{
  "description": "Übergabe von Rezepten, signierten eRezepten oder Medikationsplänen als pkcs#7-, pdf- oder XML-Dateien vom PVS an die VoS und vice versa.",
  "_filename": "StructureDefinition-KBV-PR-VoS-DocumentReference.json",
  "package_name": "kbv.ita.vos",
  "date": "2025-10-01",
  "derivation": "constraint",
  "publisher": "Kassenärztliche Bundesvereinigung",
  "fhirVersion": "4.0.1",
  "name": "KBV_PR_VoS_DocumentReference",
  "mapping": [ {
    "uri": "http://hl7.org/v3/cda",
    "name": "CDA (R2)",
    "identity": "cda"
  }, {
    "uri": "http://hl7.org/fhir/composition",
    "name": "FHIR Composition",
    "identity": "fhircomposition"
  }, {
    "uri": "http://hl7.org/v3",
    "name": "RIM Mapping",
    "identity": "rim"
  }, {
    "uri": "http://hl7.org/v2",
    "name": "HL7 v2 Mapping",
    "identity": "v2"
  }, {
    "uri": "http://hl7.org/fhir/fivews",
    "name": "FiveWs Pattern Mapping",
    "identity": "w5"
  }, {
    "uri": "http://hl7.org/fhir/workflow",
    "name": "Workflow Pattern",
    "identity": "workflow"
  }, {
    "uri": "http://ihe.net/xds",
    "name": "XDS metadata equivalent",
    "identity": "xds"
  } ],
  "abstract": false,
  "type": "DocumentReference",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "KBV_PR_VoS_DocumentReference",
  "package_version": "2.2.0-kommentierung2",
  "status": "draft",
  "id": "bba6e4f8-75fa-4c1a-b724-75fe13c1d98a",
  "kind": "resource",
  "url": "https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_DocumentReference",
  "version": "2.2.0",
  "differential": {
    "element": [ {
      "id": "DocumentReference",
      "path": "DocumentReference",
      "constraint": [ {
        "key": "-vos-Extension-eRezept",
        "human": "Die Extension mit den Zugriffsdaten des eRezepts muss genau dann verwendet werden, wenn der DokumentenTyp ein signiertes eRezept ist.",
        "source": "https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_DocumentReference",
        "severity": "error",
        "expression": "(extension('https://fhir.kbv.de/StructureDefinition/KBV_EX_VoS_ePrescription_Access').empty() and (type.coding.where(code='Signiertes_eRezept').exists().not())) or (extension('https://fhir.kbv.de/StructureDefinition/KBV_EX_VoS_ePrescription_Access').exists() and type.coding.where(code='Signiertes_eRezept').exists())"
      } ],
      "definition": "Das Profil beinhaltet ein Rezept, ein signiertes eRezept oder einen Medikationsplan als pkcs#7-, pdf- oder XML-Datei"
    }, {
      "id": "DocumentReference.id",
      "min": 1,
      "path": "DocumentReference.id",
      "mustSupport": true
    }, {
      "id": "DocumentReference.meta",
      "min": 1,
      "path": "DocumentReference.meta",
      "mustSupport": true
    }, {
      "id": "DocumentReference.meta.source",
      "max": "0",
      "path": "DocumentReference.meta.source"
    }, {
      "id": "DocumentReference.meta.profile",
      "min": 1,
      "path": "DocumentReference.meta.profile",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "value"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "DocumentReference.meta.profile:vosProfile",
      "max": "1",
      "min": 1,
      "path": "DocumentReference.meta.profile",
      "sliceName": "vosProfile",
      "mustSupport": true,
      "fixedCanonical": "https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_DocumentReference|2.2.0"
    }, {
      "id": "DocumentReference.meta.security",
      "max": "0",
      "path": "DocumentReference.meta.security"
    }, {
      "id": "DocumentReference.meta.tag",
      "max": "0",
      "path": "DocumentReference.meta.tag"
    }, {
      "id": "DocumentReference.implicitRules",
      "max": "0",
      "path": "DocumentReference.implicitRules"
    }, {
      "id": "DocumentReference.language",
      "max": "0",
      "path": "DocumentReference.language"
    }, {
      "id": "DocumentReference.contained",
      "max": "0",
      "path": "DocumentReference.contained"
    }, {
      "id": "DocumentReference.extension",
      "max": "1",
      "path": "DocumentReference.extension",
      "slicing": {
        "rules": "closed",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "DocumentReference.extension:eRezept-Zugriffsdaten",
      "max": "1",
      "min": 0,
      "path": "DocumentReference.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.kbv.de/StructureDefinition/KBV_EX_VoS_ePrescription_Access" ]
      } ],
      "sliceName": "eRezept-Zugriffsdaten",
