MII IG Modul Patho - Local Development build (v2027.0.0-ballot) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: MII PR Patho Composition

This profile inherits from Profile - ISiK - BerichtSubsysteme from the specification ISiK - Stufe 5.

As a profile of a Composition resource with special constraints for ClinicalDocuments, the MII PR Patho Composition profile aggregates the resources for a complete, text-centered pathology report with the properties of a clinical document. A complete example of a Composition with narratives can be found in the Prostate Cancer Spec IG. This profile is the first entry in a Bundle of Bundle.type "document"; the structure and signature of the Bundle are described in the MII PR Patho Bundle profile. In addition to the Diagnostic Report (patho-diagnostic-report) and one or more additional complete reports (additional-diagnostic-report), the observation report sections may optionally be carried directly as separate sections of the Composition (macroscopy, microscopy, intraoperative, diagnostic conclusion, additional observation); each of these sections references the same grouper as DiagnosticReport.result. Composition and DiagnosticReport may additionally reference each other via the extension composition-diagnosticReportReference and the R5 cross-version extension DiagnosticReport.composition respectively. All of these additions are optional.

Usages:

• Examples for this Profile: Composition/mii-exa-patho-composition
• CapabilityStatements using this Profile: MII CPS Patho Capability Statement

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots, and their representations.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
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Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	ISiKBerichtSubSysteme	A set of resources composed into a single coherent clinical statement with clinical attestation
id	SΣ	0..1	id	serverseitige, interne ID des Datensatzes
meta	Σ	0..1	Meta	Metadata about the resource
lastUpdated	SΣ	0..1	instant	Zeitpunkt der letzten Änderung
profile	SΣ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text	S	1..1	Narrative	Header information This profile does not constrain the narrative in regard to content, language, or traceability to data elements
status	S	1..1	code	generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative. Fixed Value: extensions
div	SC	1..1	xhtml	Limited xhtml content Constraints: txt-1, txt-2
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:document-version	S	0..1	string	Document version URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
extension:diagnosticReport	S	0..1	Reference(DiagnosticReport)	Diagnostic report URL: http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..1	Identifier	Identifier
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
coding	Σ	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
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: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ACSN
display		1..1	string	Representation defined by the system Fixed Value: Accession ID
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	0..1	uri	Namensraum des Identifiers Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique Example General: 123456
status	?!SΣ	1..1	code	Status des Dokumentes Binding: CompositionStatus (required): The workflow/clinical status of the composition. Fixed Value: final
type	SΣ	1..1	CodeableConcept	Dokumenttyp Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:KDL	SΣ	0..1	Coding	Code defined by a terminology system Binding: MII VS Patho Composition Type KDL (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
version		0..1	string	Version of the system - if relevant
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://dvmd.de/fhir/CodeSystem/kdl
code	ΣC	1..1	code	Symbol in syntax defined by the system Constraints: kdl-1
coding:XDS	SΣ	0..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
version		0..1	string	Version of the system - if relevant
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://ihe-d.de/CodeSystems/IHEXDStypeCode
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: PATH
coding:sct	SΣ	0..1	Coding	SNOMED CT type Binding: MII VS Patho Composition Type [Snomed CT] (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
version		0..1	string	Version of the system - if relevant
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	0..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	SΣ	0..1	code	Symbol in syntax defined by the system
text	SΣ	0..1	string	Dokumenttyp (Freitext)
category	SΣ	0..*	CodeableConcept	Dokument-Kategorie Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:LOINC	SΣ	0..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
version		0..1	string	Version of the system - if relevant
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code	Σ	1..1	code	Symbol in syntax defined by the system
coding:IHE	SΣ	0..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
version		0..1	string	Version of the system - if relevant
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://ihe-d.de/CodeSystems/IHEXDSclassCode
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: BEF
coding:sct	SΣ	0..1	Coding	SNOMED CT category Binding: MII VS Patho Composition Type [Snomed CT] (extensible)
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
subject	SΣ	1..1	Reference(Resource)	Patientenbezug
reference	SΣC	1..1	string	Patienten-Link
encounter	SΣ	1..1	Reference(Encounter)	Aufenthaltsbezug
reference	SΣC	1..1	string	Encounter-Link
date	SΣ	1..1	dateTime	Dokumentendatum
author	SΣ	1..*	Reference(ISiKPersonImGesundheitsberuf | Organization)	Author can only be of type Practitioner or Organization
display	SΣ	1..1	string	Bezeichnung des Verfassers (Freitext)
title	SΣ	1..1	string	Dokumentenbezeichnung
Slices for attester	S	1..*	BackboneElement	Attester Slice: Unordered, Open by value:$this.mode
attester:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
attester:legal	S	1..*	BackboneElement	Legal attester
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Fixed Value: legal
party	S	1..1	Reference(Practitioner | Organization)	Party
attester:content-validator	S	0..*	BackboneElement	Content validator
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Fixed Value: professional
party	S	1..1	Reference(Practitioner | Organization)	Party
custodian	SΣ	1..1	Reference(Organization)	Custodian
relatesTo	S	0..*	BackboneElement	Relates to
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
Slices for target[x]		1..1		Target of the relationship Slice: Unordered, Open by type:$this
targetIdentifier			Identifier
targetReference			Reference(Composition)
target[x]:targetReference	S	0..1	Reference(Composition)	Target of the relationship
event	SΣ	1..*	BackboneElement	Event
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for section	SC	1..*	BackboneElement	Kapitel Slice: Unordered, Open by pattern:$this.code.coding Constraints: cmp-1, cmp-2
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Kapitelbezeichnung
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
coding	SΣ	1..*	Coding	Code defined by a terminology system Binding: MII VS Patho All [LOINC] (required)
text	SC	1..1	Narrative	Narrativ This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry	SC	1..*	Reference(Resource)	A reference to data that supports this section
section	SC	0..*	See section (Composition)	Unterkapitel
section:patho-diagnostic-report	SC	1..*	BackboneElement	Pathology diagnostic report Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Kapitelbezeichnung
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
coding	SΣ	1..*	Coding	Code defined by a terminology system Binding: MII VS Patho All [LOINC] (required) Required Pattern: At least the following
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: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 60567-5
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	SC	1..1	Narrative	Narrativ This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry	SC	1..*	Reference(MII PR Patho Report)	A reference to data that supports this section
section	SC	0..*	See section (Composition)	Unterkapitel
section:makroskopie	SC	0..1	BackboneElement	Macroscopy Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Kapitelbezeichnung
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
coding	SΣ	1..*	Coding	Code defined by a terminology system Binding: MII VS Patho All [LOINC] (required) Required Pattern: At least the following
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: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 22634-0
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	SC	1..1	Narrative	Narrativ This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry	SC	1..1	Reference(MII PR Patho Macroscopic Grouper)	A reference to data that supports this section
section	SC	0..*	See section (Composition)	Unterkapitel
section:mikroskopie	SC	0..1	BackboneElement	Microscopy Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Kapitelbezeichnung
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
coding	SΣ	1..*	Coding	Code defined by a terminology system Binding: MII VS Patho All [LOINC] (required) Required Pattern: At least the following
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: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 22635-7
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	SC	1..1	Narrative	Narrativ This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry	SC	1..1	Reference(MII PR Patho Microscopic Grouper)	A reference to data that supports this section
