{
  "resourceType": "StructureDefinition",
  "id": "KBV-PR-KSVPSYCH-Composition",
  "url": "https://fhir.kbv.de/StructureDefinition/KBV_PR_KSVPSYCH_Composition",
  "version": "1.0.0",
  "name": "KBV_PR_KSVPSYCH_Composition",
  "status": "draft",
  "date": "2026-03-17",
  "publisher": "Kassenärztliche Bundesvereinigung (KBV)",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://www.kbv.de"
        }
      ]
    }
  ],
  "copyright": "Copyright © [2026], Kassenärztliche Bundesvereinigung (KBV). All rights reserved. Im folgenden Profil können Codes aus den Codesystemen Snomed, Loinc oder Ucum enthalten sein, die dem folgenden Urheberrecht unterliegen: This material includes SNOMED Clinical Terms® SNOMED CT® which is used by permission of SNOMED International. All rights reserved. SNOMED CT®, was originally created by The College of American Pathologists. SNOMED and SNOMED CT are registered trademarks of SNOMED International. Implementers of these artefacts must have the appropriate SNOMED CT Affiliate license. This material contains content from Loinc http://loinc.org. Loinc is copyright ©; 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes Loinc Committee and is available at no cost under the license at http://loinc.org/license. Loinc® is a registered United States trademark of Regenstrief Institute, Inc. This product includes all or a portion of the UCUM table, UCUM codes, and UCUM definitions or is derived from it, subject to a license from Regenstrief Institute, Inc. and The UCUM Organization. Your use of the UCUM table, UCUM codes, UCUM definitions also is subject to this license, a copy of which is available at ​http://unitsofmeasure.org. The current complete UCUM table, UCUM Specification are available for download at ​http://unitsofmeasure.org. The UCUM table and UCUM codes are copyright ©; 1995-2009, Regenstrief Institute, Inc. and the Unified Codes for Units of Measures UCUM Organization. All rights reserved. THE UCUM TABLE IN ALL FORMATS, UCUM DEFINITIONS, AND SPECIFICATION ARE PROVIDED \"AS IS\"; ANY EXPRESS OR IMPLIED WARRANTIES ARE DISCLAIMED, INCLUDING, BUT NOT LIMITED TO, THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE.",
  "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",
        "constraint": [
          {
            "key": "-epsy-Angabe-Anfang-Pflicht",
            "severity": "error",
            "human": "In einer Anzeige eines Therapiebeginns muss eine extension 'Anfang' enthalten sein, eine extension 'Ende' darf nicht enthalten sein",
            "expression": "extension.extension.where(url='Anzeigenart' and valueCoding.code = 'Beginn').exists() = extension.extension.where(url='Anfang').exists()"
          },
          {
            "key": "-epsy-Angabe-Ende-Pflicht",
            "severity": "error",
            "human": "In einer Anzeige eines Therapieendes muss eine extension 'Ende' enthalten sein, eine extension 'Anfang' darf nicht enthalten sein",
            "expression": "extension.extension.where(url='Anzeigenart' and valueCoding.code = 'Ende').exists() = extension.extension.where(url='Ende').exists()"
          },
          {
            "key": "-epsy-Angabe-Wechsel-Verbote",
            "severity": "error",
            "human": "In einer Anzeige eines Wechsels des Netzverbundes darf weder eine extension 'Ende' noch eine extension 'Anfang' enthalten sein",
            "expression": "extension.extension.where(url='Anzeigenart' and valueCoding.code = 'Wechsel').exists() = (extension.extension.where(url='Anfang').exists().not() and extension.extension.where(url='Ende').exists().not())"
          },
          {
            "key": "-epsy-Angabe-ICD-Pflicht",
            "severity": "error",
            "human": "In einer Anzeige eines Therapiebeginns muss mindestens eine ICD-kodierte Diagnose enthalten sein.",
            "expression": "extension.extension.where(url='Anzeigenart' and valueCoding.code = 'Anfang').exists() = section.where(code.coding.code='ICD').exists()"
          }
        ]
      },
      {
        "id": "Composition.id",
        "path": "Composition.id",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.meta",
        "path": "Composition.meta",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.meta.versionId",
        "path": "Composition.meta.versionId",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.meta.lastUpdated",
