<status value="draft" /> <date value="2025-10-01" /> <publisher value="Kassenärztliche Bundesvereinigung" /> <description value="Über diese Composition werden beim Aufruf der Verordnungssoftware der Aufrufkontext sowie die für die entsprechende Verordnungsfunktion notwendigen Ressourcen als Referenzen übergeben" /> <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"> <path value="Composition" /> <short value="Aufrufkontext und Ressourcen" /> <definition value="Aufrufkontext und Zusammenstellung der Referenzen auf die zum Aufruf der Verordnungsfunktion notwendigen Ressourcen" /> </element> <element id="Composition.id"> <path value="Composition.id" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Composition.meta"> <path value="Composition.meta" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Composition.meta.source"> <path value="Composition.meta.source" /> <max value="0" /> </element> <element id="Composition.meta.profile"> <path value="Composition.meta.profile" /> <slicing> <discriminator> <type value="value" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> <min value="1" /> <mustSupport value="true" /> </element> <element id="Composition.meta.profile:vosProfile"> <path value="Composition.meta.profile" /> <sliceName value="vosProfile" /> <min value="1" /> <max value="1" /> <fixedCanonical value="https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_Composition|2.2.0" /> <mustSupport value="true" /> </element> <element id="Composition.meta.security"> <path value="Composition.meta.security" /> <max value="0" /> </element> <element id="Composition.meta.tag"> <path value="Composition.meta.tag" /> <max value="0" /> </element> <element id="Composition.implicitRules"> <path value="Composition.implicitRules" /> <max value="0" /> </element> <element id="Composition.language"> <path value="Composition.language" /> <max value="0" /> </element> <element id="Composition.contained"> <path value="Composition.contained" /> <max value="0" /> </element> <element id="Composition.extension"> <path value="Composition.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="closed" /> </slicing> <min value="1" /> <max value="5" /> </element> <element id="Composition.extension:PKV-Tarif"> <path value="Composition.extension" /> <sliceName value="PKV-Tarif" /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="https://fhir.kbv.de/StructureDefinition/KBV_EX_FOR_PKV_Tariff" /> </type> <mustSupport value="true" /> </element> <element id="Composition.extension:PKV-Tarif.extension"> <path value="Composition.extension.extension" /> <max value="0" /> </element> <element id="Composition.extension:PKV-Tarif.value[x]"> <path value="Composition.extension.value[x]" /> <mustSupport value="true" /> </element> <element id="Composition.extension:PKV-Tarif.value[x]:valueCoding"> <path value="Composition.extension.value[x]" /> <sliceName value="valueCoding" /> <type> <code value="Coding" /> </type> <mustSupport value="true" /> </element> <element id="Composition.extension:PKV-Tarif.value[x]:valueCoding.system"> <path value="Composition.extension.value[x].system" /> <mustSupport value="true" /> </element> <element id="Composition.extension:PKV-Tarif.value[x]:valueCoding.code"> <path value="Composition.extension.value[x].code" /> <mustSupport value="true" /> </element> <element id="Composition.extension:rechtsgrundlage"> <path value="Composition.extension" /> <sliceName value="rechtsgrundlage" /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="https://fhir.kbv.de/StructureDefinition/KBV_EX_FOR_Legal_basis" /> </type> <mustSupport value="true" /> </element> <element id="Composition.extension:rechtsgrundlage.extension"> <path value="Composition.extension.extension" /> <max value="0" /> </element> <element id="Composition.extension:rechtsgrundlage.value[x]"> <path value="Composition.extension.value[x]" /> <mustSupport value="true" /> </element> <element id="Composition.extension:rechtsgrundlage.value[x]:valueCoding"> <path value="Composition.extension.value[x]" /> <sliceName value="valueCoding" /> <type> <code value="Coding" /> </type> <mustSupport value="true" /> </element> <element id="Composition.extension:Aufrufkontext"> <path value="Composition.extension" /> <sliceName value="Aufrufkontext" /> <min value="1" /> <max value="1" /> <type> <code value="Extension" /> <profile value="https://fhir.kbv.de/StructureDefinition/KBV_EX_VoS_StartUp_Context" /> </type> <mustSupport value="true" /> </element> <element id="Composition.extension:Aufrufkontext.value[x]"> <path value="Composition.extension.value[x]" /> <mustSupport value="true" /> </element> <element