Connectathon 11 Snapshot

This page is part of the FHIR Specification (v1.2.0: STU 3 Draft). The current version which supercedes this version is 4.0.1. For a full list of available versions, see the Directory of published versions

Nehta/nehta-shared-health-summary.json

Raw JSON (canonical form)

Logical Model SharedHealthSummary

{
  "resourceType": "StructureDefinition",
  "id": "SharedHealthSummary",
  "text": {
    "status": "generated",
    "div": "<div>to do</div>"
  },
  "url": "http://hl7.org/fhir/StructureDefinition/SharedHealthSummary",
  "name": "SharedHealthSummary",
  "display": "nehta-shared-health-summary",
  "status": "draft",
  "publisher": "Health Level Seven International fhir",
  "contact": [
    {
      "telecom": [
        {
          "system": "other",
          "value": "http://hl7.org/fhir"
        }
      ]
    }
  ],
  "date": "2015-12-11T17:38:40+11:00",
  "description": "Logical Model: A clinical document written by the nominated provider, which contains key pieces of information about an individual’s health status and is useful to a wide range of providers in assessing individuals and delivering care. (PCEHR Concept of Operations document).",
  "fhirVersion": "1.2.0",
  "mapping": [
    {
      "identity": "logical",
      "uri": "http://hl7.org/fhir/logical",
      "name": "Logical Mapping"
    }
  ],
  "kind": "logical",
  "abstract": false,
  "snapshot": {
    "element": [
      {
        "path": "SharedHealthSummary",
        "short": "Shared Health Summary",
        "definition": "A clinical document written by the nominated provider, which contains key pieces of information about an individual’s health status and is useful to a wide range of providers in assessing individuals and delivering care. (PCEHR Concept of Operations document).",
        "min": 0,
        "max": "*",
        "mapping": [
          {
            "identity": "logical",
            "map": "Composition[code= LOINC:60591-5]"
          }
        ]
      },
      {
        "extension": [
          {
            "extension": [
              {
                "url": "index",
                "valueString": "1"
              },
              {
                "url": "exValue",
                "valueReference": {
                  "reference": "Patient/nehta"
                }
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-example"
          },
          {
            "extension": [
              {
                "url": "index",
                "valueString": "2"
              },
              {
                "url": "exValue",
                "valueReference": {
                  "reference": "Patient/nehta"
                }
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-example"
          }
        ],
        "path": "SharedHealthSummary.subjectofCare",
        "short": "Subject of Care",
        "definition": "Person who receives healthcare services.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/Patient"
            ]
          }
        ],
        "mapping": [
          {
            "identity": "logical",
            "map": "Composition.subject"
          }
        ]
      },
      {
        "extension": [
          {
            "extension": [
              {
                "url": "index",
                "valueString": "1"
              },
              {
                "url": "exValue",
                "valueReference": {
                  "reference": "Practitioner/nehta"
                }
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-example"
          },
          {
            "extension": [
              {
                "url": "index",
                "valueString": "2"
              },
              {
                "url": "exValue",
                "valueReference": {
                  "reference": "Practitioner/nehta"
                }
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-example"
          }
        ],
        "path": "SharedHealthSummary.documentAuthor",
        "short": "Document Author",
        "definition": "Composer of the document.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/Patient"
            ]
          },
          {
            "code": "Reference",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/Practitioner"
            ]
          },
          {
            "code": "Reference",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson"
            ]
          },
          {
            "code": "Reference",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/Device"
            ]
          }
        ],
        "mapping": [
          {
            "identity": "logical",
            "map": "Composition.author;Composition.attester.party"
          }
        ]
      },
      {
        "extension": [
          {
            "extension": [
              {
                "url": "index",
                "valueString": "1"
              },
              {
                "url": "exValue",
                "valueIdentifier": {
                  "system": "urn:ietf:rfc:3986",
                  "value": "7eeab8cd-9afe-478f-bdac-348e664ff452"
                }
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-example"
          },
          {
            "extension": [
              {
                "url": "index",
                "valueString": "2"
              },
              {
                "url": "exValue",
                "valueIdentifier": {
                  "system": "urn:ietf:rfc:3986",