        "path": "Composition.meta.lastUpdated",
        "max": "0"
      },
      {
        "id": "Composition.meta.source",
        "path": "Composition.meta.source",
        "max": "0"
      },
      {
        "id": "Composition.meta.profile",
        "path": "Composition.meta.profile",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "$this"
            }
          ],
          "rules": "open"
        },
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.meta.profile:ptvProfile",
        "path": "Composition.meta.profile",
        "sliceName": "ptvProfile",
        "min": 1,
        "max": "1",
        "fixedCanonical": "https://fhir.kbv.de/StructureDefinition/KBV_PR_KSVPSYCH_Composition|1.0",
        "mustSupport": true
      },
      {
        "id": "Composition.meta.security",
        "path": "Composition.meta.security",
        "max": "0"
      },
      {
        "id": "Composition.meta.tag",
        "path": "Composition.meta.tag",
        "max": "0"
      },
      {
        "id": "Composition.implicitRules",
        "path": "Composition.implicitRules",
        "max": "0"
      },
      {
        "id": "Composition.language",
        "path": "Composition.language",
        "max": "0"
      },
      {
        "id": "Composition.text",
        "path": "Composition.text",
        "max": "0"
      },
      {
        "id": "Composition.contained",
        "path": "Composition.contained",
        "max": "0"
      },
      {
        "id": "Composition.extension",
        "path": "Composition.extension",
        "slicing": {
          "ordered": false,
          "rules": "closed"
        },
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.extension:KSVPSYCH-Anzeigen",
        "path": "Composition.extension",
        "sliceName": "KSVPSYCH-Anzeigen",
        "short": "Anzeigenart",
        "definition": "Art der Anzeige nach KSVPSych-Richtlinie des G-BA",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://fhir.kbv.de/StructureDefinition/KBV_EX_KSV_Notice_Type"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.extension:KSVPSYCH-Anzeigen.extension",
        "path": "Composition.extension.extension",
        "mustSupport": true
      },
      {
        "id": "Composition.extension:KSVPSYCH-Anzeigen.extension:Anzeigenart",
        "path": "Composition.extension.extension",
        "sliceName": "Anzeigenart"
      },
      {
        "id": "Composition.extension:KSVPSYCH-Anzeigen.extension:Anzeigenart.value[x]",
        "path": "Composition.extension.extension.value[x]",
        "mustSupport": true
      },
      {
        "id": "Composition.extension:KSVPSYCH-Anzeigen.extension:Anzeigenart.value[x].code",
        "path": "Composition.extension.extension.value[x].code",
        "mustSupport": true
      },
      {
        "id": "Composition.modifierExtension",
        "path": "Composition.modifierExtension",
        "max": "0"
      },
      {
        "id": "Composition.identifier",
        "path": "Composition.identifier",
        "max": "0",
        "mustSupport": false
      },
      {
        "id": "Composition.identifier.use",
        "path": "Composition.identifier.use",
        "max": "0"
      },
      {
        "id": "Composition.identifier.type",
        "path": "Composition.identifier.type",
        "max": "0"
      },
      {
        "id": "Composition.identifier.system",
        "path": "Composition.identifier.system",
        "max": "0",
        "mustSupport": false
      },
      {
        "id": "Composition.identifier.value",
        "path": "Composition.identifier.value",
        "mustSupport": false
      },
      {
        "id": "Composition.identifier.period",
        "path": "Composition.identifier.period",
        "max": "0"
      },
      {
        "id": "Composition.identifier.assigner",
        "path": "Composition.identifier.assigner",
        "max": "0"
      },
      {
        "id": "Composition.status",
        "path": "Composition.status",
        "short": "Status",
        "definition": "Status dieser FHIR-Composition",
        "fixedCode": "final",
        "mustSupport": true
      },
      {
        "id": "Composition.type",
        "path": "Composition.type",
        "short": "Dokumententyp",
        "definition": "Kennzeichnung der Art des vorliegenden Dokuments nach LOINC",
