MII IG Befunde bildgebender Verfahren DE v2025
MII-Initiative

MII IG Befunde bildgebender Verfahren DE v2025

Composition

Diese Composition-Ressource wird verwendet, um semistrukturierte Befundberichte bildgebender Verfahren zu erfassen.

NameStatusVersionCanonicalBasis
MII_PR_Bildgebung_Semistrukt_Befundberichtactive2025.0.0https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-pr-bildgebung-semistrukt-befundberichthttp://hl7.org/fhir/StructureDefinition/Composition

Inhalt

idS Σ0..1string
id0..1string
extensionI0..*Extension
versionIdΣ0..1id
lastUpdatedΣ0..1instant
sourceS Σ0..1uri
profileS Σ0..*canonical(StructureDefinition)
securityΣ0..*CodingBinding
tagΣ0..*Coding
implicitRulesΣ ?!0..1uri
language0..1codeBinding
text0..1Narrative
contained0..*Resource
extensionI0..*Extension
modifierExtension?! I0..*Extension
identifierΣ0..1Identifier
statusS Σ ?!1..1codeBinding
typeS Σ1..1CodeableConceptBinding
categoryΣ0..*CodeableConcept
subjectS Σ I1..1Reference(Patient)
encounterΣ I0..1Reference(Encounter)
dateS Σ1..1dateTime
authorS Σ I1..*Reference(Practitioner)
titleS Σ1..1string
confidentialityΣ0..1codeBinding
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
mode1..1codeBinding
time0..1dateTime
partyI0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)
custodianΣ I0..1Reference(Organization)
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
code1..1codeBinding
targetIdentifierIdentifier
targetReferenceReference(Composition)
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
codeΣ0..*CodeableConcept
periodΣ I0..1Period
detailΣ I0..*Reference(Resource)
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
titleS0..1string
codeS0..1CodeableConcept
authorS I0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)
focusI0..1Reference(Resource)
textS I0..1Narrative
mode0..1codeBinding
orderedBy0..1CodeableConceptBinding
entryS I1..*Reference(Resource)
emptyReasonI0..1CodeableConceptBinding
sectionS I0..*see (section)
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
titleS0..1string
codeS0..1CodeableConcept
authorS I0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)
focusI0..1Reference(Resource)
textS I0..1Narrative
mode0..1codeBinding
orderedBy0..1CodeableConceptBinding
entryS I1..*Reference(MII_PR_Bildgebung_Radiologischer_Befund)
emptyReasonI0..1CodeableConceptBinding
sectionS I0..*see (section)

Dieses Profil bietet die Möglichkeit, den Befundbericht in einer semi-strukturierten Weise abzubilden. Es dient damit als Ergänzung zum eigentlichen Befundbericht

