My Health Record FHIR IG - Local Development build (v1.3.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: MHR Medical Conditions View Document Composition

The purpose of this profile is to provide a document composition for the Medical Conditions View. This profile is derived from the Composition resource and describes the data structures and obligations to be met when conforming to this profile.

Usage:

• Use this Resource Profile: MHR Medical Conditions View Document Bundle
• Examples for this Resource Profile: Composition/composition-mcv-01

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from AUBaseComposition

Name	Flags	Card.	Type	Description & Constraints
Composition	C	0..*	AUBaseComposition	Composition for the Australian realm inv-mcv-comp-01: Contained resources shall have a valid identifier
id		1..1	id	Logical id of this artifact
language		0..1	code	Language of the resource content Fixed Value: en-AU
status	SO	1..1	code	preliminary | final | amended | entered-in-error Fixed Value: final Obligations Actor SHALL:handle MHR Gateway Requester
type	SO	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: My Health Record Record Type (extensible) Required Pattern: At least the following Obligations Actor SHALL:handle MHR Gateway Requester
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 100.32051
display		1..1	string	Representation defined by the system Fixed Value: Medical Conditions View
category	SO	1..1	CodeableConcept	Categorization of Composition Binding: My Health Record Record Class (extensible) Required Pattern: At least the following Obligations Actor SHALL:handle MHR Gateway Requester
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 100.32050
display		1..1	string	Representation defined by the system Fixed Value: Patient Health Summary
subject	SO	1..1	Reference(MHR Patient)	Who and/or what the composition is about Obligations Actor SHALL:handle MHR Gateway Requester
date	SO	1..1	dateTime	Composition editing time Obligations Actor SHALL:handle MHR Gateway Requester
author	SO	1..1	Reference(Device)	Who and/or what authored the composition Obligations Actor SHALL:handle MHR Gateway Requester
title	SO	1..1	string	Human Readable name/title Fixed Value: Medical Conditions View Obligations Actor SHALL:handle MHR Gateway Requester
custodian	SO	1..1	Reference(AU Core Organization)	Organization which maintains the composition Obligations Actor SHALL:handle MHR Gateway Requester
Slices for section	SO	2..2	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code Obligations Actor SHALL:handle MHR Gateway Requester
section:allergiesAdverseReactions	SO	1..1	BackboneElement	Composition is broken into sections Obligations Actor SHALL:handle MHR Gateway Requester
title	SO	1..1	string	Label for section (e.g. for ToC) Fixed Value: Allergies and Adverse Reactions Obligations Actor SHALL:handle MHR Gateway Requester
code	SO	1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following Obligations Actor SHALL:handle MHR Gateway Requester
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 101.20113
display		1..1	string	Representation defined by the system Fixed Value: Adverse Reactions
mode	SO	1..1	code	working | snapshot | changes Fixed Value: snapshot Obligations Actor SHALL:handle MHR Gateway Requester
entry	SO	0..*	Reference(MHR AllergyIntolerance)	A reference to data that supports this section Obligations Actor SHALL:handle MHR Gateway Requester
section:infoMedicalConditions	SO	1..1	BackboneElement	Composition is broken into sections Obligations Actor SHALL:handle MHR Gateway Requester
title	SO	1..1	string	Label for section (e.g. for ToC) Fixed Value: Information on medical conditions, treatments and other history Obligations Actor SHALL:handle MHR Gateway Requester
code	SO	1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following Obligations Actor SHALL:handle MHR Gateway Requester
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 101.16117
display		1..1	string	Representation defined by the system Fixed Value: Medical History
mode	SO	1..1	code	working | snapshot | changes Fixed Value: snapshot Obligations Actor SHALL:handle MHR Gateway Requester
entry	SO	0..*	Reference(MHR Condition | MHR Explanation of Benefit | MHR Flag | MHR Observation | MHR Procedure)	A reference to data that supports this section Obligations Actor SHALL:handle MHR Gateway Requester
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet / Code	URI
Composition.type	extensible	Pattern: 100.32051("Medical Conditions View") https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-type-1 from https://tx.ontoserver.csiro.au/fhir
Composition.category	extensible	Pattern: 100.32050("Patient Health Summary") https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-class-1 from https://tx.ontoserver.csiro.au/fhir

