description: Composition as a template for pathology report as a FHIR-Document
package_name: de.medizininformatikinitiative.kerndatensatz.patho
derivation: constraint
name: MII_PR_Patho_Composition
type: Composition
elements:
  category:
    elements:
      coding:
        index: 15
        slicing:
          rules: open
          discriminator:
          - {path: system, type: value}
          min: null
          slices:
            IHE:
              match: {system: null}
              schema:
                index: 16
                elements:
                  code:
                    pattern: {type: Code, value: BEF}
                    index: 17
            sct:
              match: {system: 'http://snomed.info/sct'}
              schema:
                binding: {strength: extensible, valueSet: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/ValueSet/mii-vs-patho-composition-type-snomed-ct'}
                mustSupport: true
                index: 18
                elements:
                  system:
                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                    index: 19
                required: [system]
  meta:
    elements:
      lastUpdated: {mustSupport: true, index: 0}
      profile: {mustSupport: true, index: 1}
  encounter: {index: 20}
  section:
    index: 38
    elements:
      code:
        mustSupport: true
        index: 39
        elements:
          coding:
            binding: {strength: required, valueSet: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/ValueSet/mii-vs-patho-all-loinc'}
            mustSupport: true
            index: 40
        required: [coding]
      entry: {mustSupport: true, index: 41}
    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:
            mustSupport: true
            array: true
            min: 1
            _required: true
            index: 42
            elements:
              code:
                elements:
                  coding:
                    pattern:
                      type: Coding
                      value: {code: 60567-5, system: 'http://loinc.org'}
                    index: 43
              entry:
                type: Reference
                refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-report']
                index: 44
  attester:
    mustSupport: true
    index: 22
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: $this.mode, type: value}
      min: 1
      slices:
        legal:
          match:
            $this: {mode: null}
          schema:
            mustSupport: true
            array: true
            min: 1
            _required: true
            index: 23
            elements:
              mode:
                pattern: {type: Code, value: legal}
                index: 24
              party:
                type: Reference
                mustSupport: true
                refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'http://hl7.org/fhir/StructureDefinition/Practitioner']
                index: 25
            required: [party]
        content-validator:
          match:
            $this: {mode: null}
          schema:
            mustSupport: true
            array: true
            index: 26
            elements:
              mode:
                pattern: {type: Code, value: professional}
                index: 27
              party:
                type: Reference
                mustSupport: true
                refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'http://hl7.org/fhir/StructureDefinition/Practitioner']
                index: 28
            required: [party]
  type:
    elements:
      coding:
        index: 8
        slicing:
          rules: open
          discriminator:
          - {path: system, type: value}
          min: null
          slices:
            KDL:
              match: {system: null}
              schema:
                binding: {strength: extensible, valueSet: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/ValueSet/mii-vs-patho-composition-type-kdl'}
                index: 9
            IHE:
              match: {system: null}
              schema:
                index: 10
                elements:
                  code:
                    pattern: {type: Code, value: PATH}
                    index: 11
            sct:
              match: {system: 'http://snomed.info/sct'}
              schema:
                binding: {strength: extensible, valueSet: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/ValueSet/mii-vs-patho-composition-type-snomed-ct'}
                mustSupport: true
                index: 12
                elements:
                  system:
                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                    mustSupport: true
                    index: 13
                  code: {mustSupport: true, index: 14}
                required: [system, code]
  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: 21
  extension:
    type: Extension
    mustSupport: true
    url: http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber
    index: 3
    slicing:
      slices:
        document-version:
          match: {}
          schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber', index: 3}
          min: 0
          max: 1
  event: {mustSupport: true, index: 37}
  custodian: {mustSupport: true, index: 29}
  status: {index: 7}
  identifier:
    index: 4
    elements:
      type:
        mustSupport: true
        index: 5
        elements:
          coding:
            pattern:
              type: Coding
              value: {code: ACSN, system: 'http://terminology.hl7.org/CodeSystem/v2-0203', display: Accession ID}
            index: 6
    required: [type]
  relatesTo:
    mustSupport: true
    index: 30
    elements:
      code: {mustSupport: true, index: 31}
      target:
        choices: []
        index: 33
        slicing:
          rules: open
          ordered: false
          discriminator:
          - {path: $this, type: type}
          min: null
          slices:
            targetReference:
              match: {}
              schema:
                mustSupport: true
                choices: [targetReference]
                index: 35
              min: 0
              max: 1
      targetReference:
        refers: ['http://hl7.org/fhir/StructureDefinition/Composition']
        type: Reference
        mustSupport: true
        choiceOf: target
        index: 36
        slicing:
          slices:
            targetReference:
              match: {}
              schema:
                refers: ['http://hl7.org/fhir/StructureDefinition/Composition']
                type: Reference
                mustSupport: true
                choiceOf: target
                index: 36
              min: 0
              max: 1
  text: {short: Header-Informationen, index: 2}
package_version: 2026.0.0-ballot
extensions:
  document-version: {url: 'http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber', min: 0, max: 1, type: Extension, mustSupport: true, index: 3}
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: 2025.0.0
required: [encounter, event, attester, custodian]