{
  "resourceType": "StructureDefinition",
  "id": "epa-plan-composition",
  "url": "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-plan-composition",
  "version": "1.1.1",
  "name": "EPAPlanComposition",
  "title": "EPA Plan Composition",
  "status": "active",
  "experimental": false,
  "date": "2024-08-14",
  "publisher": "mio42 GmbH",
  "description": "Dieses Profil bildet das aus dem eMedikationsplan-Export resultierende Dokument ab.",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Composition",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Composition",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Composition",
        "path": "Composition",
        "definition": "Dieses Profil bildet das aus dem eMedikationsplan-Export resultierende Dokument ab."
      },
      {
        "id": "Composition.meta",
        "path": "Composition.meta",
        "mustSupport": true
      },
      {
        "id": "Composition.meta.versionId",
        "path": "Composition.meta.versionId",
        "mustSupport": true
      },
      {
        "id": "Composition.meta.lastUpdated",
        "path": "Composition.meta.lastUpdated",
        "mustSupport": true
      },
      {
        "id": "Composition.text",
        "path": "Composition.text",
        "definition": "In diesem Element können die, in der Instanz, enthaltenen Informationen in einer menschenlesbaren Form zusammengefasst werden. Dabei ist zu beachten, dass keine Informationen aufgenommen werden dürfen, die nicht in strukturierter Form an anderer Stelle in der Instanz enthalten sind."
      },
      {
        "id": "Composition.text.status",
        "path": "Composition.text.status",
        "fixedCode": "extensions"
      },
      {
        "id": "Composition.status",
        "path": "Composition.status",
        "patternCode": "final"
      },
      {
        "id": "Composition.type",
        "path": "Composition.type",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://gematik.de/fhir/epa-medication/ValueSet/epa-plan-composition-code-vs"
        }
      },
      {
        "id": "Composition.type.coding",
        "path": "Composition.type.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.type.coding.system",
        "path": "Composition.type.coding.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.type.coding.version",
        "path": "Composition.type.coding.version",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.type.coding.code",
        "path": "Composition.type.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.type.coding.display",
        "path": "Composition.type.coding.display",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.subject",
        "path": "Composition.subject",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Patient"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.subject.identifier",
        "path": "Composition.subject.identifier",
        "min": 1,
        "type": [
          {
            "code": "Identifier",
            "profile": [
              "http://fhir.de/StructureDefinition/identifier-kvid-10"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.date",
        "path": "Composition.date",
        "mustSupport": true
      },
      {
        "id": "Composition.author.display",
        "path": "Composition.author.display",
        "fixedString": "Elektronische Patientenakte Fachdienst"
      },
      {
        "id": "Composition.title",
        "path": "Composition.title",
        "fixedString": "Medikationsplan"
      },
      {
        "id": "Composition.section",
        "path": "Composition.section",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "code"
            }
          ],
          "rules": "closed"
        },
        "min": 3,
        "max": "5",
        "mustSupport": true
      },
      {
        "id": "Composition.section:allergyIntoleranceAMTSrZIEntries",
        "path": "Composition.section",
        "sliceName": "allergyIntoleranceAMTSrZIEntries",
        "definition": "Hier wird eine Liste von Allergien/Unverträglichkeiten referenziert, die für eine AMTS (Arzneimitteltherapiesicherheit)-Prüfung relevant sind. Diese Liste enthält alle AMTS-relevanten Allergien/Unverträglichkeiten-Einträge einer/eines Patient:in.",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.section:allergyIntoleranceAMTSrZIEntries.title",
        "path": "Composition.section.title",
        "min": 1,
        "fixedString": "Allergien/Unverträglichkeiten-Liste-Einträge",
        "mustSupport": true
      },
      {
        "id": "Composition.section:allergyIntoleranceAMTSrZIEntries.code",
        "path": "Composition.section.code",
        "min": 1,
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "SectionAMTSRZIAllergienUnvertraeglichkeiten",
              "system": "https://gematik.de/fhir/terminology/CodeSystem/epa-plan-composition-section-codes-cs",
              "display": "Bereich AMTS-relevante Zusatzinformationen - Allergien/Unverträglichkeiten"
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Composition.section:allergyIntoleranceAMTSrZIEntries.code.coding",
        "path": "Composition.section.code.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.section:allergyIntoleranceAMTSrZIEntries.code.coding.system",
        "path": "Composition.section.code.coding.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:allergyIntoleranceAMTSrZIEntries.code.coding.version",
        "path": "Composition.section.code.coding.version",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:allergyIntoleranceAMTSrZIEntries.code.coding.code",
        "path": "Composition.section.code.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:allergyIntoleranceAMTSrZIEntries.code.coding.display",
        "path": "Composition.section.code.coding.display",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:allergyIntoleranceAMTSrZIEntries.entry",
        "path": "Composition.section.entry",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-plan-allergy-intolerance-list"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.section:allergyIntoleranceAMTSrZIEntries.entry.reference",
        "path": "Composition.section.entry.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:observationsMeasurementsAMTSrZIEntries",
        "path": "Composition.section",
        "sliceName": "observationsMeasurementsAMTSrZIEntries",
        "definition": "Hier wird eine Liste von Beobachtungen/Messungen referenziert, die AMTS (Arzneimitteltherapiesicherheit)-Prüfungs-relevante, klinische Zusatzinformationen abbilden. Diese Liste enthält alle AMTS-Prüfungs-relevanten Beobachtungen/Messungen einer/eines Patient:in.",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.section:observationsMeasurementsAMTSrZIEntries.title",
        "path": "Composition.section.title",
        "min": 1,
        "fixedString": "Beobachtungen/Messungen-Liste-Einträge",
        "mustSupport": true
      },
      {
        "id": "Composition.section:observationsMeasurementsAMTSrZIEntries.code",
        "path": "Composition.section.code",
        "min": 1,
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "SectionAMTSRZIBeobachtungenMessungen",
              "system": "https://gematik.de/fhir/terminology/CodeSystem/epa-plan-composition-section-codes-cs",
              "display": "Bereich AMTS-relevante Zusatzinformationen - Beobachtungen/Messungen"
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Composition.section:observationsMeasurementsAMTSrZIEntries.code.coding",