FeldnameKurzbeschreibung
Composition.id
Composition.meta
Composition.meta.source
Composition.meta.profile
Composition.statusStatus
Composition.typeKompositionstyp
Composition.subjectPerson
Composition.dateErstellungsdatum
Composition.authorAutor
Composition.titleTitel
Composition.sectionBefundabschnitt
Composition.section.titleBefundabschnittstitel
Composition.section.codeAbschnitttyp
Composition.section.authorAbschnittsautor
Composition.section.textAbschnitttext
Composition.section.entryAbschnittseintrag
Composition.section.sectionweiterer Abschnitt
Composition.section:diagRep.title
Composition.section:diagRep.code
Composition.section:diagRep.author
Composition.section:diagRep.text
Composition.section:diagRep.entry
Composition.section:diagRep.section
<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="mii-pr-bildgebung-semistrukt-befundbericht" />
    <extension url="https://www.medizininformatik-initiative.de/fhir/modul-meta/StructureDefinition/mii-ex-meta-license-codeable">
        <valueCodeableConcept>
            <coding>
                <system value="http://hl7.org/fhir/spdx-license" />
                <code value="CC-BY-4.0" />
                <display value="Creative Commons Attribution 4.0 International" />
            </coding>
        </valueCodeableConcept>
    </extension>
    <url value="https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-pr-bildgebung-semistrukt-befundbericht" />
    <version value="2025.0.0" />
    <name value="MII_PR_Bildgebung_Semistrukt_Befundbericht">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
                <valueCode value="en-US" />
            </extension>
            <extension url="content">
                <valueString value="MII_PR_Imaging_Composition" />
            </extension>
        </extension>
    </name>
    <title value="MII PR Bildgebung Semistrukturierter Befundbericht">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
                <valueCode value="en-US" />
            </extension>
            <extension url="content">
                <valueString value="MII PR Imaging Composition" />
            </extension>
        </extension>
    </title>
    <status value="active" />
    <date value="2025-01-01" />
    <publisher value="Medizininformatik Initiative" />
    <contact>
        <telecom>
            <system value="url" />
            <value value="https://www.medizininformatik-initiative.de" />
        </telecom>
    </contact>
    <description value="Dieses Profil bietet die M&#246;glichkeit, den Befundbericht in einer semi-strukturierten Weise abzubilden. Es dient damit als Erg&#228;nzung zum eigentlichen Befundbericht">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
                <valueCode value="en-US" />
            </extension>
            <extension url="content">
                <valueString value="The profile describes a semistructured report. It is an addition for the main medical report." />
            </extension>
        </extension>
    </description>
    <fhirVersion value="4.0.1" />
    <kind value="resource" />
    <abstract value="false" />
    <type value="Composition" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Composition" />
    <derivation value="constraint" />
    <differential>
        <element id="Composition.id">
            <path value="Composition.id" />
            <mustSupport value="true" />
        </element>
        <element id="Composition.meta">
            <path value="Composition.meta" />
            <mustSupport value="true" />
        </element>
        <element id="Composition.meta.source">
            <path value="Composition.meta.source" />
            <mustSupport value="true" />
        </element>
        <element id="Composition.meta.profile">
            <path value="Composition.meta.profile" />
            <mustSupport value="true" />
        </element>
        <element id="Composition.status">
            <path value="Composition.status" />
            <short value="Status">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Status" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="status" />
                    </extension>
                </extension>
            </short>
            <definition value="vorl&#228;ufig | eng&#252;ltig | ge&#228;ndert | fehlerhafte Eingabe">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="vorl&#228;ufig | eng&#252;ltig | ge&#228;ndert | fehlerhafte Eingabe" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="preliminary | final | amended | entered-in-error" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="Composition.type">
            <path value="Composition.type" />
            <short value="Kompositionstyp">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Kompositionstyp" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="compositiontype" />
                    </extension>
                </extension>
            </short>
            <definition value="Typ der Komposition">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Typ der Komposition" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="type of the composition" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="Composition.subject">
            <path value="Composition.subject" />
            <short value="Person">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Person" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="person" />
                    </extension>
                </extension>
            </short>
            <definition value="Person, auf die sich die Komposition bezieht">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Person, auf die sich die Komposition bezieht" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="person, which this composition is about" />
                    </extension>
                </extension>
            </definition>
            <min value="1" />
            <type>
                <code value="Reference" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="Composition.date">
            <path value="Composition.date" />
            <short value="Erstellungsdatum">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Erstellungsdatum" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="date" />
                    </extension>
                </extension>
            </short>
            <definition value="Zeitpunkt der Erstellung">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Zeitpunkt der Erstellung" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="date of creation" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="Composition.author">
            <path value="Composition.author" />
            <short value="Autor">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Autor" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="author" />
                    </extension>
                </extension>
            </short>
            <definition value="Autor der Komposition">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Autor der Komposition" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="author of the composition" />
                    </extension>
                </extension>
            </definition>
            <type>