                  "value": "58516afb-2e35-4c64-b880-0cb214f30103"
                }
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-example"
          }
        ],
        "path": "SharedHealthSummary.documentType",
        "short": "Document Type",
        "definition": "Type of document.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Identifier"
          }
        ],
        "mapping": [
          {
            "identity": "logical",
            "map": "Composition.identifier"
          }
        ]
      },
      {
        "extension": [
          {
            "extension": [
              {
                "url": "index",
                "valueString": "1"
              },
              {
                "url": "exValue",
                "valueDateTime": "2015-07-22T15:32:20+10:00"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-example"
          },
          {
            "extension": [
              {
                "url": "index",
                "valueString": "2"
              },
              {
                "url": "exValue",
                "valueDateTime": "2015-07-22T15:32:20+10:00"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-example"
          }
        ],
        "path": "SharedHealthSummary.dateTimeAttested",
        "short": "DateTime Attested",
        "definition": "The date and time that the document author or document authoriser or approver confirms that a document is complete and genuine.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mapping": [
          {
            "identity": "logical",
            "map": "Composition.date"
          }
        ]
      },
      {
        "path": "SharedHealthSummary.adverseReactions",
        "short": "Adverse Reactions",
        "definition": "Information about adverse reactions of the patient (including allergies and intolerances), and any relevant reaction details. This includes statements about adverse reactions that need to be positively recorded as absent or excluded.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Element"
          }
        ],
        "mapping": [
          {
            "identity": "logical",
            "map": "@sct1 = Composition.section[title='Adverse Reactions'; code={nehta-sct:101.20113}]"
          }
        ]
      },
      {
        "path": "SharedHealthSummary.adverseReactions.exclusionStatementAdverseReactions",
        "short": "Exclusion Statement - Adverse Reactions",
        "definition": "Statements about adverse reactions that need to be positively recorded as absent or excluded.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Element"
          }
        ],
        "mapping": [
          {
            "identity": "logical",
            "map": "n/a"
          }
        ]
      },
      {
        "extension": [
          {
            "extension": [
              {
                "url": "index",
                "valueString": "2"
              },
              {
                "url": "exValue",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://hl7.org/fhir/global-statement-values",
                      "code": "03"
                    }
                  ]
                }
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-example"
          }
        ],
        "path": "SharedHealthSummary.adverseReactions.exclusionStatementAdverseReactions.globalStatement",
        "short": "Global Statement",
        "definition": "The statement about the absence or exclusion.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "required",
          "description": "The set of values for the global statements about the exclusion.",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/nehta-global-statement-values"
          }
        },
        "mapping": [
          {
            "identity": "logical",
            "map": "sct1.emptyReason"
          }
        ]
      },
      {
        "path": "SharedHealthSummary.adverseReactions.adverseReaction",
        "short": "Adverse Reaction",
        "definition": "A harmful or undesirable effect associated with exposure to any substance or agent.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Element"
          }
        ],
        "mapping": [
          {
            "identity": "logical",
            "map": "@ai = sct1.entry->AllergyIntolerance"
          }
        ]
      },
      {
        "extension": [
          {
            "extension": [
              {
                "url": "index",
                "valueString": "1"
              },
              {
                "url": "exValue",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://snomed.info/sct",
                      "code": "285599002"
                    }
                  ]
                }
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-example"
          }
        ],
        "path": "SharedHealthSummary.adverseReactions.adverseReaction.substanceAgent",
        "short": "Substance/Agent",
        "definition": "Identification of a substance, agent, or a class of substance, that is considered to be responsible for the adverse reaction.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "preferred",
          "description": "The set of values for the agent or substance causing the adverse reaction experienced by the subject of care.",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/nehta-nehta-SubstanceAgentValues"
          }
        },
        "mapping": [
          {
            "identity": "logical",
            "map": "ai.substance"