section	SC	0..*	See section (Composition)	Unterkapitel
section:intraoperativ	SC	0..1	BackboneElement	Intraoperative assessment Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Kapitelbezeichnung
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
coding	SΣ	1..*	Coding	Code defined by a terminology system Binding: MII VS Patho All [LOINC] (required) Required Pattern: At least the following
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: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 83321-0
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	SC	1..1	Narrative	Narrativ This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry	SC	1..1	Reference(MII PR Patho Intraoperative Grouper)	A reference to data that supports this section
section	SC	0..*	See section (Composition)	Unterkapitel
section:diagnostische-schlussfolgerung	SC	0..1	BackboneElement	Diagnostic conclusion Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Kapitelbezeichnung
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
coding	SΣ	1..*	Coding	Code defined by a terminology system Binding: MII VS Patho All [LOINC] (required) Required Pattern: At least the following
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: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 22637-3
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	SC	1..1	Narrative	Narrativ This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry	SC	1..1	Reference(MII PR Patho Diagnostic Conclusion Grouper)	A reference to data that supports this section
section	SC	0..*	See section (Composition)	Unterkapitel
section:zusaetzliche-beobachtung	SC	0..1	BackboneElement	Additional observation Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Kapitelbezeichnung
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
coding	SΣ	1..*	Coding	Code defined by a terminology system Binding: MII VS Patho All [LOINC] (required) Required Pattern: At least the following
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: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 100969-5
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	SC	1..1	Narrative	Narrativ This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry	SC	1..1	Reference(MII PR Patho Additional Specified Grouper)	A reference to data that supports this section
section	SC	0..*	See section (Composition)	Unterkapitel
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.text.status	Base	required	NarrativeStatus	📍4.0.1	FHIR Std.
Composition.identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Composition.identifier.​type	Base	extensible	IdentifierType	📦4.0.1	FHIR Std.
Composition.status	Base	required	CompositionStatus	📍4.0.1	FHIR Std.
Composition.type	Base	preferred	FHIR Document Type Codes	📦4.0.1	FHIR Std.
Composition.type.coding:KDL	Base	extensible	MII VS Patho Composition Type KDL	📦2027.0.0-ballot	This IG
Composition.type.coding:sct	Base	extensible	MII VS Patho Composition Type [Snomed CT]	📦2027.0.0-ballot	This IG
Composition.category	Base	example	Document Class Value Set	📦4.0.1	FHIR Std.
Composition.category.​coding:sct	Base	extensible	MII VS Patho Composition Type [Snomed CT]	📦2027.0.0-ballot	This IG
Composition.attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.attester:legal.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.attester:content-validator.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.relatesTo.​code	Base	required	DocumentRelationshipType	📍4.0.1	FHIR Std.
Composition.section.​code	Base	example	Document Section Codes	📦4.0.1	FHIR Std.
Composition.section.​code.coding	Base	required	MII VS Patho All [LOINC]	📦2027.0.0-ballot	This IG
Composition.section:patho-diagnostic-report.​code	Base	example	Document Section Codes	📦4.0.1	FHIR Std.
Composition.section:patho-diagnostic-report.​code.coding	Base	required	MII VS Patho All [LOINC]	📦2027.0.0-ballot	This IG
Composition.section:makroskopie.​code	Base	example	Document Section Codes	📦4.0.1	FHIR Std.
Composition.section:makroskopie.​code.coding	Base	required	MII VS Patho All [LOINC]	📦2027.0.0-ballot	This IG
Composition.section:mikroskopie.​code	Base	example	Document Section Codes	📦4.0.1	FHIR Std.
Composition.section:mikroskopie.​code.coding	Base	required	MII VS Patho All [LOINC]	📦2027.0.0-ballot	This IG
Composition.section:intraoperativ.​code	Base	example	Document Section Codes	📦4.0.1	FHIR Std.
Composition.section:intraoperativ.​code.coding	Base	required	MII VS Patho All [LOINC]	📦2027.0.0-ballot	This IG
Composition.section:diagnostische-schlussfolgerung.​code	Base	example	Document Section Codes	📦4.0.1	FHIR Std.
Composition.section:diagnostische-schlussfolgerung.​code.coding	Base	required	MII VS Patho All [LOINC]	📦2027.0.0-ballot	This IG
Composition.section:zusaetzliche-beobachtung.​code	Base	example	Document Section Codes	📦4.0.1	FHIR Std.
Composition.section:zusaetzliche-beobachtung.​code.coding	Base	required	MII VS Patho All [LOINC]	📦2027.0.0-ballot	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
cmp-1	error	Composition.section, Composition.section:patho-diagnostic-report, Composition.section:makroskopie, Composition.section:mikroskopie, Composition.section:intraoperativ, Composition.section:diagnostische-schlussfolgerung, Composition.section:zusaetzliche-beobachtung	A section must contain at least one of text, entries, or sub-sections	text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section, Composition.section:patho-diagnostic-report, Composition.section:makroskopie, Composition.section:mikroskopie, Composition.section:intraoperativ, Composition.section:diagnostische-schlussfolgerung, Composition.section:zusaetzliche-beobachtung	A section can only have an emptyReason if it is empty	emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Composition	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
kdl-1	warning	Composition.type.coding:KDL.code	KDL-Code ungültig	matches('^[A-Z]{2}[0-9]{6}$')
txt-1	error	Composition.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes	htmlChecks()
txt-2	error	Composition.text.div	The narrative SHALL have some non-whitespace content	htmlChecks()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	ISiKBerichtSubSysteme	A set of resources composed into a single coherent clinical statement with clinical attestation
meta
lastUpdated	S	0..1	instant	Zeitpunkt der letzten Änderung
profile	S	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
text		1..1	Narrative	Header information
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:document-version	S	0..1	string	Document version URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
extension:diagnosticReport	S	0..1	Reference(DiagnosticReport)	Diagnostic report URL: http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference
identifier		1..1	Identifier	Identifier
type	S	1..1	CodeableConcept	Description of identifier
coding		0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ACSN
display		1..1	string	Representation defined by the system Fixed Value: Accession ID
status		1..1	code	Status des Dokumentes
type
Slices for coding				Content/Rules for all slices
coding:KDL		0..1	Coding	Code defined by a terminology system Binding: MII VS Patho Composition Type KDL (extensible)
coding:XDS		0..1	Coding	Code defined by a terminology system
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PATH
coding:sct	S	0..1	Coding	SNOMED CT type Binding: MII VS Patho Composition Type [Snomed CT] (extensible) Required Pattern: At least the following
system	S	0..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	S	0..1	code	Symbol in syntax defined by the system
category
Slices for coding				Content/Rules for all slices
coding:IHE		0..1	Coding	Code defined by a terminology system
code		1..1	code	Symbol in syntax defined by the system Fixed Value: BEF
coding:sct	S	0..1	Coding	SNOMED CT category Binding: MII VS Patho Composition Type [Snomed CT] (extensible)
system		0..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
encounter		1..1	Reference(Encounter)	Aufenthaltsbezug
author		1..*	Reference(ISiKPersonImGesundheitsberuf | Organization)	Author can only be of type Practitioner or Organization
Slices for attester	S	1..*	BackboneElement	Attester Slice: Unordered, Open by value:$this.mode
attester:legal	S	1..*	BackboneElement	Legal attester
mode		1..1	code	personal | professional | legal | official Fixed Value: legal
party	S	1..1	Reference(Practitioner | Organization)	Party
attester:content-validator	S	0..*	BackboneElement	Content validator
mode		1..1	code	personal | professional | legal | official Fixed Value: professional
party	S	1..1	Reference(Practitioner | Organization)	Party
custodian	S	1..1	Reference(Organization)	Custodian
relatesTo	S	0..*	BackboneElement	Relates to
code	S	1..1	code	replaces | transforms | signs | appends
Slices for target[x]		1..1	Identifier, Reference(Composition)	Target of the relationship Slice: Unordered, Open by type:$this
target[x]:targetReference	S	0..1	Reference(Composition)	Target of the relationship
event	S	1..*	BackboneElement	Event
Slices for section		1..*	BackboneElement	Kapitel Slice: Unordered, Open by pattern:$this.code.coding
section:All Slices				Content/Rules for all slices
code	S	1..1	CodeableConcept	Classification of section (recommended)
coding	S	1..*	Coding	Code defined by a terminology system Binding: MII VS Patho All [LOINC] (required)
entry	S	1..*	Reference(Resource)	A reference to data that supports this section
section:patho-diagnostic-report	S	1..*	BackboneElement	Pathology diagnostic report
code
coding		1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 60567-5