id="Composition.extension:Aufrufkontext.value[x]:valueCodeableConcept"> <path value="Composition.extension.value[x]" /> <sliceName value="valueCodeableConcept" /> <type> <code value="CodeableConcept" /> </type> <mustSupport value="true" /> </element> <element id="Composition.extension:Aufrufkontext.value[x]:valueCodeableConcept.coding"> <path value="Composition.extension.value[x].coding" /> <mustSupport value="true" /> </element> <element id="Composition.extension:Aufrufkontext.value[x]:valueCodeableConcept.coding.system"> <path value="Composition.extension.value[x].coding.system" /> <mustSupport value="true" /> </element> <element id="Composition.extension:Aufrufkontext.value[x]:valueCodeableConcept.coding.code"> <path value="Composition.extension.value[x].coding.code" /> <mustSupport value="true" /> </element> <element id="Composition.extension:Aufrufkontext.value[x]:valueCodeableConcept.coding.userSelected"> <path value="Composition.extension.value[x].coding.userSelected" /> <max value="0" /> </element> <element id="Composition.extension:SER"> <path value="Composition.extension" /> <sliceName value="SER" /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="https://fhir.kbv.de/StructureDefinition/KBV_EX_FOR_SER" /> </type> <mustSupport value="true" /> </element> <element id="Composition.extension:SER.extension"> <path value="Composition.extension.extension" /> <max value="0" /> </element> <element id="Composition.extension:SER.value[x]"> <path value="Composition.extension.value[x]" /> <mustSupport value="true" /> </element> <element id="Composition.extension:SER.value[x]:valueBoolean"> <path value="Composition.extension.value[x]" /> <sliceName value="valueBoolean" /> <type> <code value="boolean" /> </type> <mustSupport value="true" /> </element> <element id="Composition.extension:Unfallinformationen"> <path value="Composition.extension" /> <sliceName value="Unfallinformationen" /> <definition value="Übergabe von Informationen zu einem (Arbeits-)Unfall vom PVS an die VoS." /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="https://fhir.kbv.de/StructureDefinition/KBV_EX_FOR_Accident" /> </type> <mustSupport value="true" /> </element> <element id="Composition.extension:Unfallinformationen.extension:Unfallkennzeichen"> <path value="Composition.extension.extension" /> <sliceName value="Unfallkennzeichen" /> <mustSupport value="true" /> </element> <element id="Composition.extension:Unfallinformationen.extension:Unfallkennzeichen.extension"> <path value="Composition.extension.extension.extension" /> <max value="0" /> </element> <element id="Composition.extension:Unfallinformationen.extension:Unfallkennzeichen.value[x]"> <path value="Composition.extension.extension.value[x]" /> <mustSupport value="true" /> </element> <element id="Composition.extension:Unfallinformationen.extension:Unfallkennzeichen.value[x]:valueCoding"> <path value="Composition.extension.extension.value[x]" /> <sliceName value="valueCoding" /> <type> <code value="Coding" /> </type> <mustSupport value="true" /> <binding> <strength value="required" /> <valueSet value="https://fhir.kbv.de/ValueSet/KBV_VS_ERP_Accident_Type" /> </binding> </element> <element id="Composition.extension:Unfallinformationen.extension:Unfallkennzeichen.value[x]:valueCoding.system"> <path value="Composition.extension.extension.value[x].system" /> <mustSupport value="true" /> </element> <element id="Composition.extension:Unfallinformationen.extension:Unfallkennzeichen.value[x]:valueCoding.code"> <path value="Composition.extension.extension.value[x].code" /> <mustSupport value="true" /> </element> <element id="Composition.extension:Unfallinformationen.extension:Unfallbetrieb"> <path value="Composition.extension.extension" /> <sliceName value="Unfallbetrieb" /> <mustSupport value="true" /> </element> <element id="Composition.extension:Unfallinformationen.extension:Unfallbetrieb.extension"> <path value="Composition.extension.extension.extension" /> <max value="0" /> </element> <element id="Composition.extension:Unfallinformationen.extension:Unfallbetrieb.value[x]"> <path value="Composition.extension.extension.value[x]" /> <mustSupport value="true" /> </element> <element id="Composition.extension:Unfallinformationen.extension:Unfallbetrieb.value[x]:valueString"> <path value="Composition.extension.extension.value[x]" /> <sliceName value="valueString" /> <type> <code value="string" /> </type> <mustSupport value="true" /> </element> <element id="Composition.extension:Unfallinformationen.extension:Unfalltag"> <path value="Composition.extension.extension" /> <sliceName