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-mcv-comp-01	error	Composition	Contained resources shall have a valid identifier : contained.device.exists() implies contained.device.all($this.identifier.exists())

Name	Flags	Card.	Type	Description & Constraints
Composition	C	0..*	AUBaseComposition	Composition for the Australian realm inv-mcv-comp-01: Contained resources shall have a valid identifier
id	Σ	1..1	id	Logical id of this artifact
implicitRules	?!Σ	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. Additional Bindings Purpose AllLanguages Max Binding Fixed Value: en-AU
Slices for extension				Content/Rules for all slices
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
status	?!SOΣ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. Fixed Value: final Obligations Actor SHALL:handle MHR Gateway Requester
type	SOΣ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: My Health Record Record Type (extensible) Required Pattern: At least the following Obligations Actor SHALL:handle MHR Gateway Requester
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 100.32051
display		1..1	string	Representation defined by the system Fixed Value: Medical Conditions View
category	SOΣ	1..1	CodeableConcept	Categorization of Composition Binding: My Health Record Record Class (extensible) Required Pattern: At least the following Obligations Actor SHALL:handle MHR Gateway Requester
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 100.32050
display		1..1	string	Representation defined by the system Fixed Value: Patient Health Summary
subject	SOΣ	1..1	Reference(MHR Patient)	Who and/or what the composition is about Obligations Actor SHALL:handle MHR Gateway Requester
date	SOΣ	1..1	dateTime	Composition editing time Obligations Actor SHALL:handle MHR Gateway Requester
author	SOΣ	1..1	Reference(Device)	Who and/or what authored the composition Obligations Actor SHALL:handle MHR Gateway Requester
title	SOΣ	1..1	string	Human Readable name/title Fixed Value: Medical Conditions View Obligations Actor SHALL:handle MHR Gateway Requester
custodian	SOΣ	1..1	Reference(AU Core Organization)	Organization which maintains the composition Obligations Actor SHALL:handle MHR Gateway Requester
Slices for section	SOC	2..2	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty Obligations Actor SHALL:handle MHR Gateway Requester
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
section:allergiesAdverseReactions	SOC	1..1	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty Obligations Actor SHALL:handle MHR Gateway Requester
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	SO	1..1	string	Label for section (e.g. for ToC) Fixed Value: Allergies and Adverse Reactions Obligations Actor SHALL:handle MHR Gateway Requester
code	SO	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following Obligations Actor SHALL:handle MHR Gateway Requester
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 101.20113
display		1..1	string	Representation defined by the system Fixed Value: Adverse Reactions
mode	SO	1..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. Fixed Value: snapshot Obligations Actor SHALL:handle MHR Gateway Requester
entry	SOC	0..*	Reference(MHR AllergyIntolerance)	A reference to data that supports this section Obligations Actor SHALL:handle MHR Gateway Requester
section:infoMedicalConditions	SOC	1..1	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty Obligations Actor SHALL:handle MHR Gateway Requester
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	SO	1..1	string	Label for section (e.g. for ToC) Fixed Value: Information on medical conditions, treatments and other history Obligations Actor SHALL:handle MHR Gateway Requester
code	SO	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following Obligations Actor SHALL:handle MHR Gateway Requester
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 101.16117
display		1..1	string	Representation defined by the system Fixed Value: Medical History
mode	SO	1..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. Fixed Value: snapshot Obligations Actor SHALL:handle MHR Gateway Requester
entry	SOC	0..*	Reference(MHR Condition | MHR Explanation of Benefit | MHR Flag | MHR Observation | MHR Procedure)	A reference to data that supports this section Obligations Actor SHALL:handle MHR Gateway Requester
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.language	preferred	Fixed Value: en-AU Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Composition.status	required	Fixed Value: final http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	extensible	Pattern: 100.32051("Medical Conditions View") https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-type-1 from https://tx.ontoserver.csiro.au/fhir
Composition.category	extensible	Pattern: 100.32050("Patient Health Summary") https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-class-1 from https://tx.ontoserver.csiro.au/fhir
Composition.section:allergiesAdverseReactions.code	example	Pattern: 101.20113("Adverse Reactions") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:allergiesAdverseReactions.mode	required	Fixed Value: snapshot http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:infoMedicalConditions.code	example	Pattern: 101.16117("Medical History") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:infoMedicalConditions.mode	required	Fixed Value: snapshot http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-mcv-comp-01	error	Composition	Contained resources shall have a valid identifier : contained.device.exists() implies contained.device.all($this.identifier.exists())