                <code value="Reference" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="Composition.title">
            <path value="Composition.title" />
            <short value="Titel">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Titel" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="title" />
                    </extension>
                </extension>
            </short>
            <definition value="Titel der Komposition">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Titel der Komposition" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="title of this composition" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="Composition.section">
            <path value="Composition.section" />
            <slicing>
                <discriminator>
                    <type value="profile" />
                    <path value="Composition.section.entry.resolve()" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <short value="Befundabschnitt">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Befundabschnitt" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="section" />
                    </extension>
                </extension>
            </short>
            <definition value="1. Abschnitt immer der Befundbericht, 2.-X. Abschnitt k&#246;nnen Beobachtungen oder Freitext sein. Unterteilt in Titel, Code, Autor, Text und Eintrag">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="1. Abschnitt immer der Befundbericht, 2.-X. Abschnitt k&#246;nnen Beobachtungen oder Freitext sein. Unterteilt in Titel, Code, Autor, Text und Eintrag" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="1. section is the report, 2.-X. sections are observations or text. Subdivided in title, code, author, text and entry" />
                    </extension>
                </extension>
            </definition>
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Composition.section.title">
            <path value="Composition.section.title" />
            <short value="Befundabschnittstitel">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Befundabschnittstitel" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="sectiontitle" />
                    </extension>
                </extension>
            </short>
            <definition value="Titel des Befundabschnitt">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Titel des Befundabschnitt" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="section title" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="Composition.section.code">
            <path value="Composition.section.code" />
            <short value="Abschnitttyp">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Abschnitttyp" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="section type" />
                    </extension>
                </extension>
            </short>
            <definition value="Typ des Abschnitts">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Typ des Abschnitts" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="type of section" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="Composition.section.author">
            <path value="Composition.section.author" />
            <short value="Abschnittsautor">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Abschnittsautor" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="section-author" />
                    </extension>
                </extension>
            </short>
            <definition value="Autor des Abschnitts">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Autor des Abschnitts" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="author of this section" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="Composition.section.text">
            <path value="Composition.section.text" />
            <short value="Abschnitttext">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Abschnitttext" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="section text" />
                    </extension>
                </extension>
            </short>
            <definition value="Text im Abschnitt">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Text im Abschnitt" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="text of this section" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="Composition.section.entry">
            <path value="Composition.section.entry" />
            <short value="Abschnittseintrag">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Abschnittseintrag" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="section entry" />
                    </extension>
                </extension>
            </short>
            <definition value="Eintrag in einem Abschnitt">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Eintrag in einem Abschnitt" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="entry of this section" />
                    </extension>
                </extension>
            </definition>
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Composition.section.section">
            <path value="Composition.section.section" />
            <short value="weiterer Abschnitt">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="weiterer Abschnitt" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="additional section" />
                    </extension>
                </extension>
            </short>
            <definition value="weiterer Abschnitt in der Komposition">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="weiterer Abschnitt in der Komposition" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="additional section of this composition" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="Composition.section:diagRep">
            <path value="Composition.section" />
            <sliceName value="diagRep" />
            <min value="1" />
            <max value="1" />
        </element>
        <element id="Composition.section:diagRep.title">
            <path value="Composition.section.title" />
            <mustSupport value="true" />
        </element>
        <element id="Composition.section:diagRep.code">
            <path value="Composition.section.code" />
            <mustSupport value="true" />
        </element>
        <element id="Composition.section:diagRep.author">
            <path value="Composition.section.author" />
            <mustSupport value="true" />
        </element>
        <element id="Composition.section:diagRep.text">
            <path value="Composition.section.text" />
            <mustSupport value="true" />
        </element>
        <element id="Composition.section:diagRep.entry">
            <path value="Composition.section.entry" />
            <min value="1" />
            <type>
                <code value="Reference" />
                <targetProfile value="https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-pr-bildgebung-radiologischer-befund" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="Composition.section:diagRep.section">
            <path value="Composition.section.section" />
            <mustSupport value="true" />
        </element>
    </differential>
</StructureDefinition>
{
