{
  "resourceType": "StructureDefinition",
  "id": "610",
  "meta": {
    "lastUpdated": "2018-03-11T14:42:43.454+00:00"
  },
  "url": "http://fhir.de/StructureDefinition/medikationsplanplus/composition",
  "name": "medikationsplanplus-composition",
  "status": "draft",
  "date": "2017-08-05T11:51:24.084+00:00",
  "fhirVersion": "3.0.1",
  "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.profile",
        "path": "Composition.meta.profile",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.language",
        "path": "Composition.language",
        "mustSupport": true
      },
      {
        "id": "Composition.identifier",
        "path": "Composition.identifier",
        "definition": "Eindeutiger Identifier des Medikationsplans",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.identifier.system",
        "path": "Composition.identifier.system",
        "short": "Namensraum",
        "definition": "Namensraum des Identifiert",
        "comment": "eindeutiger Namensraum des Erzeugers des Medikationsplans,\r\nz.B.: http://meine-organisation.de/NamingSystem/medikationsplan-id",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.identifier.value",
        "path": "Composition.identifier.value",
        "short": "eindeutige ID",
        "definition": "eindeutige (systeminterne) ID des Medikationsplans",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.status",
        "path": "Composition.status",
        "fixedCode": "final",
        "mustSupport": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "CompositionStatus"
            }
          ],
          "strength": "required",
          "valueSetUri": "http://hl7.org/fhir/ValueSet/composition-status"
        }
      },
      {
        "id": "Composition.type",
        "path": "Composition.type",
        "comment": "ToDo: Ist X_PMR hier der richtige LOINC-Code!?",
        "mustSupport": true
      },
      {
        "id": "Composition.type.coding",
        "path": "Composition.type.coding",
        "mustSupport": true
      },
      {
        "id": "Composition.type.coding.system",
        "path": "Composition.type.coding.system",
        "min": 1,
        "fixedUri": "http://loinc.org",
        "mustSupport": true
      },
      {
        "id": "Composition.type.coding.code",
        "path": "Composition.type.coding.code",
        "min": 1,
        "fixedCode": "77603-9",
        "mustSupport": true
      },
      {
        "id": "Composition.type.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Composition.type.coding.display",
        "mustSupport": true
      },
      {
        "id": "Composition.subject",
        "path": "Composition.subject",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://fhir.de/StructureDefinition/medikationsplanplus/patient"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.subject.reference",
        "path": "Composition.subject.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.encounter",
        "path": "Composition.encounter",
        "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.",
        "max": "0"
      },
      {
        "id": "Composition.date",
        "path": "Composition.date",
        "mustSupport": true
      },
      {
        "id": "Composition.author",
        "path": "Composition.author",
        "comment": "ToDo: Kardinalität der Section klären",
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://fhir.de/StructureDefinition/medikationsplanplus/practitioner"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.author.reference",
        "path": "Composition.author.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.title",
        "path": "Composition.title",
        "mustSupport": true
      },
      {
        "id": "Composition.attester",
        "path": "Composition.attester",
        "max": "0"
      },
      {
        "id": "Composition.custodian",
        "path": "Composition.custodian",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "identifier"
            }
          ],
          "rules": "closed"
        }
      },
      {
        "id": "Composition.custodian:Apotheke",
        "path": "Composition.custodian",
        "sliceName": "Apotheke",
        "mustSupport": true
      },
      {
        "id": "Composition.custodian:Apotheke.identifier",
        "path": "Composition.custodian.identifier",
        "min": 1,
        "patternIdentifier": {
          "system": "http://fhir.de/NamingSystem/bfarm/btmnr"
        }
      },
      {
        "id": "Composition.custodian:Praxis",
        "path": "Composition.custodian",
        "sliceName": "Praxis",
        "mustSupport": true
      },
      {
        "id": "Composition.custodian:Praxis.identifier",
        "path": "Composition.custodian.identifier",
        "min": 1,
        "patternIdentifier": {
          "system": "http://fhir.de/NamingSystem/kbv/bsnr"
        }
      },
      {
        "id": "Composition.relatesTo",