Name	Flags	Card.	Type	Description & Constraints
Composition	C	0..*	AUBaseComposition	Composition for the Australian realm inv-mcv-comp-01: Contained resources shall have a valid identifier
id	Σ	1..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	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. Additional Bindings Purpose AllLanguages Max Binding Fixed Value: en-AU
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
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	Σ	0..1	Identifier	Version-independent identifier for the Composition
status	?!SOΣ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. Fixed Value: final Obligations Actor SHALL:handle MHR Gateway Requester
type	SOΣ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: My Health Record Record Type (extensible) Required Pattern: At least the following Obligations Actor SHALL:handle MHR Gateway Requester
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: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 100.32051
display		1..1	string	Representation defined by the system Fixed Value: Medical Conditions View
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category	SOΣ	1..1	CodeableConcept	Categorization of Composition Binding: My Health Record Record Class (extensible) Required Pattern: At least the following Obligations Actor SHALL:handle MHR Gateway Requester
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: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 100.32050
display		1..1	string	Representation defined by the system Fixed Value: Patient Health Summary
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
subject	SOΣ	1..1	Reference(MHR Patient)	Who and/or what the composition is about Obligations Actor SHALL:handle MHR Gateway Requester
encounter	Σ	0..1	Reference(Encounter)	Context of the Composition
date	SOΣ	1..1	dateTime	Composition editing time Obligations Actor SHALL:handle MHR Gateway Requester
author	SOΣ	1..1	Reference(Device)	Who and/or what authored the composition Obligations Actor SHALL:handle MHR Gateway Requester
title	SOΣ	1..1	string	Human Readable name/title Fixed Value: Medical Conditions View Obligations Actor SHALL:handle MHR Gateway Requester
confidentiality	Σ	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	?!Σ	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(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	Who attested the composition
custodian	SOΣ	1..1	Reference(AU Core Organization)	Organization which maintains the composition Obligations Actor SHALL:handle MHR Gateway Requester
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	?!Σ	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)
event	Σ	0..*	BackboneElement	The clinical service(s) being documented
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	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	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
Slices for section	SOC	2..2	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty Obligations Actor SHALL:handle MHR Gateway Requester
section: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	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code		0..1	CodeableConcept	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	0..1	Narrative	Text summary of the section, for human interpretation
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	C	0..*	See section (Composition)	Nested Section
section:allergiesAdverseReactions	SOC	1..1	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty Obligations Actor SHALL:handle MHR Gateway Requester
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	SO	1..1	string	Label for section (e.g. for ToC) Fixed Value: Allergies and Adverse Reactions Obligations Actor SHALL:handle MHR Gateway Requester
code	SO	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following Obligations Actor SHALL:handle MHR Gateway Requester
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: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 101.20113
display		1..1	string	Representation defined by the system Fixed Value: Adverse Reactions
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	0..1	Narrative	Text summary of the section, for human interpretation
mode	SO	1..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. Fixed Value: snapshot Obligations Actor SHALL:handle MHR Gateway Requester
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SOC	0..*	Reference(MHR AllergyIntolerance)	A reference to data that supports this section Obligations Actor SHALL:handle MHR Gateway Requester
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:infoMedicalConditions	SOC	1..1	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty Obligations Actor SHALL:handle MHR Gateway Requester
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	SO	1..1	string	Label for section (e.g. for ToC) Fixed Value: Information on medical conditions, treatments and other history Obligations Actor SHALL:handle MHR Gateway Requester
code	SO	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following Obligations Actor SHALL:handle MHR Gateway Requester
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: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 101.16117
display		1..1	string	Representation defined by the system Fixed Value: Medical History
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	0..1	Narrative	Text summary of the section, for human interpretation
mode	SO	1..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. Fixed Value: snapshot Obligations Actor SHALL:handle MHR Gateway Requester
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SOC	0..*	Reference(MHR Condition | MHR Explanation of Benefit | MHR Flag | MHR Observation | MHR Procedure)	A reference to data that supports this section Obligations Actor SHALL:handle MHR Gateway Requester
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