entry		1..*	Reference(MII PR Patho Report)	A reference to data that supports this section
section:makroskopie	S	0..1	BackboneElement	Macroscopy
code
coding		1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 22634-0
entry		1..1	Reference(MII PR Patho Macroscopic Grouper)	A reference to data that supports this section
section:mikroskopie	S	0..1	BackboneElement	Microscopy
code
coding		1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 22635-7
entry		1..1	Reference(MII PR Patho Microscopic Grouper)	A reference to data that supports this section
section:intraoperativ	S	0..1	BackboneElement	Intraoperative assessment
code
coding		1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 83321-0
entry		1..1	Reference(MII PR Patho Intraoperative Grouper)	A reference to data that supports this section
section:diagnostische-schlussfolgerung	S	0..1	BackboneElement	Diagnostic conclusion
code
coding		1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 22637-3
entry		1..1	Reference(MII PR Patho Diagnostic Conclusion Grouper)	A reference to data that supports this section
section:zusaetzliche-beobachtung	S	0..1	BackboneElement	Additional observation
code
coding		1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 100969-5
entry		1..1	Reference(MII PR Patho Additional Specified Grouper)	A reference to data that supports this section
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Composition.type.coding:KDL	Base	extensible	MII VS Patho Composition Type KDL	📦2027.0.0-ballot	This IG
Composition.type.coding:sct	Base	extensible	MII VS Patho Composition Type [Snomed CT]	📦2027.0.0-ballot	This IG
Composition.category.​coding:sct	Base	extensible	MII VS Patho Composition Type [Snomed CT]	📦2027.0.0-ballot	This IG
Composition.section.​code.coding	Base	required	MII VS Patho All [LOINC]	📦2027.0.0-ballot	This IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	ISiKBerichtSubSysteme	A set of resources composed into a single coherent clinical statement with clinical attestation
id	SΣ	0..1	id	serverseitige, interne ID des Datensatzes
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Eindeutiger Name der serverseitigen Version des Datensatzes
lastUpdated	SΣ	0..1	instant	Zeitpunkt der letzten Änderung
source	Σ	0..1	uri	Identifies where the resource comes from
profile	SΣ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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
text	S	1..1	Narrative	Header information This profile does not constrain the narrative in regard to content, language, or traceability to data elements
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
status	S	1..1	code	generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative. Fixed Value: extensions
div	SC	1..1	xhtml	Limited xhtml content Constraints: txt-1, txt-2
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:document-version	S	0..1	string	Document version URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
extension:diagnosticReport	S	0..1	Reference(DiagnosticReport)	Diagnostic report URL: http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..1	Identifier	Identifier
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
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: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ACSN
display		1..1	string	Representation defined by the system Fixed Value: Accession ID
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	SΣ	0..1	uri	Namensraum des Identifiers Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!SΣ	1..1	code	Status des Dokumentes Binding: CompositionStatus (required): The workflow/clinical status of the composition. Fixed Value: final
type	SΣ	1..1	CodeableConcept	Dokumenttyp Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:KDL	SΣ	0..1	Coding	Code defined by a terminology system Binding: MII VS Patho Composition Type KDL (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://dvmd.de/fhir/CodeSystem/kdl
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	1..1	code	Symbol in syntax defined by the system Constraints: kdl-1
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:XDS	SΣ	0..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://ihe-d.de/CodeSystems/IHEXDStypeCode
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: PATH
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:sct	SΣ	0..1	Coding	SNOMED CT type Binding: MII VS Patho Composition Type [Snomed CT] (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Dokumenttyp (Freitext)
category	SΣ	0..*	CodeableConcept	Dokument-Kategorie Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:LOINC	SΣ	0..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:IHE	SΣ	0..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://ihe-d.de/CodeSystems/IHEXDSclassCode
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: BEF
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:sct	SΣ	0..1	Coding	SNOMED CT category Binding: MII VS Patho Composition Type [Snomed CT] (extensible)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(Resource)	Patientenbezug
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Patienten-Link
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	SΣ	1..1	Reference(Encounter)	Aufenthaltsbezug
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Encounter-Link
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
date	SΣ	1..1	dateTime	Dokumentendatum
author	SΣ	1..*	Reference(ISiKPersonImGesundheitsberuf | Organization)	Author can only be of type Practitioner or Organization
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	SΣ	1..1	string	Bezeichnung des Verfassers (Freitext)
title	SΣ	1..1	string	Dokumentenbezeichnung
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.
Slices for attester	S	1..*	BackboneElement	Attester Slice: Unordered, Open by value:$this.mode
attester: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
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
attester:legal	S	1..*	BackboneElement	Legal attester
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. Fixed Value: legal
time		0..1	dateTime	When the composition was attested
party	S	1..1	Reference(Practitioner | Organization)	Party
attester:content-validator	S	0..*	BackboneElement	Content validator
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. Fixed Value: professional
time		0..1	dateTime	When the composition was attested
party	S	1..1	Reference(Practitioner | Organization)	Party
custodian	SΣ	1..1	Reference(Organization)	Custodian
relatesTo	S	0..*	BackboneElement	Relates to
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	S	1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
Slices for target[x]		1..1		Target of the relationship Slice: Unordered, Open by type:$this
targetIdentifier			Identifier
targetReference			Reference(Composition)
target[x]:targetReference	S	0..1	Reference(Composition)	Target of the relationship
event	SΣ	1..*	BackboneElement	Event
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	SC	1..*	BackboneElement	Kapitel Slice: Unordered, Open by pattern:$this.code.coding Constraints: cmp-1, cmp-2
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	S	1..1	string	Kapitelbezeichnung
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..*	Coding	Code defined by a terminology system Binding: MII VS Patho All [LOINC] (required)
text	Σ	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	SC	1..1	Narrative	Narrativ This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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	SC	1..*	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	SC	0..*	See section (Composition)	Unterkapitel
section:patho-diagnostic-report	SC	1..*	BackboneElement	Pathology diagnostic report Constraints: cmp-1, cmp-2
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	S	1..1	string	Kapitelbezeichnung
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..*	Coding	Code defined by a terminology system Binding: MII VS Patho All [LOINC] (required) Required Pattern: At least the following
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: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 60567-5
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	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	SC	1..1	Narrative	Narrativ This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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	SC	1..*	Reference(MII PR Patho Report)	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	SC	0..*	See section (Composition)	Unterkapitel
section:makroskopie	SC	0..1	BackboneElement	Macroscopy Constraints: cmp-1, cmp-2
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	S	1..1	string	Kapitelbezeichnung
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..*	Coding	Code defined by a terminology system Binding: MII VS Patho All [LOINC] (required) Required Pattern: At least the following
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: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 22634-0
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	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	SC	1..1	Narrative	Narrativ This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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	SC	1..1	Reference(MII PR Patho Macroscopic Grouper)	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	SC	0..*	See section (Composition)	Unterkapitel
section:mikroskopie	SC	0..1	BackboneElement	Microscopy Constraints: cmp-1, cmp-2
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	S	1..1	string	Kapitelbezeichnung
