description: Dieses Profil erbt von [Profile - ISiK - BerichtSubsysteme](https://simplifier.net/isik-stufe-5/isikberichtsubsysteme) aus der Spezifikation [ISiK - Stufe 5](https://simplifier.net/isik-stufe-5). \n\nDas Profil **MII PR Patho Composition** fasst als Profil einer Composition Ressource mit speziellen Constraints für ClinicalDocuments die Ressourcen für einen kompletten, textzentrierten Pathologiebefundbericht mit den Eigenschaften eines klinischen Dokuments zusammen. Ein vollständiges Beispiel einer Composition mit Narrativen findet sich im [Prostate Cancer Spec IG](https://bih-cei.github.io/ProstateCancerSpec/index.html). \nDieses Profil ist das erste Entry in einem Bundle des `Bundle.type` “document”; Aufbau und Signatur des Bundles sind im Profil [MII PR Patho Bundle](StructureDefinition-mii-pr-patho-bundle.html) beschrieben.\nNeben dem Diagnostischen Report (`patho-diagnostic-report`) und einem oder mehreren zusätzlichen kompletten Reports (`additional-diagnostic-report`) können die Beobachtungsberichtabschnitte optional auch direkt als eigene Sections der Composition geführt werden (Makroskopie, Mikroskopie, Intraoperativ, Diagnostische Schlussfolgerung, Zusätzliche Beobachtung); jede dieser Sections referenziert denselben Grouper wie `DiagnosticReport.result`. Composition und DiagnosticReport können zusätzlich über die Extension `composition-diagnosticReportReference` bzw. die R5-Cross-Version-Extension `DiagnosticReport.composition` wechselseitig aufeinander verweisen. Alle diese Ergänzungen sind optional. package_name: de.medizininformatikinitiative.kerndatensatz.patho derivation: constraint name: MII_PR_Patho_Composition type: Composition elements: category: elements: coding: index: 15 slicing: slices: IHE: match: {} schema: index: 15 elements: code: pattern: {type: Code, value: BEF} index: 16 sct: match: {} schema: short: SNOMED CT Kategorie _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: SNOMED CT Kodierung für Dokumentkategorie} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: SNOMED CT coding for document category} mustSupport: true _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: SNOMED CT Kategorie} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: SNOMED CT category} binding: {strength: extensible, valueSet: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/ValueSet/mii-vs-patho-composition-type-snomed-ct'} index: 17 elements: system: pattern: {type: Uri, value: 'http://snomed.info/sct'} index: 18 meta: elements: lastUpdated: {mustSupport: true, index: 0} profile: {mustSupport: true, index: 1} encounter: {index: 19} section: index: 37 elements: code: mustSupport: true index: 38 elements: coding: binding: {strength: required, valueSet: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/ValueSet/mii-vs-patho-all-loinc'} mustSupport: true index: 39 required: [coding] entry: {mustSupport: true, index: 40} required: [entry, code] slicing: rules: open discriminator: - {path: $this.code.coding, type: pattern} min: null slices: patho-diagnostic-report: match: $this: code: {coding: null} schema: min: 1 short: Pathologie-Diagnostikbericht index: 41 _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Pathologie-Diagnostikbericht} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Pathology diagnostic report} mustSupport: true _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Pathologie-Diagnostikbericht} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Pathology diagnostic report} array: true elements: code: elements: coding: pattern: type: Coding value: {code: 60567-5, system: 'http://loinc.org'} index: 42 entry: type: Reference refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-report'] index: 43 _required: true makroskopie: match: $this: code: {coding: null} schema: short: Makroskopie _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Abschnitt der makroskopischen Beurteilung} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Macroscopic assessment section} mustSupport: true _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Makroskopie} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Macroscopy} index: 44 elements: code: elements: coding: pattern: type: Coding value: {code: 22634-0, system: 'http://loinc.org'} index: 45 entry: type: Reference refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-macroscopic-grouper'] index: 46 mikroskopie: match: $this: code: {coding: null} schema: short: Mikroskopie _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Abschnitt der mikroskopischen Beurteilung} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Microscopic assessment section} mustSupport: true _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Mikroskopie} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Microscopy} index: 47 elements: code: elements: coding: pattern: type: Coding value: {code: 22635-7, system: 'http://loinc.org'} index: 48 entry: type: Reference refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-microscopic-grouper'] index: 49 intraoperativ: match: $this: code: {coding: null} schema: short: Intraoperative Beurteilung _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Abschnitt der intraoperativen Beurteilung} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Intraoperative assessment section} mustSupport: true _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Intraoperative Beurteilung} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Intraoperative assessment} index: 50 elements: code: elements: coding: pattern: type: Coding value: {code: 83321-0, system: 'http://loinc.org'} index: 51 entry: type: Reference refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-intraoperative-grouper'] index: 52 diagnostische-schlussfolgerung: match: $this: code: {coding: null} schema: short: Diagnostische Schlussfolgerung _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Abschnitt der diagnostischen Schlussfolgerung} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Diagnostic conclusion section} mustSupport: true _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Diagnostische Schlussfolgerung} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Diagnostic conclusion} index: 53 elements: code: elements: coding: pattern: type: Coding value: {code: 22637-3, system: 'http://loinc.org'} index: 54 entry: type: Reference refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-diagnostic-conclusion-grouper'] index: 55 zusaetzliche-beobachtung: match: $this: code: {coding: null} schema: short: Zusaetzliche Beobachtung _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Abschnitt fuer zusaetzliche spezifizierte Beobachtungen} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Section for additional specified observations} mustSupport: true _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Zusaetzliche Beobachtung} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Additional observation} index: 56 elements: code: elements: coding: pattern: type: Coding value: {code: 100969-5, system: 'http://loinc.org'} index: 57 entry: type: Reference refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-additional-specified-grouper'] index: 58 attester: short: Bestätiger _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Person die den Bericht bestätigt} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Person who attests the report} mustSupport: true _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Bestätiger} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Attester} index: 21 slicing: rules: open ordered: false discriminator: - {path: $this.mode, type: value} min: 1 slices: legal: match: $this: {mode: null} schema: min: 1 short: Rechtlicher Bestätiger index: 22 _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Rechtliche Bestätigung des Berichts} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Legal attestation of the report} mustSupport: true _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Rechtlicher Bestätiger} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Legal