AKTIN Notfalldokumentation - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: Composition (Episodenzusammenfassung Notaufnahmeregister)

Informationen zu einer Behandlungsepisode in der Notaufnahme. Zusammenfassung im Rahmen des Notaufnahmeregisters von AKTIN als FHIR Dokument.

Usages:

• Use this Profile: Bundle (Episodenzusammenfassung Notaufnahmeregister)

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	Composition	Episodenzusammenfassung Notaufnahmeregister (Composition)
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..1	Identifier	Business Identifier dieser Episodenzusammenfassung Notaufnahmeregister
status	?!Σ	1..1	code	Status der Episodenzusammenfassung Notaufnahmeregister Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	Σ	1..1	CodeableConcept	Type der Composition ("Episodenzusammenfassung Notaufnahmeregister") Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 97663-9
display		1..1	string	Representation defined by the system Fixed Value: Emergency medicine Emergency department Discharge summary
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(Patient (AKTIN))	Patient der Episodenzusammenfassung Notaufnahmeregister
encounter	Σ	0..1	Reference(Aufenthalt (AKTIN))	Context of the Composition
date	Σ	1..1	dateTime	Datum der Erstellung der Episodenzusammenfassung Notaufnahmeregister
author	Σ	1..*	Reference(Practitioner | PractitionerRole)	Autor der Episodenzusammenfassung Notaufnahmeregister
title	SΣ	1..1	string	Episodenzusammenfassung Notaufnahmeregister als Abschluss-Dokument
Slices for section	SC	1..*	BackboneElement	Sections für die Episodenzusammenfassung Notaufnahmeregister Slice: Unordered, Open by pattern:code Constraints: cmp-1, cmp-2
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
text	SC	0..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry	SC	0..*	Reference(Resource)	A reference to data that supports this section
section:sectionDemografischeInformationen	C	0..1	BackboneElement	Demografische Informationen Section Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Demographische Informationen
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
coding	Σ	1..*	Coding	Code defined by a terminology system Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 45970-1
display		1..1	string	Representation defined by the system Fixed Value: Demographic information section
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Demographische Informationen
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry	SC	0..1	Reference(Alter Patient (AKTIN))	A reference to data that supports this section
section:sectionZuweisung	C	0..1	BackboneElement	Zuweisung Section Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Zuweisung
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
coding	Σ	1..*	Coding	Code defined by a terminology system Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11293-8
display		1..1	string	Representation defined by the system Fixed Value: Type of Referral source
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Zuweisung
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry	SC	0..1	Reference(Zuweisung (AKTIN))	A reference to data that supports this section
section:sectionTransportmittel	C	0..1	BackboneElement	Transportmittel Section Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Transportmittel
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
coding	Σ	1..*	Coding	Code defined by a terminology system Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11459-5
display		1..1	string	Representation defined by the system Fixed Value: Transport mode EMS system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Transportmittel
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Slices for entry	SC	2..*	Reference(Resource)	Transportmittel Slice: Unordered, Open by type:resolve()
entry:Transportmethode	C	0..1	Reference(Transportmittel (AKTIN))	Transportmethode
entry:MedizinischeBegleitung	C	0..1	Reference(Medizinische Begleitung (AKTIN))	Medizinische Begleitung
section:sectionWiedervorstellung	C	0..1	BackboneElement	Wiedervorstellung Section Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Wiedervorstellung
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
coding	Σ	1..*	Coding	Code defined by a terminology system Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: LA21590-7
display		1..1	string	Representation defined by the system Fixed Value: Follow-up visit
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Wiedervorstellung
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Slices for entry	SC	0..*	Reference(Resource)	Wiedervorstellung Slice: Unordered, Open by type:resolve()
entry:Wiedervorstellung	C	0..1	Reference(Ungeplante Vorstellung zum gleichen Vorstellungsgrund innerhalb von 28 Tagen (AKTIN))	A reference to data that supports this section
section:sectionErsteinschatzung	C	0..1	BackboneElement	Ersteinschätzung Section Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Ersteinschätzung
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
coding	Σ	1..*	Coding	Code defined by a terminology system Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11283-9
display		1..1	string	Representation defined by the system Fixed Value: Acuity assessment [Function] at First encounter
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Ersteinschätzung
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Slices for entry	SC	1..*	Reference(Resource)	Ersteinschatzung Slice: Unordered, Open by type:resolve()
entry:Ersteinschatzung	C	1..1	Reference(Ergebnis der Ersteinschätzung (AKTIN))	Ersteinschätzung
entry:Manchester	C	0..1	Reference(Manchester Triage System (AKTIN))	Manchester Triage System
entry:ESITriage	C	0..1	Reference(ESI-Triage (AKTIN))	ESI Triage
section:sectionNotfallanamnese	C	0..1	BackboneElement	Notfallanamnese Section Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Notfallanamnese
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
coding	Σ	1..*	Coding	Code defined by a terminology system Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10164-2
display		1..1	string	Representation defined by the system Fixed Value: History of Present illness Narrative
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Notfallanamnese
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Slices for entry	SC	0..*	Reference(Resource)	Notfallanamnese Slice: Unordered, Open by type:resolve()
entry:Cedis	C	0..1	Reference(Beschwerden bei Vorstellung CEDIS (AKTIN))	Cedis
entry:Unfallursache	C	0..1	Reference(Unfallursache (AKTIN))	Unfallursache
entry:Unfallkinetik	C	0..1	Reference(Unfallkinetik (AKTIN))	Unfallkinetik
entry:Unfallart	C	0..1	Reference(Unfallart TraumaRegister (AKTIN))	Unfallart
entry:Substanzeinfluss	C	0..1	Reference(Verdacht auf Alkohol-, Drogen-, Medikamenteneinfluss? (AKTIN))	Substanzeinfluss
section:sectionVitalparameter	C	0..1	BackboneElement	Vitalparameter/Scores Section Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Vitalparameter/Scores
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
coding	Σ	1..*	Coding	Code defined by a terminology system Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 8716-3
display		1..1	string	Representation defined by the system Fixed Value: Vital signs
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Vitalparameter/Scores
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Slices for entry	SC	0..*	Reference(Resource)	Vitalparameter Slice: Unordered, Open by type:resolve()
entry:Atemfrequenz	C	0..1	Reference(Atemfrequenz)	Atemfrequenz
entry:PulsoximetrischeSauerstoffsättigung	C	0..1	Reference(Pulsoximetrische Sauerstoffsättigung)	Pulsoximetrische Sauerstoffsättigung
entry:Blutdruck	C	0..1	Reference(Blutdruck)	Blutdruck
entry:Herzfrequenz	C	0..1	Reference(Herzfrequenz)	Herzfrequenz
entry:Pulsfrequenz	C	0..1	Reference(Pulsfrequenz)	Pulsfrequenz
entry:Körperkerntemperatur	C	0..1	Reference(Körperkerntemperatur)	Körperkerntemperatur
entry:GlasgowComaScale	C	0..1	Reference(Glasgow Coma Scale (GCS))	Glasgow Coma Scale
entry:Schmerz	C	0..1	Reference(Schmerzmessung)	Schmerz
entry:NiedrigsteGCSSumme	C	0..1	Reference(Niedrigste GCS-Summe)	Niedrigste GCS-Summe
entry:ErsteSchmerzmessung	C	0..1	Reference(Erste Schmerzmessung)	Erste Schmerzmessung
section:sectionDiagnostik	C	0..1	BackboneElement	Diagnostik Section Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Diagnostik
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
coding	Σ	1..*	Coding	Code defined by a terminology system Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 30954-2
display		1..1	string	Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data Narrative
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Diagnostik
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Slices for entry	SC	0..*	Reference(Resource)	Diagnostik Slice: Unordered, Open by type:resolve()
entry:Laboruntersuchungangefordert	C	0..1	Reference(Laboruntersuchung angefordert (AKTIN))	Laboruntersuchung angefordert
entry:Mikrobiologieangefordert	C	0..1	Reference(Mikrobiologie angefordert (AKTIN))	Mikrobiologie angefordert
entry:BGAangefordert	C	0..1	Reference(BGA angefordert (AKTIN))	BGA angefordert
entry:EKGangefordert	C	0..1	Reference(EKG angefordert (AKTIN))	EKG angefordert
entry:Sonographieangefordert	C	0..1	Reference(Sonographie angefordert (AKTIN))	Sonographie angefordert
entry:Rontgenthoraxangefordert	C	0..1	Reference(Röntgenthorax angefordert (AKTIN))	Röntgenthorax angefordert
entry:RontgenThoraxdurchgefuhrt	C	0..1	Reference(Röntgen-Thorax durchgeführt (AKTIN))	Röntgen-Thorax durchgeführt
entry:RontgenBeckendurchgefuhrt	C	0..1	Reference(Röntgen-Becken durchgeführt (AKTIN))	Röntgen-Becken durchgeführt
entry:RontgenWirbelsauledurchgefuhrt	C	0..1	Reference(Röntgen-Wirbelsäule durchgeführt (AKTIN))	Röntgen-Wirbelsäule durchgeführt
entry:GanzkorperCTdurchgefuhrt	C	0..1	Reference(Ganzkörper-CT durchgeführt (AKTIN))	Ganzkörper-CT durchgeführt
entry:CTKopfdurchgefuhrt	C	0..1	Reference(CT Kopf durchgeführt (AKTIN))	CT Kopf durchgeführt
entry:CTHWSdurchgefuhrt	C	0..1	Reference(CT HWS durchgeführt (AKTIN))	CT HWS durchgeführt
entry:CTThoraxdurchgefuhrt	C	0..1	Reference(CT Thorax durchgeführt (AKTIN))	CT Thorax durchgeführt
entry:CTTAbdomendurchgefuhrt	C	0..1	Reference(CT Abdomen durchgeführt (AKTIN))	CT Abdomen durchgeführt
section:sectionMassnahmen	C	0..1	BackboneElement	Maßnahmen Section Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Prozeduren und Maßnahmen
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
coding	Σ	1..*	Coding	Code defined by a terminology system Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 29554-3
display		1..1	string	Representation defined by the system Fixed Value: Procedure Narrative
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Prozeduren und Maßnahmen
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Slices for entry	SC	0..*	Reference(Resource)	Masnahmen Slice: Unordered, Open by type:resolve()
entry:Isolation	C	0..1	Reference(Isolation (AKTIN))	Isolation
section:sectionPharmakotherapie	C	0..1	BackboneElement	Pharmakotherapie Section Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Informationen zur medikamentösen Therapie
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
coding	Σ	1..*	Coding	Code defined by a terminology system Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 29549-3
display		1..1	string	Representation defined by the system Fixed Value: Medication administered Narrative
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Informationen zur medikamentösen Therapie
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry	SC	1..*	Reference(ISiKMedikationsVerabreichung)	A reference to data that supports this section
section:sectionAbschlussdiagnosen	C	0..1	BackboneElement	Abschlussdiagnosen Section Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Abschlussdiagnosen
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
coding	Σ	1..*	Coding	Code defined by a terminology system Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11300-1
display		1..1	string	Representation defined by the system Fixed Value: ED diagnosis
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Abschlussdiagnosen
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry	SC	1..*	Reference(ISiKDiagnose(4.0.0-rc3))	A reference to data that supports this section
section:sectionVerlegungEntlassung	C	0..1	BackboneElement	Verlegungs-/Entlassungsinformationen Section Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Verlegungs-/Entlassungsinformationen
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
coding	Σ	1..*	Coding	Code defined by a terminology system Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 67661-9
display		1..1	string	Representation defined by the system Fixed Value: EMS disposition Narrative NEMSIS
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Verlegungs-/Entlassungsinformationen
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry	SC	0..*	Reference(Resource)	A reference to data that supports this section
section:sectionAddendumDokument	C	0..1	BackboneElement	Addendum Dokumentationsinformationen Section Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Addendum Dokumentationsinformationen
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
coding	Σ	1..*	Coding	Code defined by a terminology system Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55107-7
display		1..1	string	Representation defined by the system Fixed Value: Addendum Document
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Addendum Dokumentationsinformationen
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Slices for entry	SC	0..*	Reference(Resource)	Dokumentationsinformationen Slice: Unordered, Open by type:resolve()
entry:ZeitpunktEntscheidungzurVerlegungEntlassung	C	0..1	Reference(Zeitpunkt Entscheidung zur Verlegung / Entlassung (AKTIN))	Zeitpunkt Entscheidung zur Verlegung / Entlassung
entry:ZeitpunktPatientverlegungsentlassungsfahig	C	0..1	Reference(Zeitpunkt Patient verlegungs- / entlassungsfähig (AKTIN))	Zeitpunkt Patient verlegungs- / entlassungsfähig
entry:ZeitpunktPatientverlegtentlassennach	C	0..1	Reference(Zeitpunkt Patient verlegt / entlassen nach (AKTIN))	Zeitpunkt Patient verlegt / entlassen nach
entry:ZeitpunktBeginnpatientenbezogeneDokumentation	C	0..1	Reference(Zeitpunkt Beginn patientenbezogene Dokumentation (AKTIN))	Zeitpunkt Beginn patientenbezogene Dokumentation
entry:ZeitAnkunftAufnahme	C	0..1	Reference(Zeit zwischen Ankunft und Aufnahme (AKTIN))	Zeit zwischen Ankunft und Aufnahme
entry:ZeitAufnahmeErsteinschatzung	C	0..1	Reference(Zeit zwischen Aufnahme und erster Ersteinschätzung (AKTIN))	Zeit zwischen Aufnahme und erster Ersteinschätzung
entry:ZeitAufnahmeArztkontakt	C	0..1	Reference(Zeit zwischen Aufnahme und erstem Arztkontakt (AKTIN))	Zeit zwischen Aufnahme und erstem Arztkontakt
entry:ZeitEntlassungsfahig	C	0..1	Reference(Zeitpunkt Patient verlegungs- / entlassungsfähig (AKTIN))	Zeit zwischen Aufnahme und Verlegungs-/Entlassungsfähigkeit des Patienten
entry:ZeitbiszEntlassung	C	0..1	Reference(Zeit zwischen Aufnahme und Verlassen des Patienten (AKTIN))	Zeit zwischen Aufnahme und Verlassen des Patienten
entry:ZeitbiszumExport	C	0..1	Reference(Zeit bis zum Export (AKTIN))	Zeit bis zum Export
entry:EDIS	C	0..1	Reference(EDIS (AKTIN))	EDIS
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 From the FHIR Standard
Composition.type	preferred	Pattern Value: LOINC Code 97663-9("Emergency medicine Emergency department Discharge summary") http://hl7.org/fhir/ValueSet/doc-typecodes From the FHIR Standard
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:sectionDemografischeInformationen.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:sectionZuweisung.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:sectionTransportmittel.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:sectionWiedervorstellung.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:sectionErsteinschatzung.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:sectionNotfallanamnese.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:sectionVitalparameter.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:sectionDiagnostik.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:sectionMassnahmen.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:sectionPharmakotherapie.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:sectionAbschlussdiagnosen.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:sectionVerlegungEntlassung.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:sectionAddendumDokument.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:sectionDemografischeInformationen, Composition.section:sectionZuweisung, Composition.section:sectionTransportmittel, Composition.section:sectionWiedervorstellung, Composition.section:sectionErsteinschatzung, Composition.section:sectionNotfallanamnese, Composition.section:sectionVitalparameter, Composition.section:sectionDiagnostik, Composition.section:sectionMassnahmen, Composition.section:sectionPharmakotherapie, Composition.section:sectionAbschlussdiagnosen, Composition.section:sectionVerlegungEntlassung, Composition.section:sectionAddendumDokument	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section, Composition.section:sectionDemografischeInformationen, Composition.section:sectionZuweisung, Composition.section:sectionTransportmittel, Composition.section:sectionWiedervorstellung, Composition.section:sectionErsteinschatzung, Composition.section:sectionNotfallanamnese, Composition.section:sectionVitalparameter, Composition.section:sectionDiagnostik, Composition.section:sectionMassnahmen, Composition.section:sectionPharmakotherapie, Composition.section:sectionAbschlussdiagnosen, Composition.section:sectionVerlegungEntlassung, Composition.section:sectionAddendumDokument	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Composition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from Composition