      "isModifier": false,
      "mustSupport": true
    }, {
      "id": "DocumentReference.extension:eRezept-Zugriffsdaten.extension:AccessCode",
      "path": "DocumentReference.extension.extension",
      "sliceName": "AccessCode",
      "mustSupport": true
    }, {
      "id": "DocumentReference.extension:eRezept-Zugriffsdaten.extension:AccessCode.value[x]",
      "path": "DocumentReference.extension.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "DocumentReference.extension:eRezept-Zugriffsdaten.extension:AccessCode.value[x]:valueString",
      "path": "DocumentReference.extension.extension.value[x]",
      "type": [ {
        "code": "string"
      } ],
      "sliceName": "valueString",
      "mustSupport": true
    }, {
      "id": "DocumentReference.extension:eRezept-Zugriffsdaten.extension:Task-ID",
      "path": "DocumentReference.extension.extension",
      "sliceName": "Task-ID",
      "mustSupport": true
    }, {
      "id": "DocumentReference.extension:eRezept-Zugriffsdaten.extension:Task-ID.value[x]",
      "path": "DocumentReference.extension.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "DocumentReference.extension:eRezept-Zugriffsdaten.extension:Task-ID.value[x]:valueString",
      "path": "DocumentReference.extension.extension.value[x]",
      "type": [ {
        "code": "string"
      } ],
      "sliceName": "valueString",
      "mustSupport": true
    }, {
      "id": "DocumentReference.masterIdentifier",
      "path": "DocumentReference.masterIdentifier",
      "short": "Versionsspezifischer Identifikator",
      "definition": "Angabe eines versionsabhängigen Identifiers für das Dokument.",
      "mustSupport": true
    }, {
      "id": "DocumentReference.masterIdentifier.use",
      "max": "0",
      "path": "DocumentReference.masterIdentifier.use"
    }, {
      "id": "DocumentReference.masterIdentifier.type",
      "max": "0",
      "path": "DocumentReference.masterIdentifier.type"
    }, {
      "id": "DocumentReference.masterIdentifier.value",
      "min": 1,
      "path": "DocumentReference.masterIdentifier.value",
      "mustSupport": true
    }, {
      "id": "DocumentReference.masterIdentifier.period",
      "max": "0",
      "path": "DocumentReference.masterIdentifier.period"
    }, {
      "id": "DocumentReference.masterIdentifier.assigner",
      "max": "0",
      "path": "DocumentReference.masterIdentifier.assigner"
    }, {
      "id": "DocumentReference.identifier",
      "path": "DocumentReference.identifier",
      "short": "Versionsunabhängiger Identifikator",
      "definition": "Angabe von versionsunabhängigen Identifiern für das Dokument.",
      "mustSupport": true
    }, {
      "id": "DocumentReference.identifier.use",
      "max": "0",
      "path": "DocumentReference.identifier.use"
    }, {
      "id": "DocumentReference.identifier.type",
      "max": "0",
      "path": "DocumentReference.identifier.type"
    }, {
      "id": "DocumentReference.identifier.value",
      "min": 1,
      "path": "DocumentReference.identifier.value",
      "mustSupport": true
    }, {
      "id": "DocumentReference.identifier.period",
      "max": "0",
      "path": "DocumentReference.identifier.period"
    }, {
      "id": "DocumentReference.identifier.assigner",
      "max": "0",
      "path": "DocumentReference.identifier.assigner"
    }, {
      "id": "DocumentReference.status",
      "path": "DocumentReference.status",
      "fixedCode": "current",
      "mustSupport": true
    }, {
      "id": "DocumentReference.docStatus",
      "max": "0",
      "path": "DocumentReference.docStatus"
    }, {
      "id": "DocumentReference.type",
      "min": 1,
      "path": "DocumentReference.type",
      "mustSupport": true
    }, {
      "id": "DocumentReference.type.coding",
      "max": "2",
      "min": 1,
      "path": "DocumentReference.type.coding",
      "slicing": {
        "rules": "closed",
        "discriminator": [ {
          "path": "$this",
          "type": "value"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "DocumentReference.type.coding:xds",
      "path": "DocumentReference.type.coding",
      "short": "Dokumenttyp gem. IHE-De-Terminologie",
      "sliceName": "xds",
      "definition": "Die Übermittlung des xds-Type-Codes ist im Rahmen der Dokumentenbereitstellung für Clients nicht verpflichtend, muss jedoch vom Server bei der Entgegennahme ggf. ergänzt und bei der Dokumentenabfrage zurückgegeben werden. Der XDS-Type-Code kann über die im Rahmen der [KDL-Spezifikation](https://simplifier.net/kdl) publizierten [ConceptMaps](https://simplifier.net/kdl/~resources?category=ConceptMap) aus dem KDL-Code ermittelt werden.",