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..*	Coding	Code defined by a terminology system Binding: MII VS Patho All [LOINC] (required) Required Pattern: At least the following
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: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 22635-7
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	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	SC	1..1	Narrative	Narrativ This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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	SC	1..1	Reference(MII PR Patho Microscopic Grouper)	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	SC	0..*	See section (Composition)	Unterkapitel
section:intraoperativ	SC	0..1	BackboneElement	Intraoperative assessment Constraints: cmp-1, cmp-2
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	S	1..1	string	Kapitelbezeichnung
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..*	Coding	Code defined by a terminology system Binding: MII VS Patho All [LOINC] (required) Required Pattern: At least the following
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: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 83321-0
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	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	SC	1..1	Narrative	Narrativ This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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	SC	1..1	Reference(MII PR Patho Intraoperative Grouper)	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	SC	0..*	See section (Composition)	Unterkapitel
section:diagnostische-schlussfolgerung	SC	0..1	BackboneElement	Diagnostic conclusion Constraints: cmp-1, cmp-2
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	S	1..1	string	Kapitelbezeichnung
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..*	Coding	Code defined by a terminology system Binding: MII VS Patho All [LOINC] (required) Required Pattern: At least the following
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: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 22637-3
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	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	SC	1..1	Narrative	Narrativ This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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	SC	1..1	Reference(MII PR Patho Diagnostic Conclusion Grouper)	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	SC	0..*	See section (Composition)	Unterkapitel
section:zusaetzliche-beobachtung	SC	0..1	BackboneElement	Additional observation Constraints: cmp-1, cmp-2
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	S	1..1	string	Kapitelbezeichnung
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..*	Coding	Code defined by a terminology system Binding: MII VS Patho All [LOINC] (required) Required Pattern: At least the following
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: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 100969-5
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	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	SC	1..1	Narrative	Narrativ This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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	SC	1..1	Reference(MII PR Patho Additional Specified Grouper)	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	SC	0..*	See section (Composition)	Unterkapitel
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.meta.security	Base	extensible	SecurityLabels	📦4.0.1	FHIR Std.
Composition.meta.tag	Base	example	Common Tags	📦4.0.1	FHIR Std.
Composition.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
Composition.text.status	Base	required	NarrativeStatus	📍4.0.1	FHIR Std.
Composition.identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Composition.identifier.​type	Base	extensible	IdentifierType	📦4.0.1	FHIR Std.
Composition.status	Base	required	CompositionStatus	📍4.0.1	FHIR Std.
Composition.type	Base	preferred	FHIR Document Type Codes	📦4.0.1	FHIR Std.
Composition.type.coding:KDL	Base	extensible	MII VS Patho Composition Type KDL	📦2027.0.0-ballot	This IG
Composition.type.coding:sct	Base	extensible	MII VS Patho Composition Type [Snomed CT]	📦2027.0.0-ballot	This IG
Composition.category	Base	example	Document Class Value Set	📦4.0.1	FHIR Std.
Composition.category.​coding:sct	Base	extensible	MII VS Patho Composition Type [Snomed CT]	📦2027.0.0-ballot	This IG
Composition.subject.​type	Base	extensible	ResourceType	📦4.0.1	FHIR Std.
Composition.encounter.​type	Base	extensible	ResourceType	📦4.0.1	FHIR Std.
Composition.author.type	Base	extensible	ResourceType	📦4.0.1	FHIR Std.
Composition.confidentiality	Base	required	V3 Value SetConfidentialityClassification	📍2014-03-26	FHIR Std.
Composition.attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.attester:legal.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.attester:content-validator.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.relatesTo.​code	Base	required	DocumentRelationshipType	📍4.0.1	FHIR Std.
Composition.event.code	Base	example	v3 Code System ActCode	📦3.0.0	THO v7.3
Composition.section.​code	Base	example	Document Section Codes	📦4.0.1	FHIR Std.
Composition.section.​code.coding	Base	required	MII VS Patho All [LOINC]	📦2027.0.0-ballot	This IG
Composition.section.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section.​orderedBy	Base	preferred	List Order Codes	📦4.0.1	FHIR Std.
Composition.section.​emptyReason	Base	preferred	List Empty Reasons	📦4.0.1	FHIR Std.
Composition.section:patho-diagnostic-report.​code	Base	example	Document Section Codes	📦4.0.1	FHIR Std.
Composition.section:patho-diagnostic-report.​code.coding	Base	required	MII VS Patho All [LOINC]	📦2027.0.0-ballot	This IG
Composition.section:patho-diagnostic-report.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:patho-diagnostic-report.​orderedBy	Base	preferred	List Order Codes	📦4.0.1	FHIR Std.
Composition.section:patho-diagnostic-report.​emptyReason	Base	preferred	List Empty Reasons	📦4.0.1	FHIR Std.
Composition.section:makroskopie.​code	Base	example	Document Section Codes	📦4.0.1	FHIR Std.
Composition.section:makroskopie.​code.coding	Base	required	MII VS Patho All [LOINC]	📦2027.0.0-ballot	This IG
Composition.section:makroskopie.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:makroskopie.​orderedBy	Base	preferred	List Order Codes	📦4.0.1	FHIR Std.
Composition.section:makroskopie.​emptyReason	Base	preferred	List Empty Reasons	📦4.0.1	FHIR Std.
Composition.section:mikroskopie.​code	Base	example	Document Section Codes	📦4.0.1	FHIR Std.
Composition.section:mikroskopie.​code.coding	Base	required	MII VS Patho All [LOINC]	📦2027.0.0-ballot	This IG
Composition.section:mikroskopie.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:mikroskopie.​orderedBy	Base	preferred	List Order Codes	📦4.0.1	FHIR Std.
Composition.section:mikroskopie.​emptyReason	Base	preferred	List Empty Reasons	📦4.0.1	FHIR Std.
Composition.section:intraoperativ.​code	Base	example	Document Section Codes	📦4.0.1	FHIR Std.
Composition.section:intraoperativ.​code.coding	Base	required	MII VS Patho All [LOINC]	📦2027.0.0-ballot	This IG
Composition.section:intraoperativ.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:intraoperativ.​orderedBy	Base	preferred	List Order Codes	📦4.0.1	FHIR Std.
Composition.section:intraoperativ.​emptyReason	Base	preferred	List Empty Reasons	📦4.0.1	FHIR Std.
Composition.section:diagnostische-schlussfolgerung.​code	Base	example	Document Section Codes	📦4.0.1	FHIR Std.
Composition.section:diagnostische-schlussfolgerung.​code.coding	Base	required	MII VS Patho All [LOINC]	📦2027.0.0-ballot	This IG
Composition.section:diagnostische-schlussfolgerung.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:diagnostische-schlussfolgerung.​orderedBy	Base	preferred	List Order Codes	📦4.0.1	FHIR Std.
Composition.section:diagnostische-schlussfolgerung.​emptyReason	Base	preferred	List Empty Reasons	📦4.0.1	FHIR Std.
Composition.section:zusaetzliche-beobachtung.​code	Base	example	Document Section Codes	📦4.0.1	FHIR Std.
Composition.section:zusaetzliche-beobachtung.​code.coding	Base	required	MII VS Patho All [LOINC]	📦2027.0.0-ballot	This IG
Composition.section:zusaetzliche-beobachtung.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:zusaetzliche-beobachtung.​orderedBy	Base	preferred	List Order Codes	📦4.0.1	FHIR Std.
Composition.section:zusaetzliche-beobachtung.​emptyReason	Base	preferred	List Empty Reasons	📦4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
cmp-1	error	Composition.section, Composition.section:patho-diagnostic-report, Composition.section:makroskopie, Composition.section:mikroskopie, Composition.section:intraoperativ, Composition.section:diagnostische-schlussfolgerung, Composition.section:zusaetzliche-beobachtung	A section must contain at least one of text, entries, or sub-sections	text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section, Composition.section:patho-diagnostic-report, Composition.section:makroskopie, Composition.section:mikroskopie, Composition.section:intraoperativ, Composition.section:diagnostische-schlussfolgerung, Composition.section:zusaetzliche-beobachtung	A section can only have an emptyReason if it is empty	emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Composition	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
kdl-1	warning	Composition.type.coding:KDL.code	KDL-Code ungültig	matches('^[A-Z]{2}[0-9]{6}$')
txt-1	error	Composition.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes	htmlChecks()
txt-2	error	Composition.text.div	The narrative SHALL have some non-whitespace content	htmlChecks()