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	Composition	Episodenzusammenfassung Notaufnahmeregister (Composition)
identifier		0..1	Identifier	Business Identifier dieser Episodenzusammenfassung Notaufnahmeregister
status		1..1	code	Status der Episodenzusammenfassung Notaufnahmeregister
type		1..1	CodeableConcept	Type der Composition ("Episodenzusammenfassung Notaufnahmeregister") Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 97663-9
display		1..1	string	Representation defined by the system Fixed Value: Emergency medicine Emergency department Discharge summary
subject		1..1	Reference(Patient (AKTIN))	Patient der Episodenzusammenfassung Notaufnahmeregister
encounter		0..1	Reference(Aufenthalt (AKTIN))	Context of the Composition
date		1..1	dateTime	Datum der Erstellung der Episodenzusammenfassung Notaufnahmeregister
author		1..*	Reference(Practitioner | PractitionerRole)	Autor der Episodenzusammenfassung Notaufnahmeregister
title	S	1..1	string	Episodenzusammenfassung Notaufnahmeregister als Abschluss-Dokument
attester
mode		1..1	code	The type of attestation
Slices for section	S	1..*	BackboneElement	Sections für die Episodenzusammenfassung Notaufnahmeregister Slice: Unordered, Open by pattern:code
section:All Slices				Content/Rules for all slices
code	S	0..1	CodeableConcept	Classification of section (recommended)
text	S	0..1	Narrative	Text summary of the section, for human interpretation
entry	S	0..*	Reference(Resource)	A reference to data that supports this section
section:sectionDemografischeInformationen		0..1	BackboneElement	Demografische Informationen Section
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Demographische Informationen
code		1..1	CodeableConcept	Classification of section (recommended)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: As shown
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 45970-1
display		1..1	string	Representation defined by the system Fixed Value: Demographic information section
text		0..1	string	Plain text representation of the concept Required Pattern: Demographische Informationen
text		1..1	Narrative	Text summary of the section, for human interpretation
entry		0..1	Reference(Alter Patient (AKTIN))	A reference to data that supports this section
emptyReason		0..0
section:sectionZuweisung		0..1	BackboneElement	Zuweisung Section
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Zuweisung
code		1..1	CodeableConcept	Classification of section (recommended)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: As shown
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11293-8
display		1..1	string	Representation defined by the system Fixed Value: Type of Referral source
text		0..1	string	Plain text representation of the concept Required Pattern: Zuweisung
text		1..1	Narrative	Text summary of the section, for human interpretation
entry		0..1	Reference(Zuweisung (AKTIN))	A reference to data that supports this section
emptyReason		0..0
section:sectionTransportmittel		0..1	BackboneElement	Transportmittel Section
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Transportmittel
code		1..1	CodeableConcept	Classification of section (recommended)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: As shown
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11459-5
display		1..1	string	Representation defined by the system Fixed Value: Transport mode EMS system
text		0..1	string	Plain text representation of the concept Required Pattern: Transportmittel
text		1..1	Narrative	Text summary of the section, for human interpretation
Slices for entry		2..*	Reference(Resource)	Transportmittel Slice: Unordered, Open by type:resolve()
entry:Transportmethode		0..1	Reference(Transportmittel (AKTIN))	Transportmethode
entry:MedizinischeBegleitung		0..1	Reference(Medizinische Begleitung (AKTIN))	Medizinische Begleitung
emptyReason		0..0
section:sectionWiedervorstellung		0..1	BackboneElement	Wiedervorstellung Section
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Wiedervorstellung
code		1..1	CodeableConcept	Classification of section (recommended)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: As shown
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: LA21590-7
display		1..1	string	Representation defined by the system Fixed Value: Follow-up visit
text		0..1	string	Plain text representation of the concept Required Pattern: Wiedervorstellung
text		1..1	Narrative	Text summary of the section, for human interpretation
Slices for entry		0..*	Reference(Resource)	Wiedervorstellung Slice: Unordered, Open by type:resolve()
entry:Wiedervorstellung		0..1	Reference(Ungeplante Vorstellung zum gleichen Vorstellungsgrund innerhalb von 28 Tagen (AKTIN))	A reference to data that supports this section
emptyReason		0..0
section:sectionErsteinschatzung		0..1	BackboneElement	Ersteinschätzung Section
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Ersteinschätzung
code		1..1	CodeableConcept	Classification of section (recommended)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: As shown
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11283-9
display		1..1	string	Representation defined by the system Fixed Value: Acuity assessment [Function] at First encounter
text		0..1	string	Plain text representation of the concept Required Pattern: Ersteinschätzung
text		1..1	Narrative	Text summary of the section, for human interpretation
Slices for entry		1..*	Reference(Resource)	Ersteinschatzung Slice: Unordered, Open by type:resolve()
entry:Ersteinschatzung		1..1	Reference(Ergebnis der Ersteinschätzung (AKTIN))	Ersteinschätzung
entry:Manchester		0..1	Reference(Manchester Triage System (AKTIN))	Manchester Triage System
entry:ESITriage		0..1	Reference(ESI-Triage (AKTIN))	ESI Triage
emptyReason		0..0
section:sectionNotfallanamnese		0..1	BackboneElement	Notfallanamnese Section
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Notfallanamnese
code		1..1	CodeableConcept	Classification of section (recommended)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: As shown
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10164-2
display		1..1	string	Representation defined by the system Fixed Value: History of Present illness Narrative
text		0..1	string	Plain text representation of the concept Required Pattern: Notfallanamnese
text		1..1	Narrative	Text summary of the section, for human interpretation
Slices for entry		0..*	Reference(Resource)	Notfallanamnese Slice: Unordered, Open by type:resolve()
entry:Cedis		0..1	Reference(Beschwerden bei Vorstellung CEDIS (AKTIN))	Cedis
entry:Unfallursache		0..1	Reference(Unfallursache (AKTIN))	Unfallursache
entry:Unfallkinetik		0..1	Reference(Unfallkinetik (AKTIN))	Unfallkinetik
entry:Unfallart		0..1	Reference(Unfallart TraumaRegister (AKTIN))	Unfallart
entry:Substanzeinfluss		0..1	Reference(Verdacht auf Alkohol-, Drogen-, Medikamenteneinfluss? (AKTIN))	Substanzeinfluss
emptyReason		0..0
section:sectionVitalparameter		0..1	BackboneElement	Vitalparameter/Scores Section
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Vitalparameter/Scores
code		1..1	CodeableConcept	Classification of section (recommended)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: As shown
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 8716-3
display		1..1	string	Representation defined by the system Fixed Value: Vital signs
text		0..1	string	Plain text representation of the concept Required Pattern: Vitalparameter/Scores
text		1..1	Narrative	Text summary of the section, for human interpretation
Slices for entry		0..*	Reference(Resource)	Vitalparameter Slice: Unordered, Open by type:resolve()
entry:Atemfrequenz		0..1	Reference(Atemfrequenz)	Atemfrequenz
entry:PulsoximetrischeSauerstoffsättigung		0..1	Reference(Pulsoximetrische Sauerstoffsättigung)	Pulsoximetrische Sauerstoffsättigung
entry:Blutdruck		0..1	Reference(Blutdruck)	Blutdruck
entry:Herzfrequenz		0..1	Reference(Herzfrequenz)	Herzfrequenz
entry:Pulsfrequenz		0..1	Reference(Pulsfrequenz)	Pulsfrequenz
entry:Körperkerntemperatur		0..1	Reference(Körperkerntemperatur)	Körperkerntemperatur
entry:GlasgowComaScale		0..1	Reference(Glasgow Coma Scale (GCS))	Glasgow Coma Scale
entry:Schmerz		0..1	Reference(Schmerzmessung)	Schmerz
entry:NiedrigsteGCSSumme		0..1	Reference(Niedrigste GCS-Summe)	Niedrigste GCS-Summe
entry:ErsteSchmerzmessung		0..1	Reference(Erste Schmerzmessung)	Erste Schmerzmessung
emptyReason		0..0
section:sectionDiagnostik		0..1	BackboneElement	Diagnostik Section
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Diagnostik
code		1..1	CodeableConcept	Classification of section (recommended)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: As shown
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 30954-2
display		1..1	string	Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data Narrative
text		0..1	string	Plain text representation of the concept Required Pattern: Diagnostik
text		1..1	Narrative	Text summary of the section, for human interpretation
Slices for entry		0..*	Reference(Resource)	Diagnostik Slice: Unordered, Open by type:resolve()
entry:Laboruntersuchungangefordert		0..1	Reference(Laboruntersuchung angefordert (AKTIN))	Laboruntersuchung angefordert
entry:Mikrobiologieangefordert		0..1	Reference(Mikrobiologie angefordert (AKTIN))	Mikrobiologie angefordert
entry:BGAangefordert		0..1	Reference(BGA angefordert (AKTIN))	BGA angefordert
entry:EKGangefordert		0..1	Reference(EKG angefordert (AKTIN))	EKG angefordert
entry:Sonographieangefordert		0..1	Reference(Sonographie angefordert (AKTIN))	Sonographie angefordert
entry:Rontgenthoraxangefordert		0..1	Reference(Röntgenthorax angefordert (AKTIN))	Röntgenthorax angefordert
entry:RontgenThoraxdurchgefuhrt		0..1	Reference(Röntgen-Thorax durchgeführt (AKTIN))	Röntgen-Thorax durchgeführt
entry:RontgenBeckendurchgefuhrt		0..1	Reference(Röntgen-Becken durchgeführt (AKTIN))	Röntgen-Becken durchgeführt
entry:RontgenWirbelsauledurchgefuhrt		0..1	Reference(Röntgen-Wirbelsäule durchgeführt (AKTIN))	Röntgen-Wirbelsäule durchgeführt
entry:GanzkorperCTdurchgefuhrt		0..1	Reference(Ganzkörper-CT durchgeführt (AKTIN))	Ganzkörper-CT durchgeführt
entry:CTKopfdurchgefuhrt		0..1	Reference(CT Kopf durchgeführt (AKTIN))	CT Kopf durchgeführt
entry:CTHWSdurchgefuhrt		0..1	Reference(CT HWS durchgeführt (AKTIN))	CT HWS durchgeführt
entry:CTThoraxdurchgefuhrt		0..1	Reference(CT Thorax durchgeführt (AKTIN))	CT Thorax durchgeführt
entry:CTTAbdomendurchgefuhrt		0..1	Reference(CT Abdomen durchgeführt (AKTIN))	CT Abdomen durchgeführt
emptyReason		0..0
section:sectionMassnahmen		0..1	BackboneElement	Maßnahmen Section
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Prozeduren und Maßnahmen
code		1..1	CodeableConcept	Classification of section (recommended)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: As shown
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 29554-3
display		1..1	string	Representation defined by the system Fixed Value: Procedure Narrative
text		0..1	string	Plain text representation of the concept Required Pattern: Prozeduren und Maßnahmen
text		1..1	Narrative	Text summary of the section, for human interpretation
Slices for entry		0..*	Reference(Resource)	Masnahmen Slice: Unordered, Open by type:resolve()
entry:Isolation		0..1	Reference(Isolation (AKTIN))	Isolation
emptyReason		0..0
section:sectionPharmakotherapie		0..1	BackboneElement	Pharmakotherapie Section
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Informationen zur medikamentösen Therapie
code		1..1	CodeableConcept	Classification of section (recommended)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: As shown
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 29549-3
display		1..1	string	Representation defined by the system Fixed Value: Medication administered Narrative
text		0..1	string	Plain text representation of the concept Required Pattern: Informationen zur medikamentösen Therapie
text		1..1	Narrative	Text summary of the section, for human interpretation
entry		1..*	Reference(ISiKMedikationsVerabreichung)	A reference to data that supports this section
emptyReason		0..0
section:sectionAbschlussdiagnosen		0..1	BackboneElement	Abschlussdiagnosen Section
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Abschlussdiagnosen
code		1..1	CodeableConcept	Classification of section (recommended)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: As shown
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11300-1
display		1..1	string	Representation defined by the system Fixed Value: ED diagnosis
text		0..1	string	Plain text representation of the concept Required Pattern: Abschlussdiagnosen
text		1..1	Narrative	Text summary of the section, for human interpretation
entry		1..*	Reference(ISiKDiagnose(4.0.0-rc3))	A reference to data that supports this section
emptyReason		0..0
section:sectionVerlegungEntlassung		0..1	BackboneElement	Verlegungs-/Entlassungsinformationen Section
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Verlegungs-/Entlassungsinformationen
code		1..1	CodeableConcept	Classification of section (recommended)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: As shown
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 67661-9
display		1..1	string	Representation defined by the system Fixed Value: EMS disposition Narrative NEMSIS
text		0..1	string	Plain text representation of the concept Required Pattern: Verlegungs-/Entlassungsinformationen
text		1..1	Narrative	Text summary of the section, for human interpretation
emptyReason		0..0
section:sectionAddendumDokument		0..1	BackboneElement	Addendum Dokumentationsinformationen Section
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Addendum Dokumentationsinformationen
code		1..1	CodeableConcept	Classification of section (recommended)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: As shown
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55107-7
display		1..1	string	Representation defined by the system Fixed Value: Addendum Document
text		0..1	string	Plain text representation of the concept Required Pattern: Addendum Dokumentationsinformationen
text		1..1	Narrative	Text summary of the section, for human interpretation
Slices for entry		0..*	Reference(Resource)	Dokumentationsinformationen Slice: Unordered, Open by type:resolve()
entry:ZeitpunktEntscheidungzurVerlegungEntlassung		0..1	Reference(Zeitpunkt Entscheidung zur Verlegung / Entlassung (AKTIN))	Zeitpunkt Entscheidung zur Verlegung / Entlassung
entry:ZeitpunktPatientverlegungsentlassungsfahig		0..1	Reference(Zeitpunkt Patient verlegungs- / entlassungsfähig (AKTIN))	Zeitpunkt Patient verlegungs- / entlassungsfähig
entry:ZeitpunktPatientverlegtentlassennach		0..1	Reference(Zeitpunkt Patient verlegt / entlassen nach (AKTIN))	Zeitpunkt Patient verlegt / entlassen nach
entry:ZeitpunktBeginnpatientenbezogeneDokumentation		0..1	Reference(Zeitpunkt Beginn patientenbezogene Dokumentation (AKTIN))	Zeitpunkt Beginn patientenbezogene Dokumentation
entry:ZeitAnkunftAufnahme		0..1	Reference(Zeit zwischen Ankunft und Aufnahme (AKTIN))	Zeit zwischen Ankunft und Aufnahme
entry:ZeitAufnahmeErsteinschatzung		0..1	Reference(Zeit zwischen Aufnahme und erster Ersteinschätzung (AKTIN))	Zeit zwischen Aufnahme und erster Ersteinschätzung
entry:ZeitAufnahmeArztkontakt		0..1	Reference(Zeit zwischen Aufnahme und erstem Arztkontakt (AKTIN))	Zeit zwischen Aufnahme und erstem Arztkontakt
entry:ZeitEntlassungsfahig		0..1	Reference(Zeitpunkt Patient verlegungs- / entlassungsfähig (AKTIN))	Zeit zwischen Aufnahme und Verlegungs-/Entlassungsfähigkeit des Patienten
entry:ZeitbiszEntlassung		0..1	Reference(Zeit zwischen Aufnahme und Verlassen des Patienten (AKTIN))	Zeit zwischen Aufnahme und Verlassen des Patienten
entry:ZeitbiszumExport		0..1	Reference(Zeit bis zum Export (AKTIN))	Zeit bis zum Export
entry:EDIS		0..1	Reference(EDIS (AKTIN))	EDIS
emptyReason		0..0
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	Composition	Episodenzusammenfassung Notaufnahmeregister (Composition)
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..1	Identifier	Business Identifier dieser Episodenzusammenfassung Notaufnahmeregister
status	?!Σ	1..1	code	Status der Episodenzusammenfassung Notaufnahmeregister Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	Σ	1..1	CodeableConcept	Type der Composition ("Episodenzusammenfassung Notaufnahmeregister") Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 97663-9
display		1..1	string	Representation defined by the system Fixed Value: Emergency medicine Emergency department Discharge summary
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category	Σ	0..*	CodeableConcept	Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject	Σ	1..1	Reference(Patient (AKTIN))	Patient der Episodenzusammenfassung Notaufnahmeregister
encounter	Σ	0..1	Reference(Aufenthalt (AKTIN))	Context of the Composition
date	Σ	1..1	dateTime	Datum der Erstellung der Episodenzusammenfassung Notaufnahmeregister
author	Σ	1..*	Reference(Practitioner | PractitionerRole)	Autor der Episodenzusammenfassung Notaufnahmeregister
title	SΣ	1..1	string	Episodenzusammenfassung Notaufnahmeregister als Abschluss-Dokument
confidentiality	Σ	0..1	code	As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
attester		0..*	BackboneElement	Attests to accuracy of composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time		0..1	dateTime	When the composition was attested
party		0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	Who attested the composition
custodian	Σ	0..1	Reference(Organization)	Organization which maintains the composition
relatesTo		0..*	BackboneElement	Relationships to other compositions/documents
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x]		1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(Composition)
event	Σ	0..*	BackboneElement	The clinical service(s) being documented
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
Slices for section	SC	1..*	BackboneElement	Sections für die Episodenzusammenfassung Notaufnahmeregister Slice: Unordered, Open by pattern:code Constraints: cmp-1, cmp-2
section:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:sectionDemografischeInformationen	C	0..1	BackboneElement	Demografische Informationen Section Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Demographische Informationen