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.language	preferred	Fixed Value: en-AU Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Composition.status	required	Fixed Value: final http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	extensible	Pattern: 100.32051("Medical Conditions View") https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-type-1 from https://tx.ontoserver.csiro.au/fhir
Composition.category	extensible	Pattern: 100.32050("Patient Health Summary") https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-class-1 from https://tx.ontoserver.csiro.au/fhir
Composition.confidentiality	required	v3.ConfidentialityClassification http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26 from the FHIR Standard
Composition.attester.mode	required	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.relatesTo.code	required	DocumentRelationshipType http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard
Composition.event.code	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:allergiesAdverseReactions.code	example	Pattern: 101.20113("Adverse Reactions") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:allergiesAdverseReactions.mode	required	Fixed Value: snapshot http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:allergiesAdverseReactions.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:allergiesAdverseReactions.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:infoMedicalConditions.code	example	Pattern: 101.16117("Medical History") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:infoMedicalConditions.mode	required	Fixed Value: snapshot http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:infoMedicalConditions.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:infoMedicalConditions.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-mcv-comp-01	error	Composition	Contained resources shall have a valid identifier : contained.device.exists() implies contained.device.all($this.identifier.exists())

This structure is derived from AUBaseComposition

Summary

Mandatory: 15 elements
Must-Support: 19 elements
Fixed: 7 elements

Structures

This structure refers to these other structures:

• MHR Patient (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-patient-mhr-1)
• AU Core Organization (http://hl7.org.au/fhir/core/StructureDefinition/au-core-organization)
• MHR AllergyIntolerance (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-allergyintolerance-mhr-1)
• MHR Condition (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-condition-mhr-1)
• MHR Explanation of Benefit (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-explanationofbenefit-mhr-1)
• MHR Flag (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-flag-mhr-1)
• MHR Observation (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-observation-mhr-1)
• MHR Procedure (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-procedure-mhr-1)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Composition.section

Differential View

This structure is derived from AUBaseComposition

Name	Flags	Card.	Type	Description & Constraints
Composition	C	0..*	AUBaseComposition	Composition for the Australian realm inv-mcv-comp-01: Contained resources shall have a valid identifier
id		1..1	id	Logical id of this artifact
language		0..1	code	Language of the resource content Fixed Value: en-AU
status	SO	1..1	code	preliminary | final | amended | entered-in-error Fixed Value: final Obligations Actor SHALL:handle MHR Gateway Requester
type	SO	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: My Health Record Record Type (extensible) Required Pattern: At least the following Obligations Actor SHALL:handle MHR Gateway Requester
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 100.32051
display		1..1	string	Representation defined by the system Fixed Value: Medical Conditions View
category	SO	1..1	CodeableConcept	Categorization of Composition Binding: My Health Record Record Class (extensible) Required Pattern: At least the following Obligations Actor SHALL:handle MHR Gateway Requester
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 100.32050
display		1..1	string	Representation defined by the system Fixed Value: Patient Health Summary
subject	SO	1..1	Reference(MHR Patient)	Who and/or what the composition is about Obligations Actor SHALL:handle MHR Gateway Requester
date	SO	1..1	dateTime	Composition editing time Obligations Actor SHALL:handle MHR Gateway Requester
author	SO	1..1	Reference(Device)	Who and/or what authored the composition Obligations Actor SHALL:handle MHR Gateway Requester
title	SO	1..1	string	Human Readable name/title Fixed Value: Medical Conditions View Obligations Actor SHALL:handle MHR Gateway Requester
custodian	SO	1..1	Reference(AU Core Organization)	Organization which maintains the composition Obligations Actor SHALL:handle MHR Gateway Requester
Slices for section	SO	2..2	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code Obligations Actor SHALL:handle MHR Gateway Requester
section:allergiesAdverseReactions	SO	1..1	BackboneElement	Composition is broken into sections Obligations Actor SHALL:handle MHR Gateway Requester
title	SO	1..1	string	Label for section (e.g. for ToC) Fixed Value: Allergies and Adverse Reactions Obligations Actor SHALL:handle MHR Gateway Requester
code	SO	1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following Obligations Actor SHALL:handle MHR Gateway Requester
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 101.20113
display		1..1	string	Representation defined by the system Fixed Value: Adverse Reactions
mode	SO	1..1	code	working | snapshot | changes Fixed Value: snapshot Obligations Actor SHALL:handle MHR Gateway Requester
entry	SO	0..*	Reference(MHR AllergyIntolerance)	A reference to data that supports this section Obligations Actor SHALL:handle MHR Gateway Requester
section:infoMedicalConditions	SO	1..1	BackboneElement	Composition is broken into sections Obligations Actor SHALL:handle MHR Gateway Requester
title	SO	1..1	string	Label for section (e.g. for ToC) Fixed Value: Information on medical conditions, treatments and other history Obligations Actor SHALL:handle MHR Gateway Requester
code	SO	1..1	CodeableConcept	Classification of section (recommended) Required Pattern: At least the following Obligations Actor SHALL:handle MHR Gateway Requester
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 101.16117
display		1..1	string	Representation defined by the system Fixed Value: Medical History
mode	SO	1..1	code	working | snapshot | changes Fixed Value: snapshot Obligations Actor SHALL:handle MHR Gateway Requester
entry	SO	0..*	Reference(MHR Condition | MHR Explanation of Benefit | MHR Flag | MHR Observation | MHR Procedure)	A reference to data that supports this section Obligations Actor SHALL:handle MHR Gateway Requester
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet / Code	URI
Composition.type	extensible	Pattern: 100.32051("Medical Conditions View") https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-type-1 from https://tx.ontoserver.csiro.au/fhir
Composition.category	extensible	Pattern: 100.32050("Patient Health Summary") https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-class-1 from https://tx.ontoserver.csiro.au/fhir