Summary

Mandatory: 10 elements(2 nested mandatory elements)
Must-Support: 28 elements
Fixed: 6 elements

Structures

This structure refers to these other structures:

• ISiKPersonImGesundheitsberuf (https://gematik.de/fhir/isik/StructureDefinition/ISiKPersonImGesundheitsberuf)
• MII PR Patho Report (https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-report)
• MII PR Patho Macroscopic Grouper (https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-macroscopic-grouper)
• MII PR Patho Microscopic Grouper (https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-microscopic-grouper)
• MII PR Patho Intraoperative Grouper (https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-intraoperative-grouper)
• MII PR Patho Diagnostic Conclusion Grouper (https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-diagnostic-conclusion-grouper)
• MII PR Patho Additional Specified Grouper (https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-additional-specified-grouper)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
• http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Composition.attester
• The element 1 is sliced based on the value of Composition.relatesTo.target[x]
• The element 1 is sliced based on the value of Composition.section

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	ISiKBerichtSubSysteme	A set of resources composed into a single coherent clinical statement with clinical attestation
id	SΣ	0..1	id	serverseitige, interne ID des Datensatzes
meta	Σ	0..1	Meta	Metadata about the resource
lastUpdated	SΣ	0..1	instant	Zeitpunkt der letzten Änderung
profile	SΣ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text	S	1..1	Narrative	Header information This profile does not constrain the narrative in regard to content, language, or traceability to data elements
status	S	1..1	code	generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative. Fixed Value: extensions
div	SC	1..1	xhtml	Limited xhtml content Constraints: txt-1, txt-2
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:document-version	S	0..1	string	Document version URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
extension:diagnosticReport	S	0..1	Reference(DiagnosticReport)	Diagnostic report URL: http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..1	Identifier	Identifier
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
coding	Σ	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
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: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ACSN
display		1..1	string	Representation defined by the system Fixed Value: Accession ID
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	0..1	uri	Namensraum des Identifiers Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique Example General: 123456
status	?!SΣ	1..1	code	Status des Dokumentes Binding: CompositionStatus (required): The workflow/clinical status of the composition. Fixed Value: final
type	SΣ	1..1	CodeableConcept	Dokumenttyp Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:KDL	SΣ	0..1	Coding	Code defined by a terminology system Binding: MII VS Patho Composition Type KDL (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
version		0..1	string	Version of the system - if relevant
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://dvmd.de/fhir/CodeSystem/kdl
code	ΣC	1..1	code	Symbol in syntax defined by the system Constraints: kdl-1
coding:XDS	SΣ	0..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
version		0..1	string	Version of the system - if relevant
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://ihe-d.de/CodeSystems/IHEXDStypeCode
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: PATH
coding:sct	SΣ	0..1	Coding	SNOMED CT type Binding: MII VS Patho Composition Type [Snomed CT] (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
version		0..1	string	Version of the system - if relevant
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	0..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	SΣ	0..1	code	Symbol in syntax defined by the system
text	SΣ	0..1	string	Dokumenttyp (Freitext)
category	SΣ	0..*	CodeableConcept	Dokument-Kategorie Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:LOINC	SΣ	0..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
version		0..1	string	Version of the system - if relevant
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code	Σ	1..1	code	Symbol in syntax defined by the system
coding:IHE	SΣ	0..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
version		0..1	string	Version of the system - if relevant
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://ihe-d.de/CodeSystems/IHEXDSclassCode
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: BEF
coding:sct	SΣ	0..1	Coding	SNOMED CT category Binding: MII VS Patho Composition Type [Snomed CT] (extensible)
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
subject	SΣ	1..1	Reference(Resource)	Patientenbezug
reference	SΣC	1..1	string	Patienten-Link
encounter	SΣ	1..1	Reference(Encounter)	Aufenthaltsbezug
reference	SΣC	1..1	string	Encounter-Link
date	SΣ	1..1	dateTime	Dokumentendatum
author	SΣ	1..*	Reference(ISiKPersonImGesundheitsberuf | Organization)	Author can only be of type Practitioner or Organization
display	SΣ	1..1	string	Bezeichnung des Verfassers (Freitext)
title	SΣ	1..1	string	Dokumentenbezeichnung
Slices for attester	S	1..*	BackboneElement	Attester Slice: Unordered, Open by value:$this.mode
attester:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
attester:legal	S	1..*	BackboneElement	Legal attester
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Fixed Value: legal
party	S	1..1	Reference(Practitioner | Organization)	Party
attester:content-validator	S	0..*	BackboneElement	Content validator
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Fixed Value: professional
party	S	1..1	Reference(Practitioner | Organization)	Party
custodian	SΣ	1..1	Reference(Organization)	Custodian
relatesTo	S	0..*	BackboneElement	Relates to
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
Slices for target[x]		1..1		Target of the relationship Slice: Unordered, Open by type:$this
targetIdentifier			Identifier
targetReference			Reference(Composition)
target[x]:targetReference	S	0..1	Reference(Composition)	Target of the relationship
event	SΣ	1..*	BackboneElement	Event
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for section	SC	1..*	BackboneElement	Kapitel Slice: Unordered, Open by pattern:$this.code.coding Constraints: cmp-1, cmp-2
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Kapitelbezeichnung
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
coding	SΣ	1..*	Coding	Code defined by a terminology system Binding: MII VS Patho All [LOINC] (required)
text	SC	1..1	Narrative	Narrativ This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry	SC	1..*	Reference(Resource)	A reference to data that supports this section
section	SC	0..*	See section (Composition)	Unterkapitel
section:patho-diagnostic-report	SC	1..*	BackboneElement	Pathology diagnostic report Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Kapitelbezeichnung
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
coding	SΣ	1..*	Coding	Code defined by a terminology system Binding: MII VS Patho All [LOINC] (required) Required Pattern: At least the following
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: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 60567-5
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	SC	1..1	Narrative	Narrativ This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry	SC	1..*	Reference(MII PR Patho Report)	A reference to data that supports this section
section	SC	0..*	See section (Composition)	Unterkapitel
section:makroskopie	SC	0..1	BackboneElement	Macroscopy Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Kapitelbezeichnung
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
coding	SΣ	1..*	Coding	Code defined by a terminology system Binding: MII VS Patho All [LOINC] (required) Required Pattern: At least the following
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: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 22634-0
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	SC	1..1	Narrative	Narrativ This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry	SC	1..1	Reference(MII PR Patho Macroscopic Grouper)	A reference to data that supports this section
section	SC	0..*	See section (Composition)	Unterkapitel
section:mikroskopie	SC	0..1	BackboneElement	Microscopy Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Kapitelbezeichnung
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
coding	SΣ	1..*	Coding	Code defined by a terminology system Binding: MII VS Patho All [LOINC] (required) Required Pattern: At least the following
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: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 22635-7
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	SC	1..1	Narrative	Narrativ This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry	SC	1..1	Reference(MII PR Patho Microscopic Grouper)	A reference to data that supports this section
section	SC	0..*	See section (Composition)	Unterkapitel
section:intraoperativ	SC	0..1	BackboneElement	Intraoperative assessment Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Kapitelbezeichnung
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
coding	SΣ	1..*	Coding	Code defined by a terminology system Binding: MII VS Patho All [LOINC] (required) Required Pattern: At least the following
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: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 83321-0
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	SC	1..1	Narrative	Narrativ This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry	SC	1..1	Reference(MII PR Patho Intraoperative Grouper)	A reference to data that supports this section
section	SC	0..*	See section (Composition)	Unterkapitel
section:diagnostische-schlussfolgerung	SC	0..1	BackboneElement	Diagnostic conclusion Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Kapitelbezeichnung
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
coding	SΣ	1..*	Coding	Code defined by a terminology system Binding: MII VS Patho All [LOINC] (required) Required Pattern: At least the following
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: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 22637-3
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	SC	1..1	Narrative	Narrativ This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry	SC	1..1	Reference(MII PR Patho Diagnostic Conclusion Grouper)	A reference to data that supports this section
section	SC	0..*	See section (Composition)	Unterkapitel
section:zusaetzliche-beobachtung	SC	0..1	BackboneElement	Additional observation Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title	S	1..1	string	Kapitelbezeichnung
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
coding	SΣ	1..*	Coding	Code defined by a terminology system Binding: MII VS Patho All [LOINC] (required) Required Pattern: At least the following
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: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 100969-5
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	SC	1..1	Narrative	Narrativ This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry	SC	1..1	Reference(MII PR Patho Additional Specified Grouper)	A reference to data that supports this section
section	SC	0..*	See section (Composition)	Unterkapitel
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.text.status	Base	required	NarrativeStatus	📍4.0.1	FHIR Std.
Composition.identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Composition.identifier.​type	Base	extensible	IdentifierType	📦4.0.1	FHIR Std.
Composition.status	Base	required	CompositionStatus	📍4.0.1	FHIR Std.
Composition.type	Base	preferred	FHIR Document Type Codes	📦4.0.1	FHIR Std.
Composition.type.coding:KDL	Base	extensible	MII VS Patho Composition Type KDL	📦2027.0.0-ballot	This IG
Composition.type.coding:sct	Base	extensible	MII VS Patho Composition Type [Snomed CT]	📦2027.0.0-ballot	This IG
Composition.category	Base	example	Document Class Value Set	📦4.0.1	FHIR Std.
Composition.category.​coding:sct	Base	extensible	MII VS Patho Composition Type [Snomed CT]	📦2027.0.0-ballot	This IG
Composition.attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.attester:legal.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.attester:content-validator.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.relatesTo.​code	Base	required	DocumentRelationshipType	📍4.0.1	FHIR Std.
Composition.section.​code	Base	example	Document Section Codes	📦4.0.1	FHIR Std.
Composition.section.​code.coding	Base	required	MII VS Patho All [LOINC]	📦2027.0.0-ballot	This IG
Composition.section:patho-diagnostic-report.​code	Base	example	Document Section Codes	📦4.0.1	FHIR Std.
Composition.section:patho-diagnostic-report.​code.coding	Base	required	MII VS Patho All [LOINC]	📦2027.0.0-ballot	This IG
Composition.section:makroskopie.​code	Base	example	Document Section Codes	📦4.0.1	FHIR Std.
Composition.section:makroskopie.​code.coding	Base	required	MII VS Patho All [LOINC]	📦2027.0.0-ballot	This IG
Composition.section:mikroskopie.​code	Base	example	Document Section Codes	📦4.0.1	FHIR Std.
Composition.section:mikroskopie.​code.coding	Base	required	MII VS Patho All [LOINC]	📦2027.0.0-ballot	This IG
Composition.section:intraoperativ.​code	Base	example	Document Section Codes	📦4.0.1	FHIR Std.
Composition.section:intraoperativ.​code.coding	Base	required	MII VS Patho All [LOINC]	📦2027.0.0-ballot	This IG
Composition.section:diagnostische-schlussfolgerung.​code	Base	example	Document Section Codes	📦4.0.1	FHIR Std.
Composition.section:diagnostische-schlussfolgerung.​code.coding	Base	required	MII VS Patho All [LOINC]	📦2027.0.0-ballot	This IG
Composition.section:zusaetzliche-beobachtung.​code	Base	example	Document Section Codes	📦4.0.1	FHIR Std.
Composition.section:zusaetzliche-beobachtung.​code.coding	Base	required	MII VS Patho All [LOINC]	📦2027.0.0-ballot	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
cmp-1	error	Composition.section, Composition.section:patho-diagnostic-report, Composition.section:makroskopie, Composition.section:mikroskopie, Composition.section:intraoperativ, Composition.section:diagnostische-schlussfolgerung, Composition.section:zusaetzliche-beobachtung	A section must contain at least one of text, entries, or sub-sections	text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section, Composition.section:patho-diagnostic-report, Composition.section:makroskopie, Composition.section:mikroskopie, Composition.section:intraoperativ, Composition.section:diagnostische-schlussfolgerung, Composition.section:zusaetzliche-beobachtung	A section can only have an emptyReason if it is empty	emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Composition	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
kdl-1	warning	Composition.type.coding:KDL.code	KDL-Code ungültig	matches('^[A-Z]{2}[0-9]{6}$')
txt-1	error	Composition.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes	htmlChecks()
txt-2	error	Composition.text.div	The narrative SHALL have some non-whitespace content	htmlChecks()