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 45970-1
display		1..1	string	Representation defined by the system Fixed Value: Demographic information section
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Demographische Informationen
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..1	Reference(Alter Patient (AKTIN))	A reference to data that supports this section
section	C	0..*	See section (Composition)	Nested Section
section:sectionZuweisung	C	0..1	BackboneElement	Zuweisung Section Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Zuweisung
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11293-8
display		1..1	string	Representation defined by the system Fixed Value: Type of Referral source
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Zuweisung
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..1	Reference(Zuweisung (AKTIN))	A reference to data that supports this section
section	C	0..*	See section (Composition)	Nested Section
section:sectionTransportmittel	C	0..1	BackboneElement	Transportmittel Section Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Transportmittel
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11459-5
display		1..1	string	Representation defined by the system Fixed Value: Transport mode EMS system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Transportmittel
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	2..*	Reference(Resource)	Transportmittel Slice: Unordered, Open by type:resolve()
entry:Transportmethode	C	0..1	Reference(Transportmittel (AKTIN))	Transportmethode
entry:MedizinischeBegleitung	C	0..1	Reference(Medizinische Begleitung (AKTIN))	Medizinische Begleitung
section	C	0..*	See section (Composition)	Nested Section
section:sectionWiedervorstellung	C	0..1	BackboneElement	Wiedervorstellung Section Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Wiedervorstellung
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: LA21590-7
display		1..1	string	Representation defined by the system Fixed Value: Follow-up visit
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Wiedervorstellung
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	0..*	Reference(Resource)	Wiedervorstellung Slice: Unordered, Open by type:resolve()
entry:Wiedervorstellung	C	0..1	Reference(Ungeplante Vorstellung zum gleichen Vorstellungsgrund innerhalb von 28 Tagen (AKTIN))	A reference to data that supports this section
section	C	0..*	See section (Composition)	Nested Section
section:sectionErsteinschatzung	C	0..1	BackboneElement	Ersteinschätzung Section Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Ersteinschätzung
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11283-9
display		1..1	string	Representation defined by the system Fixed Value: Acuity assessment [Function] at First encounter
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Ersteinschätzung
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	1..*	Reference(Resource)	Ersteinschatzung Slice: Unordered, Open by type:resolve()
entry:Ersteinschatzung	C	1..1	Reference(Ergebnis der Ersteinschätzung (AKTIN))	Ersteinschätzung
entry:Manchester	C	0..1	Reference(Manchester Triage System (AKTIN))	Manchester Triage System
entry:ESITriage	C	0..1	Reference(ESI-Triage (AKTIN))	ESI Triage
section	C	0..*	See section (Composition)	Nested Section
section:sectionNotfallanamnese	C	0..1	BackboneElement	Notfallanamnese Section Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Notfallanamnese
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10164-2
display		1..1	string	Representation defined by the system Fixed Value: History of Present illness Narrative
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Notfallanamnese
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	0..*	Reference(Resource)	Notfallanamnese Slice: Unordered, Open by type:resolve()
entry:Cedis	C	0..1	Reference(Beschwerden bei Vorstellung CEDIS (AKTIN))	Cedis
entry:Unfallursache	C	0..1	Reference(Unfallursache (AKTIN))	Unfallursache
entry:Unfallkinetik	C	0..1	Reference(Unfallkinetik (AKTIN))	Unfallkinetik
entry:Unfallart	C	0..1	Reference(Unfallart TraumaRegister (AKTIN))	Unfallart
entry:Substanzeinfluss	C	0..1	Reference(Verdacht auf Alkohol-, Drogen-, Medikamenteneinfluss? (AKTIN))	Substanzeinfluss
section	C	0..*	See section (Composition)	Nested Section
section:sectionVitalparameter	C	0..1	BackboneElement	Vitalparameter/Scores Section Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Vitalparameter/Scores
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 8716-3
display		1..1	string	Representation defined by the system Fixed Value: Vital signs
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Vitalparameter/Scores
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	0..*	Reference(Resource)	Vitalparameter Slice: Unordered, Open by type:resolve()
entry:Atemfrequenz	C	0..1	Reference(Atemfrequenz)	Atemfrequenz
entry:PulsoximetrischeSauerstoffsättigung	C	0..1	Reference(Pulsoximetrische Sauerstoffsättigung)	Pulsoximetrische Sauerstoffsättigung
entry:Blutdruck	C	0..1	Reference(Blutdruck)	Blutdruck
entry:Herzfrequenz	C	0..1	Reference(Herzfrequenz)	Herzfrequenz
entry:Pulsfrequenz	C	0..1	Reference(Pulsfrequenz)	Pulsfrequenz
entry:Körperkerntemperatur	C	0..1	Reference(Körperkerntemperatur)	Körperkerntemperatur
entry:GlasgowComaScale	C	0..1	Reference(Glasgow Coma Scale (GCS))	Glasgow Coma Scale
entry:Schmerz	C	0..1	Reference(Schmerzmessung)	Schmerz
entry:NiedrigsteGCSSumme	C	0..1	Reference(Niedrigste GCS-Summe)	Niedrigste GCS-Summe
entry:ErsteSchmerzmessung	C	0..1	Reference(Erste Schmerzmessung)	Erste Schmerzmessung
section	C	0..*	See section (Composition)	Nested Section
section:sectionDiagnostik	C	0..1	BackboneElement	Diagnostik Section Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Diagnostik
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 30954-2
display		1..1	string	Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data Narrative
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Diagnostik
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	0..*	Reference(Resource)	Diagnostik Slice: Unordered, Open by type:resolve()
entry:Laboruntersuchungangefordert	C	0..1	Reference(Laboruntersuchung angefordert (AKTIN))	Laboruntersuchung angefordert
entry:Mikrobiologieangefordert	C	0..1	Reference(Mikrobiologie angefordert (AKTIN))	Mikrobiologie angefordert
entry:BGAangefordert	C	0..1	Reference(BGA angefordert (AKTIN))	BGA angefordert
entry:EKGangefordert	C	0..1	Reference(EKG angefordert (AKTIN))	EKG angefordert
entry:Sonographieangefordert	C	0..1	Reference(Sonographie angefordert (AKTIN))	Sonographie angefordert
entry:Rontgenthoraxangefordert	C	0..1	Reference(Röntgenthorax angefordert (AKTIN))	Röntgenthorax angefordert
entry:RontgenThoraxdurchgefuhrt	C	0..1	Reference(Röntgen-Thorax durchgeführt (AKTIN))	Röntgen-Thorax durchgeführt
entry:RontgenBeckendurchgefuhrt	C	0..1	Reference(Röntgen-Becken durchgeführt (AKTIN))	Röntgen-Becken durchgeführt
entry:RontgenWirbelsauledurchgefuhrt	C	0..1	Reference(Röntgen-Wirbelsäule durchgeführt (AKTIN))	Röntgen-Wirbelsäule durchgeführt
entry:GanzkorperCTdurchgefuhrt	C	0..1	Reference(Ganzkörper-CT durchgeführt (AKTIN))	Ganzkörper-CT durchgeführt
entry:CTKopfdurchgefuhrt	C	0..1	Reference(CT Kopf durchgeführt (AKTIN))	CT Kopf durchgeführt
entry:CTHWSdurchgefuhrt	C	0..1	Reference(CT HWS durchgeführt (AKTIN))	CT HWS durchgeführt
entry:CTThoraxdurchgefuhrt	C	0..1	Reference(CT Thorax durchgeführt (AKTIN))	CT Thorax durchgeführt
entry:CTTAbdomendurchgefuhrt	C	0..1	Reference(CT Abdomen durchgeführt (AKTIN))	CT Abdomen durchgeführt
section	C	0..*	See section (Composition)	Nested Section
section:sectionMassnahmen	C	0..1	BackboneElement	Maßnahmen Section Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Prozeduren und Maßnahmen
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 29554-3
display		1..1	string	Representation defined by the system Fixed Value: Procedure Narrative
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Prozeduren und Maßnahmen
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	0..*	Reference(Resource)	Masnahmen Slice: Unordered, Open by type:resolve()
entry:Isolation	C	0..1	Reference(Isolation (AKTIN))	Isolation
section	C	0..*	See section (Composition)	Nested Section
section:sectionPharmakotherapie	C	0..1	BackboneElement	Pharmakotherapie Section Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Informationen zur medikamentösen Therapie
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 29549-3
display		1..1	string	Representation defined by the system Fixed Value: Medication administered Narrative
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Informationen zur medikamentösen Therapie
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	1..*	Reference(ISiKMedikationsVerabreichung)	A reference to data that supports this section
section	C	0..*	See section (Composition)	Nested Section
section:sectionAbschlussdiagnosen	C	0..1	BackboneElement	Abschlussdiagnosen Section Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Abschlussdiagnosen
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11300-1
display		1..1	string	Representation defined by the system Fixed Value: ED diagnosis
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Abschlussdiagnosen
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	1..*	Reference(ISiKDiagnose(4.0.0-rc3))	A reference to data that supports this section
section	C	0..*	See section (Composition)	Nested Section
section:sectionVerlegungEntlassung	C	0..1	BackboneElement	Verlegungs-/Entlassungsinformationen Section Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Verlegungs-/Entlassungsinformationen
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 67661-9
display		1..1	string	Representation defined by the system Fixed Value: EMS disposition Narrative NEMSIS
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Verlegungs-/Entlassungsinformationen
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(Resource)	A reference to data that supports this section
section	C	0..*	See section (Composition)	Nested Section
section:sectionAddendumDokument	C	0..1	BackboneElement	Addendum Dokumentationsinformationen Section Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Addendum Dokumentationsinformationen
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55107-7
display		1..1	string	Representation defined by the system Fixed Value: Addendum Document
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Addendum Dokumentationsinformationen
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	0..*	Reference(Resource)	Dokumentationsinformationen Slice: Unordered, Open by type:resolve()
entry:ZeitpunktEntscheidungzurVerlegungEntlassung	C	0..1	Reference(Zeitpunkt Entscheidung zur Verlegung / Entlassung (AKTIN))	Zeitpunkt Entscheidung zur Verlegung / Entlassung
entry:ZeitpunktPatientverlegungsentlassungsfahig	C	0..1	Reference(Zeitpunkt Patient verlegungs- / entlassungsfähig (AKTIN))	Zeitpunkt Patient verlegungs- / entlassungsfähig
entry:ZeitpunktPatientverlegtentlassennach	C	0..1	Reference(Zeitpunkt Patient verlegt / entlassen nach (AKTIN))	Zeitpunkt Patient verlegt / entlassen nach
entry:ZeitpunktBeginnpatientenbezogeneDokumentation	C	0..1	Reference(Zeitpunkt Beginn patientenbezogene Dokumentation (AKTIN))	Zeitpunkt Beginn patientenbezogene Dokumentation
entry:ZeitAnkunftAufnahme	C	0..1	Reference(Zeit zwischen Ankunft und Aufnahme (AKTIN))	Zeit zwischen Ankunft und Aufnahme
entry:ZeitAufnahmeErsteinschatzung	C	0..1	Reference(Zeit zwischen Aufnahme und erster Ersteinschätzung (AKTIN))	Zeit zwischen Aufnahme und erster Ersteinschätzung
entry:ZeitAufnahmeArztkontakt	C	0..1	Reference(Zeit zwischen Aufnahme und erstem Arztkontakt (AKTIN))	Zeit zwischen Aufnahme und erstem Arztkontakt
entry:ZeitEntlassungsfahig	C	0..1	Reference(Zeitpunkt Patient verlegungs- / entlassungsfähig (AKTIN))	Zeit zwischen Aufnahme und Verlegungs-/Entlassungsfähigkeit des Patienten
entry:ZeitbiszEntlassung	C	0..1	Reference(Zeit zwischen Aufnahme und Verlassen des Patienten (AKTIN))	Zeit zwischen Aufnahme und Verlassen des Patienten
entry:ZeitbiszumExport	C	0..1	Reference(Zeit bis zum Export (AKTIN))	Zeit bis zum Export
entry:EDIS	C	0..1	Reference(EDIS (AKTIN))	EDIS
section	C	0..*	See section (Composition)	Nested Section
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 From the FHIR Standard
Composition.type	preferred	Pattern Value: LOINC Code 97663-9("Emergency medicine Emergency department Discharge summary") http://hl7.org/fhir/ValueSet/doc-typecodes From the FHIR Standard
Composition.category	example	DocumentClassValueSet http://hl7.org/fhir/ValueSet/document-classcodes From the FHIR Standard
Composition.confidentiality	required	v3.ConfidentialityClassification http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26 From the FHIR Standard
Composition.attester.mode	required	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 From the FHIR Standard
Composition.relatesTo.code	required	DocumentRelationshipType http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 From the FHIR Standard
Composition.event.code	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 From the FHIR Standard
Composition.section.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason From the FHIR Standard
Composition.section:sectionDemografischeInformationen.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:sectionDemografischeInformationen.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 From the FHIR Standard
Composition.section:sectionDemografischeInformationen.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:sectionZuweisung.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:sectionZuweisung.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 From the FHIR Standard
Composition.section:sectionZuweisung.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:sectionTransportmittel.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:sectionTransportmittel.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 From the FHIR Standard
Composition.section:sectionTransportmittel.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:sectionWiedervorstellung.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:sectionWiedervorstellung.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 From the FHIR Standard
Composition.section:sectionWiedervorstellung.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:sectionErsteinschatzung.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:sectionErsteinschatzung.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 From the FHIR Standard
Composition.section:sectionErsteinschatzung.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:sectionNotfallanamnese.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:sectionNotfallanamnese.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 From the FHIR Standard
Composition.section:sectionNotfallanamnese.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:sectionVitalparameter.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:sectionVitalparameter.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 From the FHIR Standard
Composition.section:sectionVitalparameter.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:sectionDiagnostik.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:sectionDiagnostik.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 From the FHIR Standard
Composition.section:sectionDiagnostik.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:sectionMassnahmen.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:sectionMassnahmen.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 From the FHIR Standard
Composition.section:sectionMassnahmen.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:sectionPharmakotherapie.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:sectionPharmakotherapie.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 From the FHIR Standard
Composition.section:sectionPharmakotherapie.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:sectionAbschlussdiagnosen.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:sectionAbschlussdiagnosen.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 From the FHIR Standard
Composition.section:sectionAbschlussdiagnosen.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:sectionVerlegungEntlassung.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:sectionVerlegungEntlassung.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 From the FHIR Standard
Composition.section:sectionVerlegungEntlassung.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:sectionAddendumDokument.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:sectionAddendumDokument.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 From the FHIR Standard
Composition.section:sectionAddendumDokument.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:sectionDemografischeInformationen, Composition.section:sectionZuweisung, Composition.section:sectionTransportmittel, Composition.section:sectionWiedervorstellung, Composition.section:sectionErsteinschatzung, Composition.section:sectionNotfallanamnese, Composition.section:sectionVitalparameter, Composition.section:sectionDiagnostik, Composition.section:sectionMassnahmen, Composition.section:sectionPharmakotherapie, Composition.section:sectionAbschlussdiagnosen, Composition.section:sectionVerlegungEntlassung, Composition.section:sectionAddendumDokument	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section, Composition.section:sectionDemografischeInformationen, Composition.section:sectionZuweisung, Composition.section:sectionTransportmittel, Composition.section:sectionWiedervorstellung, Composition.section:sectionErsteinschatzung, Composition.section:sectionNotfallanamnese, Composition.section:sectionVitalparameter, Composition.section:sectionDiagnostik, Composition.section:sectionMassnahmen, Composition.section:sectionPharmakotherapie, Composition.section:sectionAbschlussdiagnosen, Composition.section:sectionVerlegungEntlassung, Composition.section:sectionAddendumDokument	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Composition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from Composition

