Source | au.digitalhealth.r4#current:Australian Digital Health Agency FHIR Implementation Guide (v4.0.1) |
resourceType | StructureDefinition |
id | dh-composition-acts-1 |
canonical | http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-composition-acts-1 |
version | 0.0.7 |
status | draft |
publisher | Australian Digital Health Agency |
name | ADHACompositionACTS |
title | ADHA Aged Care Transfer Summary Composition |
date | 2023-08-11T04:00:05+00:00 |
experimental | false |
description | The purpose of this profile is to define a representation of an Aged Care Transfer Summary for a patient for the electronic exchange of health information between individuals, healthcare providers, and the My Health Record system infrastructure in Australia. A transfer summary includes critical information for exchange of information between providers of care when a patient moves between health care settings. A composition is a set of resources composed into a single coherent clinical statement that may have clinical attestation. |
copyright | Copyright © 2022 Australian Digital Health Agency - All rights reserved. Except for the material identified below, this content is licensed under a Creative Commons Attribution 4.0 International License. See https://creativecommons.org/licenses/by/4.0/. This material contains content from LOINC (http://loinc.org). LOINC is copyright © 1995-2021, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://loinc.org/license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc. All copies of this resource must include this copyright statement and all information contained in this statement. |
jurisdictions | au |
fhirVersion | 4.0.1 |
kind | resource |
abstract | false |
sdTtype | Composition |
derivation | constraint |
base | http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-composition-core-1 |
Usages |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Composition | ADHACompositionCore | Aged Care Transfer Summary | ||
status | Required Pattern: final | |||
Slices for category | Slice: Unordered, Open by pattern:$this | |||
category:tss | 1..1 |
Transfer summary note 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: 18761-7 |
|
author | Reference (ADHA Authoring PractitionerRole) | |||
Slices for section | C |
Slice:
Unordered, Open by pattern:code
inv-dh-acts-01: A section shall at least have an entry or an empty reason inv-dh-acts-02: All observations shall conform one of: ADHA Simple Observation, ADHA Diagnostic Result Observation |
||
section:reasonForTransfer | ..1 | Reason for transfer and notes | ||
title | 1.. | |||
code | 1.. | 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: 42349-1 |
|
entry | C | Reference (ADHA Core ServiceRequest) | ||
emptyReason | C | Binding: todo ( required ) | ||
section:advanceCareDirectives | ..1 | Information on advance care directives. | ||
title | 1.. | |||
code | 1.. | 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 |
|
entry | C | Reference (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-consent-core-1 | ADHA Core DocumentReference | ADHA Advance Care Planning Document DocumentReference) | ||
emptyReason | C | Binding: todo ( required ) | ||
section:allergies | ..1 | Allergies | ||
title | 1.. | |||
code | 1.. | Required Pattern: At least the following | ||
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://loinc.org |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 48765-2 |
|
entry | C | Reference (ADHA Core AllergyIntolerance) | ||
emptyReason | C | Binding: todo ( required ) | ||
section:admissionMedicines | C | ..1 |
Medicines on admission inv-dh-cocs-04: At most one assertion of no relevant finding shall be present and it shall assert no known current medications inv-dh-cocs-05: At most one list shall be present |
|
title | 1.. | |||
code | 1.. | 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: 42346-7 |
|
entry | C | Reference (ADHA Medication Use List | ADHA Core MedicationStatement | AU Core Assertion of No Relevant Finding) | ||
emptyReason | C | Binding: todo ( required ) | ||
section:medicines | C | ..1 |
Medicines inv-dh-cocs-04: At most one assertion of no relevant finding shall be present and it shall assert no known current medications inv-dh-cocs-05: At most one list shall be present |
|
title | 1.. | |||
code | 1.. | Required Pattern: At least the following | ||
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://loinc.org |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 10160-0 |
|
entry | C | Reference (ADHA Medication Use List | ADHA Core MedicationStatement | AU Core Assertion of No Relevant Finding) | ||
emptyReason | C | Binding: todo ( required ) | ||
section:vitalSigns | ..1 | Vital signs | ||
title | 1.. | |||
code | 1.. | 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 |
|
entry | C | Reference (AU Core Vitals Panel | AU Core Blood Pressure | AU Core Body Weight | AU Core Body Height | AU Core BMI | AU Core Oxygen Saturation | AU Core Head Circumference | AU Core Heart Rate | AU Core Body Temperature | AU Core Respiration Rate) | ||
emptyReason | C | Binding: todo ( required ) | ||
section:immunisations | C | ..1 |
Immunisations inv-dh-acts-08: At most one assertion of no relevant finding shall be present and it shall assert no history of vaccination inv-dh-acts-09: At most one list shall be present |
|
title | 1.. | |||
code | 1.. | Required Pattern: At least the following | ||
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://loinc.org |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 11369-6 |
|
entry | C | Reference (ADHA Immunisation History List | ADHA Core Immunization | AU Core Assertion of No Relevant Finding) | ||
emptyReason | C | Binding: todo ( required ) | ||
section:problems | C | ..1 |
Problems or Diagnoses inv-dh-acts-07: At most one list shall be present |
|
title | 1.. | |||
code | 1.. | 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 |
|
entry | C | Reference (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-condition-1 | ADHA Core Condition) | ||
emptyReason | C | Binding: todo ( required ) | ||
section:pastMedicalHistory | C | ..1 |
Past medical history inv-dh-acts-03: At most one list shall be present |
|
title | 1.. | |||
code | 1.. | 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 |
|
entry | C | Reference (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-condition-1 | ADHA Core Condition) | ||
emptyReason | C | Binding: todo ( required ) | ||
section:procedures | C | ..1 |
Procedures inv-dh-acts-06: At most one list shall be present |
|
title | 1.. | |||
code | 1.. | 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 |
|
entry | C | Reference (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-list-procedure-1 | ADHA Core Procedure) | ||
emptyReason | C | Binding: todo ( required ) | ||
section:medicalDevices | C | ..1 |
Medical devices inv-dh-acts-10: At most one assertion of no relevant finding shall be present |
|
title | 1.. | |||
code | 1.. | 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 |
|
entry | C | Reference (ADHA Implantable Medical Device | http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-device-wearable-1 | http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-deviceusestatement-core-1 | AU Core Assertion of No Relevant Finding) | ||
emptyReason | C | Binding: todo ( required ) | ||
Documentation for this format |
Produced 08 Sep 2023