      "mustSupport": true,
      "patternCoding": {
        "system": "http://ihe-d.de/CodeSystems/IHEXDStypeCode"
      }
    }, {
      "id": "DocumentReference.type.coding:xds.system",
      "path": "DocumentReference.type.coding.system",
      "mustSupport": true
    }, {
      "id": "DocumentReference.type.coding:xds.code",
      "path": "DocumentReference.type.coding.code",
      "mustSupport": true
    }, {
      "id": "DocumentReference.type.coding:xds.display",
      "path": "DocumentReference.type.coding.display",
      "mustSupport": true
    }, {
      "id": "DocumentReference.type.coding:Dokumententyp",
      "max": "1",
      "min": 1,
      "path": "DocumentReference.type.coding",
      "binding": {
        "strength": "required",
        "valueSet": "https://fhir.kbv.de/ValueSet/KBV_VS_VoS_DocumentType"
      },
      "sliceName": "Dokumententyp",
      "mustSupport": true
    }, {
      "id": "DocumentReference.type.coding:Dokumententyp.system",
      "min": 1,
      "path": "DocumentReference.type.coding.system",
      "mustSupport": true
    }, {
      "id": "DocumentReference.type.coding:Dokumententyp.code",
      "min": 1,
      "path": "DocumentReference.type.coding.code",
      "mustSupport": true
    }, {
      "id": "DocumentReference.type.text",
      "max": "0",
      "path": "DocumentReference.type.text"
    }, {
      "id": "DocumentReference.category",
      "max": "1",
      "path": "DocumentReference.category",
      "mustSupport": true
    }, {
      "id": "DocumentReference.category.coding",
      "max": "1",
      "min": 1,
      "path": "DocumentReference.category.coding",
      "slicing": {
        "rules": "closed",
        "discriminator": [ {
          "path": "$this",
          "type": "value"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "DocumentReference.category.coding:xds",
      "min": 1,
      "path": "DocumentReference.category.coding",
      "sliceName": "xds",
      "mustSupport": true,
      "patternCoding": {
        "system": "http://ihe-d.de/CodeSystems/IHEXDSclassCode"
      }
    }, {
      "id": "DocumentReference.category.coding:xds.system",
      "path": "DocumentReference.category.coding.system",
      "mustSupport": true
    }, {
      "id": "DocumentReference.category.coding:xds.code",
      "path": "DocumentReference.category.coding.code",
      "mustSupport": true
    }, {
      "id": "DocumentReference.category.coding:xds.display",
      "path": "DocumentReference.category.coding.display",
      "mustSupport": true
    }, {
      "id": "DocumentReference.subject",
      "path": "DocumentReference.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_Patient|2.2.0" ]
      } ],
      "mustSupport": true
    }, {
      "id": "DocumentReference.subject.reference",
      "min": 1,
      "path": "DocumentReference.subject.reference",
      "mustSupport": true
    }, {
      "id": "DocumentReference.subject.type",
      "max": "0",
      "path": "DocumentReference.subject.type"
    }, {
      "id": "DocumentReference.subject.identifier",
      "max": "0",
      "path": "DocumentReference.subject.identifier"
    }, {
      "id": "DocumentReference.subject.display",
      "max": "0",
      "path": "DocumentReference.subject.display"
    }, {
      "id": "DocumentReference.date",
      "min": 1,
      "path": "DocumentReference.date",
      "mustSupport": true
    }, {
      "id": "DocumentReference.author",
      "max": "2",
      "path": "DocumentReference.author",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_PractitionerRole|1.7.0", "https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Practitioner|1.7.0", "https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Organization|1.7.0", "https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Patient|1.7.0", "https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_RelatedPerson|1.7.0", "https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Device|1.7.0" ]
      } ],
      "slicing": {
        "rules": "closed",
        "discriminator": [ {
          "path": "type",
          "type": "value"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "DocumentReference.author:Behandelnder",
      "max": "1",
      "min": 0,
      "path": "DocumentReference.author",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_Practitioner|2.2.0" ]