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-mcv-comp-01	error	Composition	Contained resources shall have a valid identifier : contained.device.exists() implies contained.device.all($this.identifier.exists())

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Composition	C	0..*	AUBaseComposition	Composition for the Australian realm inv-mcv-comp-01: Contained resources shall have a valid identifier
id	Σ	1..1	id	Logical id of this artifact
implicitRules	?!Σ	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. Additional Bindings Purpose AllLanguages Max Binding Fixed Value: en-AU
Slices for extension				Content/Rules for all slices
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
status	?!SOΣ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. Fixed Value: final Obligations Actor SHALL:handle MHR Gateway Requester
type	SOΣ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: My Health Record Record Type (extensible) Required Pattern: At least the following Obligations Actor SHALL:handle MHR Gateway Requester
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 100.32051
display		1..1	string	Representation defined by the system Fixed Value: Medical Conditions View
category	SOΣ	1..1	CodeableConcept	Categorization of Composition Binding: My Health Record Record Class (extensible) Required Pattern: At least the following Obligations Actor SHALL:handle MHR Gateway Requester
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 100.32050
display		1..1	string	Representation defined by the system Fixed Value: Patient Health Summary
subject	SOΣ	1..1	Reference(MHR Patient)	Who and/or what the composition is about Obligations Actor SHALL:handle MHR Gateway Requester
date	SOΣ	1..1	dateTime	Composition editing time Obligations Actor SHALL:handle MHR Gateway Requester
author	SOΣ	1..1	Reference(Device)	Who and/or what authored the composition Obligations Actor SHALL:handle MHR Gateway Requester
title	SOΣ	1..1	string	Human Readable name/title Fixed Value: Medical Conditions View Obligations Actor SHALL:handle MHR Gateway Requester
custodian	SOΣ	1..1	Reference(AU Core Organization)	Organization which maintains the composition Obligations Actor SHALL:handle MHR Gateway Requester
Slices for section	SOC	2..2	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty Obligations Actor SHALL:handle MHR Gateway Requester
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
section:allergiesAdverseReactions	SOC	1..1	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty Obligations Actor SHALL:handle MHR Gateway Requester
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	SO	1..1	string	Label for section (e.g. for ToC) Fixed Value: Allergies and Adverse Reactions Obligations Actor SHALL:handle MHR Gateway Requester
code	SO	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following Obligations Actor SHALL:handle MHR Gateway Requester
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 101.20113
display		1..1	string	Representation defined by the system Fixed Value: Adverse Reactions
mode	SO	1..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. Fixed Value: snapshot Obligations Actor SHALL:handle MHR Gateway Requester
entry	SOC	0..*	Reference(MHR AllergyIntolerance)	A reference to data that supports this section Obligations Actor SHALL:handle MHR Gateway Requester
section:infoMedicalConditions	SOC	1..1	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty Obligations Actor SHALL:handle MHR Gateway Requester
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	SO	1..1	string	Label for section (e.g. for ToC) Fixed Value: Information on medical conditions, treatments and other history Obligations Actor SHALL:handle MHR Gateway Requester
code	SO	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following Obligations Actor SHALL:handle MHR Gateway Requester
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 101.16117
display		1..1	string	Representation defined by the system Fixed Value: Medical History
mode	SO	1..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. Fixed Value: snapshot Obligations Actor SHALL:handle MHR Gateway Requester
entry	SOC	0..*	Reference(MHR Condition | MHR Explanation of Benefit | MHR Flag | MHR Observation | MHR Procedure)	A reference to data that supports this section Obligations Actor SHALL:handle MHR Gateway Requester
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.language	preferred	Fixed Value: en-AU Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Composition.status	required	Fixed Value: final http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	extensible	Pattern: 100.32051("Medical Conditions View") https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-type-1 from https://tx.ontoserver.csiro.au/fhir
Composition.category	extensible	Pattern: 100.32050("Patient Health Summary") https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-class-1 from https://tx.ontoserver.csiro.au/fhir
Composition.section:allergiesAdverseReactions.code	example	Pattern: 101.20113("Adverse Reactions") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:allergiesAdverseReactions.mode	required	Fixed Value: snapshot http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:infoMedicalConditions.code	example	Pattern: 101.16117("Medical History") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:infoMedicalConditions.mode	required	Fixed Value: snapshot http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-mcv-comp-01	error	Composition	Contained resources shall have a valid identifier : contained.device.exists() implies contained.device.all($this.identifier.exists())