value="Unfalltag" /> <mustSupport value="true" /> </element> <element id="Composition.extension:Unfallinformationen.extension:Unfalltag.extension"> <path value="Composition.extension.extension.extension" /> <max value="0" /> </element> <element id="Composition.extension:Unfallinformationen.extension:Unfalltag.value[x]"> <path value="Composition.extension.extension.value[x]" /> <mustSupport value="true" /> </element> <element id="Composition.extension:Unfallinformationen.extension:Unfalltag.value[x]:valueDate"> <path value="Composition.extension.extension.value[x]" /> <sliceName value="valueDate" /> <type> <code value="date" /> </type> <mustSupport value="true" /> </element> <element id="Composition.identifier"> <path value="Composition.identifier" /> <max value="0" /> </element> <element id="Composition.status"> <path value="Composition.status" /> <fixedCode value="final" /> <mustSupport value="true" /> </element> <element id="Composition.type"> <path value="Composition.type" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="11503-0" /> </coding> </patternCodeableConcept> <mustSupport value="true" /> </element> <element id="Composition.type.coding"> <path value="Composition.type.coding" /> <min value="1" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Composition.type.coding.system"> <path value="Composition.type.coding.system" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Composition.type.coding.code"> <path value="Composition.type.coding.code" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Composition.category"> <path value="Composition.category" /> <max value="0" /> </element> <element id="Composition.subject"> <path value="Composition.subject" /> <short value="Behandelte Person" /> <definition value="Referenz auf die behandelte Person, wenn diese im Aufruf übertragen wird." /> <type> <code value="Reference" /> <targetProfile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_Patient|2.2.0" /> </type> <mustSupport value="true" /> </element> <element id="Composition.subject.reference"> <path value="Composition.subject.reference" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Composition.subject.type"> <path value="Composition.subject.type" /> <max value="0" /> </element> <element id="Composition.subject.identifier"> <path value="Composition.subject.identifier" /> <max value="0" /> </element> <element id="Composition.subject.display"> <path value="Composition.subject.display" /> <max value="0" /> </element> <element id="Composition.encounter"> <path value="Composition.encounter" /> <max value="0" /> </element> <element id="Composition.date"> <path value="Composition.date" /> <mustSupport value="true" /> </element> <element id="Composition.author"> <path value="Composition.author" /> <slicing> <discriminator> <type value="value" /> <path value="type" /> </discriminator> <rules value="closed" /> </slicing> <short value="Anwender und Pruefnummer des PVS" /> <definition value="Welcher Anwender ruft die VoS mit welchem PVS auf" /> <min value="3" /> <max value="4" /> <mustSupport value="true" /> </element> <element id="Composition.author:Anwender"> <path value="Composition.author" /> <sliceName value="Anwender" /> <short value="PVS-Anwender" /> <definition value="Anwendende Person (BenutzerID), welche aus dem PVS die VoS aufruft." /> <min value="1" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_User|2.2.0" /> <targetProfile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_Practitioner|2.2.0" /> </type> <mustSupport value="true" /> </element> <element id="Composition.author:Anwender.reference"> <path value="Composition.author.reference" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Composition.author:Anwender.type"> <path value="Composition.author.type" /> <min value="1" /> <fixedUri value="Practitioner" /> <mustSupport value="true" /> </element> <element id="Composition.author:Anwender.identifier"> <path value="Composition.author.identifier" /> <max value="0" /> </element> <element id="Composition.author:Anwender.display"> <path value="Composition.author.display" /> <max value="0" /> </element> <element id="Composition.author:PractitionerRolle"> <path value="Composition.author" /> <sliceName value="PractitionerRolle" /> <short value="Behandelnde Person in Betriebsstätte; optional zusätzliche Angabe einer ASV-Teamnummer" /> <definition value="Verknüpfung der behandelnden Person mit der zugehörigen Betriebsstätte. Die Angabe einer Betriebsstättenreferenz (PractitionerRole.organization.reference) ist verpflichtend. Im ASV-Fall (Statuskennzeichen 01 oder 11) kann zusätzlich eine ASV-Teamnummer