Clinical Document Architecture with Australian Schema
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Clinical Document Architecture with Australian Schema - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Logical Model: au-Reference - JSON Profile

Active as of 2024-08-29

JSON representation of the au-Reference logical model.

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{
  "resourceType" : "StructureDefinition",
  "id" : "au-Reference",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n      <p>CDA entries can reference external objects such as external images and prior reports. These external objects are not part of the authenticated document content. They contain sufficient attributes to enable an explicit reference rather than duplicating the entire referenced object. The CDA entry that wraps the external reference can be used to encode the specific portions of the external reference that are addressed in the narrative block.</p>\n      <p>Each object allows for an identifier and a code, and contains the RIM Act.text attribute, which can be used to store the URL and MIME type of the object. External objects always have a fixed moodCode of &quot;EVN&quot;.</p>\n      <p>The reference class contains the attribute reference.seperatableInd, which indicates whether or not the source is intended to be interpreted independently of the target. The indicator cannot prevent an individual or application from separating the source and target, but indicates the author's desire and willingness to attest to the content of the source if separated from the target. Typically, where seperatableInd is &quot;false&quot;, the exchanged package should include the target of the reference so that the recipient can render it.</p>\n    </div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/logical-target",
      "_valueBoolean" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
            "valueCode" : "not-applicable"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-namespace",
      "valueUri" : "urn:hl7-org:v3"
    },
    {
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/xml-name",
      "valueString" : "reference"
    },
    {
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/logical-container",
      "valueUri" : "http://hl7.org/cda/stds/core/StructureDefinition/ClinicalDocument"
    },
    {
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/type-profile-style",
      "valueUri" : "cda"
    }
  ],
  "url" : "http://ns.electronichealth.net.au/cda/StructureDefinition/au-Reference",
  "version" : "1.0.0",
  "name" : "au-Reference",
  "title" : "ADHA Reference (CDA Class)",
  "status" : "active",
  "experimental" : false,
  "date" : "2024-08-29T09:46:41+10:00",
  "publisher" : "Australian Digital Health Agency",
  "contact" : [
    {
      "name" : "Australian Digital Health Agency",
      "telecom" : [
        {
          "system" : "email",
          "value" : "mailto:[email protected]"
        }
      ]
    }
  ],
  "description" : "**Australian adaptation of the [HL7 International CDA Reference class](     https://hl7.org/cda/stds/core/2.0.0-sd/StructureDefinition-Reference.html)**.     \n\nThis is a generated StructureDefinition that describes CDA - that is, CDA as it actually is for R2. The intent of this StructureDefinition is to enable CDA to be a FHIR resource. That enables the FHIR infrastructure - API, conformance, query - to be used directly against CDA",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "AU"
        }
      ]
    }
  ],
  "copyright" : "Copyright © 2024 Australian Digital Health Agency - All rights reserved. This content is licensed under a Creative Commons Attribution 4.0 International License. See [https://creativecommons.org/licenses/by/4.0/](https://creativecommons.org/licenses/by/4.0/).",
  "fhirVersion" : "5.0.0",
  "mapping" : [
    {
      "identity" : "rim",
      "uri" : "http://hl7.org/v3",
      "name" : "RIM Mapping"
    }
  ],
  "kind" : "logical",
  "abstract" : false,
  "type" : "http://hl7.org/cda/stds/core/StructureDefinition/Reference",
  "baseDefinition" : "http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot",
  "derivation" : "specialization",
  "snapshot" : {
    "element" : [
      {
        "id" : "Reference",
        "path" : "Reference",
        "short" : "Australian adaptation of the HL7 International CDA Reference class",
        "definition" : "Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.",
        "min" : 1,
        "max" : "*",
        "base" : {
          "path" : "Base",
          "min" : 0,
          "max" : "*"
        },
        "constraint" : [
          {
            "key" : "reference-external",
            "severity" : "error",
            "human" : "Must contain one (and only one) external reference",
            "expression" : "(externalAct | externalObservation | externalProcedure | externalDocument).count() = 1"
          }
        ],
        "isModifier" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Reference.nullFlavor",
        "path" : "Reference.nullFlavor",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Exceptional Value Detail",
        "definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ANY.nullFlavor",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              🔗 "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
        }
      },
      {
        "id" : "Reference.realmCode",
        "path" : "Reference.realmCode",
        "definition" : "When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "InfrastructureRoot.realmCode",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/CS"
          }
        ]
      },
      {
        "id" : "Reference.typeId",
        "path" : "Reference.typeId",
        "definition" : "When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "InfrastructureRoot.typeId",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
          }
        ]
      },
      {
        "id" : "Reference.typeId.nullFlavor",
        "path" : "Reference.typeId.nullFlavor",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Exceptional Value Detail",
        "definition" : "If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "ANY.nullFlavor",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              🔗 "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor"
        }
      },
      {
        "id" : "Reference.typeId.assigningAuthorityName",
        "path" : "Reference.typeId.assigningAuthorityName",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Assigning Authority Name",