        "mustSupport": true
      },
      {
        "id": "Composition.type.extension",
        "path": "Composition.type.extension",
        "max": "0"
      },
      {
        "id": "Composition.type.coding",
        "path": "Composition.type.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.type.coding.extension",
        "path": "Composition.type.coding.extension",
        "max": "0"
      },
      {
        "id": "Composition.type.coding.system",
        "path": "Composition.type.coding.system",
        "min": 1,
        "fixedUri": "http://hl7.org/fhir/ValueSet/doc-typecodes",
        "mustSupport": true
      },
      {
        "id": "Composition.type.coding.version",
        "path": "Composition.type.coding.version",
        "max": "0"
      },
      {
        "id": "Composition.type.coding.code",
        "path": "Composition.type.coding.code",
        "short": "Dokumententyp",
        "definition": "Kennzeichnung der Art des vorliegenden Dokuments nach LOINC",
        "min": 1,
        "fixedCode": "75440-8",
        "mustSupport": true
      },
      {
        "id": "Composition.type.coding.display",
        "path": "Composition.type.coding.display",
        "max": "0"
      },
      {
        "id": "Composition.type.coding.userSelected",
        "path": "Composition.type.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Composition.type.text",
        "path": "Composition.type.text",
        "max": "0"
      },
      {
        "id": "Composition.category",
        "path": "Composition.category",
        "max": "0"
      },
      {
        "id": "Composition.subject",
        "path": "Composition.subject",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Patient"
            ],
            "aggregation": [
              "bundled"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.subject.reference",
        "path": "Composition.subject.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.subject.type",
        "path": "Composition.subject.type",
        "max": "0"
      },
      {
        "id": "Composition.subject.identifier",
        "path": "Composition.subject.identifier",
        "max": "0"
      },
      {
        "id": "Composition.subject.display",
        "path": "Composition.subject.display",
        "max": "0"
      },
      {
        "id": "Composition.encounter",
        "path": "Composition.encounter",
        "max": "0"
      },
      {
        "id": "Composition.date",
        "path": "Composition.date",
        "mustSupport": true
      },
      {
        "id": "Composition.author",
        "path": "Composition.author",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "type"
            }
          ],
          "rules": "closed"
        },
        "max": "2",
        "type": [
          {
            "code": "Reference",
            "aggregation": [
              "bundled"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.author.extension",
        "path": "Composition.author.extension",
        "max": "0"
      },
      {
        "id": "Composition.author:Psychotherapeut",
        "path": "Composition.author",
        "sliceName": "Psychotherapeut",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Practitioner"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.author:Psychotherapeut.reference",
        "path": "Composition.author.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.author:Psychotherapeut.type",
        "path": "Composition.author.type",
        "min": 1,
        "fixedUri": "Practitioner",
        "mustSupport": true
      },
      {
        "id": "Composition.author:Psychotherapeut.identifier",
        "path": "Composition.author.identifier",
        "max": "0"
      },
      {
        "id": "Composition.author:Psychotherapeut.display",
        "path": "Composition.author.display",
        "max": "0"
      },
      {
        "id": "Composition.author:Pruefnummer",
        "path": "Composition.author",
        "sliceName": "Pruefnummer",
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Device"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.author:Pruefnummer.extension",
        "path": "Composition.author.extension",
        "max": "0"
      },
      {
        "id": "Composition.author:Pruefnummer.reference",
        "path": "Composition.author.reference",
        "max": "0"