          }
        ]
      },
      {
        "path": "SharedHealthSummary.adverseReactions.adverseReaction.event",
        "short": "Reaction Event",
        "definition": "Details about each adverse reaction event.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Element"
          }
        ],
        "mapping": [
          {
            "identity": "logical",
            "map": "@ev = ai.event"
          }
        ]
      },
      {
        "extension": [
          {
            "extension": [
              {
                "url": "index",
                "valueString": "1"
              },
              {
                "url": "exValue",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://snomed.info/sct",
                      "code": "20262006"
                    }
                  ]
                }
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-example"
          }
        ],
        "path": "SharedHealthSummary.adverseReactions.adverseReaction.event.manifestation",
        "short": "Manifestation",
        "definition": "Presentation or exhibition of signs and symptoms of the adverse reaction expressed as a single word, phrase or brief description.",
        "min": 1,
        "max": "*",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "preferred",
          "description": "The set of values for recording clinical manifestation of an adverse reaction.",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/nehta-nehta-ClinicalManifestationValues"
          }
        },
        "mapping": [
          {
            "identity": "logical",
            "map": "ev.manifestation"
          }
        ]
      },
      {
        "extension": [
          {
            "extension": [
              {
                "url": "index",
                "valueString": "1"
              },
              {
                "url": "exValue",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://snomed.info/sct",
                      "code": "419076005"
                    }
                  ]
                }
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-example"
          }
        ],
        "path": "SharedHealthSummary.adverseReactions.adverseReaction.event.reactionType",
        "short": "Reaction Type",
        "definition": "The type of reaction, as determined by the clinician.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "example",
          "description": "The set of values for the type of adverse reaction."
        },
        "mapping": [
          {
            "identity": "logical",
            "map": "ai.type"
          }
        ]
      },
      {
        "path": "SharedHealthSummary.medicationOrders",
        "short": "Medication Orders",
        "definition": "Medicines that the subject of care is using.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Element"
          }
        ],
        "mapping": [
          {
            "identity": "logical",
            "map": "@sct2 = Composition.section[title='Medication Orders'; code={nehta-sct:101.16146}]"
          }
        ]
      },
      {
        "path": "SharedHealthSummary.medicationOrders.exclusionStatementMedications",
        "short": "Exclusion Statement - Medications",
        "definition": "Statement to positively assert that the patient has not been prescribed or is not taking certain medication.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Element"
          }
        ],
        "mapping": [
          {
            "identity": "logical",
            "map": "n/a"
          }
        ]
      },
      {
        "extension": [
          {
            "extension": [
              {
                "url": "index",
                "valueString": "2"
              },
              {
                "url": "exValue",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://hl7.org/fhir/global-statement-values",
                      "code": "01"
                    }
                  ]
                }
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-example"
          }
        ],
        "path": "SharedHealthSummary.medicationOrders.exclusionStatementMedications.globalStatement",
        "short": "Global Statement",
        "definition": "The statement about the absence or exclusion of certain medication.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "required",
          "description": "The set of values for the global statements about the exclusion.",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/nehta-global-statement-values"
          }
        },
        "mapping": [
          {
            "identity": "logical",
            "map": "sct2.emptyReason"
          }
        ]
      },
      {
        "path": "SharedHealthSummary.medicationOrders.medicationInstruction",
        "short": "Medication Instruction",
        "definition": "Information pertaining to one or more therapeutic goods that is represented to achieve, or is likely to achieve, its principal intended action by pharmacological, chemical, immunological or metabolic means in or on the body of a human.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Element"
          }
        ],
        "mapping": [
          {
            "identity": "logical",
            "map": "@ms = sct2.entry->MedicationStatement"
          }
        ]
      },
      {
        "extension": [
          {
            "extension": [
              {
                "url": "index",
                "valueString": "1"