    "resourceType": "StructureDefinition",
    "id": "mii-pr-bildgebung-semistrukt-befundbericht",
    "extension":  [
        {
            "url": "https://www.medizininformatik-initiative.de/fhir/modul-meta/StructureDefinition/mii-ex-meta-license-codeable",
            "valueCodeableConcept": {
                "coding":  [
                    {
                        "code": "CC-BY-4.0",
                        "system": "http://hl7.org/fhir/spdx-license",
                        "display": "Creative Commons Attribution 4.0 International"
                    }
                ]
            }
        }
    ],
    "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-pr-bildgebung-semistrukt-befundbericht",
    "version": "2025.0.0",
    "name": "MII_PR_Bildgebung_Semistrukt_Befundbericht",
    "_name": {
        "extension":  [
            {
                "url": "http://hl7.org/fhir/StructureDefinition/translation",
                "extension":  [
                    {
                        "url": "lang",
                        "valueCode": "en-US"
                    },
                    {
                        "url": "content",
                        "valueString": "MII_PR_Imaging_Composition"
                    }
                ]
            }
        ]
    },
    "title": "MII PR Bildgebung Semistrukturierter Befundbericht",
    "_title": {
        "extension":  [
            {
                "url": "http://hl7.org/fhir/StructureDefinition/translation",
                "extension":  [
                    {
                        "url": "lang",
                        "valueCode": "en-US"
                    },
                    {
                        "url": "content",
                        "valueString": "MII PR Imaging Composition"
                    }
                ]
            }
        ]
    },
    "status": "active",
    "date": "2025-01-01",
    "publisher": "Medizininformatik Initiative",
    "contact":  [
        {
            "telecom":  [
                {
                    "system": "url",
                    "value": "https://www.medizininformatik-initiative.de"
                }
            ]
        }
    ],
    "description": "Dieses Profil bietet die Möglichkeit, den Befundbericht in einer semi-strukturierten Weise abzubilden. Es dient damit als Ergänzung zum eigentlichen Befundbericht",
    "_description": {
        "extension":  [
            {
                "url": "http://hl7.org/fhir/StructureDefinition/translation",
                "extension":  [
                    {
                        "url": "lang",
                        "valueCode": "en-US"
                    },
                    {
                        "url": "content",
                        "valueString": "The profile describes a semistructured report. It is an addition for the main medical report."
                    }
                ]
            }
        ]
    },
    "fhirVersion": "4.0.1",
    "kind": "resource",
    "abstract": false,
    "type": "Composition",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Composition",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Composition.id",
                "path": "Composition.id",
                "mustSupport": true
            },
            {
                "id": "Composition.meta",
                "path": "Composition.meta",
                "mustSupport": true
            },
            {
                "id": "Composition.meta.source",
                "path": "Composition.meta.source",
                "mustSupport": true
            },
            {
                "id": "Composition.meta.profile",
                "path": "Composition.meta.profile",
                "mustSupport": true
            },
            {
                "id": "Composition.status",
                "path": "Composition.status",
                "short": "Status",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Status"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "status"
                                }
                            ]
                        }
                    ]
                },
                "definition": "vorläufig | engültig | geändert | fehlerhafte Eingabe",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "vorläufig | engültig | geändert | fehlerhafte Eingabe"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "preliminary | final | amended | entered-in-error"
                                }
                            ]
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "Composition.type",
                "path": "Composition.type",
                "short": "Kompositionstyp",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Kompositionstyp"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "compositiontype"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Typ der Komposition",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Typ der Komposition"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "type of the composition"
                                }
                            ]
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "Composition.subject",
                "path": "Composition.subject",
                "short": "Person",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Person"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "person"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Person, auf die sich die Komposition bezieht",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Person, auf die sich die Komposition bezieht"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "person, which this composition is about"
                                }
                            ]
                        }
                    ]
                },
                "min": 1,
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "http://hl7.org/fhir/StructureDefinition/Patient"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "Composition.date",
                "path": "Composition.date",
                "short": "Erstellungsdatum",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Erstellungsdatum"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "date"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Zeitpunkt der Erstellung",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Zeitpunkt der Erstellung"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "date of creation"
                                }
                            ]
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "Composition.author",
                "path": "Composition.author",
                "short": "Autor",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Autor"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "author"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Autor der Komposition",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Autor der Komposition"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "author of the composition"
                                }
                            ]
                        }
                    ]
                },