      },
      {
        "id": "Composition.author:Pruefnummer.type",
        "path": "Composition.author.type",
        "min": 1,
        "fixedUri": "Device"
      },
      {
        "id": "Composition.author:Pruefnummer.identifier",
        "path": "Composition.author.identifier",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.author:Pruefnummer.identifier.extension",
        "path": "Composition.author.identifier.extension",
        "max": "0"
      },
      {
        "id": "Composition.author:Pruefnummer.identifier.use",
        "path": "Composition.author.identifier.use",
        "max": "0"
      },
      {
        "id": "Composition.author:Pruefnummer.identifier.type",
        "path": "Composition.author.identifier.type",
        "max": "0"
      },
      {
        "id": "Composition.author:Pruefnummer.identifier.system",
        "path": "Composition.author.identifier.system",
        "min": 1,
        "fixedUri": "https://fhir.kbv.de/NamingSystem/KBV_NS_FOR_Pruefnummer",
        "mustSupport": true
      },
      {
        "id": "Composition.author:Pruefnummer.identifier.value",
        "path": "Composition.author.identifier.value",
        "short": "Prüfnummer",
        "definition": "Jede zertifizierte Software erhält eine Prüfnummer im Rahmen der Zertifizierung der KBV. Diese ist in dem digitalen Vordruck anzugeben.\n\nFür den digitalen Vordruck \"Elektronische Arzneimittelverordnung (Vordruck e160)\" ist die Prüfnummer für das Zertifizierungsthema \"Verordnung von Arzneimitteln\" anzugeben.",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.author:Pruefnummer.identifier.period",
        "path": "Composition.author.identifier.period",
        "max": "0"
      },
      {
        "id": "Composition.author:Pruefnummer.identifier.assigner",
        "path": "Composition.author.identifier.assigner",
        "max": "0"
      },
      {
        "id": "Composition.author:Pruefnummer.display",
        "path": "Composition.author.display",
        "max": "0"
      },
      {
        "id": "Composition.title",
        "path": "Composition.title",
        "short": "Anzeige nach KSVPsych-Richtlinie",
        "definition": "Anzeige nach KSVPsych-Richtlinie des G-BA",
        "fixedString": "Anzeige nach KSVPsych-Richtlinie",
        "mustSupport": true
      },
      {
        "id": "Composition.confidentiality",
        "path": "Composition.confidentiality",
        "max": "0"
      },
      {
        "id": "Composition.attester",
        "path": "Composition.attester",
        "short": "Daten der verantwortlichen Person",
        "definition": "Referenz auf den zur Weiterbildung ermächtigten Psychotherapeuten",
        "max": "0",
        "mustSupport": true
      },
      {
        "id": "Composition.attester.mode",
        "path": "Composition.attester.mode",
        "fixedCode": "legal",
        "mustSupport": true
      },
      {
        "id": "Composition.attester.time",
        "path": "Composition.attester.time",
        "max": "0"
      },
      {
        "id": "Composition.attester.party",
        "path": "Composition.attester.party",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Practitioner"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.attester.party.reference",
        "path": "Composition.attester.party.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.attester.party.type",
        "path": "Composition.attester.party.type",
        "max": "0"
      },
      {
        "id": "Composition.attester.party.identifier",
        "path": "Composition.attester.party.identifier",
        "max": "0"
      },
      {
        "id": "Composition.attester.party.display",
        "path": "Composition.attester.party.display",
        "max": "0"
      },
      {
        "id": "Composition.custodian",
        "path": "Composition.custodian",
        "short": "Melder",
        "definition": "Organisation der meldenden Person",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "aggregation": [
              "bundled"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.custodian.reference",
        "path": "Composition.custodian.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.custodian.type",
        "path": "Composition.custodian.type",
        "max": "0"
      },
      {
        "id": "Composition.custodian.identifier",