              },
              {
                "url": "exValue",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://nehta.gov.au/amtv2",
                      "code": "5884011000036107"
                    }
                  ]
                }
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-example"
          }
        ],
        "path": "SharedHealthSummary.medicationOrders.medicationInstruction.therapeuticGoodIdentification",
        "short": "Therapeutic Good Identification",
        "definition": "The medicine, vaccine or other therapeutic good being ordered for, administered to or used by the subject of care.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "preferred",
          "description": "A set of values used to refer to medicines and other therapeutic goods.",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/nehta-nehta-MedicinesTerminology"
          }
        },
        "mapping": [
          {
            "identity": "logical",
            "map": "ms.medicationCodeableConcept"
          }
        ]
      },
      {
        "extension": [
          {
            "extension": [
              {
                "url": "index",
                "valueString": "1"
              },
              {
                "url": "exValue",
                "valueString": "2 tablets once daily oral"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-example"
          }
        ],
        "path": "SharedHealthSummary.medicationOrders.medicationInstruction.directions",
        "short": "Directions",
        "definition": "A complete narrative description of how much, when and how to use the medicine, vaccine or other therapeutic good.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "logical",
            "map": "ms.dosage.text"
          }
        ]
      },
      {
        "extension": [
          {
            "extension": [
              {
                "url": "index",
                "valueString": "1"
              },
              {
                "url": "exValue",
                "valueString": "Diuretic induced hypokalemia"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-example"
          }
        ],
        "path": "SharedHealthSummary.medicationOrders.medicationInstruction.clinicalIndication",
        "short": "Clinical Indication",
        "definition": "Reason for ordering the medicine, vaccine or other therapeutic good.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "logical",
            "map": "ms.reasonForUseCodeableConcept.text"
          }
        ]
      },
      {
        "extension": [
          {
            "extension": [
              {
                "url": "index",
                "valueString": "1"
              },
              {
                "url": "exValue",
                "valueString": "Taken with food"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-example"
          }
        ],
        "path": "SharedHealthSummary.medicationOrders.medicationInstruction.comment",
        "short": "Medication Instruction Comment",
        "definition": "Any additional information that may be needed to ensure the continuity of supply, rationale for current dose and timing, or safe and appropriate use.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "logical",
            "map": "ms.note"
          }
        ]
      },
      {
        "path": "SharedHealthSummary.medicalHistory",
        "short": "Medical History",
        "definition": "The history of the subject of care's problems, diagnoses and medical or surgical procedures.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Element"
          }
        ],
        "mapping": [
          {
            "identity": "logical",
            "map": "@sct3 = Composition.section[title='Medical History'; code={nehta-sct:101.16117}]"
          }
        ]
      },
      {
        "path": "SharedHealthSummary.medicalHistory.problemDiagnosis",
        "short": "Problem/Diagnosis",
        "definition": "A health condition that, as determined by a clinician, may have impact on the physical, mental or social well-being of a person. A diagnosis is determined by scientific evaluation of pathological and pathophysiological findings identified from the patient's clinical history, family history, physical examination and diagnostic investigations.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Element"
          }
        ],
        "mapping": [
          {
            "identity": "logical",
            "map": "@cnd1 = sct3.entry->Condition"
          }
        ]
      },
      {
        "extension": [
          {
            "extension": [
              {
                "url": "index",
                "valueString": "1"
              },
              {
                "url": "exValue",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://snomed.info/sct",
                      "code": "57883007"
                    }
                  ]
                }
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-example"
          }
        ],
        "path": "SharedHealthSummary.medicalHistory.problemDiagnosis.identification",
        "short": "Problem/Diagnosis Identification",
        "definition": "Identification of the problem or diagnosis.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "example",
          "description": "The Problem/Diagnosis reference set provides terminology to support the recording of a subject of care problem or diagnosis for medical records within Australia."