Summary

Mandatory: 2 elements(56 nested mandatory elements)
Must-Support: 5 elements
Fixed: 13 elements
Prohibited: 13 elements

Structures

This structure refers to these other structures:

• Patient (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-patient)
• Aufenthalt (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-aufenthalt)
• Alter Patient (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-alter-patient)
• Zuweisung (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-zuweisung)
• Transportmittel (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-transportmittel)
• Medizinische Begleitung (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-medizinische-begleitung)
• Ungeplante Vorstellung zum gleichen Vorstellungsgrund innerhalb von 28 Tagen (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-ungeplante-vorstellung-gleicher-grund-28-tage)
• Ergebnis der Ersteinschätzung (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-ergebnis-der-ersteinschatzung)
• Manchester Triage System (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-manchester-triage-system)
• ESI-Triage (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-esitriage)
• Beschwerden bei Vorstellung CEDIS (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-beschwerden-bei-vorstellung-cedis)
• Unfallursache (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-unfallursache)
• Unfallkinetik (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-unfallkinetik)
• Unfallart TraumaRegister (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-unfallart-trauma-register)
• Verdacht auf Alkohol-, Drogen-, Medikamenteneinfluss? (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-verdacht-auf-alkohol-drogen-medikamenteneinfluss)
• Atemfrequenz (http://aktin.org/fhir/StructureDefinition/aktin-pr-vitalsigns-atemfrequenz)
• Pulsoximetrische Sauerstoffsättigung (http://aktin.org/fhir/StructureDefinition/aktin-pr-vitalsigns-pulsoximetrische-sauerstoffsattigung)
• Blutdruck (http://aktin.org/fhir/StructureDefinition/aktin-pr-vitalsigns-blutdruck)
• Herzfrequenz (http://aktin.org/fhir/StructureDefinition/aktin-pr-vitalsigns-herzfrequenz)
• Pulsfrequenz (http://aktin.org/fhir/StructureDefinition/aktin-pr-vitalsigns-pulsfrequenz)
• Körperkerntemperatur (http://aktin.org/fhir/StructureDefinition/aktin-pr-vitalsigns-korperkerntemperatur)
• Glasgow Coma Scale (GCS) (http://aktin.org/fhir/StructureDefinition/aktin-pr-vitalsigns-glasgow-coma-scale)
• Schmerzmessung (http://aktin.org/fhir/StructureDefinition/aktin-pr-vitalsigns-schmerz)
• Niedrigste GCS-Summe (http://aktin.org/fhir/StructureDefinition/aktin-pr-vitalsigns-niedrigster-gcs)
• Erste Schmerzmessung (http://aktin.org/fhir/StructureDefinition/aktin-pr-vitalsigns-erster-schmerz)
• Laboruntersuchung angefordert (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-laboruntersuchung-angefordert)
• Mikrobiologie angefordert (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-mikrobiologie-angefordert)
• BGA angefordert (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-bga-angefordert)
• EKG angefordert (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-ekg-angefordert)
• Sonographie angefordert (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-sonographie-angefordert)
• Röntgenthorax angefordert (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-rontgenthorax-angefordert)
• Röntgen-Thorax durchgeführt (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-rontgenthorax-durchgefuhrt)
• Röntgen-Becken durchgeführt (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-rontgenbecken-durchgefuhrt)
• Röntgen-Wirbelsäule durchgeführt (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-rontgenwirbelsaule-durchgefuhrt)
• Ganzkörper-CT durchgeführt (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-ganzkorperct-durchgefuhrt)
• CT Kopf durchgeführt (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-ct-kopf-durchgefuhrt)
• CT HWS durchgeführt (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-ct-hws-durchgefuhrt)
• CT Thorax durchgeführt (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-ct-thorax-durchgefuhrt)
• CT Abdomen durchgeführt (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-ct-abdomen-durchgefuhrt)
• Isolation (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-isolation)
• ISiKMedikationsVerabreichung (https://gematik.de/fhir/isik/StructureDefinition/ISiKMedikationsVerabreichung)
• ISiKDiagnose (https://gematik.de/fhir/isik/StructureDefinition/ISiKDiagnose)
• Zeitpunkt Entscheidung zur Verlegung / Entlassung (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-zeitpunkt-entscheidung-zur-verlegung-entlassung)
• Zeitpunkt Patient verlegungs- / entlassungsfähig (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-zeitpunkt-patient-verlegungs-entlassungsfahig)
• Zeitpunkt Patient verlegt / entlassen nach (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-zeitpunkt-patient-verlegt-entlassen-nach)
• Zeitpunkt Beginn patientenbezogene Dokumentation (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-zeitpunkt-beginn-patientenbezogene-dokumentation)
• Zeit zwischen Ankunft und Aufnahme (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-zeit-zwischen-ankunft-und-aufnahme)
• Zeit zwischen Aufnahme und erster Ersteinschätzung (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-zeit-zwischen-aufnahme-und-erster-ersteinschatzung)
• Zeit zwischen Aufnahme und erstem Arztkontakt (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-zeit-zwischen-aufnahme-und-erstem-arztkontakt)
• Zeit zwischen Aufnahme und Verlassen des Patienten (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-zeit-zwischen-aufnahme-und-verlassen-des-patienten)
• Zeit bis zum Export (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-zeit-bis-zum-export)
• EDIS (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-edis)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Composition.section
• The element 1 is sliced based on the value of Composition.section.entry