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "http://hl7.org/fhir/StructureDefinition/Practitioner"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "Composition.title",
                "path": "Composition.title",
                "short": "Titel",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Titel"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "title"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Titel der Komposition",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Titel der Komposition"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "title of this composition"
                                }
                            ]
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "Composition.section",
                "path": "Composition.section",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "profile",
                            "path": "Composition.section.entry.resolve()"
                        }
                    ],
                    "rules": "open"
                },
                "short": "Befundabschnitt",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Befundabschnitt"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "section"
                                }
                            ]
                        }
                    ]
                },
                "definition": "1. Abschnitt immer der Befundbericht, 2.-X. Abschnitt können Beobachtungen oder Freitext sein. Unterteilt in Titel, Code, Autor, Text und Eintrag",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "1. Abschnitt immer der Befundbericht, 2.-X. Abschnitt können Beobachtungen oder Freitext sein. Unterteilt in Titel, Code, Autor, Text und Eintrag"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "1. section is the report, 2.-X. sections are observations or text. Subdivided in title, code, author, text and entry"
                                }
                            ]
                        }
                    ]
                },
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Composition.section.title",
                "path": "Composition.section.title",
                "short": "Befundabschnittstitel",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Befundabschnittstitel"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "sectiontitle"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Titel des Befundabschnitt",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Titel des Befundabschnitt"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "section title"
                                }
                            ]
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "Composition.section.code",
                "path": "Composition.section.code",
                "short": "Abschnitttyp",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Abschnitttyp"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "section type"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Typ des Abschnitts",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Typ des Abschnitts"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "type of section"
                                }
                            ]
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "Composition.section.author",
                "path": "Composition.section.author",
                "short": "Abschnittsautor",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Abschnittsautor"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "section-author"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Autor des Abschnitts",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Autor des Abschnitts"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "author of this section"
                                }
                            ]
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "Composition.section.text",
                "path": "Composition.section.text",
                "short": "Abschnitttext",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Abschnitttext"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "section text"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Text im Abschnitt",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Text im Abschnitt"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "text of this section"
                                }
                            ]
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "Composition.section.entry",
                "path": "Composition.section.entry",
                "short": "Abschnittseintrag",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Abschnittseintrag"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "section entry"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Eintrag in einem Abschnitt",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Eintrag in einem Abschnitt"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "entry of this section"
                                }
                            ]
                        }
                    ]
                },
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Composition.section.section",
                "path": "Composition.section.section",
                "short": "weiterer Abschnitt",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "weiterer Abschnitt"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "additional section"
                                }
                            ]
                        }
                    ]
                },
                "definition": "weiterer Abschnitt in der Komposition",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "weiterer Abschnitt in der Komposition"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "additional section of this composition"
                                }
                            ]
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "Composition.section:diagRep",
                "path": "Composition.section",
                "sliceName": "diagRep",
                "min": 1,
                "max": "1"
            },
            {
                "id": "Composition.section:diagRep.title",
                "path": "Composition.section.title",
                "mustSupport": true
            },
            {
                "id": "Composition.section:diagRep.code",
                "path": "Composition.section.code",
                "mustSupport": true
            },
            {
                "id": "Composition.section:diagRep.author",
                "path": "Composition.section.author",
                "mustSupport": true
            },
            {
                "id": "Composition.section:diagRep.text",
                "path": "Composition.section.text",
                "mustSupport": true
            },
            {
                "id": "Composition.section:diagRep.entry",
                "path": "Composition.section.entry",
                "min": 1,
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-pr-bildgebung-radiologischer-befund"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "Composition.section:diagRep.section",
                "path": "Composition.section.section",
                "mustSupport": true
            }
        ]
    }
}