        },
        "mapping": [
          {
            "identity": "logical",
            "map": "cnd1.code"
          }
        ]
      },
      {
        "extension": [
          {
            "extension": [
              {
                "url": "index",
                "valueString": "1"
              },
              {
                "url": "exValue",
                "valueDateTime": "2013-07-22"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-example"
          }
        ],
        "path": "SharedHealthSummary.medicalHistory.problemDiagnosis.dateofOnset",
        "short": "Date of Onset",
        "definition": "Estimated or actual date the problem or diagnosis began, as indicated or identified by the clinician.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mapping": [
          {
            "identity": "logical",
            "map": "cnd1.onsetDateTime"
          }
        ]
      },
      {
        "extension": [
          {
            "extension": [
              {
                "url": "index",
                "valueString": "1"
              },
              {
                "url": "exValue",
                "valueDateTime": "2014-07-22"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-example"
          }
        ],
        "path": "SharedHealthSummary.medicalHistory.problemDiagnosis.dateofResolutionRemission",
        "short": "Date of Resolution/Remission",
        "definition": "Estimated or actual date the problem or diagnosis resolved or went into remission, as indicated or identified by the clinician.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mapping": [
          {
            "identity": "logical",
            "map": "cnd1.abatementDate"
          }
        ]
      },
      {
        "extension": [
          {
            "extension": [
              {
                "url": "index",
                "valueString": "1"
              },
              {
                "url": "exValue",
                "valueString": "Solved this"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-example"
          }
        ],
        "path": "SharedHealthSummary.medicalHistory.problemDiagnosis.comment",
        "short": "Problem/Diagnosis Comment",
        "definition": "Additional narrative about the problem or diagnosis not captured in other fields.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "logical",
            "map": "cnd1.notes"
          }
        ]
      },
      {
        "path": "SharedHealthSummary.medicalHistory.exclusionStatementProblemsandDiagnoses",
        "short": "Exclusion Statement - Problems and Diagnoses",
        "definition": "Statements which positively assert that the patient does not have the problem or diagnosis.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Element"
          }
        ],
        "mapping": [
          {
            "identity": "logical",
            "map": "n/a"
          }
        ]
      },
      {
        "extension": [
          {
            "extension": [
              {
                "url": "index",
                "valueString": "2"
              },
              {
                "url": "exValue",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://hl7.org/fhir/global-statement-values",
                      "code": "01"
                    }
                  ]
                }
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-example"
          }
        ],
        "path": "SharedHealthSummary.medicalHistory.exclusionStatementProblemsandDiagnoses.globalStatement",
        "short": "Global Statement",
        "definition": "The statement about the absence or exclusion.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "required",
          "description": "The set of values for the global statements about the exclusion.",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/nehta-global-statement-values"
          }
        },
        "mapping": [
          {
            "identity": "logical",
            "map": "sct3.emptyReason"
          }
        ]
      },
      {
        "path": "SharedHealthSummary.medicalHistory.procedure",
        "short": "Procedure",
        "definition": "A clinical activity carried out for therapeutic, evaluative, investigative, screening or diagnostic purposes.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Element"
          }
        ],
        "mapping": [
          {
            "identity": "logical",
            "map": "@cnd2 = sct3.entry->Condition"
          }
        ]
      },
      {
        "extension": [
          {
            "extension": [
              {
                "url": "index",
                "valueString": "1"
              },
              {
                "url": "exValue",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://snomed.info/sct",
                      "code": "301040004"
                    }
                  ]
                }
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-example"
          }
        ],
        "path": "SharedHealthSummary.medicalHistory.procedure.name",
        "short": "Procedure Name",
        "definition": "The name of the procedure (to be) performed.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "example",
          "description": "The Procedure foundation reference set provides the broadest possible terminology to support the recording of clinical interventions in Australian eHealth implementations."