      } ],
      "sliceName": "Behandelnder",
      "mustSupport": true
    }, {
      "id": "DocumentReference.author:Behandelnder.reference",
      "min": 1,
      "path": "DocumentReference.author.reference",
      "mustSupport": true
    }, {
      "id": "DocumentReference.author:Behandelnder.type",
      "min": 1,
      "path": "DocumentReference.author.type",
      "fixedUri": "Practitioner",
      "mustSupport": true
    }, {
      "id": "DocumentReference.author:Behandelnder.identifier",
      "max": "0",
      "path": "DocumentReference.author.identifier"
    }, {
      "id": "DocumentReference.author:Behandelnder.display",
      "max": "0",
      "path": "DocumentReference.author.display"
    }, {
      "id": "DocumentReference.author:AusstellendesSystem",
      "max": "1",
      "min": 0,
      "path": "DocumentReference.author",
      "sliceName": "AusstellendesSystem",
      "mustSupport": true
    }, {
      "id": "DocumentReference.author:AusstellendesSystem.reference",
      "max": "0",
      "path": "DocumentReference.author.reference"
    }, {
      "id": "DocumentReference.author:AusstellendesSystem.type",
      "min": 1,
      "path": "DocumentReference.author.type",
      "fixedUri": "Device",
      "mustSupport": true
    }, {
      "id": "DocumentReference.author:AusstellendesSystem.identifier",
      "min": 1,
      "path": "DocumentReference.author.identifier",
      "mustSupport": true
    }, {
      "id": "DocumentReference.author:AusstellendesSystem.identifier.use",
      "max": "0",
      "path": "DocumentReference.author.identifier.use"
    }, {
      "id": "DocumentReference.author:AusstellendesSystem.identifier.type",
      "max": "0",
      "path": "DocumentReference.author.identifier.type"
    }, {
      "id": "DocumentReference.author:AusstellendesSystem.identifier.system",
      "min": 1,
      "path": "DocumentReference.author.identifier.system",
      "fixedUri": "https://fhir.kbv.de/NamingSystem/KBV_NS_FOR_Pruefnummer",
      "mustSupport": true
    }, {
      "id": "DocumentReference.author:AusstellendesSystem.identifier.value",
      "min": 1,
      "path": "DocumentReference.author.identifier.value",
      "mustSupport": true
    }, {
      "id": "DocumentReference.author:AusstellendesSystem.identifier.period",
      "max": "0",
      "path": "DocumentReference.author.identifier.period"
    }, {
      "id": "DocumentReference.author:AusstellendesSystem.identifier.assigner",
      "max": "0",
      "path": "DocumentReference.author.identifier.assigner"
    }, {
      "id": "DocumentReference.author:AusstellendesSystem.display",
      "max": "0",
      "path": "DocumentReference.author.display"
    }, {
      "id": "DocumentReference.authenticator",
      "max": "0",
      "path": "DocumentReference.authenticator"
    }, {
      "id": "DocumentReference.custodian",
      "path": "DocumentReference.custodian",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_Organization|2.2.0" ]
      } ],
      "mustSupport": true
    }, {
      "id": "DocumentReference.custodian.reference",
      "min": 1,
      "path": "DocumentReference.custodian.reference",
      "mustSupport": true
    }, {
      "id": "DocumentReference.custodian.type",
      "max": "0",
      "path": "DocumentReference.custodian.type"
    }, {
      "id": "DocumentReference.custodian.identifier",
      "max": "0",
      "path": "DocumentReference.custodian.identifier"
    }, {
      "id": "DocumentReference.custodian.display",
      "max": "0",
      "path": "DocumentReference.custodian.display"
    }, {
      "id": "DocumentReference.relatesTo",
      "path": "DocumentReference.relatesTo",
      "short": "Medikationsplanverknüpfung",
      "definition": "Verknüpfung zwischen verschiedenen Repräsentationen (PDF oder XML) eines bundeseinheitlichen Medikationsplans. In diesem Fall ist relatesTo.code = transforms. Alternativ können auch Verknüpfungen zwischen verschiedenen Seiten eines bundeseinheitlichen Medikationsplans übertragen werden. In diesem Fall ist relatesTo.code = appends.",
      "mustSupport": true
    }, {
      "id": "DocumentReference.relatesTo.code",
      "path": "DocumentReference.relatesTo.code",
      "mustSupport": true
    }, {
      "id": "DocumentReference.relatesTo.target",
      "path": "DocumentReference.relatesTo.target",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_DocumentReference|2.2.0" ]
      } ],