über eine separate PractitionerRole-Instanz angegeben werden." /> <min value="1" /> <max value="2" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_PractitionerRole|2.2.0" /> </type> <mustSupport value="true" /> </element> <element id="Composition.author:PractitionerRolle.reference"> <path value="Composition.author.reference" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Composition.author:PractitionerRolle.type"> <path value="Composition.author.type" /> <min value="1" /> <fixedUri value="PractitionerRole" /> <mustSupport value="true" /> </element> <element id="Composition.author:PractitionerRolle.identifier"> <path value="Composition.author.identifier" /> <max value="0" /> </element> <element id="Composition.author:PractitionerRolle.display"> <path value="Composition.author.display" /> <max value="0" /> </element> <element id="Composition.author:PVS"> <path value="Composition.author" /> <sliceName value="PVS" /> <short value="System" /> <definition value="Identifikation des PVS mit KBV-Prüfnummer und optionalen Kontaktdaten des Herstellers, welches die VoS aufruft." /> <min value="1" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_Device_PVS|2.2.0" /> </type> <mustSupport value="true" /> </element> <element id="Composition.author:PVS.reference"> <path value="Composition.author.reference" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Composition.author:PVS.type"> <path value="Composition.author.type" /> <min value="1" /> <fixedUri value="Device" /> <mustSupport value="true" /> </element> <element id="Composition.author:PVS.identifier"> <path value="Composition.author.identifier" /> <max value="0" /> </element> <element id="Composition.author:PVS.display"> <path value="Composition.author.display" /> <max value="0" /> </element> <element id="Composition.title"> <path value="Composition.title" /> <fixedString value="Aufruf der VoS" /> <mustSupport value="true" /> </element> <element id="Composition.confidentiality"> <path value="Composition.confidentiality" /> <max value="0" /> </element> <element id="Composition.attester"> <path value="Composition.attester" /> <short value="Daten der verantwortliche Person" /> <definition value="Referenz auf den zur Weiterbildung ermächtigten Arztes (im vertrags(zahn)ärztlichen Bereich) bzw. des beauftragender Facharztes (im Krankenhaus), sofern nötig." /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Composition.attester.mode"> <path value="Composition.attester.mode" /> <fixedCode value="legal" /> <mustSupport value="true" /> </element> <element id="Composition.attester.time"> <path value="Composition.attester.time" /> <max value="0" /> </element> <element id="Composition.attester.party"> <path value="Composition.attester.party" /> <min value="1" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_Practitioner|2.2.0" /> </type> <mustSupport value="true" /> </element> <element id="Composition.attester.party.reference"> <path value="Composition.attester.party.reference" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Composition.attester.party.type"> <path value="Composition.attester.party.type" /> <max value="0" /> </element> <element id="Composition.attester.party.identifier"> <path value="Composition.attester.party.identifier" /> <max value="0" /> </element> <element id="Composition.attester.party.display"> <path value="Composition.attester.party.display" /> <max value="0" /> </element> <element id="Composition.custodian"> <path value="Composition.custodian" /> <short value="Betriebsstätte" /> <definition value="Betriebsstätte" /> <min value="1" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_Organization|2.2.0" /> </type> <mustSupport value="true" /> </element> <element id="Composition.custodian.reference"> <path value="Composition.custodian.reference" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Composition.custodian.type"> <path value="Composition.custodian.type" /> <max value="0" /> </element> <element id="Composition.custodian.identifier"> <path value="Composition.custodian.identifier" /> <max value="0" /> </element> <element id="Composition.custodian.display"> <path value="Composition.custodian.display" /> <max value="0" /> </element> <element id="Composition.relatesTo"> <path value="Composition.relatesTo" /> <max value="0" /> </element> <element id="Composition.event"> <path value="Composition.event" /> <max value="0" /> </element> <element id="Composition.section"> <path value="Composition.section" /> <slicing> <discriminator> <type value="value" /> <path value="code.coding" /> </discriminator> <rules value="closed" /> </slicing> <max