Maturity: 1

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	Composition	Episodenzusammenfassung Notaufnahmeregister (Composition)
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..1	Identifier	Business Identifier dieser Episodenzusammenfassung Notaufnahmeregister
status	?!Σ	1..1	code	Status der Episodenzusammenfassung Notaufnahmeregister Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	Σ	1..1	CodeableConcept	Type der Composition ("Episodenzusammenfassung Notaufnahmeregister") Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 97663-9
display		1..1	string	Representation defined by the system Fixed Value: Emergency medicine Emergency department Discharge summary
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(Patient (AKTIN))	Patient der Episodenzusammenfassung Notaufnahmeregister
encounter	Σ	0..1	Reference(Aufenthalt (AKTIN))	Context of the Composition
date	Σ	1..1	dateTime	Datum der Erstellung der Episodenzusammenfassung Notaufnahmeregister
author	Σ	1..*	Reference(Practitioner | PractitionerRole)	Autor der Episodenzusammenfassung Notaufnahmeregister
title	SΣ	1..1	string	Episodenzusammenfassung Notaufnahmeregister als Abschluss-Dokument
Slices for section	SC	1..*	BackboneElement	Sections für die Episodenzusammenfassung Notaufnahmeregister Slice: Unordered, Open by pattern:code Constraints: cmp-1, cmp-2
section:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
text	SC	0..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry	SC	0..*	Reference(Resource)	A reference to data that supports this section
section:sectionDemografischeInformationen	C	0..1	BackboneElement	Demografische Informationen Section Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Demographische Informationen
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
coding	Σ	1..*	Coding	Code defined by a terminology system Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 45970-1
display		1..1	string	Representation defined by the system Fixed Value: Demographic information section
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Demographische Informationen
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry	SC	0..1	Reference(Alter Patient (AKTIN))	A reference to data that supports this section
section:sectionZuweisung	C	0..1	BackboneElement	Zuweisung Section Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Zuweisung
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
coding	Σ	1..*	Coding	Code defined by a terminology system Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11293-8
display		1..1	string	Representation defined by the system Fixed Value: Type of Referral source
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Zuweisung
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry	SC	0..1	Reference(Zuweisung (AKTIN))	A reference to data that supports this section
section:sectionTransportmittel	C	0..1	BackboneElement	Transportmittel Section Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Transportmittel
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
coding	Σ	1..*	Coding	Code defined by a terminology system Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11459-5
display		1..1	string	Representation defined by the system Fixed Value: Transport mode EMS system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Transportmittel
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Slices for entry	SC	2..*	Reference(Resource)	Transportmittel Slice: Unordered, Open by type:resolve()
entry:Transportmethode	C	0..1	Reference(Transportmittel (AKTIN))	Transportmethode
entry:MedizinischeBegleitung	C	0..1	Reference(Medizinische Begleitung (AKTIN))	Medizinische Begleitung
section:sectionWiedervorstellung	C	0..1	BackboneElement	Wiedervorstellung Section Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Wiedervorstellung
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
coding	Σ	1..*	Coding	Code defined by a terminology system Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: LA21590-7
display		1..1	string	Representation defined by the system Fixed Value: Follow-up visit
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Wiedervorstellung
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Slices for entry	SC	0..*	Reference(Resource)	Wiedervorstellung Slice: Unordered, Open by type:resolve()
entry:Wiedervorstellung	C	0..1	Reference(Ungeplante Vorstellung zum gleichen Vorstellungsgrund innerhalb von 28 Tagen (AKTIN))	A reference to data that supports this section
section:sectionErsteinschatzung	C	0..1	BackboneElement	Ersteinschätzung Section Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Ersteinschätzung
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
coding	Σ	1..*	Coding	Code defined by a terminology system Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11283-9
display		1..1	string	Representation defined by the system Fixed Value: Acuity assessment [Function] at First encounter
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Ersteinschätzung
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Slices for entry	SC	1..*	Reference(Resource)	Ersteinschatzung Slice: Unordered, Open by type:resolve()
entry:Ersteinschatzung	C	1..1	Reference(Ergebnis der Ersteinschätzung (AKTIN))	Ersteinschätzung
entry:Manchester	C	0..1	Reference(Manchester Triage System (AKTIN))	Manchester Triage System
entry:ESITriage	C	0..1	Reference(ESI-Triage (AKTIN))	ESI Triage
section:sectionNotfallanamnese	C	0..1	BackboneElement	Notfallanamnese Section Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Notfallanamnese
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
coding	Σ	1..*	Coding	Code defined by a terminology system Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10164-2
display		1..1	string	Representation defined by the system Fixed Value: History of Present illness Narrative
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Notfallanamnese
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Slices for entry	SC	0..*	Reference(Resource)	Notfallanamnese Slice: Unordered, Open by type:resolve()
entry:Cedis	C	0..1	Reference(Beschwerden bei Vorstellung CEDIS (AKTIN))	Cedis
entry:Unfallursache	C	0..1	Reference(Unfallursache (AKTIN))	Unfallursache
entry:Unfallkinetik	C	0..1	Reference(Unfallkinetik (AKTIN))	Unfallkinetik
entry:Unfallart	C	0..1	Reference(Unfallart TraumaRegister (AKTIN))	Unfallart
entry:Substanzeinfluss	C	0..1	Reference(Verdacht auf Alkohol-, Drogen-, Medikamenteneinfluss? (AKTIN))	Substanzeinfluss
section:sectionVitalparameter	C	0..1	BackboneElement	Vitalparameter/Scores Section Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Vitalparameter/Scores
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
coding	Σ	1..*	Coding	Code defined by a terminology system Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 8716-3
display		1..1	string	Representation defined by the system Fixed Value: Vital signs
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Vitalparameter/Scores
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Slices for entry	SC	0..*	Reference(Resource)	Vitalparameter Slice: Unordered, Open by type:resolve()
entry:Atemfrequenz	C	0..1	Reference(Atemfrequenz)	Atemfrequenz
entry:PulsoximetrischeSauerstoffsättigung	C	0..1	Reference(Pulsoximetrische Sauerstoffsättigung)	Pulsoximetrische Sauerstoffsättigung
entry:Blutdruck	C	0..1	Reference(Blutdruck)	Blutdruck
entry:Herzfrequenz	C	0..1	Reference(Herzfrequenz)	Herzfrequenz
entry:Pulsfrequenz	C	0..1	Reference(Pulsfrequenz)	Pulsfrequenz
entry:Körperkerntemperatur	C	0..1	Reference(Körperkerntemperatur)	Körperkerntemperatur
entry:GlasgowComaScale	C	0..1	Reference(Glasgow Coma Scale (GCS))	Glasgow Coma Scale
entry:Schmerz	C	0..1	Reference(Schmerzmessung)	Schmerz
entry:NiedrigsteGCSSumme	C	0..1	Reference(Niedrigste GCS-Summe)	Niedrigste GCS-Summe
entry:ErsteSchmerzmessung	C	0..1	Reference(Erste Schmerzmessung)	Erste Schmerzmessung
section:sectionDiagnostik	C	0..1	BackboneElement	Diagnostik Section Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Diagnostik
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
coding	Σ	1..*	Coding	Code defined by a terminology system Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 30954-2
display		1..1	string	Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data Narrative
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Diagnostik
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Slices for entry	SC	0..*	Reference(Resource)	Diagnostik Slice: Unordered, Open by type:resolve()
entry:Laboruntersuchungangefordert	C	0..1	Reference(Laboruntersuchung angefordert (AKTIN))	Laboruntersuchung angefordert
entry:Mikrobiologieangefordert	C	0..1	Reference(Mikrobiologie angefordert (AKTIN))	Mikrobiologie angefordert
entry:BGAangefordert	C	0..1	Reference(BGA angefordert (AKTIN))	BGA angefordert
entry:EKGangefordert	C	0..1	Reference(EKG angefordert (AKTIN))	EKG angefordert
entry:Sonographieangefordert	C	0..1	Reference(Sonographie angefordert (AKTIN))	Sonographie angefordert
entry:Rontgenthoraxangefordert	C	0..1	Reference(Röntgenthorax angefordert (AKTIN))	Röntgenthorax angefordert
entry:RontgenThoraxdurchgefuhrt	C	0..1	Reference(Röntgen-Thorax durchgeführt (AKTIN))	Röntgen-Thorax durchgeführt
entry:RontgenBeckendurchgefuhrt	C	0..1	Reference(Röntgen-Becken durchgeführt (AKTIN))	Röntgen-Becken durchgeführt
entry:RontgenWirbelsauledurchgefuhrt	C	0..1	Reference(Röntgen-Wirbelsäule durchgeführt (AKTIN))	Röntgen-Wirbelsäule durchgeführt
entry:GanzkorperCTdurchgefuhrt	C	0..1	Reference(Ganzkörper-CT durchgeführt (AKTIN))	Ganzkörper-CT durchgeführt
entry:CTKopfdurchgefuhrt	C	0..1	Reference(CT Kopf durchgeführt (AKTIN))	CT Kopf durchgeführt
entry:CTHWSdurchgefuhrt	C	0..1	Reference(CT HWS durchgeführt (AKTIN))	CT HWS durchgeführt
entry:CTThoraxdurchgefuhrt	C	0..1	Reference(CT Thorax durchgeführt (AKTIN))	CT Thorax durchgeführt
entry:CTTAbdomendurchgefuhrt	C	0..1	Reference(CT Abdomen durchgeführt (AKTIN))	CT Abdomen durchgeführt
section:sectionMassnahmen	C	0..1	BackboneElement	Maßnahmen Section Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Prozeduren und Maßnahmen
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
coding	Σ	1..*	Coding	Code defined by a terminology system Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 29554-3
display		1..1	string	Representation defined by the system Fixed Value: Procedure Narrative
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Prozeduren und Maßnahmen
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Slices for entry	SC	0..*	Reference(Resource)	Masnahmen Slice: Unordered, Open by type:resolve()
entry:Isolation	C	0..1	Reference(Isolation (AKTIN))	Isolation
section:sectionPharmakotherapie	C	0..1	BackboneElement	Pharmakotherapie Section Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Informationen zur medikamentösen Therapie
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
coding	Σ	1..*	Coding	Code defined by a terminology system Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 29549-3
display		1..1	string	Representation defined by the system Fixed Value: Medication administered Narrative
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Informationen zur medikamentösen Therapie
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry	SC	1..*	Reference(ISiKMedikationsVerabreichung)	A reference to data that supports this section
section:sectionAbschlussdiagnosen	C	0..1	BackboneElement	Abschlussdiagnosen Section Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Abschlussdiagnosen
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
coding	Σ	1..*	Coding	Code defined by a terminology system Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11300-1
display		1..1	string	Representation defined by the system Fixed Value: ED diagnosis
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Abschlussdiagnosen
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry	SC	1..*	Reference(ISiKDiagnose(4.0.0-rc3))	A reference to data that supports this section
section:sectionVerlegungEntlassung	C	0..1	BackboneElement	Verlegungs-/Entlassungsinformationen Section Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Verlegungs-/Entlassungsinformationen
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
coding	Σ	1..*	Coding	Code defined by a terminology system Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 67661-9
display		1..1	string	Representation defined by the system Fixed Value: EMS disposition Narrative NEMSIS
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Verlegungs-/Entlassungsinformationen
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
entry	SC	0..*	Reference(Resource)	A reference to data that supports this section
section:sectionAddendumDokument	C	0..1	BackboneElement	Addendum Dokumentationsinformationen Section Constraints: cmp-1, cmp-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Addendum Dokumentationsinformationen
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
coding	Σ	1..*	Coding	Code defined by a terminology system Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55107-7
display		1..1	string	Representation defined by the system Fixed Value: Addendum Document
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Addendum Dokumentationsinformationen
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Slices for entry	SC	0..*	Reference(Resource)	Dokumentationsinformationen Slice: Unordered, Open by type:resolve()
entry:ZeitpunktEntscheidungzurVerlegungEntlassung	C	0..1	Reference(Zeitpunkt Entscheidung zur Verlegung / Entlassung (AKTIN))	Zeitpunkt Entscheidung zur Verlegung / Entlassung
entry:ZeitpunktPatientverlegungsentlassungsfahig	C	0..1	Reference(Zeitpunkt Patient verlegungs- / entlassungsfähig (AKTIN))	Zeitpunkt Patient verlegungs- / entlassungsfähig
entry:ZeitpunktPatientverlegtentlassennach	C	0..1	Reference(Zeitpunkt Patient verlegt / entlassen nach (AKTIN))	Zeitpunkt Patient verlegt / entlassen nach
entry:ZeitpunktBeginnpatientenbezogeneDokumentation	C	0..1	Reference(Zeitpunkt Beginn patientenbezogene Dokumentation (AKTIN))	Zeitpunkt Beginn patientenbezogene Dokumentation
entry:ZeitAnkunftAufnahme	C	0..1	Reference(Zeit zwischen Ankunft und Aufnahme (AKTIN))	Zeit zwischen Ankunft und Aufnahme
entry:ZeitAufnahmeErsteinschatzung	C	0..1	Reference(Zeit zwischen Aufnahme und erster Ersteinschätzung (AKTIN))	Zeit zwischen Aufnahme und erster Ersteinschätzung
entry:ZeitAufnahmeArztkontakt	C	0..1	Reference(Zeit zwischen Aufnahme und erstem Arztkontakt (AKTIN))	Zeit zwischen Aufnahme und erstem Arztkontakt
entry:ZeitEntlassungsfahig	C	0..1	Reference(Zeitpunkt Patient verlegungs- / entlassungsfähig (AKTIN))	Zeit zwischen Aufnahme und Verlegungs-/Entlassungsfähigkeit des Patienten
entry:ZeitbiszEntlassung	C	0..1	Reference(Zeit zwischen Aufnahme und Verlassen des Patienten (AKTIN))	Zeit zwischen Aufnahme und Verlassen des Patienten
entry:ZeitbiszumExport	C	0..1	Reference(Zeit bis zum Export (AKTIN))	Zeit bis zum Export
entry:EDIS	C	0..1	Reference(EDIS (AKTIN))	EDIS
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 From the FHIR Standard
Composition.type	preferred	Pattern Value: LOINC Code 97663-9("Emergency medicine Emergency department Discharge summary") http://hl7.org/fhir/ValueSet/doc-typecodes From the FHIR Standard
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:sectionDemografischeInformationen.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:sectionZuweisung.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:sectionTransportmittel.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:sectionWiedervorstellung.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:sectionErsteinschatzung.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:sectionNotfallanamnese.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:sectionVitalparameter.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:sectionDiagnostik.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:sectionMassnahmen.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:sectionPharmakotherapie.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:sectionAbschlussdiagnosen.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:sectionVerlegungEntlassung.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:sectionAddendumDokument.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:sectionDemografischeInformationen, Composition.section:sectionZuweisung, Composition.section:sectionTransportmittel, Composition.section:sectionWiedervorstellung, Composition.section:sectionErsteinschatzung, Composition.section:sectionNotfallanamnese, Composition.section:sectionVitalparameter, Composition.section:sectionDiagnostik, Composition.section:sectionMassnahmen, Composition.section:sectionPharmakotherapie, Composition.section:sectionAbschlussdiagnosen, Composition.section:sectionVerlegungEntlassung, Composition.section:sectionAddendumDokument	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section, Composition.section:sectionDemografischeInformationen, Composition.section:sectionZuweisung, Composition.section:sectionTransportmittel, Composition.section:sectionWiedervorstellung, Composition.section:sectionErsteinschatzung, Composition.section:sectionNotfallanamnese, Composition.section:sectionVitalparameter, Composition.section:sectionDiagnostik, Composition.section:sectionMassnahmen, Composition.section:sectionPharmakotherapie, Composition.section:sectionAbschlussdiagnosen, Composition.section:sectionVerlegungEntlassung, Composition.section:sectionAddendumDokument	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Composition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Differential View