      "mustSupport": true
    }, {
      "id": "DocumentReference.relatesTo.target.reference",
      "min": 1,
      "path": "DocumentReference.relatesTo.target.reference",
      "mustSupport": true
    }, {
      "id": "DocumentReference.relatesTo.target.type",
      "max": "0",
      "path": "DocumentReference.relatesTo.target.type"
    }, {
      "id": "DocumentReference.relatesTo.target.identifier",
      "max": "0",
      "path": "DocumentReference.relatesTo.target.identifier"
    }, {
      "id": "DocumentReference.relatesTo.target.display",
      "max": "0",
      "path": "DocumentReference.relatesTo.target.display"
    }, {
      "id": "DocumentReference.description",
      "max": "0",
      "path": "DocumentReference.description"
    }, {
      "id": "DocumentReference.securityLabel",
      "max": "0",
      "path": "DocumentReference.securityLabel"
    }, {
      "id": "DocumentReference.content",
      "max": "1",
      "path": "DocumentReference.content"
    }, {
      "id": "DocumentReference.content:verweis",
      "max": "0",
      "path": "DocumentReference.content",
      "sliceName": "verweis"
    }, {
      "id": "DocumentReference.content:anhang",
      "max": "1",
      "min": 1,
      "path": "DocumentReference.content",
      "sliceName": "anhang",
      "mustSupport": true
    }, {
      "id": "DocumentReference.content:anhang.attachment",
      "path": "DocumentReference.content.attachment",
      "mustSupport": true
    }, {
      "id": "DocumentReference.content:anhang.attachment.contentType",
      "path": "DocumentReference.content.attachment.contentType",
      "binding": {
        "strength": "required",
        "valueSet": "https://fhir.kbv.de/ValueSet/KBV_VS_VoS_ContentTypes",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "MimeType"
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean": true
        } ]
      },
      "definition": "Hier wird das Dateiformat ausgewählt. PDF-Dokument: application/pdf, XML-Dokument: application/xml, pkcs#7-Datei: application/pkcs7-mime",
      "mustSupport": true
    }, {
      "id": "DocumentReference.content:anhang.attachment.data",
      "path": "DocumentReference.content.attachment.data",
      "mustSupport": true
    }, {
      "id": "DocumentReference.context",
      "path": "DocumentReference.context",
      "definition": "Verweis auf die im PDF-Ausdruck eines Rezeptes vorhandenen FHIR-Ressourcen gemäß https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_Prescription bzw. auf die eRezept-Bundles gemäß https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Bundle aus dem Patientenausdruck.",
      "mustSupport": true
    }, {
      "id": "DocumentReference.context.encounter",
      "max": "0",
      "path": "DocumentReference.context.encounter"
    }, {
      "id": "DocumentReference.context.event",
      "max": "0",
      "path": "DocumentReference.context.event"
    }, {
      "id": "DocumentReference.context.period",
      "max": "0",
      "path": "DocumentReference.context.period"
    }, {
      "id": "DocumentReference.context.facilityType",
      "max": "0",
      "path": "DocumentReference.context.facilityType"
    }, {
      "id": "DocumentReference.context.practiceSetting",
      "max": "0",
      "path": "DocumentReference.context.practiceSetting"
    }, {
      "id": "DocumentReference.context.sourcePatientInfo",
      "max": "0",
      "path": "DocumentReference.context.sourcePatientInfo"
    }, {
      "id": "DocumentReference.context.related",
      "min": 1,
      "path": "DocumentReference.context.related",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_Prescription|2.2.0", "https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Bundle" ]
      } ],
      "mustSupport": true
    }, {
      "id": "DocumentReference.context.related.reference",
      "min": 1,
      "path": "DocumentReference.context.related.reference",
      "mustSupport": true
    }, {
      "id": "DocumentReference.context.related.type",
      "max": "0",
      "path": "DocumentReference.context.related.type"
    }, {
      "id": "DocumentReference.context.related.identifier",
      "max": "0",
      "path": "DocumentReference.context.related.identifier"
    }, {
      "id": "DocumentReference.context.related.display",
      "max": "0",
      "path": "DocumentReference.context.related.display"
    } ]
  },
  "baseDefinition": "https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_DocumentReference|1.7.0"
}