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Composition	C	0..*	AUBaseComposition	Composition for the Australian realm inv-mcv-comp-01: Contained resources shall have a valid identifier
id	Σ	1..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	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. Additional Bindings Purpose AllLanguages Max Binding Fixed Value: en-AU
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
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	Σ	0..1	Identifier	Version-independent identifier for the Composition
status	?!SOΣ	1..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. Fixed Value: final Obligations Actor SHALL:handle MHR Gateway Requester
type	SOΣ	1..1	CodeableConcept	Kind of composition (LOINC if possible) Binding: My Health Record Record Type (extensible) Required Pattern: At least the following Obligations Actor SHALL:handle MHR Gateway Requester
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: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 100.32051
display		1..1	string	Representation defined by the system Fixed Value: Medical Conditions View
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category	SOΣ	1..1	CodeableConcept	Categorization of Composition Binding: My Health Record Record Class (extensible) Required Pattern: At least the following Obligations Actor SHALL:handle MHR Gateway Requester
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: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 100.32050
display		1..1	string	Representation defined by the system Fixed Value: Patient Health Summary
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
subject	SOΣ	1..1	Reference(MHR Patient)	Who and/or what the composition is about Obligations Actor SHALL:handle MHR Gateway Requester
encounter	Σ	0..1	Reference(Encounter)	Context of the Composition
date	SOΣ	1..1	dateTime	Composition editing time Obligations Actor SHALL:handle MHR Gateway Requester
author	SOΣ	1..1	Reference(Device)	Who and/or what authored the composition Obligations Actor SHALL:handle MHR Gateway Requester
title	SOΣ	1..1	string	Human Readable name/title Fixed Value: Medical Conditions View Obligations Actor SHALL:handle MHR Gateway Requester
confidentiality	Σ	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	?!Σ	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(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	Who attested the composition
custodian	SOΣ	1..1	Reference(AU Core Organization)	Organization which maintains the composition Obligations Actor SHALL:handle MHR Gateway Requester
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	?!Σ	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)
event	Σ	0..*	BackboneElement	The clinical service(s) being documented
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	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	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
Slices for section	SOC	2..2	BackboneElement	Composition is broken into sections Slice: Unordered, Open by value:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty Obligations Actor SHALL:handle MHR Gateway Requester
section: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	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code		0..1	CodeableConcept	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	0..1	Narrative	Text summary of the section, for human interpretation
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	C	0..*	See section (Composition)	Nested Section
section:allergiesAdverseReactions	SOC	1..1	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty Obligations Actor SHALL:handle MHR Gateway Requester
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	SO	1..1	string	Label for section (e.g. for ToC) Fixed Value: Allergies and Adverse Reactions Obligations Actor SHALL:handle MHR Gateway Requester
code	SO	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following Obligations Actor SHALL:handle MHR Gateway Requester
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: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 101.20113
display		1..1	string	Representation defined by the system Fixed Value: Adverse Reactions
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	0..1	Narrative	Text summary of the section, for human interpretation
mode	SO	1..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. Fixed Value: snapshot Obligations Actor SHALL:handle MHR Gateway Requester
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SOC	0..*	Reference(MHR AllergyIntolerance)	A reference to data that supports this section Obligations Actor SHALL:handle MHR Gateway Requester
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:infoMedicalConditions	SOC	1..1	BackboneElement	Composition is broken into sections cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty Obligations Actor SHALL:handle MHR Gateway Requester
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	SO	1..1	string	Label for section (e.g. for ToC) Fixed Value: Information on medical conditions, treatments and other history Obligations Actor SHALL:handle MHR Gateway Requester
code	SO	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following Obligations Actor SHALL:handle MHR Gateway Requester
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: https://healthterminologies.gov.au/fhir/CodeSystem/nctis-data-components-1
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 101.16117
display		1..1	string	Representation defined by the system Fixed Value: Medical History
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	0..1	Narrative	Text summary of the section, for human interpretation
mode	SO	1..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. Fixed Value: snapshot Obligations Actor SHALL:handle MHR Gateway Requester
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SOC	0..*	Reference(MHR Condition | MHR Explanation of Benefit | MHR Flag | MHR Observation | MHR Procedure)	A reference to data that supports this section Obligations Actor SHALL:handle MHR Gateway Requester
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