        "definition" : "A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "II.assigningAuthorityName",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string",
            "profile" : [
              🔗 "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
            ]
          }
        ]
      },
      {
        "id" : "Reference.typeId.displayable",
        "path" : "Reference.typeId.displayable",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Displayable",
        "definition" : "Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "II.displayable",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "boolean",
            "profile" : [
              🔗 "http://hl7.org/cda/stds/core/StructureDefinition/bl-simple"
            ]
          }
        ]
      },
      {
        "id" : "Reference.typeId.root",
        "path" : "Reference.typeId.root",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Root",
        "definition" : "Identifies the type as an HL7 Registered model",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "II.root",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string",
            "profile" : [
              🔗 "http://hl7.org/cda/stds/core/StructureDefinition/oid"🔗 ,
              "http://hl7.org/cda/stds/core/StructureDefinition/uuid"🔗 ,
              "http://hl7.org/cda/stds/core/StructureDefinition/ruid"
            ]
          }
        ],
        "fixedString" : "2.16.840.1.113883.1.3"
      },
      {
        "id" : "Reference.typeId.extension",
        "path" : "Reference.typeId.extension",
        "representation" : [
          "xmlAttr"
        ],
        "label" : "Extension",
        "definition" : "A character string as a unique identifier within the scope of the identifier root.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "II.extension",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "string",
            "profile" : [
              🔗 "http://hl7.org/cda/stds/core/StructureDefinition/st-simple"
            ]
          }
        ]
      },
      {
        "id" : "Reference.templateId",
        "path" : "Reference.templateId",
        "definition" : "When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "InfrastructureRoot.templateId",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/II"
          }
        ]
      },
      {
        "id" : "Reference.typeCode",
        "path" : "Reference.typeCode",
        "representation" : [
          "xmlAttr"
        ],
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Reference.typeCode",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "code",
            "profile" : [
              🔗 "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-xActRelationshipExternalReference"
        }
      },
      {
        "id" : "Reference.seperatableInd",
        "path" : "Reference.seperatableInd",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Reference.seperatableInd",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/BL"
          }
        ]
      },
      {
        "id" : "Reference.externalAct",
        "path" : "Reference.externalAct",
        "short" : "Australian-adapted ExternalAct class",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Reference.externalAct",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://ns.electronichealth.net.au/cda/StructureDefinition/au-ExternalAct"
          }
        ]
      },
      {
        "id" : "Reference.externalObservation",
        "path" : "Reference.externalObservation",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Reference.externalObservation",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/ExternalObservation"
          }
        ]
      },
      {
        "id" : "Reference.externalProcedure",
        "path" : "Reference.externalProcedure",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Reference.externalProcedure",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/ExternalProcedure"
          }
        ]
      },
      {
        "id" : "Reference.externalDocument",
        "path" : "Reference.externalDocument",
        "short" : "Australian-adapted ExternalDocument class",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Reference.externalDocument",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "http://ns.electronichealth.net.au/cda/StructureDefinition/au-ExternalDocument"
          }
        ]
      }
    ]
  },
  "differential" : {
    "element" : [
      {
        "id" : "Reference",
        "path" : "Reference",
        "short" : "Australian adaptation of the HL7 International CDA Reference class",
        "min" : 1,
        "max" : "*",
        "constraint" : [
          {
            "key" : "reference-external",
            "severity" : "error",
            "human" : "Must contain one (and only one) external reference",
            "expression" : "(externalAct | externalObservation | externalProcedure | externalDocument).count() = 1"
          }
        ]
      },
      {
        "id" : "Reference.typeCode",
        "path" : "Reference.typeCode",
        "representation" : [
          "xmlAttr"
        ],
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "code",
            "profile" : [
              🔗 "http://hl7.org/cda/stds/core/StructureDefinition/cs-simple"
            ]
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://terminology.hl7.org/ValueSet/v3-xActRelationshipExternalReference"
        }
      },
      {
        "id" : "Reference.seperatableInd",
        "path" : "Reference.seperatableInd",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/BL"
          }
        ]
      },
      {
        "id" : "Reference.externalAct",
        "path" : "Reference.externalAct",
        "short" : "Australian-adapted ExternalAct class",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "http://ns.electronichealth.net.au/cda/StructureDefinition/au-ExternalAct"
          }
        ]
      },
      {
        "id" : "Reference.externalObservation",
        "path" : "Reference.externalObservation",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/ExternalObservation"
          }
        ]
      },
      {
        "id" : "Reference.externalProcedure",
        "path" : "Reference.externalProcedure",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "http://hl7.org/cda/stds/core/StructureDefinition/ExternalProcedure"
          }
        ]
      },
      {
        "id" : "Reference.externalDocument",
        "path" : "Reference.externalDocument",
        "short" : "Australian-adapted ExternalDocument class",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "http://ns.electronichealth.net.au/cda/StructureDefinition/au-ExternalDocument"
          }
        ]
      }
    ]
  }
}