Differential View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	ISiKBerichtSubSysteme	A set of resources composed into a single coherent clinical statement with clinical attestation
meta
lastUpdated	S	0..1	instant	Zeitpunkt der letzten Änderung
profile	S	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
text		1..1	Narrative	Header information
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:document-version	S	0..1	string	Document version URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
extension:diagnosticReport	S	0..1	Reference(DiagnosticReport)	Diagnostic report URL: http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference
identifier		1..1	Identifier	Identifier
type	S	1..1	CodeableConcept	Description of identifier
coding		0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ACSN
display		1..1	string	Representation defined by the system Fixed Value: Accession ID
status		1..1	code	Status des Dokumentes
type
Slices for coding				Content/Rules for all slices
coding:KDL		0..1	Coding	Code defined by a terminology system Binding: MII VS Patho Composition Type KDL (extensible)
coding:XDS		0..1	Coding	Code defined by a terminology system
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PATH
coding:sct	S	0..1	Coding	SNOMED CT type Binding: MII VS Patho Composition Type [Snomed CT] (extensible) Required Pattern: At least the following
system	S	0..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	S	0..1	code	Symbol in syntax defined by the system
category
Slices for coding				Content/Rules for all slices
coding:IHE		0..1	Coding	Code defined by a terminology system
code		1..1	code	Symbol in syntax defined by the system Fixed Value: BEF
coding:sct	S	0..1	Coding	SNOMED CT category Binding: MII VS Patho Composition Type [Snomed CT] (extensible)
system		0..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
encounter		1..1	Reference(Encounter)	Aufenthaltsbezug
author		1..*	Reference(ISiKPersonImGesundheitsberuf | Organization)	Author can only be of type Practitioner or Organization
Slices for attester	S	1..*	BackboneElement	Attester Slice: Unordered, Open by value:$this.mode
attester:legal	S	1..*	BackboneElement	Legal attester
mode		1..1	code	personal | professional | legal | official Fixed Value: legal
party	S	1..1	Reference(Practitioner | Organization)	Party
attester:content-validator	S	0..*	BackboneElement	Content validator
mode		1..1	code	personal | professional | legal | official Fixed Value: professional
party	S	1..1	Reference(Practitioner | Organization)	Party
custodian	S	1..1	Reference(Organization)	Custodian
relatesTo	S	0..*	BackboneElement	Relates to
code	S	1..1	code	replaces | transforms | signs | appends
Slices for target[x]		1..1	Identifier, Reference(Composition)	Target of the relationship Slice: Unordered, Open by type:$this
target[x]:targetReference	S	0..1	Reference(Composition)	Target of the relationship
event	S	1..*	BackboneElement	Event
Slices for section		1..*	BackboneElement	Kapitel Slice: Unordered, Open by pattern:$this.code.coding
section:All Slices				Content/Rules for all slices
code	S	1..1	CodeableConcept	Classification of section (recommended)
coding	S	1..*	Coding	Code defined by a terminology system Binding: MII VS Patho All [LOINC] (required)
entry	S	1..*	Reference(Resource)	A reference to data that supports this section
section:patho-diagnostic-report	S	1..*	BackboneElement	Pathology diagnostic report
code
coding		1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 60567-5
entry		1..*	Reference(MII PR Patho Report)	A reference to data that supports this section
section:makroskopie	S	0..1	BackboneElement	Macroscopy
code
coding		1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 22634-0
entry		1..1	Reference(MII PR Patho Macroscopic Grouper)	A reference to data that supports this section
section:mikroskopie	S	0..1	BackboneElement	Microscopy
code
coding		1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 22635-7
entry		1..1	Reference(MII PR Patho Microscopic Grouper)	A reference to data that supports this section
section:intraoperativ	S	0..1	BackboneElement	Intraoperative assessment
code
coding		1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 83321-0
entry		1..1	Reference(MII PR Patho Intraoperative Grouper)	A reference to data that supports this section
section:diagnostische-schlussfolgerung	S	0..1	BackboneElement	Diagnostic conclusion
code
coding		1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 22637-3
entry		1..1	Reference(MII PR Patho Diagnostic Conclusion Grouper)	A reference to data that supports this section
section:zusaetzliche-beobachtung	S	0..1	BackboneElement	Additional observation
code
coding		1..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 100969-5
entry		1..1	Reference(MII PR Patho Additional Specified Grouper)	A reference to data that supports this section
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Composition.type.coding:KDL	Base	extensible	MII VS Patho Composition Type KDL	📦2027.0.0-ballot	This IG
Composition.type.coding:sct	Base	extensible	MII VS Patho Composition Type [Snomed CT]	📦2027.0.0-ballot	This IG
Composition.category.​coding:sct	Base	extensible	MII VS Patho Composition Type [Snomed CT]	📦2027.0.0-ballot	This IG
Composition.section.​code.coding	Base	required	MII VS Patho All [LOINC]	📦2027.0.0-ballot	This IG