        },
        "mapping": [
          {
            "identity": "logical",
            "map": "cnd2.code"
          }
        ]
      },
      {
        "extension": [
          {
            "extension": [
              {
                "url": "index",
                "valueString": "1"
              },
              {
                "url": "exValue",
                "valueString": "L Procedure Comment"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-example"
          }
        ],
        "path": "SharedHealthSummary.medicalHistory.procedure.comment",
        "short": "Procedure Comment",
        "definition": "Additional narrative about the procedure not captured in other fields.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "logical",
            "map": "cnd2.notes"
          }
        ]
      },
      {
        "extension": [
          {
            "extension": [
              {
                "url": "index",
                "valueString": "1"
              },
              {
                "url": "exValue",
                "valuePeriod": {
                  "start": "2014-06-15",
                  "end": "2014-06-17"
                }
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-example"
          }
        ],
        "path": "SharedHealthSummary.medicalHistory.procedure.dateTime",
        "short": "Procedure DateTime",
        "definition": "Date, and optionally time, of the Procedure action.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Period"
          }
        ],
        "mapping": [
          {
            "identity": "logical",
            "map": "cnd2.onsetDateTime"
          }
        ]
      },
      {
        "path": "SharedHealthSummary.medicalHistory.exclusionStatementProcedures",
        "short": "Exclusion Statement - Procedures",
        "definition": "Statements to positively assert that a certain procedure has not been performed on the patient.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Element"
          }
        ],
        "mapping": [
          {
            "identity": "logical",
            "map": "n/a"
          }
        ]
      },
      {
        "extension": [
          {
            "extension": [
              {
                "url": "index",
                "valueString": "2"
              },
              {
                "url": "exValue",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://hl7.org/fhir/global-statement-values",
                      "code": "02"
                    }
                  ]
                }
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-example"
          }
        ],
        "path": "SharedHealthSummary.medicalHistory.exclusionStatementProcedures.globalStatement",
        "short": "Global Statement",
        "definition": "The statement about the absence or exclusion of procedure performed on the patient.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "required",
          "description": "The set of values for the global statements about the exclusion.",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/nehta-global-statement-values"
          }
        },
        "mapping": [
          {
            "identity": "logical",
            "map": "sct3.emptyReason"
          }
        ]
      },
      {
        "path": "SharedHealthSummary.medicalHistory.uncategorisedMedicalHistoryItem",
        "short": "Uncategorised Medical History Item",
        "definition": "A medical history entry that has not been categorised as either Procedure or Problem/Diagnosis .",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Element"
          }
        ],
        "mapping": [
          {
            "identity": "logical",
            "map": "@cnd3 = sct3.entry->Condition"
          }
        ]
      },
      {
        "extension": [
          {
            "extension": [
              {
                "url": "index",
                "valueString": "1"
              },
              {
                "url": "exValue",
                "valueString": "Uncategorised Medical History item description"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-example"
          }
        ],
        "path": "SharedHealthSummary.medicalHistory.uncategorisedMedicalHistoryItem.description",
        "short": "Medical History Item Description",
        "definition": "A description of the problem, diagnosis or procedure as a medical history item.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "logical",
            "map": "cnd3.code.text"
          }
        ]
      },
      {
        "extension": [
          {
            "extension": [
              {
                "url": "index",
                "valueString": "1"
              },
              {
                "url": "exValue",
                "valuePeriod": {
                  "start": "2014-06-17"
                }
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-example"
          }
        ],
        "path": "SharedHealthSummary.medicalHistory.uncategorisedMedicalHistoryItem.timeInterval",
        "short": "Medical History Item TimeInterval",
        "definition": "The date range during which the problem or diagnosis applied or the procedure occurred.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Period"
          }
        ],
        "mapping": [
          {
            "identity": "logical",
            "map": "cnd3.onsetDateTime & cnd3.abatementDate"
          }
        ]
      },
      {
        "extension": [
          {
            "extension": [
              {
                "url": "index",
                "valueString": "1"
              },
              {
                "url": "exValue",
                "valueString": "Item Comment"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-example"
          }
        ],