attester} array: true elements: mode: pattern: {type: Code, value: legal} index: 23 party: short: Partei _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Bestätigende Person oder Organisation} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Attesting person or organization} refers: ['http://hl7.org/fhir/StructureDefinition/Organization', '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: Partei} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Party} index: 24 _required: true required: [party] content-validator: match: $this: {mode: null} schema: short: Inhaltssprüfer _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Inhaltliche Prüfung des Berichts} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Content validation of the report} mustSupport: true _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Inhaltssprüfer} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Content validator} array: true index: 25 elements: mode: pattern: {type: Code, value: professional} index: 26 party: short: Partei _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Prüfende Person oder Organisation} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Validating person or organization} refers: ['http://hl7.org/fhir/StructureDefinition/Organization', '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: Partei} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Party} index: 27 required: [party] type: elements: coding: binding: {strength: extensible, valueSet: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/ValueSet/mii-vs-patho-composition-type-kdl'} index: 9 slicing: slices: KDL: match: {} schema: binding: {strength: extensible, valueSet: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/ValueSet/mii-vs-patho-composition-type-kdl'} index: 9 XDS: match: {} schema: index: 10 elements: code: pattern: {type: Code, value: PATH} index: 11 sct: match: {} schema: short: SNOMED CT Typ _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: SNOMED CT Kodierung für Dokumenttyp} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: SNOMED CT coding for document type} mustSupport: true _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: SNOMED CT Typ} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: SNOMED CT type} binding: {strength: extensible, valueSet: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/ValueSet/mii-vs-patho-composition-type-snomed-ct'} pattern: type: Coding value: {system: 'http://snomed.info/sct'} index: 12 elements: system: pattern: {type: Uri, value: 'http://snomed.info/sct'} mustSupport: true index: 13 code: {mustSupport: true, index: 14} author: type: Reference short: Author can only be of type Practitioner or Organization refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://gematik.de/fhir/isik/StructureDefinition/ISiKPersonImGesundheitsberuf'] index: 20 extension: short: Dokumentversion _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Versionsnummer des Dokuments} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Version number of the document} type: Extension mustSupport: true _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Dokumentversion} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Document version} url: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber index: 3 slicing: slices: document-version: match: {} schema: short: Dokumentversion _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Versionsnummer des Dokuments} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Version number of the document} type: Extension mustSupport: true _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Dokumentversion} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Document version} url: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber index: 3 min: 0 max: 1 diagnosticReport: match: {} schema: short: Diagnostikbericht _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Verweis auf den zugehoerigen DiagnosticReport} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Reference to the associated DiagnosticReport} type: Extension mustSupport: true _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Diagnostikbericht} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Diagnostic report} url: http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference index: 4 min: 0 max: 1 event: short: Ereignis _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Ereignis} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Event} _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Dokumentiertes Pathologie-Ereignis - die Begutachtung bzw. Befundung auf die sich der Befundbericht bezieht} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Documented pathology event - the reporting act the report refers to} mustSupport: true index: 36 custodian: short: Verwalter _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Verwalter} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Custodian} _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Verwaltende Organisation} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Managing organization} mustSupport: true index: 28 status: {index: 8} identifier: short: Identifikator _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Identifikator} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Identifier} _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Eindeutiger Identifikator} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Unique identifier} index: 5 elements: type: mustSupport: true index: 6 elements: coding: pattern: type: Coding value: {code: ACSN, system: 'http://terminology.hl7.org/CodeSystem/v2-0203', display: Accession ID} index: 7 required: [type] relatesTo: short: Bezieht sich auf _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Bezieht sich auf} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Relates to} _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Beziehung zu anderen Dokumenten z.B. Vor- Zusatz- und/oder Korrekturbefunde} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Relationship to other documents} mustSupport: true index: 29 elements: code: {mustSupport: true, index: 30} target: choices: [] index: 32 slicing: rules: open ordered: false discriminator: - {path: $this, type: type} min: null slices: targetReference: match: {} schema: mustSupport: true choices: [targetReference] index: 34 min: 0 max: 1 targetReference: refers: ['http://hl7.org/fhir/StructureDefinition/Composition'] type: Reference mustSupport: true choiceOf: target index: 35 slicing: slices: targetReference: match: {} schema: refers: ['http://hl7.org/fhir/StructureDefinition/Composition'] type: Reference mustSupport: true choiceOf: target index: 35 min: 0 max: 1 text: {short: Header-Informationen, index: 2} package_version: 2027.0.0-ballot.rc1 extensions: document-version: min: 0 short: Dokumentversion index: 3 _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Versionsnummer des Dokuments} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Version number of the document} type: Extension mustSupport: true _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Dokumentversion} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Document version} max: 1 url: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber diagnosticReport: min: 0 short: Diagnostikbericht index: 4 _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Verweis auf den zugehoerigen DiagnosticReport} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Reference to the associated DiagnosticReport} type: Extension mustSupport: true _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Diagnostikbericht} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Diagnostic report} max: 1 url: http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference class: profile kind: resource url: https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-composition base: https://gematik.de/fhir/isik/StructureDefinition/ISiKBerichtSubSysteme version: 2027.0.0-ballot.rc1 required: [encounter, event, attester, custodian]