{
  "resourceType": "StructureDefinition",
  "id": "KBV-PR-PTV-Acute-Composition",
  "url": "https://fhir.kbv.de/StructureDefinition/KBV_PR_PTV_Acute_Composition",
  "version": "1.0.0",
  "name": "KBV_PR_PTV_Acute_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",
        "mustSupport": true
      },
      {
        "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_PTV_Acute_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:Akut",
        "path": "Composition.extension",
        "sliceName": "Akut",
        "definition": "Akutbehandlung",
        "min": 1,
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://fhir.kbv.de/StructureDefinition/KBV_EX_PTV_Acute"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.extension:Akut.extension",
        "path": "Composition.extension.extension",
        "min": 3,
        "mustSupport": true
      },
      {
        "id": "Composition.extension:Akut.extension:Altersgruppe",
        "path": "Composition.extension.extension",
        "sliceName": "Altersgruppe",
        "mustSupport": true
      },
      {
        "id": "Composition.extension:Akut.extension:Altersgruppe.value[x].system",
        "path": "Composition.extension.extension.value[x].system",
        "mustSupport": true
      },
      {
        "id": "Composition.extension:Akut.extension:Altersgruppe.value[x].code",
        "path": "Composition.extension.extension.value[x].code",
        "mustSupport": true
      },
      {
        "id": "Composition.extension:Akut.extension:KuerzlicheTherapie",
        "path": "Composition.extension.extension",
        "sliceName": "KuerzlicheTherapie",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.extension:Akut.extension:SprechstundeOderBehandlung",
        "path": "Composition.extension.extension",
        "sliceName": "SprechstundeOderBehandlung",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.modifierExtension",
        "path": "Composition.modifierExtension",
        "max": "0"
      },
      {
        "id": "Composition.identifier",
        "path": "Composition.identifier",
        "max": "0"
      },
      {
        "id": "Composition.status",
        "path": "Composition.status",
        "fixedCode": "final",
        "mustSupport": false
      },
      {
        "id": "Composition.type",
        "path": "Composition.type",
        "mustSupport": false
      },
      {
        "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": "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_KBV_FORMULAR_ART",
        "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 des vorliegenden Formulars der vertragsärztlichen Versorgung",
        "min": 1,
        "fixedCode": "XXX",
        "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",
        "short": "Patient",
        "definition": "Patient auf den sich diese Anzeige bezieht.",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Patient"
            ],
            "aggregation": [
              "bundled"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.subject.extension",
        "path": "Composition.subject.extension",
        "max": "0"
      },
      {
        "id": "Composition.subject.reference",
        "path": "Composition.subject.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.subject.type",
        "path": "Composition.subject.type",
        "min": 1,
        "fixedUri": "http://hl7.org/fhir/StructureDefinition/Patient",
        "mustSupport": true
      },
      {
        "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",
        "short": "Zeitstempel",
        "definition": "Zeitstempel zur Erstellung dieser Anzeige",
        "mustSupport": false
      },
      {
        "id": "Composition.author",
        "path": "Composition.author",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "type"
            }
          ],
          "rules": "closed"
        },
        "short": "Autoren",
        "definition": "Autoren dieser Anzeige.",
        "max": "2",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Device",
              "https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Practitioner"
            ],
            "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": [
              "https://fhir.kbv.de/StructureDefinition/KBV_PR_PTV_Therapist"
            ],
            "aggregation": [
              "bundled"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.author:Psychotherapeut.extension",
        "path": "Composition.author.extension",
        "max": "0"
      },
      {
        "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",
        "max": "0",
        "fixedUri": "Device",
        "mustSupport": false
      },
      {
        "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",
        "fixedString": "Anzeige Akutbehandlung"
      },
      {
        "id": "Composition.confidentiality",
        "path": "Composition.confidentiality",
        "max": "0"
      },
      {
        "id": "Composition.attester",
        "path": "Composition.attester",
        "short": "Daten der verantwortliche Person",
        "definition": "Referenz auf den zur Weiterbildung ermächtigten Arztes (im vertrags(zahn)ärztlichen Bereich) bzw. des beauftragender Facharztes (im Krankenhaus), sofern nötig.",
        "max": "0",
        "mustSupport": false
      },
      {
        "id": "Composition.attester.extension",
        "path": "Composition.attester.extension",
        "max": "0"
      },
      {
        "id": "Composition.attester.modifierExtension",
        "path": "Composition.attester.modifierExtension",
        "max": "0"
      },
      {
        "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": "Leistungserbringerinstitution",
        "definition": "Leistungserbringerinstitution in der die Akutbehandlung stattfindet.",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.kbv.de/StructureDefinition/KBV_PR_PTV_Psychotherapy_Institution"
            ],
            "aggregation": [
              "bundled"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.custodian.extension",
        "path": "Composition.custodian.extension",
        "max": "0"
      },
      {
        "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": 2,
        "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.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",
        "path": "Composition.section.orderedBy",
        "max": "0"
      },
      {
        "id": "Composition.section:Krankenversicherungsverhaeltnis.entry",
        "path": "Composition.section.entry",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Coverage"
            ],
            "aggregation": [
              "bundled"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.section:Krankenversicherungsverhaeltnis.entry.extension",
        "path": "Composition.section.entry.extension",
        "max": "0"
      },
      {
        "id": "Composition.section:Krankenversicherungsverhaeltnis.entry.reference",
        "path": "Composition.section.entry.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:Krankenversicherungsverhaeltnis.entry.type",
        "path": "Composition.section.entry.type",
        "max": "0"
      },
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