        "path": "Composition.relatesTo",
        "max": "0"
      },
      {
        "id": "Composition.event",
        "path": "Composition.event",
        "max": "0"
      },
      {
        "id": "Composition.section",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Section"
          }
        ],
        "path": "Composition.section",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "code.coding.code"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "mustSupport": true
      },
      {
        "id": "Composition.section:medikationsplanSection",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Section"
          }
        ],
        "path": "Composition.section",
        "sliceName": "medikationsplanSection",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.section:medikationsplanSection.title",
        "path": "Composition.section.title",
        "fixedString": "aktuelle Medikation",
        "mustSupport": true
      },
      {
        "id": "Composition.section:medikationsplanSection.code",
        "path": "Composition.section.code",
        "mustSupport": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "CompositionSectionType"
            }
          ],
          "strength": "required",
          "valueSetUri": "http://fhir.de/ValueSet/medikationsplanplus/sectioncodes"
        }
      },
      {
        "id": "Composition.section:medikationsplanSection.code.coding",
        "path": "Composition.section.code.coding",
        "mustSupport": true
      },
      {
        "id": "Composition.section:medikationsplanSection.code.coding.system",
        "path": "Composition.section.code.coding.system",
        "min": 1,
        "fixedUri": "http://loinc.org",
        "mustSupport": true
      },
      {
        "id": "Composition.section:medikationsplanSection.code.coding.code",
        "path": "Composition.section.code.coding.code",
        "min": 1,
        "fixedCode": "19009-0",
        "mustSupport": true
      },
      {
        "id": "Composition.section:medikationsplanSection.code.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Composition.section.code.coding.display",
        "mustSupport": true
      },
      {
        "id": "Composition.section:medikationsplanSection.mode",
        "path": "Composition.section.mode",
        "max": "0"
      },
      {
        "id": "Composition.section:medikationsplanSection.orderedBy",
        "path": "Composition.section.orderedBy",
        "max": "0"
      },
      {
        "id": "Composition.section:medikationsplanSection.entry",
        "path": "Composition.section.entry",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://fhir.de/StructureDefinition/medikationsplanplus/medicationstatementlist"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.section:medikationsplanSection.entry.reference",
        "path": "Composition.section.entry.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:medikationsplanSection.emptyReason",
        "path": "Composition.section.emptyReason",
        "max": "0"
      },
      {
        "id": "Composition.section:medikationsplanSection.section",
        "path": "Composition.section.section",
        "max": "0"
      },
      {
        "id": "Composition.section:allergienSection",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Section"
          }
        ],
        "path": "Composition.section",
        "sliceName": "allergienSection",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.section:allergienSection.title",
        "path": "Composition.section.title",
        "mustSupport": true
      },
      {
        "id": "Composition.section:allergienSection.code",
        "path": "Composition.section.code",
        "mustSupport": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "CompositionSectionType"
            }
          ],
          "strength": "required",
          "valueSetUri": "http://fhir.de/ValueSet/medikationsplanplus/sectioncodes"
        }
      },
      {
        "id": "Composition.section:allergienSection.code.coding",
        "path": "Composition.section.code.coding",
        "mustSupport": true
      },
      {
        "id": "Composition.section:allergienSection.code.coding.system",
        "path": "Composition.section.code.coding.system",
        "min": 1,
        "fixedUri": "http://loinc.org",
        "mustSupport": true
      },
      {
        "id": "Composition.section:allergienSection.code.coding.code",
        "path": "Composition.section.code.coding.code",
        "min": 1,
        "fixedCode": "48765-2",
        "mustSupport": true
      },
      {
        "id": "Composition.section:allergienSection.code.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Composition.section.code.coding.display",
        "mustSupport": true
      },
      {
        "id": "Composition.section:allergienSection.mode",
        "path": "Composition.section.mode",
        "max": "0"
      },
      {