This structure is derived from Composition

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	Composition	Episodenzusammenfassung Notaufnahmeregister (Composition)
identifier		0..1	Identifier	Business Identifier dieser Episodenzusammenfassung Notaufnahmeregister
status		1..1	code	Status der Episodenzusammenfassung Notaufnahmeregister
type		1..1	CodeableConcept	Type der Composition ("Episodenzusammenfassung Notaufnahmeregister") Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 97663-9
display		1..1	string	Representation defined by the system Fixed Value: Emergency medicine Emergency department Discharge summary
subject		1..1	Reference(Patient (AKTIN))	Patient der Episodenzusammenfassung Notaufnahmeregister
encounter		0..1	Reference(Aufenthalt (AKTIN))	Context of the Composition
date		1..1	dateTime	Datum der Erstellung der Episodenzusammenfassung Notaufnahmeregister
author		1..*	Reference(Practitioner | PractitionerRole)	Autor der Episodenzusammenfassung Notaufnahmeregister
title	S	1..1	string	Episodenzusammenfassung Notaufnahmeregister als Abschluss-Dokument
attester
mode		1..1	code	The type of attestation
Slices for section	S	1..*	BackboneElement	Sections für die Episodenzusammenfassung Notaufnahmeregister Slice: Unordered, Open by pattern:code
section:All Slices				Content/Rules for all slices
code	S	0..1	CodeableConcept	Classification of section (recommended)
text	S	0..1	Narrative	Text summary of the section, for human interpretation
entry	S	0..*	Reference(Resource)	A reference to data that supports this section
section:sectionDemografischeInformationen		0..1	BackboneElement	Demografische Informationen Section
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Demographische Informationen
code		1..1	CodeableConcept	Classification of section (recommended)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: As shown
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 45970-1
display		1..1	string	Representation defined by the system Fixed Value: Demographic information section
text		0..1	string	Plain text representation of the concept Required Pattern: Demographische Informationen
text		1..1	Narrative	Text summary of the section, for human interpretation
entry		0..1	Reference(Alter Patient (AKTIN))	A reference to data that supports this section
emptyReason		0..0
section:sectionZuweisung		0..1	BackboneElement	Zuweisung Section
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Zuweisung
code		1..1	CodeableConcept	Classification of section (recommended)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: As shown
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11293-8
display		1..1	string	Representation defined by the system Fixed Value: Type of Referral source
text		0..1	string	Plain text representation of the concept Required Pattern: Zuweisung
text		1..1	Narrative	Text summary of the section, for human interpretation
entry		0..1	Reference(Zuweisung (AKTIN))	A reference to data that supports this section
emptyReason		0..0
section:sectionTransportmittel		0..1	BackboneElement	Transportmittel Section
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Transportmittel
code		1..1	CodeableConcept	Classification of section (recommended)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: As shown
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11459-5
display		1..1	string	Representation defined by the system Fixed Value: Transport mode EMS system
text		0..1	string	Plain text representation of the concept Required Pattern: Transportmittel
text		1..1	Narrative	Text summary of the section, for human interpretation
Slices for entry		2..*	Reference(Resource)	Transportmittel Slice: Unordered, Open by type:resolve()
entry:Transportmethode		0..1	Reference(Transportmittel (AKTIN))	Transportmethode
entry:MedizinischeBegleitung		0..1	Reference(Medizinische Begleitung (AKTIN))	Medizinische Begleitung
emptyReason		0..0
section:sectionWiedervorstellung		0..1	BackboneElement	Wiedervorstellung Section
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Wiedervorstellung
code		1..1	CodeableConcept	Classification of section (recommended)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: As shown
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: LA21590-7
display		1..1	string	Representation defined by the system Fixed Value: Follow-up visit
text		0..1	string	Plain text representation of the concept Required Pattern: Wiedervorstellung
text		1..1	Narrative	Text summary of the section, for human interpretation
Slices for entry		0..*	Reference(Resource)	Wiedervorstellung Slice: Unordered, Open by type:resolve()
entry:Wiedervorstellung		0..1	Reference(Ungeplante Vorstellung zum gleichen Vorstellungsgrund innerhalb von 28 Tagen (AKTIN))	A reference to data that supports this section
emptyReason		0..0
section:sectionErsteinschatzung		0..1	BackboneElement	Ersteinschätzung Section
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Ersteinschätzung
code		1..1	CodeableConcept	Classification of section (recommended)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: As shown
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11283-9
display		1..1	string	Representation defined by the system Fixed Value: Acuity assessment [Function] at First encounter
text		0..1	string	Plain text representation of the concept Required Pattern: Ersteinschätzung
text		1..1	Narrative	Text summary of the section, for human interpretation
Slices for entry		1..*	Reference(Resource)	Ersteinschatzung Slice: Unordered, Open by type:resolve()
entry:Ersteinschatzung		1..1	Reference(Ergebnis der Ersteinschätzung (AKTIN))	Ersteinschätzung
entry:Manchester		0..1	Reference(Manchester Triage System (AKTIN))	Manchester Triage System
entry:ESITriage		0..1	Reference(ESI-Triage (AKTIN))	ESI Triage
emptyReason		0..0
section:sectionNotfallanamnese		0..1	BackboneElement	Notfallanamnese Section
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Notfallanamnese
code		1..1	CodeableConcept	Classification of section (recommended)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: As shown
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10164-2
display		1..1	string	Representation defined by the system Fixed Value: History of Present illness Narrative
text		0..1	string	Plain text representation of the concept Required Pattern: Notfallanamnese
text		1..1	Narrative	Text summary of the section, for human interpretation
Slices for entry		0..*	Reference(Resource)	Notfallanamnese Slice: Unordered, Open by type:resolve()
entry:Cedis		0..1	Reference(Beschwerden bei Vorstellung CEDIS (AKTIN))	Cedis
entry:Unfallursache		0..1	Reference(Unfallursache (AKTIN))	Unfallursache
entry:Unfallkinetik		0..1	Reference(Unfallkinetik (AKTIN))	Unfallkinetik
entry:Unfallart		0..1	Reference(Unfallart TraumaRegister (AKTIN))	Unfallart
entry:Substanzeinfluss		0..1	Reference(Verdacht auf Alkohol-, Drogen-, Medikamenteneinfluss? (AKTIN))	Substanzeinfluss
emptyReason		0..0
section:sectionVitalparameter		0..1	BackboneElement	Vitalparameter/Scores Section
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Vitalparameter/Scores
code		1..1	CodeableConcept	Classification of section (recommended)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: As shown
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 8716-3
display		1..1	string	Representation defined by the system Fixed Value: Vital signs
text		0..1	string	Plain text representation of the concept Required Pattern: Vitalparameter/Scores
text		1..1	Narrative	Text summary of the section, for human interpretation
Slices for entry		0..*	Reference(Resource)	Vitalparameter Slice: Unordered, Open by type:resolve()
entry:Atemfrequenz		0..1	Reference(Atemfrequenz)	Atemfrequenz
entry:PulsoximetrischeSauerstoffsättigung		0..1	Reference(Pulsoximetrische Sauerstoffsättigung)	Pulsoximetrische Sauerstoffsättigung
entry:Blutdruck		0..1	Reference(Blutdruck)	Blutdruck
entry:Herzfrequenz		0..1	Reference(Herzfrequenz)	Herzfrequenz
entry:Pulsfrequenz		0..1	Reference(Pulsfrequenz)	Pulsfrequenz
entry:Körperkerntemperatur		0..1	Reference(Körperkerntemperatur)	Körperkerntemperatur
entry:GlasgowComaScale		0..1	Reference(Glasgow Coma Scale (GCS))	Glasgow Coma Scale
entry:Schmerz		0..1	Reference(Schmerzmessung)	Schmerz
entry:NiedrigsteGCSSumme		0..1	Reference(Niedrigste GCS-Summe)	Niedrigste GCS-Summe
entry:ErsteSchmerzmessung		0..1	Reference(Erste Schmerzmessung)	Erste Schmerzmessung
emptyReason		0..0
section:sectionDiagnostik		0..1	BackboneElement	Diagnostik Section
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Diagnostik
code		1..1	CodeableConcept	Classification of section (recommended)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: As shown
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 30954-2
display		1..1	string	Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data Narrative
text		0..1	string	Plain text representation of the concept Required Pattern: Diagnostik
text		1..1	Narrative	Text summary of the section, for human interpretation
Slices for entry		0..*	Reference(Resource)	Diagnostik Slice: Unordered, Open by type:resolve()
entry:Laboruntersuchungangefordert		0..1	Reference(Laboruntersuchung angefordert (AKTIN))	Laboruntersuchung angefordert
entry:Mikrobiologieangefordert		0..1	Reference(Mikrobiologie angefordert (AKTIN))	Mikrobiologie angefordert
entry:BGAangefordert		0..1	Reference(BGA angefordert (AKTIN))	BGA angefordert
entry:EKGangefordert		0..1	Reference(EKG angefordert (AKTIN))	EKG angefordert
entry:Sonographieangefordert		0..1	Reference(Sonographie angefordert (AKTIN))	Sonographie angefordert
entry:Rontgenthoraxangefordert		0..1	Reference(Röntgenthorax angefordert (AKTIN))	Röntgenthorax angefordert
entry:RontgenThoraxdurchgefuhrt		0..1	Reference(Röntgen-Thorax durchgeführt (AKTIN))	Röntgen-Thorax durchgeführt
entry:RontgenBeckendurchgefuhrt		0..1	Reference(Röntgen-Becken durchgeführt (AKTIN))	Röntgen-Becken durchgeführt
entry:RontgenWirbelsauledurchgefuhrt		0..1	Reference(Röntgen-Wirbelsäule durchgeführt (AKTIN))	Röntgen-Wirbelsäule durchgeführt
entry:GanzkorperCTdurchgefuhrt		0..1	Reference(Ganzkörper-CT durchgeführt (AKTIN))	Ganzkörper-CT durchgeführt
entry:CTKopfdurchgefuhrt		0..1	Reference(CT Kopf durchgeführt (AKTIN))	CT Kopf durchgeführt
entry:CTHWSdurchgefuhrt		0..1	Reference(CT HWS durchgeführt (AKTIN))	CT HWS durchgeführt
entry:CTThoraxdurchgefuhrt		0..1	Reference(CT Thorax durchgeführt (AKTIN))	CT Thorax durchgeführt
entry:CTTAbdomendurchgefuhrt		0..1	Reference(CT Abdomen durchgeführt (AKTIN))	CT Abdomen durchgeführt
emptyReason		0..0
section:sectionMassnahmen		0..1	BackboneElement	Maßnahmen Section
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Prozeduren und Maßnahmen
code		1..1	CodeableConcept	Classification of section (recommended)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: As shown
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 29554-3
display		1..1	string	Representation defined by the system Fixed Value: Procedure Narrative
text		0..1	string	Plain text representation of the concept Required Pattern: Prozeduren und Maßnahmen
text		1..1	Narrative	Text summary of the section, for human interpretation
Slices for entry		0..*	Reference(Resource)	Masnahmen Slice: Unordered, Open by type:resolve()
entry:Isolation		0..1	Reference(Isolation (AKTIN))	Isolation
emptyReason		0..0
section:sectionPharmakotherapie		0..1	BackboneElement	Pharmakotherapie Section
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Informationen zur medikamentösen Therapie
code		1..1	CodeableConcept	Classification of section (recommended)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: As shown
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 29549-3
display		1..1	string	Representation defined by the system Fixed Value: Medication administered Narrative
text		0..1	string	Plain text representation of the concept Required Pattern: Informationen zur medikamentösen Therapie
text		1..1	Narrative	Text summary of the section, for human interpretation
entry		1..*	Reference(ISiKMedikationsVerabreichung)	A reference to data that supports this section
emptyReason		0..0
section:sectionAbschlussdiagnosen		0..1	BackboneElement	Abschlussdiagnosen Section
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Abschlussdiagnosen
code		1..1	CodeableConcept	Classification of section (recommended)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: As shown
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11300-1
display		1..1	string	Representation defined by the system Fixed Value: ED diagnosis
text		0..1	string	Plain text representation of the concept Required Pattern: Abschlussdiagnosen
text		1..1	Narrative	Text summary of the section, for human interpretation
entry		1..*	Reference(ISiKDiagnose(4.0.0-rc3))	A reference to data that supports this section
emptyReason		0..0
section:sectionVerlegungEntlassung		0..1	BackboneElement	Verlegungs-/Entlassungsinformationen Section
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Verlegungs-/Entlassungsinformationen
code		1..1	CodeableConcept	Classification of section (recommended)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: As shown
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 67661-9
display		1..1	string	Representation defined by the system Fixed Value: EMS disposition Narrative NEMSIS
text		0..1	string	Plain text representation of the concept Required Pattern: Verlegungs-/Entlassungsinformationen
text		1..1	Narrative	Text summary of the section, for human interpretation
emptyReason		0..0
section:sectionAddendumDokument		0..1	BackboneElement	Addendum Dokumentationsinformationen Section
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Addendum Dokumentationsinformationen
code		1..1	CodeableConcept	Classification of section (recommended)
coding		1..*	Coding	Code defined by a terminology system Fixed Value: As shown
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55107-7
display		1..1	string	Representation defined by the system Fixed Value: Addendum Document
text		0..1	string	Plain text representation of the concept Required Pattern: Addendum Dokumentationsinformationen
text		1..1	Narrative	Text summary of the section, for human interpretation
Slices for entry		0..*	Reference(Resource)	Dokumentationsinformationen Slice: Unordered, Open by type:resolve()
entry:ZeitpunktEntscheidungzurVerlegungEntlassung		0..1	Reference(Zeitpunkt Entscheidung zur Verlegung / Entlassung (AKTIN))	Zeitpunkt Entscheidung zur Verlegung / Entlassung
entry:ZeitpunktPatientverlegungsentlassungsfahig		0..1	Reference(Zeitpunkt Patient verlegungs- / entlassungsfähig (AKTIN))	Zeitpunkt Patient verlegungs- / entlassungsfähig
entry:ZeitpunktPatientverlegtentlassennach		0..1	Reference(Zeitpunkt Patient verlegt / entlassen nach (AKTIN))	Zeitpunkt Patient verlegt / entlassen nach
entry:ZeitpunktBeginnpatientenbezogeneDokumentation		0..1	Reference(Zeitpunkt Beginn patientenbezogene Dokumentation (AKTIN))	Zeitpunkt Beginn patientenbezogene Dokumentation
entry:ZeitAnkunftAufnahme		0..1	Reference(Zeit zwischen Ankunft und Aufnahme (AKTIN))	Zeit zwischen Ankunft und Aufnahme
entry:ZeitAufnahmeErsteinschatzung		0..1	Reference(Zeit zwischen Aufnahme und erster Ersteinschätzung (AKTIN))	Zeit zwischen Aufnahme und erster Ersteinschätzung
entry:ZeitAufnahmeArztkontakt		0..1	Reference(Zeit zwischen Aufnahme und erstem Arztkontakt (AKTIN))	Zeit zwischen Aufnahme und erstem Arztkontakt
entry:ZeitEntlassungsfahig		0..1	Reference(Zeitpunkt Patient verlegungs- / entlassungsfähig (AKTIN))	Zeit zwischen Aufnahme und Verlegungs-/Entlassungsfähigkeit des Patienten
entry:ZeitbiszEntlassung		0..1	Reference(Zeit zwischen Aufnahme und Verlassen des Patienten (AKTIN))	Zeit zwischen Aufnahme und Verlassen des Patienten
entry:ZeitbiszumExport		0..1	Reference(Zeit bis zum Export (AKTIN))	Zeit bis zum Export
entry:EDIS		0..1	Reference(EDIS (AKTIN))	EDIS
emptyReason		0..0
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	Composition	Episodenzusammenfassung Notaufnahmeregister (Composition)
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..1	Identifier	Business Identifier dieser Episodenzusammenfassung Notaufnahmeregister
status	?!Σ	1..1	code	Status der Episodenzusammenfassung Notaufnahmeregister Binding: CompositionStatus (required): The workflow/clinical status of the composition.
type	Σ	1..1	CodeableConcept	Type der Composition ("Episodenzusammenfassung Notaufnahmeregister") Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 97663-9
display		1..1	string	Representation defined by the system Fixed Value: Emergency medicine Emergency department Discharge summary
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category	Σ	0..*	CodeableConcept	Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
subject	Σ	1..1	Reference(Patient (AKTIN))	Patient der Episodenzusammenfassung Notaufnahmeregister
encounter	Σ	0..1	Reference(Aufenthalt (AKTIN))	Context of the Composition
date	Σ	1..1	dateTime	Datum der Erstellung der Episodenzusammenfassung Notaufnahmeregister
author	Σ	1..*	Reference(Practitioner | PractitionerRole)	Autor der Episodenzusammenfassung Notaufnahmeregister
title	SΣ	1..1	string	Episodenzusammenfassung Notaufnahmeregister als Abschluss-Dokument
confidentiality	Σ	0..1	code	As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
attester		0..*	BackboneElement	Attests to accuracy of composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	The type of attestation Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time		0..1	dateTime	When the composition was attested
party		0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	Who attested the composition
custodian	Σ	0..1	Reference(Organization)	Organization which maintains the composition
relatesTo		0..*	BackboneElement	Relationships to other compositions/documents
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents.
target[x]		1..1		Target of the relationship
targetIdentifier			Identifier
targetReference			Reference(Composition)
event	Σ	0..*	BackboneElement	The clinical service(s) being documented
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..*	CodeableConcept	Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
period	Σ	0..1	Period	The period covered by the documentation
detail	Σ	0..*	Reference(Resource)	The event(s) being documented
Slices for section	SC	1..*	BackboneElement	Sections für die Episodenzusammenfassung Notaufnahmeregister Slice: Unordered, Open by pattern:code Constraints: cmp-1, cmp-2
section:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code	S	0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	0..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(Resource)	A reference to data that supports this section
emptyReason	C	0..1	CodeableConcept	Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
section	C	0..*	See section (Composition)	Nested Section
section:sectionDemografischeInformationen	C	0..1	BackboneElement	Demografische Informationen Section Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Demographische Informationen
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 45970-1
display		1..1	string	Representation defined by the system Fixed Value: Demographic information section
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Demographische Informationen