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.language	preferred	Fixed Value: en-AU Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Composition.status	required	Fixed Value: final http://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard
Composition.type	extensible	Pattern: 100.32051("Medical Conditions View") https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-type-1 from https://tx.ontoserver.csiro.au/fhir
Composition.category	extensible	Pattern: 100.32050("Patient Health Summary") https://healthterminologies.gov.au/fhir/ValueSet/mhr-record-class-1 from https://tx.ontoserver.csiro.au/fhir
Composition.confidentiality	required	v3.ConfidentialityClassification http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26 from the FHIR Standard
Composition.attester.mode	required	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 from the FHIR Standard
Composition.relatesTo.code	required	DocumentRelationshipType http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 from the FHIR Standard
Composition.event.code	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:allergiesAdverseReactions.code	example	Pattern: 101.20113("Adverse Reactions") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:allergiesAdverseReactions.mode	required	Fixed Value: snapshot http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:allergiesAdverseReactions.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:allergiesAdverseReactions.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard
Composition.section:infoMedicalConditions.code	example	Pattern: 101.16117("Medical History") http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard
Composition.section:infoMedicalConditions.mode	required	Fixed Value: snapshot http://hl7.org/fhir/ValueSet/list-mode|4.0.1 from the FHIR Standard
Composition.section:infoMedicalConditions.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order from the FHIR Standard
Composition.section:infoMedicalConditions.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-mcv-comp-01	error	Composition	Contained resources shall have a valid identifier : contained.device.exists() implies contained.device.all($this.identifier.exists())

This structure is derived from AUBaseComposition

Summary

Mandatory: 15 elements
Must-Support: 19 elements
Fixed: 7 elements

Structures

This structure refers to these other structures:

• MHR Patient (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-patient-mhr-1)
• AU Core Organization (http://hl7.org.au/fhir/core/StructureDefinition/au-core-organization)
• MHR AllergyIntolerance (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-allergyintolerance-mhr-1)
• MHR Condition (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-condition-mhr-1)
• MHR Explanation of Benefit (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-explanationofbenefit-mhr-1)
• MHR Flag (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-flag-mhr-1)
• MHR Observation (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-observation-mhr-1)
• MHR Procedure (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-procedure-mhr-1)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Composition.section