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: 7
  meta:
    mustSupport: true
    index: 1
    elements:
      source: {mustSupport: true, index: 2}
      profile: {mustSupport: true, index: 3}
  section:
    short: Befundabschnitt
    index: 10
    _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: 17
            elements:
              title: {mustSupport: true, index: 18}
              code: {mustSupport: true, index: 19}
              author: {mustSupport: true, index: 20}
              text: {mustSupport: true, index: 21}
              entry:
                type: Reference
                mustSupport: true
                refers: ['https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-pr-bildgebung-radiologischer-befund']
                index: 22
              section: {mustSupport: true, index: 23}
            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: 11
      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: 12
      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: 13
      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: 14
      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: 15
      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: 16
    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
  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: 9
  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: 8
  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: 6
package_version: 2025.0.1
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: 2025.0.1
required: [section, subject]