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..1	Reference(Alter Patient (AKTIN))	A reference to data that supports this section
section	C	0..*	See section (Composition)	Nested Section
section:sectionZuweisung	C	0..1	BackboneElement	Zuweisung Section Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Zuweisung
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11293-8
display		1..1	string	Representation defined by the system Fixed Value: Type of Referral source
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Zuweisung
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..1	Reference(Zuweisung (AKTIN))	A reference to data that supports this section
section	C	0..*	See section (Composition)	Nested Section
section:sectionTransportmittel	C	0..1	BackboneElement	Transportmittel Section Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Transportmittel
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11459-5
display		1..1	string	Representation defined by the system Fixed Value: Transport mode EMS system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Transportmittel
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	2..*	Reference(Resource)	Transportmittel Slice: Unordered, Open by type:resolve()
entry:Transportmethode	C	0..1	Reference(Transportmittel (AKTIN))	Transportmethode
entry:MedizinischeBegleitung	C	0..1	Reference(Medizinische Begleitung (AKTIN))	Medizinische Begleitung
section	C	0..*	See section (Composition)	Nested Section
section:sectionWiedervorstellung	C	0..1	BackboneElement	Wiedervorstellung Section Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Wiedervorstellung
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: LA21590-7
display		1..1	string	Representation defined by the system Fixed Value: Follow-up visit
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Wiedervorstellung
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	0..*	Reference(Resource)	Wiedervorstellung Slice: Unordered, Open by type:resolve()
entry:Wiedervorstellung	C	0..1	Reference(Ungeplante Vorstellung zum gleichen Vorstellungsgrund innerhalb von 28 Tagen (AKTIN))	A reference to data that supports this section
section	C	0..*	See section (Composition)	Nested Section
section:sectionErsteinschatzung	C	0..1	BackboneElement	Ersteinschätzung Section Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Ersteinschätzung
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11283-9
display		1..1	string	Representation defined by the system Fixed Value: Acuity assessment [Function] at First encounter
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Ersteinschätzung
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	1..*	Reference(Resource)	Ersteinschatzung Slice: Unordered, Open by type:resolve()
entry:Ersteinschatzung	C	1..1	Reference(Ergebnis der Ersteinschätzung (AKTIN))	Ersteinschätzung
entry:Manchester	C	0..1	Reference(Manchester Triage System (AKTIN))	Manchester Triage System
entry:ESITriage	C	0..1	Reference(ESI-Triage (AKTIN))	ESI Triage
section	C	0..*	See section (Composition)	Nested Section
section:sectionNotfallanamnese	C	0..1	BackboneElement	Notfallanamnese Section Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Notfallanamnese
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 10164-2
display		1..1	string	Representation defined by the system Fixed Value: History of Present illness Narrative
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Notfallanamnese
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	0..*	Reference(Resource)	Notfallanamnese Slice: Unordered, Open by type:resolve()
entry:Cedis	C	0..1	Reference(Beschwerden bei Vorstellung CEDIS (AKTIN))	Cedis
entry:Unfallursache	C	0..1	Reference(Unfallursache (AKTIN))	Unfallursache
entry:Unfallkinetik	C	0..1	Reference(Unfallkinetik (AKTIN))	Unfallkinetik
entry:Unfallart	C	0..1	Reference(Unfallart TraumaRegister (AKTIN))	Unfallart
entry:Substanzeinfluss	C	0..1	Reference(Verdacht auf Alkohol-, Drogen-, Medikamenteneinfluss? (AKTIN))	Substanzeinfluss
section	C	0..*	See section (Composition)	Nested Section
section:sectionVitalparameter	C	0..1	BackboneElement	Vitalparameter/Scores Section Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Vitalparameter/Scores
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 8716-3
display		1..1	string	Representation defined by the system Fixed Value: Vital signs
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Vitalparameter/Scores
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	0..*	Reference(Resource)	Vitalparameter Slice: Unordered, Open by type:resolve()
entry:Atemfrequenz	C	0..1	Reference(Atemfrequenz)	Atemfrequenz
entry:PulsoximetrischeSauerstoffsättigung	C	0..1	Reference(Pulsoximetrische Sauerstoffsättigung)	Pulsoximetrische Sauerstoffsättigung
entry:Blutdruck	C	0..1	Reference(Blutdruck)	Blutdruck
entry:Herzfrequenz	C	0..1	Reference(Herzfrequenz)	Herzfrequenz
entry:Pulsfrequenz	C	0..1	Reference(Pulsfrequenz)	Pulsfrequenz
entry:Körperkerntemperatur	C	0..1	Reference(Körperkerntemperatur)	Körperkerntemperatur
entry:GlasgowComaScale	C	0..1	Reference(Glasgow Coma Scale (GCS))	Glasgow Coma Scale
entry:Schmerz	C	0..1	Reference(Schmerzmessung)	Schmerz
entry:NiedrigsteGCSSumme	C	0..1	Reference(Niedrigste GCS-Summe)	Niedrigste GCS-Summe
entry:ErsteSchmerzmessung	C	0..1	Reference(Erste Schmerzmessung)	Erste Schmerzmessung
section	C	0..*	See section (Composition)	Nested Section
section:sectionDiagnostik	C	0..1	BackboneElement	Diagnostik Section Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Diagnostik
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 30954-2
display		1..1	string	Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data Narrative
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Diagnostik
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	0..*	Reference(Resource)	Diagnostik Slice: Unordered, Open by type:resolve()
entry:Laboruntersuchungangefordert	C	0..1	Reference(Laboruntersuchung angefordert (AKTIN))	Laboruntersuchung angefordert
entry:Mikrobiologieangefordert	C	0..1	Reference(Mikrobiologie angefordert (AKTIN))	Mikrobiologie angefordert
entry:BGAangefordert	C	0..1	Reference(BGA angefordert (AKTIN))	BGA angefordert
entry:EKGangefordert	C	0..1	Reference(EKG angefordert (AKTIN))	EKG angefordert
entry:Sonographieangefordert	C	0..1	Reference(Sonographie angefordert (AKTIN))	Sonographie angefordert
entry:Rontgenthoraxangefordert	C	0..1	Reference(Röntgenthorax angefordert (AKTIN))	Röntgenthorax angefordert
entry:RontgenThoraxdurchgefuhrt	C	0..1	Reference(Röntgen-Thorax durchgeführt (AKTIN))	Röntgen-Thorax durchgeführt
entry:RontgenBeckendurchgefuhrt	C	0..1	Reference(Röntgen-Becken durchgeführt (AKTIN))	Röntgen-Becken durchgeführt
entry:RontgenWirbelsauledurchgefuhrt	C	0..1	Reference(Röntgen-Wirbelsäule durchgeführt (AKTIN))	Röntgen-Wirbelsäule durchgeführt
entry:GanzkorperCTdurchgefuhrt	C	0..1	Reference(Ganzkörper-CT durchgeführt (AKTIN))	Ganzkörper-CT durchgeführt
entry:CTKopfdurchgefuhrt	C	0..1	Reference(CT Kopf durchgeführt (AKTIN))	CT Kopf durchgeführt
entry:CTHWSdurchgefuhrt	C	0..1	Reference(CT HWS durchgeführt (AKTIN))	CT HWS durchgeführt
entry:CTThoraxdurchgefuhrt	C	0..1	Reference(CT Thorax durchgeführt (AKTIN))	CT Thorax durchgeführt
entry:CTTAbdomendurchgefuhrt	C	0..1	Reference(CT Abdomen durchgeführt (AKTIN))	CT Abdomen durchgeführt
section	C	0..*	See section (Composition)	Nested Section
section:sectionMassnahmen	C	0..1	BackboneElement	Maßnahmen Section Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Prozeduren und Maßnahmen
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 29554-3
display		1..1	string	Representation defined by the system Fixed Value: Procedure Narrative
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Prozeduren und Maßnahmen
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	0..*	Reference(Resource)	Masnahmen Slice: Unordered, Open by type:resolve()
entry:Isolation	C	0..1	Reference(Isolation (AKTIN))	Isolation
section	C	0..*	See section (Composition)	Nested Section
section:sectionPharmakotherapie	C	0..1	BackboneElement	Pharmakotherapie Section Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Informationen zur medikamentösen Therapie
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 29549-3
display		1..1	string	Representation defined by the system Fixed Value: Medication administered Narrative
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Informationen zur medikamentösen Therapie
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	1..*	Reference(ISiKMedikationsVerabreichung)	A reference to data that supports this section
section	C	0..*	See section (Composition)	Nested Section
section:sectionAbschlussdiagnosen	C	0..1	BackboneElement	Abschlussdiagnosen Section Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Abschlussdiagnosen
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 11300-1
display		1..1	string	Representation defined by the system Fixed Value: ED diagnosis
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Abschlussdiagnosen
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	1..*	Reference(ISiKDiagnose(4.0.0-rc3))	A reference to data that supports this section
section	C	0..*	See section (Composition)	Nested Section
section:sectionVerlegungEntlassung	C	0..1	BackboneElement	Verlegungs-/Entlassungsinformationen Section Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Verlegungs-/Entlassungsinformationen
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 67661-9
display		1..1	string	Representation defined by the system Fixed Value: EMS disposition Narrative NEMSIS
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Verlegungs-/Entlassungsinformationen
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
entry	SC	0..*	Reference(Resource)	A reference to data that supports this section
section	C	0..*	See section (Composition)	Nested Section
section:sectionAddendumDokument	C	0..1	BackboneElement	Addendum Dokumentationsinformationen Section Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		1..1	string	Label for section (e.g. for ToC) Required Pattern: Addendum Dokumentationsinformationen
code	S	1..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Code defined by a terminology system Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 55107-7
display		1..1	string	Representation defined by the system Fixed Value: Addendum Document
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Addendum Dokumentationsinformationen
author		0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section
focus		0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition
text	SC	1..1	Narrative	Text summary of the section, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
mode		0..1	code	working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section.
orderedBy		0..1	CodeableConcept	Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
Slices for entry	SC	0..*	Reference(Resource)	Dokumentationsinformationen Slice: Unordered, Open by type:resolve()
entry:ZeitpunktEntscheidungzurVerlegungEntlassung	C	0..1	Reference(Zeitpunkt Entscheidung zur Verlegung / Entlassung (AKTIN))	Zeitpunkt Entscheidung zur Verlegung / Entlassung
entry:ZeitpunktPatientverlegungsentlassungsfahig	C	0..1	Reference(Zeitpunkt Patient verlegungs- / entlassungsfähig (AKTIN))	Zeitpunkt Patient verlegungs- / entlassungsfähig
entry:ZeitpunktPatientverlegtentlassennach	C	0..1	Reference(Zeitpunkt Patient verlegt / entlassen nach (AKTIN))	Zeitpunkt Patient verlegt / entlassen nach
entry:ZeitpunktBeginnpatientenbezogeneDokumentation	C	0..1	Reference(Zeitpunkt Beginn patientenbezogene Dokumentation (AKTIN))	Zeitpunkt Beginn patientenbezogene Dokumentation
entry:ZeitAnkunftAufnahme	C	0..1	Reference(Zeit zwischen Ankunft und Aufnahme (AKTIN))	Zeit zwischen Ankunft und Aufnahme
entry:ZeitAufnahmeErsteinschatzung	C	0..1	Reference(Zeit zwischen Aufnahme und erster Ersteinschätzung (AKTIN))	Zeit zwischen Aufnahme und erster Ersteinschätzung
entry:ZeitAufnahmeArztkontakt	C	0..1	Reference(Zeit zwischen Aufnahme und erstem Arztkontakt (AKTIN))	Zeit zwischen Aufnahme und erstem Arztkontakt
entry:ZeitEntlassungsfahig	C	0..1	Reference(Zeitpunkt Patient verlegungs- / entlassungsfähig (AKTIN))	Zeit zwischen Aufnahme und Verlegungs-/Entlassungsfähigkeit des Patienten
entry:ZeitbiszEntlassung	C	0..1	Reference(Zeit zwischen Aufnahme und Verlassen des Patienten (AKTIN))	Zeit zwischen Aufnahme und Verlassen des Patienten
entry:ZeitbiszumExport	C	0..1	Reference(Zeit bis zum Export (AKTIN))	Zeit bis zum Export
entry:EDIS	C	0..1	Reference(EDIS (AKTIN))	EDIS
section	C	0..*	See section (Composition)	Nested Section
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Composition.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Composition.status	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 From the FHIR Standard
Composition.type	preferred	Pattern Value: LOINC Code 97663-9("Emergency medicine Emergency department Discharge summary") http://hl7.org/fhir/ValueSet/doc-typecodes From the FHIR Standard
Composition.category	example	DocumentClassValueSet http://hl7.org/fhir/ValueSet/document-classcodes From the FHIR Standard
Composition.confidentiality	required	v3.ConfidentialityClassification http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26 From the FHIR Standard
Composition.attester.mode	required	CompositionAttestationMode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 From the FHIR Standard
Composition.relatesTo.code	required	DocumentRelationshipType http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 From the FHIR Standard
Composition.event.code	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 From the FHIR Standard
Composition.section.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section.emptyReason	preferred	ListEmptyReasons http://hl7.org/fhir/ValueSet/list-empty-reason From the FHIR Standard
Composition.section:sectionDemografischeInformationen.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:sectionDemografischeInformationen.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 From the FHIR Standard
Composition.section:sectionDemografischeInformationen.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:sectionZuweisung.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:sectionZuweisung.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 From the FHIR Standard
Composition.section:sectionZuweisung.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:sectionTransportmittel.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:sectionTransportmittel.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 From the FHIR Standard
Composition.section:sectionTransportmittel.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:sectionWiedervorstellung.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:sectionWiedervorstellung.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 From the FHIR Standard
Composition.section:sectionWiedervorstellung.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:sectionErsteinschatzung.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:sectionErsteinschatzung.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 From the FHIR Standard
Composition.section:sectionErsteinschatzung.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:sectionNotfallanamnese.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:sectionNotfallanamnese.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 From the FHIR Standard
Composition.section:sectionNotfallanamnese.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:sectionVitalparameter.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:sectionVitalparameter.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 From the FHIR Standard
Composition.section:sectionVitalparameter.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:sectionDiagnostik.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:sectionDiagnostik.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 From the FHIR Standard
Composition.section:sectionDiagnostik.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:sectionMassnahmen.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:sectionMassnahmen.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 From the FHIR Standard
Composition.section:sectionMassnahmen.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:sectionPharmakotherapie.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:sectionPharmakotherapie.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 From the FHIR Standard
Composition.section:sectionPharmakotherapie.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:sectionAbschlussdiagnosen.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:sectionAbschlussdiagnosen.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 From the FHIR Standard
Composition.section:sectionAbschlussdiagnosen.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:sectionVerlegungEntlassung.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:sectionVerlegungEntlassung.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 From the FHIR Standard
Composition.section:sectionVerlegungEntlassung.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard
Composition.section:sectionAddendumDokument.code	example	DocumentSectionCodes http://hl7.org/fhir/ValueSet/doc-section-codes From the FHIR Standard
Composition.section:sectionAddendumDokument.mode	required	ListMode http://hl7.org/fhir/ValueSet/list-mode|4.0.1 From the FHIR Standard
Composition.section:sectionAddendumDokument.orderedBy	preferred	ListOrderCodes http://hl7.org/fhir/ValueSet/list-order From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
cmp-1	error	Composition.section, Composition.section:sectionDemografischeInformationen, Composition.section:sectionZuweisung, Composition.section:sectionTransportmittel, Composition.section:sectionWiedervorstellung, Composition.section:sectionErsteinschatzung, Composition.section:sectionNotfallanamnese, Composition.section:sectionVitalparameter, Composition.section:sectionDiagnostik, Composition.section:sectionMassnahmen, Composition.section:sectionPharmakotherapie, Composition.section:sectionAbschlussdiagnosen, Composition.section:sectionVerlegungEntlassung, Composition.section:sectionAddendumDokument	A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists()
cmp-2	error	Composition.section, Composition.section:sectionDemografischeInformationen, Composition.section:sectionZuweisung, Composition.section:sectionTransportmittel, Composition.section:sectionWiedervorstellung, Composition.section:sectionErsteinschatzung, Composition.section:sectionNotfallanamnese, Composition.section:sectionVitalparameter, Composition.section:sectionDiagnostik, Composition.section:sectionMassnahmen, Composition.section:sectionPharmakotherapie, Composition.section:sectionAbschlussdiagnosen, Composition.section:sectionVerlegungEntlassung, Composition.section:sectionAddendumDokument	A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty()
dom-2	error	Composition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Composition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Composition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Composition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Composition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from Composition