        "id": "Composition.section:allergienSection.orderedBy",
        "path": "Composition.section.orderedBy",
        "max": "0"
      },
      {
        "id": "Composition.section:allergienSection.entry",
        "path": "Composition.section.entry",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": "allergyintolerance-de-medikationsplanplus"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.section:allergienSection.entry.reference",
        "path": "Composition.section.entry.reference",
        "mustSupport": true
      },
      {
        "id": "Composition.section:allergienSection.emptyReason",
        "path": "Composition.section.emptyReason",
        "max": "0"
      },
      {
        "id": "Composition.section:allergienSection.section",
        "path": "Composition.section.section",
        "max": "0"
      },
      {
        "id": "Composition.section:gesundheitsBelange",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Section"
          }
        ],
        "path": "Composition.section",
        "sliceName": "gesundheitsBelange",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.section:gesundheitsBelange.title",
        "path": "Composition.section.title",
        "mustSupport": true
      },
      {
        "id": "Composition.section:gesundheitsBelange.code",
        "path": "Composition.section.code",
        "mustSupport": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "CompositionSectionType"
            }
          ],
          "strength": "required",
          "valueSetUri": "http://fhir.de/ValueSet/medikationsplanplus/sectioncodes"
        }
      },
      {
        "id": "Composition.section:gesundheitsBelange.code.coding",
        "path": "Composition.section.code.coding",
        "mustSupport": true
      },
      {
        "id": "Composition.section:gesundheitsBelange.code.coding.system",
        "path": "Composition.section.code.coding.system",
        "min": 1,
        "fixedUri": "http://loinc.org",
        "mustSupport": true
      },
      {
        "id": "Composition.section:gesundheitsBelange.code.coding.code",
        "path": "Composition.section.code.coding.code",
        "min": 1,
        "fixedCode": "75310-3",
        "mustSupport": true
      },
      {
        "id": "Composition.section:gesundheitsBelange.code.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Composition.section.code.coding.display",
        "mustSupport": true
      },
      {
        "id": "Composition.section:gesundheitsBelange.mode",
        "path": "Composition.section.mode",
        "max": "0"
      },
      {
        "id": "Composition.section:gesundheitsBelange.orderedBy",
        "path": "Composition.section.orderedBy",
        "max": "0"
      },
      {
        "id": "Composition.section:gesundheitsBelange.entry",
        "path": "Composition.section.entry",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "reference"
            }
          ],
          "rules": "closed"
        }
      },
      {
        "id": "Composition.section:gesundheitsBelange.entry:schwangerschaft",
        "path": "Composition.section.entry",
        "sliceName": "schwangerschaft",
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://fhir.de/StructureDefinition/medikationsplanplus/observation-pregnancystatus"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.section:gesundheitsBelange.entry:schwangerschaft.reference",
        "path": "Composition.section.entry.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:gesundheitsBelange.entry:stillzeit",
        "path": "Composition.section.entry",
        "sliceName": "stillzeit",
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://fhir.de/StructureDefinition/medikationsplanplus/observation-breastfeeding"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.section:gesundheitsBelange.entry:stillzeit.reference",
        "path": "Composition.section.entry.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:gesundheitsBelange.emptyReason",
        "path": "Composition.section.emptyReason",
        "max": "0"
      },
      {
        "id": "Composition.section:gesundheitsBelange.section",
        "path": "Composition.section.section",
        "max": "0"
      },
      {
        "id": "Composition.section:klinischeParameter",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Section"
          }
        ],
        "path": "Composition.section",
        "sliceName": "klinischeParameter",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Composition.section:klinischeParameter.title",
        "path": "Composition.section.title",
        "fixedString": "Klinische Parameter",
        "mustSupport": true
      },
      {
        "id": "Composition.section:klinischeParameter.code",
        "path": "Composition.section.code",
        "definition": "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
        "mustSupport": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "CompositionSectionType"
