# Discharge Summary - Medtech ALEX® AU Implementation Guide v1.0.0

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **Discharge Summary**

## Resource Profile: Discharge Summary 

| | |
| :--- | :--- |
| *Official URL*:https://alexapi.medtechglobal.com.au/fhir/StructureDefinition/alex-dischargesummary | *Version*:1.0.0 |
| Active as of 2026-01-12 | *Computable Name*:AlexDischargeSummary |

 
The ALEX Discharge Summary that utilises the DocumentResource resource 

**Usages:**

* Derived from this Profile: [Discharge Summary IPS Profile](StructureDefinition-alex-dischargesummary-ips.md)
* Use this Profile: [Discharge Summary Bundle](StructureDefinition-dischargesummary-search-bundle.md)
* Examples for this Profile: [DocumentReference/dischargeSummary-full-example](DocumentReference-dischargeSummary-full-example.md) and [DocumentReference/dischargeSummary-min-example](DocumentReference-dischargeSummary-min-example.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/medtechglobal.fhir.alex|current/StructureDefinition/alex-dischargesummary)

### Formal Views of Profile Content

 [Description of Profiles, Differentials, Snapshots and how the different presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-alex-dischargesummary.csv), [Excel](StructureDefinition-alex-dischargesummary.xlsx), [Schematron](StructureDefinition-alex-dischargesummary.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "alex-dischargesummary",
  "url" : "https://alexapi.medtechglobal.com.au/fhir/StructureDefinition/alex-dischargesummary",
  "version" : "1.0.0",
  "name" : "AlexDischargeSummary",
  "title" : "Discharge Summary",
  "status" : "active",
  "date" : "2026-01-12T22:43:00+00:00",
  "publisher" : "Medtech Global",
  "contact" : [
    {
      "name" : "Medtech Global",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://medtechglobal.com/au/"
        },
        {
          "system" : "email",
          "value" : "supportau@medtechglobal.com"
        }
      ]
    },
    {
      "name" : "Medtech Support",
      "telecom" : [
        {
          "system" : "email",
          "value" : "supportau@medtechglobal.com",
          "use" : "work"
        }
      ]
    }
  ],
  "description" : "The ALEX Discharge Summary that utilises the DocumentResource resource",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001",
          "display" : "World"
        }
      ]
    }
  ],
  "fhirVersion" : "4.0.1",
  "mapping" : [
    {
      "identity" : "workflow",
      "uri" : "http://hl7.org/fhir/workflow",
      "name" : "Workflow Pattern"
    },
    {
      "identity" : "fhircomposition",
      "uri" : "http://hl7.org/fhir/composition",
      "name" : "FHIR Composition"
    },
    {
      "identity" : "rim",
      "uri" : "http://hl7.org/v3",
      "name" : "RIM Mapping"
    },
    {
      "identity" : "cda",
      "uri" : "http://hl7.org/v3/cda",
      "name" : "CDA (R2)"
    },
    {
      "identity" : "w5",
      "uri" : "http://hl7.org/fhir/fivews",
      "name" : "FiveWs Pattern Mapping"
    },
    {
      "identity" : "v2",
      "uri" : "http://hl7.org/v2",
      "name" : "HL7 v2 Mapping"
    },
    {
      "identity" : "xds",
      "uri" : "http://ihe.net/xds",
      "name" : "XDS metadata equivalent"
    }
  ],
  "kind" : "resource",
  "abstract" : false,
  "type" : "DocumentReference",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DocumentReference",
  "derivation" : "constraint",
  "differential" : {
    "element" : [
      {
        "id" : "DocumentReference",
        "path" : "DocumentReference",
        "constraint" : [
          {
            "key" : "dischargeSummary-subject-display-validation",
            "severity" : "error",
            "human" : "Subject display must not exceed 25 characters",
            "expression" : "subject.display.empty() or subject.display.length() <= 25",
            "source" : "https://alexapi.medtechglobal.com.au/fhir/StructureDefinition/alex-dischargesummary"
          },
          {
            "key" : "dischargeSummary-author-display-validation",
            "severity" : "error",
            "human" : "Author display must not exceed 35 characters",
            "expression" : "author.display.empty() or author.display.length() <= 35",
            "source" : "https://alexapi.medtechglobal.com.au/fhir/StructureDefinition/alex-dischargesummary"
          },
          {
            "key" : "dischargeSummary-description-validation",
            "severity" : "error",
            "human" : "Description must not exceed 50 characters",
            "expression" : "description.empty() or description.length() <= 50",
            "source" : "https://alexapi.medtechglobal.com.au/fhir/StructureDefinition/alex-dischargesummary"
          }
        ]
      },
      {
        "id" : "DocumentReference.meta.lastUpdated",
        "path" : "DocumentReference.meta.lastUpdated",
        "mustSupport" : true
      },
      {