        "path": "Composition.custodian.identifier",
        "max": "0"
      },
      {
        "id": "Composition.custodian.display",
        "path": "Composition.custodian.display",
        "max": "0"
      },
      {
        "id": "Composition.relatesTo",
        "path": "Composition.relatesTo",
        "max": "0"
      },
      {
        "id": "Composition.event",
        "path": "Composition.event",
        "max": "0"
      },
      {
        "id": "Composition.section",
        "path": "Composition.section",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "code.coding.code"
            }
          ],
          "rules": "closed"
        },
        "min": 1,
        "max": "9",
        "mustSupport": true
      },
      {
        "id": "Composition.section.extension",
        "path": "Composition.section.extension",
        "max": "0"
      },
      {
        "id": "Composition.section.modifierExtension",
        "path": "Composition.section.modifierExtension",
        "max": "0"
      },
      {
        "id": "Composition.section:Krankenversicherungsverhaeltnis",
        "path": "Composition.section",
        "sliceName": "Krankenversicherungsverhaeltnis",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.section:Krankenversicherungsverhaeltnis.extension",
        "path": "Composition.section.extension",
        "max": "0"
      },
      {
        "id": "Composition.section:Krankenversicherungsverhaeltnis.modifierExtension",
        "path": "Composition.section.modifierExtension",
        "max": "0"
      },
      {
        "id": "Composition.section:Krankenversicherungsverhaeltnis.title",
        "path": "Composition.section.title",
        "max": "0"
      },
      {
        "id": "Composition.section:Krankenversicherungsverhaeltnis.code",
        "path": "Composition.section.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:Krankenversicherungsverhaeltnis.code.extension",
        "path": "Composition.section.code.extension",
        "max": "0"
      },
      {
        "id": "Composition.section:Krankenversicherungsverhaeltnis.code.coding",
        "path": "Composition.section.code.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.section:Krankenversicherungsverhaeltnis.code.coding.extension",
        "path": "Composition.section.code.coding.extension",
        "max": "0"
      },
      {
        "id": "Composition.section:Krankenversicherungsverhaeltnis.code.coding.system",
        "path": "Composition.section.code.coding.system",
        "min": 1,
        "fixedUri": "https://fhir.kbv.de/CodeSystem/KBV_CS_FOR_Section_Type",
        "mustSupport": true
      },
      {
        "id": "Composition.section:Krankenversicherungsverhaeltnis.code.coding.version",
        "path": "Composition.section.code.coding.version",
        "max": "0"
      },
      {
        "id": "Composition.section:Krankenversicherungsverhaeltnis.code.coding.code",
        "path": "Composition.section.code.coding.code",
        "min": 1,
        "fixedCode": "Coverage",
        "mustSupport": true
      },
      {
        "id": "Composition.section:Krankenversicherungsverhaeltnis.code.coding.display",
        "path": "Composition.section.code.coding.display",
        "max": "0"
      },
      {
        "id": "Composition.section:Krankenversicherungsverhaeltnis.code.coding.userSelected",
        "path": "Composition.section.code.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Composition.section:Krankenversicherungsverhaeltnis.code.text",
        "path": "Composition.section.code.text",
        "max": "0"
      },
      {
        "id": "Composition.section:Krankenversicherungsverhaeltnis.author",
        "path": "Composition.section.author",
        "max": "0"
      },
      {
        "id": "Composition.section:Krankenversicherungsverhaeltnis.focus",
        "path": "Composition.section.focus",
        "max": "0"
      },
      {
        "id": "Composition.section:Krankenversicherungsverhaeltnis.text",
        "path": "Composition.section.text",
        "max": "0"
      },
      {
        "id": "Composition.section:Krankenversicherungsverhaeltnis.mode",
        "path": "Composition.section.mode",
        "max": "0"
      },
      {
        "id": "Composition.section:Krankenversicherungsverhaeltnis.orderedBy",
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