | ΣI | 0..1 | string | Version of the system - if relevant Fixed Value: 2.65 |
| code | ΣI | 0..1 | code | Symbol in syntax defined by the system Fixed Value: 41291-6 |
| display | ΣI | 0..1 | string | Representation defined by the system Fixed Value: Immunization |
| userSelected | ΣI | 0..1 | boolean | If this coding was chosen directly by the user |
| text | ΣI | 0..1 | string | Plain text representation of the concept |
| author | I | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section |
| focus | I | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition |
| text | I | 0..1 | Narrative | Text summary of the section, for human interpretation |
| mode | I | 0..1 | code | working | snapshot | changes Binding: ListMode (required) Fixed Value: snapsot |
| orderedBy | I | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred) |
| entry | SI | 0..* | Reference(AU Primary Care Immunisation List) | A reference to data that supports this section |
| section:medicineList | I | 1..1 | BackboneElement | Active Medicines List |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| title | I | 0..1 | string | Label for section (e.g. for ToC) |
| code | I | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example) |
| author | I | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section |
| focus | I | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition |
| text | I | 0..1 | Narrative | Text summary of the section, for human interpretation |
| mode | I | 0..1 | code | working | snapshot | changes Binding: ListMode (required) Fixed Value: snapshot |
| orderedBy | I | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred) |
| entry | SI | 0..* | Reference(AU Primary Care Medicine List) | A reference to data that supports this section |
| section:clinicalSynopsis | I | 0..1 | BackboneElement | Clinical Synopsis |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| title | I | 0..1 | string | Label for section (e.g. for ToC) |
| code | I | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example) Fixed Value: As shown |
| id | 0..0 | string | Unique id for inter-element referencing | |
| extension | 0..0 | Extension | Additional content defined by implementations | |
| coding | 1..1 | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| id | 0..0 | string | Unique id for inter-element referencing | |
| extension | 0..0 | Extension | Additional content defined by implementations | |
| system | 0..0 | uri | Identity of the terminology system | |
| version | 0..0 | string | Version of the system - if relevant | |
| code | 0..0 | code | Symbol in syntax defined by the system | |
| display | 0..0 | string | Representation defined by the system | |
| userSelected | 1..1 | boolean | If this coding was chosen directly by the user Fixed Value: false | |
| text | 0..0 | string | Plain text representation of the concept | |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| coding | ΣI | 0..* | Coding | Code defined by a terminology system |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| system | ΣI | 0..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org |
| version | ΣI | 0..1 | string | Version of the system - if relevant Fixed Value: 2.65 |
| code | ΣI | 0..1 | code | Symbol in syntax defined by the system Fixed Value: 11329-0 |
| display | ΣI | 0..1 | string | Representation defined by the system Fixed Value: History general |
| userSelected | ΣI | 0..1 | boolean | If this coding was chosen directly by the user |
| text | ΣI | 0..1 | string | Plain text representation of the concept |
| author | I | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section |
| focus | I | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition |
| text | SI | 0..1 | Narrative | Clinical Synopsis Text |
| mode | I | 0..1 | code | working | snapshot | changes Binding: ListMode (required) |
| orderedBy | I | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred) |
| entry | I | 0..* | Reference(Resource) | A reference to data that supports this section |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred) |
| section:familyHistory | I | 0..1 | BackboneElement | Family History List |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| title | I | 0..1 | string | Label for section (e.g. for ToC) |
| code | I | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example) |
| author | I | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section |
| focus | I | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition |
| text | I | 0..1 | Narrative | Text summary of the section, for human interpretation |
| mode | I | 0..1 | code | working | snapshot | changes Binding: ListMode (required) Fixed Value: snapshot |
| orderedBy | I | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred) |
| entry | SI | 0..1 | Reference(Resource) | A reference to data that supports this section |
| section:socialHistory | I | 0..1 | BackboneElement | Composition is broken into sections |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| title | I | 0..1 | string | Label for section (e.g. for ToC) |
| code | I | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example) |
| author | I | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section |
| focus | I | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition |
| text | I | 0..1 | Narrative | Text summary of the section, for human interpretation |
| mode | I | 0..1 | code | working | snapshot | changes Binding: ListMode (required) |
| orderedBy | I | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred) |
| entry | SI | 0..1 | Reference(AU Primary Care Social History List) | A reference to data that supports this section |
| Documentation for this format | ||||
Downloads: StructureDefinition: (XML, JSON), Schema: XML Schematron
1.0.2 Quick Start
Below is an overview of the required search and read operations.
Summary of Search Criteria for StructureDefinition-au-primarycarecomposition
none defined