        "id" : "DocumentReference.meta.security",
        "path" : "DocumentReference.meta.security",
        "binding" : {
          "strength" : "required",
          "valueSet" : "https://alexapi.medtechglobal.com.au/fhir/ValueSet/confidentiality"
        }
      },
      {
        "id" : "DocumentReference.implicitRules",
        "path" : "DocumentReference.implicitRules",
        "max" : "0"
      },
      {
        "id" : "DocumentReference.language",
        "path" : "DocumentReference.language",
        "max" : "0"
      },
      {
        "id" : "DocumentReference.contained",
        "path" : "DocumentReference.contained",
        "max" : "0"
      },
      {
        "id" : "DocumentReference.extension",
        "path" : "DocumentReference.extension",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "url"
            }
          ],
          "ordered" : false,
          "rules" : "open"
        }
      },
      {
        "id" : "DocumentReference.extension:comment",
        "path" : "DocumentReference.extension",
        "sliceName" : "comment",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "https://alexapi.medtechglobal.com.au/fhir/StructureDefinition/comment"
            ]
          }
        ]
      },
      {
        "id" : "DocumentReference.identifier",
        "path" : "DocumentReference.identifier",
        "mustSupport" : true
      },
      {
        "id" : "DocumentReference.identifier.use",
        "path" : "DocumentReference.identifier.use",
        "patternCode" : "official"
      },
      {
        "id" : "DocumentReference.identifier.type.coding.system",
        "path" : "DocumentReference.identifier.type.coding.system",
        "patternUri" : "http://terminology.hl7.org/CodeSystem/v2-0203"
      },
      {
        "id" : "DocumentReference.identifier.type.coding.code",
        "path" : "DocumentReference.identifier.type.coding.code",
        "patternCode" : "FILL"
      },
      {
        "id" : "DocumentReference.identifier.value",
        "path" : "DocumentReference.identifier.value",
        "mustSupport" : true
      },
      {
        "id" : "DocumentReference.status",
        "path" : "DocumentReference.status",
        "patternCode" : "current"
      },
      {
        "id" : "DocumentReference.docStatus",
        "path" : "DocumentReference.docStatus",
        "max" : "0"
      },
      {
        "id" : "DocumentReference.type",
        "path" : "DocumentReference.type",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "DocumentReference.type.coding.system",
        "path" : "DocumentReference.type.coding.system",
        "patternUri" : "http://loinc.org"
      },
      {
        "id" : "DocumentReference.type.coding.code",
        "path" : "DocumentReference.type.coding.code",
        "patternCode" : "34109-9"
      },
      {
        "id" : "DocumentReference.type.coding.display",
        "path" : "DocumentReference.type.coding.display",
        "patternString" : "Note"
      },
      {
        "id" : "DocumentReference.category",
        "path" : "DocumentReference.category",
        "max" : "0"
      },
      {
        "id" : "DocumentReference.subject",
        "path" : "DocumentReference.subject",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "DocumentReference.date",
        "path" : "DocumentReference.date",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "DocumentReference.author",
        "path" : "DocumentReference.author",
        "mustSupport" : true
      },
      {
        "id" : "DocumentReference.authenticator",
        "path" : "DocumentReference.authenticator",
        "max" : "0"
      },
      {
        "id" : "DocumentReference.custodian",
        "path" : "DocumentReference.custodian",
        "max" : "0"
      },
      {
        "id" : "DocumentReference.relatesTo",
        "path" : "DocumentReference.relatesTo",
        "max" : "0"
      },
      {
        "id" : "DocumentReference.description",
        "path" : "DocumentReference.description",
        "mustSupport" : true
      },
      {
        "id" : "DocumentReference.securityLabel",
        "path" : "DocumentReference.securityLabel",
        "max" : "0"
      },
      {
        "id" : "DocumentReference.content",
        "path" : "DocumentReference.content",
        "mustSupport" : true
      },
      {
        "id" : "DocumentReference.content.attachment.contentType",
        "path" : "DocumentReference.content.attachment.contentType",
        "mustSupport" : true
      },
      {
        "id" : "DocumentReference.content.attachment.data",
        "path" : "DocumentReference.content.attachment.data",
        "mustSupport" : true
      },
      {
        "id" : "DocumentReference.content.attachment.url",
        "path" : "DocumentReference.content.attachment.url",
        "mustSupport" : true
      },
      {
        "id" : "DocumentReference.context",
        "path" : "DocumentReference.context",
        "max" : "0"
      }
    ]
  }
}

```