            }
          ],
          "strength": "required",
          "valueSetUri": "http://fhir.de/ValueSet/medikationsplanplus/sectioncodes"
        }
      },
      {
        "id": "Composition.section:klinischeParameter.code.coding",
        "path": "Composition.section.code.coding",
        "mustSupport": true
      },
      {
        "id": "Composition.section:klinischeParameter.code.coding.system",
        "path": "Composition.section.code.coding.system",
        "min": 1,
        "fixedUri": "http://loinc.org"
      },
      {
        "id": "Composition.section:klinischeParameter.code.coding.code",
        "path": "Composition.section.code.coding.code",
        "min": 1,
        "fixedCode": "55752-0",
        "mustSupport": true
      },
      {
        "id": "Composition.section:klinischeParameter.code.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Composition.section.code.coding.display",
        "mustSupport": true
      },
      {
        "id": "Composition.section:klinischeParameter.mode",
        "path": "Composition.section.mode",
        "max": "0"
      },
      {
        "id": "Composition.section:klinischeParameter.orderedBy",
        "path": "Composition.section.orderedBy",
        "max": "0"
      },
      {
        "id": "Composition.section:klinischeParameter.entry",
        "path": "Composition.section.entry",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "reference"
            }
          ],
          "rules": "closed"
        },
        "min": 1,
        "max": "3"
      },
      {
        "id": "Composition.section:klinischeParameter.entry:gewicht",
        "path": "Composition.section.entry",
        "sliceName": "gewicht",
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://fhir.de/StructureDefinition/medikationsplanplus/observation-bodyweight"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.section:klinischeParameter.entry:gewicht.reference",
        "path": "Composition.section.entry.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:klinischeParameter.entry:groesse",
        "path": "Composition.section.entry",
        "sliceName": "groesse",
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://fhir.de/StructureDefinition/medikationsplanplus/observation-bodyheight"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.section:klinischeParameter.entry:groesse.reference",
        "path": "Composition.section.entry.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:klinischeParameter.entry:creatinin",
        "path": "Composition.section.entry",
        "sliceName": "creatinin",
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://fhir.de/StructureDefinition/medikationsplanplus/observation-creatinine"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Composition.section:klinischeParameter.entry:creatinin.reference",
        "path": "Composition.section.entry.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Composition.section:klinischeParameter.emptyReason",
        "path": "Composition.section.emptyReason",
        "max": "0"
      },
      {
        "id": "Composition.section:klinischeParameter.section",
        "path": "Composition.section.section",
        "max": "0"
      },
      {
        "id": "Composition.section:einverstaendnisSection",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "Section"
          }
        ],
        "path": "Composition.section",
        "sliceName": "einverstaendnisSection",
        "comment": "Entry noch nicht spezifiziert",
        "max": "0",
        "mustSupport": true
      },
      {
        "id": "Composition.section:einverstaendnisSection.code",
        "path": "Composition.section.code",
        "mustSupport": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "CompositionSectionType"
            }
          ],
          "strength": "example",
          "valueSetUri": "http://hl7.org/fhir/ValueSet/doc-section-codes"
        }
      },
      {
        "id": "Composition.section:einverstaendnisSection.code.coding",
        "path": "Composition.section.code.coding",
        "mustSupport": true
      },
      {
        "id": "Composition.section:einverstaendnisSection.code.coding.system",
        "path": "Composition.section.code.coding.system",
        "min": 1,
        "fixedUri": "http://loinc.org",
        "mustSupport": true
      },
      {
        "id": "Composition.section:einverstaendnisSection.code.coding.code",
        "path": "Composition.section.code.coding.code",
        "min": 1,
        "fixedCode": "64292-6",
        "mustSupport": true
      },
      {
        "id": "Composition.section:einverstaendnisSection.code.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Composition.section.code.coding.display",
        "mustSupport": true
      },
      {
        "id": "Composition.section:einverstaendnisSection.mode",
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