Snapshot ViewView

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	ISiKBerichtSubSysteme	A set of resources composed into a single coherent clinical statement with clinical attestation
id	SΣ	0..1	id	serverseitige, interne ID des Datensatzes
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Eindeutiger Name der serverseitigen Version des Datensatzes
lastUpdated	SΣ	0..1	instant	Zeitpunkt der letzten Änderung
source	Σ	0..1	uri	Identifies where the resource comes from
profile	SΣ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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
text	S	1..1	Narrative	Header information This profile does not constrain the narrative in regard to content, language, or traceability to data elements
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
status	S	1..1	code	generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative. Fixed Value: extensions
div	SC	1..1	xhtml	Limited xhtml content Constraints: txt-1, txt-2
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:document-version	S	0..1	string	Document version URL: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
extension:diagnosticReport	S	0..1	Reference(DiagnosticReport)	Diagnostic report URL: http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..1	Identifier	Identifier
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
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: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: ACSN
display		1..1	string	Representation defined by the system Fixed Value: Accession ID
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	SΣ	0..1	uri	Namensraum des Identifiers Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!SΣ	1..1	code	Status des Dokumentes Binding: CompositionStatus (required): The workflow/clinical status of the composition. Fixed Value: final
type	SΣ	1..1	CodeableConcept	Dokumenttyp Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:KDL	SΣ	0..1	Coding	Code defined by a terminology system Binding: MII VS Patho Composition Type KDL (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://dvmd.de/fhir/CodeSystem/kdl
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	1..1	code	Symbol in syntax defined by the system Constraints: kdl-1
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:XDS	SΣ	0..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://ihe-d.de/CodeSystems/IHEXDStypeCode
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: PATH
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:sct	SΣ	0..1	Coding	SNOMED CT type Binding: MII VS Patho Composition Type [Snomed CT] (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Dokumenttyp (Freitext)
category	SΣ	0..*	CodeableConcept	Dokument-Kategorie Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:LOINC	SΣ	0..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:IHE	SΣ	0..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://ihe-d.de/CodeSystems/IHEXDSclassCode
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: BEF
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:sct	SΣ	0..1	Coding	SNOMED CT category Binding: MII VS Patho Composition Type [Snomed CT] (extensible)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(Resource)	Patientenbezug
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Patienten-Link
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	SΣ	1..1	Reference(Encounter)	Aufenthaltsbezug
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Encounter-Link
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
date	SΣ	1..1	dateTime	Dokumentendatum
author	SΣ	1..*	Reference(ISiKPersonImGesundheitsberuf | Organization)	Author can only be of type Practitioner or Organization
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	SΣ	1..1	string	Bezeichnung des Verfassers (Freitext)
title	SΣ	1..1	string	Dokumentenbezeichnung
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.
Slices for attester	S	1..*	BackboneElement	Attester Slice: Unordered, Open by value:$this.mode
attester: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
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
attester:legal	S	1..*	BackboneElement	Legal attester
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. Fixed Value: legal
time		0..1	dateTime	When the composition was attested
party	S	1..1	Reference(Practitioner | Organization)	Party
attester:content-validator	S	0..*	BackboneElement	Content validator
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. Fixed Value: professional
time		0..1	dateTime	When the composition was attested
party	S	1..1	Reference(Practitioner | Organization)	Party
custodian	SΣ	1..1	Reference(Organization)	Custodian
relatesTo	S	0..*	BackboneElement	Relates to
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	S	1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
Slices for target[x]		1..1		Target of the relationship Slice: Unordered, Open by type:$this
targetIdentifier			Identifier
targetReference			Reference(Composition)
target[x]:targetReference	S	0..1	Reference(Composition)	Target of the relationship
event	SΣ	1..*	BackboneElement	Event
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	SC	1..*	BackboneElement	Kapitel Slice: Unordered, Open by pattern:$this.code.coding Constraints: cmp-1, cmp-2
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	S	1..1	string	Kapitelbezeichnung
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..*	Coding	Code defined by a terminology system Binding: MII VS Patho All [LOINC] (required)
text	Σ	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	SC	1..1	Narrative	Narrativ This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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	SC	1..*	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	SC	0..*	See section (Composition)	Unterkapitel
section:patho-diagnostic-report	SC	1..*	BackboneElement	Pathology diagnostic report Constraints: cmp-1, cmp-2
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	S	1..1	string	Kapitelbezeichnung
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..*	Coding	Code defined by a terminology system Binding: MII VS Patho All [LOINC] (required) Required Pattern: At least the following
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: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 60567-5
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	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	SC	1..1	Narrative	Narrativ This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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	SC	1..*	Reference(MII PR Patho Report)	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	SC	0..*	See section (Composition)	Unterkapitel
section:makroskopie	SC	0..1	BackboneElement	Macroscopy Constraints: cmp-1, cmp-2
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	S	1..1	string	Kapitelbezeichnung
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..*	Coding	Code defined by a terminology system Binding: MII VS Patho All [LOINC] (required) Required Pattern: At least the following
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: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 22634-0
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	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	SC	1..1	Narrative	Narrativ This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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	SC	1..1	Reference(MII PR Patho Macroscopic Grouper)	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	SC	0..*	See section (Composition)	Unterkapitel
section:mikroskopie	SC	0..1	BackboneElement	Microscopy Constraints: cmp-1, cmp-2
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	S	1..1	string	Kapitelbezeichnung
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..*	Coding	Code defined by a terminology system Binding: MII VS Patho All [LOINC] (required) Required Pattern: At least the following
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: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 22635-7
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	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	SC	1..1	Narrative	Narrativ This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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	SC	1..1	Reference(MII PR Patho Microscopic Grouper)	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	SC	0..*	See section (Composition)	Unterkapitel
section:intraoperativ	SC	0..1	BackboneElement	Intraoperative assessment Constraints: cmp-1, cmp-2
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	S	1..1	string	Kapitelbezeichnung
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..*	Coding	Code defined by a terminology system Binding: MII VS Patho All [LOINC] (required) Required Pattern: At least the following
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: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 83321-0
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	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	SC	1..1	Narrative	Narrativ This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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	SC	1..1	Reference(MII PR Patho Intraoperative Grouper)	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	SC	0..*	See section (Composition)	Unterkapitel