value="3" /> <mustSupport value="true" /> </element> <element id="Composition.section:Patientenzusatzinformationen"> <path value="Composition.section" /> <sliceName value="Patientenzusatzinformationen" /> <definition value="Zusatzinformationen zur behandelten Person, wie Allergien, Diagnosen und Messwerte" /> <min value="0" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Composition.section:Patientenzusatzinformationen.title"> <path value="Composition.section.title" /> <max value="0" /> </element> <element id="Composition.section:Patientenzusatzinformationen.code"> <path value="Composition.section.code" /> <min value="1" /> <mustSupport value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="CompositionSectionType" /> </extension> <strength value="required" /> <valueSet value="https://fhir.kbv.de/ValueSet/KBV_VS_VoS_SectionType" /> </binding> </element> <element id="Composition.section:Patientenzusatzinformationen.code.coding"> <path value="Composition.section.code.coding" /> <min value="1" /> <max value="1" /> <patternCoding> <system value="https://fhir.kbv.de/CodeSystem/KBV_CS_VoS_SectionType" /> <code value="Additional patient information" /> </patternCoding> <mustSupport value="true" /> </element> <element id="Composition.section:Patientenzusatzinformationen.code.coding.system"> <path value="Composition.section.code.coding.system" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Composition.section:Patientenzusatzinformationen.code.coding.version"> <path value="Composition.section.code.coding.version" /> <max value="0" /> </element> <element id="Composition.section:Patientenzusatzinformationen.code.coding.code"> <path value="Composition.section.code.coding.code" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Composition.section:Patientenzusatzinformationen.code.coding.userSelected"> <path value="Composition.section.code.coding.userSelected" /> <max value="0" /> </element> <element id="Composition.section:Patientenzusatzinformationen.code.text"> <path value="Composition.section.code.text" /> <max value="0" /> </element> <element id="Composition.section:Patientenzusatzinformationen.author"> <path value="Composition.section.author" /> <max value="0" /> </element> <element id="Composition.section:Patientenzusatzinformationen.focus"> <path value="Composition.section.focus" /> <max value="0" /> </element> <element id="Composition.section:Patientenzusatzinformationen.text"> <path value="Composition.section.text" /> <max value="0" /> </element> <element id="Composition.section:Patientenzusatzinformationen.mode"> <path value="Composition.section.mode" /> <max value="0" /> </element> <element id="Composition.section:Patientenzusatzinformationen.orderedBy"> <path value="Composition.section.orderedBy" /> <max value="0" /> </element> <element id="Composition.section:Patientenzusatzinformationen.entry"> <path value="Composition.section.entry" /> <min value="1" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_AllergyIntolerance|2.2.0" /> <targetProfile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_Coverage|2.2.0" /> <targetProfile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_Condition|2.2.0" /> <targetProfile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_Observation_Body_Weight|2.2.0" /> <targetProfile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_Observation_Body_Height|2.2.0" /> <targetProfile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_Observation_Creatinine_Level|2.2.0" /> <targetProfile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_Observation_Pregnancy_Status|2.2.0" /> <targetProfile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_Observation_Breastfeeding_Status|2.2.0" /> </type> <mustSupport value="true" /> </element> <element id="Composition.section:Patientenzusatzinformationen.entry.reference"> <path value="Composition.section.entry.reference" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Composition.section:Patientenzusatzinformationen.entry.type"> <path value="Composition.section.entry.type" /> <max value="0" /> </element> <element id="Composition.section:Patientenzusatzinformationen.entry.identifier"> <path value="Composition.section.entry.identifier" /> <max value="0" /> </element> <element id="Composition.section:Patientenzusatzinformationen.entry.display"> <path value="Composition.section.entry.display" /> <max value="0" /> </element> <element id="Composition.section:Patientenzusatzinformationen.emptyReason"> <path value="Composition.section.emptyReason" /> <max value="0" /> </element> <element 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