        "path": "SharedHealthSummary.medicalHistory.uncategorisedMedicalHistoryItem.comment",
        "short": "Medical History Item Comment",
        "definition": "Additional narrative about the problem, diagnosis or procedure.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ],
        "mapping": [
          {
            "identity": "logical",
            "map": "cnd3.notes"
          }
        ]
      },
      {
        "path": "SharedHealthSummary.immunisations",
        "short": "Immunisations",
        "definition": "Information about vaccines given to the subject of care.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Element"
          }
        ],
        "mapping": [
          {
            "identity": "logical",
            "map": "@sct4 = Composition.section[title='Immunization'; code={nehta-sct:101.16117}]"
          }
        ]
      },
      {
        "path": "SharedHealthSummary.immunisations.medicationAction",
        "short": "Medication Action",
        "definition": "The act of administering a dose of a vaccine to a person for the purpose of preventing or minimising the effects of a disease by producing immunity or to counter the effects of an infectious organism.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Element"
          }
        ],
        "mapping": [
          {
            "identity": "logical",
            "map": "@imm = sct4.entry->Immunization"
          }
        ]
      },
      {
        "extension": [
          {
            "extension": [
              {
                "url": "index",
                "valueString": "1"
              },
              {
                "url": "exValue",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://nehta.gov.au/amtv2",
                      "code": "74993011000036102"
                    }
                  ]
                }
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-example"
          }
        ],
        "path": "SharedHealthSummary.immunisations.medicationAction.therapeuticGoodIdentification",
        "short": "Therapeutic Good Identification",
        "definition": "The medicine, vaccine or other therapeutic good being ordered for, administered to or used by the subject of care.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "preferred",
          "description": "A set of values used to refer to medicines and other therapeutic goods.",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/nehta-nehta-MedicinesTerminology"
          }
        },
        "mapping": [
          {
            "identity": "logical",
            "map": "imm.vaccineType"
          }
        ]
      },
      {
        "extension": [
          {
            "extension": [
              {
                "url": "index",
                "valueString": "1"
              },
              {
                "url": "exValue",
                "valueInteger": 1
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-example"
          }
        ],
        "path": "SharedHealthSummary.immunisations.medicationAction.sequenceNumber",
        "short": "Sequence Number",
        "definition": "The sequence number specific to the action being recorded.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "integer"
          }
        ],
        "mapping": [
          {
            "identity": "logical",
            "map": "imm.vaccinationProtocol.doseSequence"
          }
        ]
      },
      {
        "extension": [
          {
            "extension": [
              {
                "url": "index",
                "valueString": "1"
              },
              {
                "url": "exValue",
                "valueDateTime": "2015-07-22T15:32:20+10:00"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-example"
          }
        ],
        "path": "SharedHealthSummary.immunisations.medicationAction.dateTime",
        "short": "Medication Action DateTime",
        "definition": "Date, and optionally time, that the medication action is completed.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mapping": [
          {
            "identity": "logical",
            "map": "imm.date"
          }
        ]
      },
      {
        "path": "SharedHealthSummary.immunisations.exclusionStatementMedications",
        "short": "Exclusion Statement - Medications",
        "definition": "Statements that positively assert that the patient has not received immunisations.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Element"
          }
        ],
        "mapping": [
          {
            "identity": "logical",
            "map": "n/a"
          }
        ]
      },
      {
        "extension": [
          {
            "extension": [
              {
                "url": "index",
                "valueString": "2"
              },
              {
                "url": "exValue",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://hl7.org/fhir/global-statement-values",
                      "code": "03"
                    }
                  ]
                }
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-example"
          }
        ],
        "path": "SharedHealthSummary.immunisations.exclusionStatementMedications.globalStatement",
        "short": "Global Statement",
        "definition": "The statement about the absence or exclusion of certain medication.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "required",
          "description": "The set of values for the global statements about the exclusion.",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/nehta-global-statement-values"
          }
        },
        "mapping": [
          {
            "identity": "logical",
            "map": "sct4.emptyReason"
          }
        ]
      }
    ]
  }
}

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.