section:diagnostische-schlussfolgerung	SC	0..1	BackboneElement	Diagnostic conclusion Constraints: cmp-1, cmp-2
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	S	1..1	string	Kapitelbezeichnung
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..*	Coding	Code defined by a terminology system Binding: MII VS Patho All [LOINC] (required) Required Pattern: At least the following
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: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 22637-3
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	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	SC	1..1	Narrative	Narrativ This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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	SC	1..1	Reference(MII PR Patho Diagnostic Conclusion Grouper)	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	SC	0..*	See section (Composition)	Unterkapitel
section:zusaetzliche-beobachtung	SC	0..1	BackboneElement	Additional observation Constraints: cmp-1, cmp-2
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	S	1..1	string	Kapitelbezeichnung
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..*	Coding	Code defined by a terminology system Binding: MII VS Patho All [LOINC] (required) Required Pattern: At least the following
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: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 100969-5
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	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	SC	1..1	Narrative	Narrativ This profile does not constrain the narrative in regard to content, language, or traceability to data elements
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	SC	1..1	Reference(MII PR Patho Additional Specified Grouper)	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	SC	0..*	See section (Composition)	Unterkapitel
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.meta.security	Base	extensible	SecurityLabels	📦4.0.1	FHIR Std.
Composition.meta.tag	Base	example	Common Tags	📦4.0.1	FHIR Std.
Composition.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
Composition.text.status	Base	required	NarrativeStatus	📍4.0.1	FHIR Std.
Composition.identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Composition.identifier.​type	Base	extensible	IdentifierType	📦4.0.1	FHIR Std.
Composition.status	Base	required	CompositionStatus	📍4.0.1	FHIR Std.
Composition.type	Base	preferred	FHIR Document Type Codes	📦4.0.1	FHIR Std.
Composition.type.coding:KDL	Base	extensible	MII VS Patho Composition Type KDL	📦2027.0.0-ballot	This IG
Composition.type.coding:sct	Base	extensible	MII VS Patho Composition Type [Snomed CT]	📦2027.0.0-ballot	This IG
Composition.category	Base	example	Document Class Value Set	📦4.0.1	FHIR Std.
Composition.category.​coding:sct	Base	extensible	MII VS Patho Composition Type [Snomed CT]	📦2027.0.0-ballot	This IG
Composition.subject.​type	Base	extensible	ResourceType	📦4.0.1	FHIR Std.
Composition.encounter.​type	Base	extensible	ResourceType	📦4.0.1	FHIR Std.
Composition.author.type	Base	extensible	ResourceType	📦4.0.1	FHIR Std.
Composition.confidentiality	Base	required	V3 Value SetConfidentialityClassification	📍2014-03-26	FHIR Std.
Composition.attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.attester:legal.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.attester:content-validator.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.relatesTo.​code	Base	required	DocumentRelationshipType	📍4.0.1	FHIR Std.
Composition.event.code	Base	example	v3 Code System ActCode	📦3.0.0	THO v7.3
Composition.section.​code	Base	example	Document Section Codes	📦4.0.1	FHIR Std.
Composition.section.​code.coding	Base	required	MII VS Patho All [LOINC]	📦2027.0.0-ballot	This IG
Composition.section.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section.​orderedBy	Base	preferred	List Order Codes	📦4.0.1	FHIR Std.
Composition.section.​emptyReason	Base	preferred	List Empty Reasons	📦4.0.1	FHIR Std.
Composition.section:patho-diagnostic-report.​code	Base	example	Document Section Codes	📦4.0.1	FHIR Std.
Composition.section:patho-diagnostic-report.​code.coding	Base	required	MII VS Patho All [LOINC]	📦2027.0.0-ballot	This IG
Composition.section:patho-diagnostic-report.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:patho-diagnostic-report.​orderedBy	Base	preferred	List Order Codes	📦4.0.1	FHIR Std.
Composition.section:patho-diagnostic-report.​emptyReason	Base	preferred	List Empty Reasons	📦4.0.1	FHIR Std.
Composition.section:makroskopie.​code	Base	example	Document Section Codes	📦4.0.1	FHIR Std.
Composition.section:makroskopie.​code.coding	Base	required	MII VS Patho All [LOINC]	📦2027.0.0-ballot	This IG
Composition.section:makroskopie.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:makroskopie.​orderedBy	Base	preferred	List Order Codes	📦4.0.1	FHIR Std.
Composition.section:makroskopie.​emptyReason	Base	preferred	List Empty Reasons	📦4.0.1	FHIR Std.
Composition.section:mikroskopie.​code	Base	example	Document Section Codes	📦4.0.1	FHIR Std.
Composition.section:mikroskopie.​code.coding	Base	required	MII VS Patho All [LOINC]	📦2027.0.0-ballot	This IG
Composition.section:mikroskopie.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:mikroskopie.​orderedBy	Base	preferred	List Order Codes	📦4.0.1	FHIR Std.
Composition.section:mikroskopie.​emptyReason	Base	preferred	List Empty Reasons	📦4.0.1	FHIR Std.
Composition.section:intraoperativ.​code	Base	example	Document Section Codes	📦4.0.1	FHIR Std.
Composition.section:intraoperativ.​code.coding	Base	required	MII VS Patho All [LOINC]	📦2027.0.0-ballot	This IG
Composition.section:intraoperativ.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:intraoperativ.​orderedBy	Base	preferred	List Order Codes	📦4.0.1	FHIR Std.
Composition.section:intraoperativ.​emptyReason	Base	preferred	List Empty Reasons	📦4.0.1	FHIR Std.
Composition.section:diagnostische-schlussfolgerung.​code	Base	example	Document Section Codes	📦4.0.1	FHIR Std.
Composition.section:diagnostische-schlussfolgerung.​code.coding	Base	required	MII VS Patho All [LOINC]	📦2027.0.0-ballot	This IG
Composition.section:diagnostische-schlussfolgerung.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:diagnostische-schlussfolgerung.​orderedBy	Base	preferred	List Order Codes	📦4.0.1	FHIR Std.
Composition.section:diagnostische-schlussfolgerung.​emptyReason	Base	preferred	List Empty Reasons	📦4.0.1	FHIR Std.
Composition.section:zusaetzliche-beobachtung.​code	Base	example	Document Section Codes	📦4.0.1	FHIR Std.
Composition.section:zusaetzliche-beobachtung.​code.coding	Base	required	MII VS Patho All [LOINC]	📦2027.0.0-ballot	This IG
Composition.section:zusaetzliche-beobachtung.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section:zusaetzliche-beobachtung.​orderedBy	Base	preferred	List Order Codes	📦4.0.1	FHIR Std.
Composition.section:zusaetzliche-beobachtung.​emptyReason	Base	preferred	List Empty Reasons	📦4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
cmp-1	error	Composition.section, Composition.section:patho-diagnostic-report, Composition.section:makroskopie, Composition.section:mikroskopie, Composition.section:intraoperativ, Composition.section:diagnostische-schlussfolgerung, Composition.section:zusaetzliche-beobachtung	A section must contain at least one of text, entries, or sub-sections	text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section, Composition.section:patho-diagnostic-report, Composition.section:makroskopie, Composition.section:mikroskopie, Composition.section:intraoperativ, Composition.section:diagnostische-schlussfolgerung, Composition.section:zusaetzliche-beobachtung	A section can only have an emptyReason if it is empty	emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Composition	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
kdl-1	warning	Composition.type.coding:KDL.code	KDL-Code ungültig	matches('^[A-Z]{2}[0-9]{6}$')
txt-1	error	Composition.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes	htmlChecks()
txt-2	error	Composition.text.div	The narrative SHALL have some non-whitespace content	htmlChecks()

Summary

Mandatory: 10 elements(2 nested mandatory elements)
Must-Support: 28 elements
Fixed: 6 elements

Structures

This structure refers to these other structures:

• ISiKPersonImGesundheitsberuf (https://gematik.de/fhir/isik/StructureDefinition/ISiKPersonImGesundheitsberuf)
• MII PR Patho Report (https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-report)
• MII PR Patho Macroscopic Grouper (https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-macroscopic-grouper)
• MII PR Patho Microscopic Grouper (https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-microscopic-grouper)
• MII PR Patho Intraoperative Grouper (https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-intraoperative-grouper)
• MII PR Patho Diagnostic Conclusion Grouper (https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-diagnostic-conclusion-grouper)
• MII PR Patho Additional Specified Grouper (https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-additional-specified-grouper)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
• http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Composition.attester
• The element 1 is sliced based on the value of Composition.relatesTo.target[x]
• The element 1 is sliced based on the value of Composition.section