StructureDefinition-dh-composition-ds-1

Sourceau.digitalhealth.r4#current:Australian Digital Health Agency FHIR Implementation Guide (v4.0.1)
resourceTypeStructureDefinition
iddh-composition-ds-1
canonicalhttp://ns.electronichealth.net.au/fhir/StructureDefinition/dh-composition-ds-1
version0.0.8
statusdraft
publisherAustralian Digital Health Agency
nameADHACompositionDS
titleADHA Discharge Summary Composition
date2023-08-11T04:00:05+00:00
experimentalfalse
descriptionThe purpose of this profile is to define a representation of an Discharge Summary document for a patient for the electronic exchange of health information between individuals, healthcare providers, and the My Health Record system infrastructure in Australia. This profile standardises the core, common or critical information for exchange of information between healthcare providers, and individual, to support continuity of care following discharge. A composition is a set of resources composed into a single coherent clinical statement that may have clinical attestation.
copyrightCopyright © 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.
jurisdictionsau
fhirVersion4.0.1
kindresource
abstractfalse
sdTtypeComposition
derivationconstraint
basehttp://ns.electronichealth.net.au/fhir/StructureDefinition/dh-composition-document-1
Usages
Name Flags Card. Type Description & Constraints doco
. . Composition ADHACompositionDocument Discharge Summary
. . . status Required Pattern: final
. . . Slices for category Slice: Unordered, Open by pattern:$this
. . . . category:ds 1..1 Discharge 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: 18842-5
. . . author Reference (ADHA Authoring PractitionerRole)
. . . Slices for section C Slice: Unordered, Open by pattern:code
inv-dh-ds-01: A section shall at least have an entry or an empty reason
inv-dh-ds-02: All observations shall conform one of: ADHA Simple Observation, ADHA Diagnostic Result Observation
. . . . 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:dischargeMedicines C ..1 Medicines on discharge
inv-dh-ds-04: At most one assertion of no relevant finding shall be present
inv-dh-ds-05: If a list is provided, no other entry 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: 10183-2
. . . . . entry C Reference (ADHA Medication Use List | ADHA Core MedicationStatement | AU Core Assertion of No Relevant Finding)
. . . . . emptyReason C Binding: todo ( required )
. . . . section:admissionMedicines C ..1 Medicines on admission
inv-dh-ds-08: If an assertion of no known current medications is provided, no other entry shall be present
inv-dh-ds-09: If a list is provided, no other entry 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: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-ds-11: If an assertion of no history of immunisation is provided, no other entry shall be present
inv-dh-ds-12: If a list is provided, no other entry 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-ds-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-ds-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-ds-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 )

doco Documentation for this format

Produced 08 Sep 2023