Summary

Mandatory: 2 elements(56 nested mandatory elements)
Must-Support: 5 elements
Fixed: 13 elements
Prohibited: 13 elements

Structures

This structure refers to these other structures:

• Patient (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-patient)
• Aufenthalt (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-aufenthalt)
• Alter Patient (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-alter-patient)
• Zuweisung (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-zuweisung)
• Transportmittel (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-transportmittel)
• Medizinische Begleitung (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-medizinische-begleitung)
• Ungeplante Vorstellung zum gleichen Vorstellungsgrund innerhalb von 28 Tagen (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-ungeplante-vorstellung-gleicher-grund-28-tage)
• Ergebnis der Ersteinschätzung (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-ergebnis-der-ersteinschatzung)
• Manchester Triage System (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-manchester-triage-system)
• ESI-Triage (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-esitriage)
• Beschwerden bei Vorstellung CEDIS (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-beschwerden-bei-vorstellung-cedis)
• Unfallursache (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-unfallursache)
• Unfallkinetik (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-unfallkinetik)
• Unfallart TraumaRegister (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-unfallart-trauma-register)
• Verdacht auf Alkohol-, Drogen-, Medikamenteneinfluss? (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-verdacht-auf-alkohol-drogen-medikamenteneinfluss)
• Atemfrequenz (http://aktin.org/fhir/StructureDefinition/aktin-pr-vitalsigns-atemfrequenz)
• Pulsoximetrische Sauerstoffsättigung (http://aktin.org/fhir/StructureDefinition/aktin-pr-vitalsigns-pulsoximetrische-sauerstoffsattigung)
• Blutdruck (http://aktin.org/fhir/StructureDefinition/aktin-pr-vitalsigns-blutdruck)
• Herzfrequenz (http://aktin.org/fhir/StructureDefinition/aktin-pr-vitalsigns-herzfrequenz)
• Pulsfrequenz (http://aktin.org/fhir/StructureDefinition/aktin-pr-vitalsigns-pulsfrequenz)
• Körperkerntemperatur (http://aktin.org/fhir/StructureDefinition/aktin-pr-vitalsigns-korperkerntemperatur)
• Glasgow Coma Scale (GCS) (http://aktin.org/fhir/StructureDefinition/aktin-pr-vitalsigns-glasgow-coma-scale)
• Schmerzmessung (http://aktin.org/fhir/StructureDefinition/aktin-pr-vitalsigns-schmerz)
• Niedrigste GCS-Summe (http://aktin.org/fhir/StructureDefinition/aktin-pr-vitalsigns-niedrigster-gcs)
• Erste Schmerzmessung (http://aktin.org/fhir/StructureDefinition/aktin-pr-vitalsigns-erster-schmerz)
• Laboruntersuchung angefordert (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-laboruntersuchung-angefordert)
• Mikrobiologie angefordert (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-mikrobiologie-angefordert)
• BGA angefordert (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-bga-angefordert)
• EKG angefordert (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-ekg-angefordert)
• Sonographie angefordert (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-sonographie-angefordert)
• Röntgenthorax angefordert (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-rontgenthorax-angefordert)
• Röntgen-Thorax durchgeführt (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-rontgenthorax-durchgefuhrt)
• Röntgen-Becken durchgeführt (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-rontgenbecken-durchgefuhrt)
• Röntgen-Wirbelsäule durchgeführt (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-rontgenwirbelsaule-durchgefuhrt)
• Ganzkörper-CT durchgeführt (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-ganzkorperct-durchgefuhrt)
• CT Kopf durchgeführt (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-ct-kopf-durchgefuhrt)
• CT HWS durchgeführt (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-ct-hws-durchgefuhrt)
• CT Thorax durchgeführt (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-ct-thorax-durchgefuhrt)
• CT Abdomen durchgeführt (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-ct-abdomen-durchgefuhrt)
• Isolation (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-isolation)
• ISiKMedikationsVerabreichung (https://gematik.de/fhir/isik/StructureDefinition/ISiKMedikationsVerabreichung)
• ISiKDiagnose (https://gematik.de/fhir/isik/StructureDefinition/ISiKDiagnose)
• Zeitpunkt Entscheidung zur Verlegung / Entlassung (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-zeitpunkt-entscheidung-zur-verlegung-entlassung)
• Zeitpunkt Patient verlegungs- / entlassungsfähig (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-zeitpunkt-patient-verlegungs-entlassungsfahig)
• Zeitpunkt Patient verlegt / entlassen nach (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-zeitpunkt-patient-verlegt-entlassen-nach)
• Zeitpunkt Beginn patientenbezogene Dokumentation (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-zeitpunkt-beginn-patientenbezogene-dokumentation)
• Zeit zwischen Ankunft und Aufnahme (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-zeit-zwischen-ankunft-und-aufnahme)
• Zeit zwischen Aufnahme und erster Ersteinschätzung (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-zeit-zwischen-aufnahme-und-erster-ersteinschatzung)
• Zeit zwischen Aufnahme und erstem Arztkontakt (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-zeit-zwischen-aufnahme-und-erstem-arztkontakt)
• Zeit zwischen Aufnahme und Verlassen des Patienten (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-zeit-zwischen-aufnahme-und-verlassen-des-patienten)
• Zeit bis zum Export (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-zeit-bis-zum-export)
• EDIS (AKTIN) (http://aktin.org/fhir/StructureDefinition/aktin-pr-edis)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Composition.section
• The element 1 is sliced based on the value of Composition.section.entry

Maturity: 1