        "path": "Composition.section.code.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.section:observationsMeasurementsAMTSrZIEntries.code.coding.system",
        "path": "Composition.section.code.coding.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:observationsMeasurementsAMTSrZIEntries.code.coding.version",
        "path": "Composition.section.code.coding.version",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:observationsMeasurementsAMTSrZIEntries.code.coding.code",
        "path": "Composition.section.code.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:observationsMeasurementsAMTSrZIEntries.code.coding.display",
        "path": "Composition.section.code.coding.display",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:observationsMeasurementsAMTSrZIEntries.entry",
        "path": "Composition.section.entry",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-plan-observation-list"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.section:observationsMeasurementsAMTSrZIEntries.entry.reference",
        "path": "Composition.section.entry.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:medicationEntries",
        "path": "Composition.section",
        "sliceName": "medicationEntries",
        "definition": "Hier wird eine Liste von Medikation-Informationen referenziert. Diese Liste enthält alle Medikations-Informations-Einträge einer/eines Patient:in.",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.section:medicationEntries.title",
        "path": "Composition.section.title",
        "min": 1,
        "fixedString": "Medikations-Informationen-Liste-Einträge",
        "mustSupport": true
      },
      {
        "id": "Composition.section:medicationEntries.code",
        "path": "Composition.section.code",
        "min": 1,
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "721912009",
              "system": "http://snomed.info/sct",
              "version": "http://snomed.info/sct/11000274103/version/20240515",
              "display": "Medication summary document (record artifact)"
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Composition.section:medicationEntries.code.coding",
        "path": "Composition.section.code.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.section:medicationEntries.code.coding.system",
        "path": "Composition.section.code.coding.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:medicationEntries.code.coding.version",
        "path": "Composition.section.code.coding.version",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:medicationEntries.code.coding.code",
        "path": "Composition.section.code.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:medicationEntries.code.coding.display",
        "path": "Composition.section.code.coding.display",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:medicationEntries.entry",
        "path": "Composition.section.entry",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-plan-medication-statement-list"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.section:medicationEntries.entry.reference",
        "path": "Composition.section.entry.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:originEntries",
        "path": "Composition.section",
        "sliceName": "originEntries",
        "definition": "Hier werden die für die Medikations-Einträge relevanten Herkunftsinformationen referenziert. Dabei handelt es sich beispielweise um die Quelle bzw. die Ursprungs-Information des Medikations-Informationen-Eintrags sowie die an der Erstellung oder Bearbeitung eines Medikations-Informationen-Eintrags beteiligten Personen.",
        "min": 0,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.section:originEntries.title",
        "path": "Composition.section.title",
        "min": 1,
        "fixedString": "Herkunftsinformations-Einträge",
        "mustSupport": true
      },
      {
        "id": "Composition.section:originEntries.code",
        "path": "Composition.section.code",
        "min": 1,
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "SectionHerkunftsinformationEintraege",
              "system": "https://gematik.de/fhir/terminology/CodeSystem/epa-plan-composition-section-codes-cs",
              "display": "Bereich Herkunftsinformation-Einträge"
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Composition.section:originEntries.code.coding",
        "path": "Composition.section.code.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.section:originEntries.code.coding.system",
        "path": "Composition.section.code.coding.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:originEntries.code.coding.version",
        "path": "Composition.section.code.coding.version",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:originEntries.code.coding.code",
        "path": "Composition.section.code.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:originEntries.code.coding.display",
        "path": "Composition.section.code.coding.display",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:originEntries.entry",
        "path": "Composition.section.entry",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://gematik.de/fhir/epa/StructureDefinition/epa-provenance"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.section:originEntries.entry.reference",
        "path": "Composition.section.entry.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:noteEntries",
        "path": "Composition.section",
        "sliceName": "noteEntries",
        "definition": "Hier werden die übergreifenden Hinweise die für den Medikationsplan zu beachten sind referenziert.",
        "min": 0,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.section:noteEntries.title",
        "path": "Composition.section.title",
        "min": 1,
        "fixedString": "Übergreifende Hinweise",
        "mustSupport": true
      },
      {
        "id": "Composition.section:noteEntries.code",
        "path": "Composition.section.code",
        "min": 1,
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "SectionUebergreifendeHinweiseEintraege",
              "system": "https://gematik.de/fhir/terminology/CodeSystem/epa-plan-composition-section-codes-cs",
              "display": "Bereich Übergreifende Hinweise-Einträge"
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Composition.section:noteEntries.code.coding",
        "path": "Composition.section.code.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.section:noteEntries.code.coding.system",
        "path": "Composition.section.code.coding.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:noteEntries.code.coding.version",
        "path": "Composition.section.code.coding.version",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:noteEntries.code.coding.code",
        "path": "Composition.section.code.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:noteEntries.code.coding.display",
        "path": "Composition.section.code.coding.display",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:noteEntries.entry",
        "path": "Composition.section.entry",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://gematik.de/fhir/epa-medication/StructureDefinition/epa-observation-medication-management-note"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.section:noteEntries.entry.reference",
        "path": "Composition.section.entry.reference",
        "min": 1,
        "mustSupport": true
      }
    ]
  }
}