FHIRDatensatzErklaerung
CompositionBildgebung.SemistrukturiertesBefunddokument

Abbildung des Befunds über generische Composition.

Composition.statusBildgebung.SemistrukturiertesBefunddokument.Status

Status des semistrukturierten Befundberichts.

Composition.typeBildgebung.SemistrukturiertesBefunddokument.Typ

bestimmte Dokumentenart in LOINC codiert.

Composition.subjectBildgebung.SemistrukturiertesBefunddokument.Person

Person, auf die sich das Dokument bezieht. Hier sollte das MII KDS-Profil Person referenziert werden.

Composition.dateBildgebung.SemistrukturiertesBefunddokument.DatumUhrzeit

Datum und Uhrzeit der Bearbeitung

Composition.authorBildgebung.SemistrukturiertesBefunddokument.Autor

Referenz auf den Autor der Beschreibung.

Composition.titleBildgebung.SemistrukturiertesBefunddokument.Titel

Titel des Befunddokuments

Composition.sectionBildgebung.SemistrukturiertesBefunddokument.Befundabschnitt

Befundabschnitt des semistrukturierten Befunddokuments. Der erste Abschnitt ist immer ein Befundbericht. Alle weiteren Abschnitte können Freitext oder codierte Beobachtungen sein.

Composition.section.titleBildgebung.SemistrukturiertesBefunddokument.Befundabschnitt.Titel

Titel des Befundabschnitts.

Composition.section.codeBildgebung.SemistrukturiertesBefunddokument.Befundabschnitt.Art

Art des Befundabschnitts.

Composition.section.authorBildgebung.SemistrukturiertesBefunddokument.Befundabschnitt.Autor

Autor des jeweiligen Befundabschnitts. Kann auch von einer KI generiert werden.

Composition.section.textBildgebung.SemistrukturiertesBefunddokument.Befundabschnitt.Text

Textueller Inhalt des Befundabschnitts.

Composition.section.entryBildgebung.SemistrukturiertesBefunddokument.Befundabschnitt.Eintrag

Referenz auf eine Observation, die zum Eintrag des Befundabschnitts gehört.

Composition.section.sectionBildgebung.SemistrukturiertesBefunddokument.Befundabschnitt.Unterabschnitt

Referenz auf einen weiteren Unterabschnitt.


Suchparameter

Folgende Suchparameter sind für das Modul Bildgebung relevant, auch in Kombination:

NameDefinitionTypeExpectation
_idhttp://hl7.org/fhir/SearchParameter/Resource-idtokenSHALL
_lastUpdatedhttp://hl7.org/fhir/SearchParameter/Resource-lastUpdateddateSHALL
_profilehttp://hl7.org/fhir/SearchParameter/Resource-profileuriSHALL
_sourcehttp://hl7.org/fhir/SearchParameter/Resource-sourceuriSHALL
statushttp://hl7.org/fhir/SearchParameter/Composition-statustokenSHALL
typehttp://hl7.org/fhir/SearchParameter/clinical-typetokenSHALL
patienthttp://hl7.org/fhir/SearchParameter/clinical-patientreferenceSHALL
datehttp://hl7.org/fhir/SearchParameter/clinical-datedateSHALL
authorhttp://hl7.org/fhir/SearchParameter/Composition-authorreferenceSHALL
titlehttp://hl7.org/fhir/SearchParameter/Composition-titlestringSHALL
section-titlehttps://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-composition-section-titlestringSHALL
sectionhttp://hl7.org/fhir/SearchParameter/Composition-sectiontokenSHALL
section-authorhttps://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-composition-section-authorreferenceSHALL
entryhttp://hl7.org/fhir/SearchParameter/Composition-entryreferenceSHALL

Beispiele

Beispiel einer Composition-Ressource zur Darstellung des Befunds in verschiedenen Abschnitten. Dies bietet die Möglichkeit den Befund nicht nur als Freitext- oder strukturierter Form, sondern auch in semi-strukturierter Form kapitelweise darzustellen.

{
    "resourceType": "Composition",
    "id": "mii-exa-bildgebung-semistrukt-befundbericht",
    "meta": {
        "profile":  [
            "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-pr-bildgebung-semistrukt-befundbericht"
        ]
    },
    "status": "final",
    "type": {
        "coding":  [
            {
                "code": "24604-1",
                "system": "http://loinc.org",
                "display": "MG Breast Diagnostics Limited View"
            }
        ]
    },
    "subject": {
        "reference": "Patient/PatExample"
    },
    "date": "2024-07-19T12:03:30+02:00",
    "author":  [
        {
            "reference": "Practitioner/PracExample1"
        }
    ],
    "title": "Mammographic Report",
    "section":  [
        {
            "title": "Left Breast",
            "code": {
                "coding":  [
                    {
                        "code": "66110-8",
                        "system": "http://loinc.org",
                        "display": "Breast Pathology biopsy report"
                    }
                ]
            },
            "author":  [
                {
                    "reference": "Practitioner/PracExample2"
                }
            ],
            "entry":  [
                {
                    "reference": "DiagnosticReport/mii-exa-bildgebung-radiologischer-Befund"
                }
            ],
            "section":  [
                {
                    "entry":  [
                        {
                            "reference": "Observation/mii-exa-bildgebung-radiologische-beobachtung"
                        }
                    ]
                }
            ]
        }
    ]
}