description: Dieses Profil bietet die Möglichkeit, den Befundbericht in einer semi-strukturierten Weise abzubilden. Es dient damit als Ergänzung zum eigentlichen Befundbericht package_name: de.medizininformatikinitiative.kerndatensatz.bildgebung derivation: constraint name: MII_PR_Bildgebung_Semistrukt_Befundbericht type: Composition elements: 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: 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 index: 14 meta: mustSupport: true index: 1 elements: source: {mustSupport: true, index: 2} profile: {mustSupport: true, index: 3} section: short: Befundabschnitt index: 17 _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'} slicing: rules: open discriminator: - {path: Composition.section.entry.resolve(), type: profile} min: 1 slices: diagRep: match: {} schema: _required: true index: 27 elements: title: {mustSupport: true, index: 28} code: mustSupport: true index: 29 elements: coding: index: 30 slicing: rules: open discriminator: - {path: $this, type: pattern} min: null slices: loinc: match: {code: 18782-3, system: 'http://loinc.org'} schema: short: LOINC Code _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Ein Verweis auf einen von LOINC definierten Code} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: A reference to a code defined by LOINC} mustSupport: true _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: LOINC Code} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: LOINC code} pattern: type: Coding value: {code: 18782-3, system: 'http://loinc.org'} type: Coding index: 31 elements: display: pattern: {type: string, value: Radiology Study observation (narrative)} type: string index: 32 author: {mustSupport: true, index: 33} text: {mustSupport: true, index: 34} entry: type: Reference mustSupport: true refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-pr-bildgebung-radiologischer-befund'] index: 35 section: {mustSupport: true, index: 36} required: [entry] mustSupport: true _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} elements: 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: 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 index: 18 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: 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 index: 19 elements: coding: mustSupport: true index: 20 elements: system: {mustSupport: true, index: 21} code: {mustSupport: true, index: 22} required: [code, system] required: [coding] 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: 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 index: 23 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: 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 index: 24 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: 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} mustSupport: true index: 25 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: 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 index: 26 required: [entry] 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: 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 index: 5 elements: coding: mustSupport: true index: 6 elements: system: {mustSupport: true, index: 7} code: {mustSupport: true, index: 8} required: [code, system] slicing: rules: open discriminator: - {path: $this, type: pattern} min: 1 slices: loinc: match: {code: 18748-4, system: 'http://loinc.org'} schema: short: LOINC Code index: 9 _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Ein Verweis auf einen von LOINC definierten Code} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: A reference to a code defined by LOINC} type: Coding mustSupport: true _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: LOINC Code} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: LOINC code} elements: system: {mustSupport: true, index: 10} code: {mustSupport: true, index: 11} display: pattern: {type: string, value: Diagnostic imaging study} type: string index: 12 required: [code, system] pattern: type: Coding value: {code: 18748-4, system: 'http://loinc.org'} required: [coding] 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: 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 index: 16 author: short: Autor _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} refers: ['http://hl7.org/fhir/StructureDefinition/Practitioner'] type: Reference mustSupport: true _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} index: 15 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: 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 index: 4 id: {mustSupport: true, index: 0} subject: short: Person _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'} refers: ['http://hl7.org/fhir/StructureDefinition/Patient'] type: Reference mustSupport: true _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} index: 13 package_version: 2026.0.0-ballot class: profile kind: resource url: https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-pr-bildgebung-semistrukt-befundbericht base: http://hl7.org/fhir/StructureDefinition/Composition version: 2026.0.0-ballot required: [section, subject]