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| CodeSystem |
| hl7.fhir.uv.xver-r4.r4b#0.1.0 | sct | SNOMED CT (all versions) |
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Source1
{
"resourceType": "StructureDefinition",
"id": "CaseComposition",
"url": "https://emiga.rki.de/fhir/case/StructureDefinition/CaseComposition",
"version": "0.6.0",
"name": "CaseComposition",
"title": "Fall",
"status": "active",
"experimental": false,
"date": "2026-09-19",
"publisher": "Robert Koch-Institut",
"description": "Die Composition bildet Falldokumente ab. Sie dient der strukturierten, fallbezogenen Zusammenfassung von Informationen und stellt damit die zentrale fachliche Dokumentation eines Falles dar.",
"fhirVersion": "4.0.1",
"kind": "resource",
"abstract": false,
"type": "Composition",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Composition",
"derivation": "constraint",
"differential": {
"element": [
{
"id": "Composition.meta",
"path": "Composition.meta",
"mustSupport": true
},
{
"id": "Composition.meta.profile",
"path": "Composition.meta.profile",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "$this"
}
],
"rules": "open"
},
"min": 1,
"mustSupport": true
},
{
"id": "Composition.meta.profile:emigaprofile",
"path": "Composition.meta.profile",
"sliceName": "emigaprofile",
"min": 1,
"max": "1",
"patternCanonical": "https://emiga.rki.de/fhir/case/StructureDefinition/CaseComposition",
"mustSupport": true
},
{
"id": "Composition.meta.security",
"path": "Composition.meta.security",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "system"
}
],
"rules": "open",
"description": "Slicing security attribute by coding system",
"ordered": false
},
"min": 2,
"mustSupport": true
},
{
"id": "Composition.meta.security:visibility",
"path": "Composition.meta.security",
"sliceName": "visibility",
"min": 1,
"max": "1",
"mustSupport": true,
"binding": {
"strength": "required",
"valueSet": "https://emiga.rki.de/fhir/ValueSet/CaseResourceVisibilityTypeVS"
}
},
{
"id": "Composition.meta.security:visibility.system",
"path": "Composition.meta.security.system",
"min": 1,
"patternUri": "https://emiga.rki.de/fhir/common/CodeSystem/ResourceVisibilityType",
"mustSupport": true
},
{
"id": "Composition.meta.security:visibility.code",
"path": "Composition.meta.security.code",
"min": 1,
"mustSupport": true
},
{
"id": "Composition.meta.security:responsibility",
"path": "Composition.meta.security",
"sliceName": "responsibility",
"min": 1,
"max": "1",
"mustSupport": true,
"binding": {
"strength": "required",
"valueSet": "https://emiga.rki.de/fhir/common/ValueSet/ResourceResponsibility"
}
},
{
"id": "Composition.meta.security:responsibility.system",
"path": "Composition.meta.security.system",
"min": 1,
"patternUri": "https://emiga.rki.de/fhir/common/CodeSystem/ResourceResponsibility",
"mustSupport": true
},
{
"id": "Composition.meta.security:responsibility.code",
"path": "Composition.meta.security.code",
"min": 1,
"mustSupport": true
},
{
"id": "Composition.implicitRules",
"path": "Composition.implicitRules",
"max": "0"
},
{
"id": "Composition.text",
"path": "Composition.text",
"max": "0"
},
{
"id": "Composition.contained",
"path": "Composition.contained",
"max": "0"
},
{
"id": "Composition.extension",
"path": "Composition.extension",
"min": 2,
"mustSupport": true
},
{
"id": "Composition.extension:caseCounty",
"path": "Composition.extension",
"sliceName": "caseCounty",
"min": 1,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"https://emiga.rki.de/fhir/case/StructureDefinition/County"
]
}
],
"mustSupport": true
},
{
"id": "Composition.extension:processingStatus",
"path": "Composition.extension",
"sliceName": "processingStatus",
"min": 1,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"https://emiga.rki.de/fhir/common/Extension/ProcessingStatus"
]
}
],
"mustSupport": true
},
{
"id": "Composition.modifierExtension",
"path": "Composition.modifierExtension",
"max": "0"
},
{
"id": "Composition.identifier",
"path": "Composition.identifier",
"short": "EMIGA-Aktenzeichen des Falles",
"definition": "Eindeutiges fachliches Aktenzeichen, unter dem der Fall in EMIGA geführt und systemübergreifend referenziert wird.",
"min": 1,
"type": [
{
"code": "Identifier",
"profile": [
"https://emiga.rki.de/fhir/case/StructureDefinition/IdentifierCaseFileNumberEmiga"
]
}
],
"mustSupport": true
},
{
"id": "Composition.identifier.extension",
"path": "Composition.identifier.extension",
"short": "Zuordnung des Falles zu ÖGD-Stellen",
"definition": "Extension zur strukturierten Abbildung der Zuordnung des Falles zu den beteiligten ÖGD-Stellen ergänzend zum EMIGA-Aktenzeichen.",
"min": 1,
"max": "1",
"mustSupport": true
},
{
"id": "Composition.identifier.extension:caseAssignment",
"path": "Composition.identifier.extension",
"sliceName": "caseAssignment",
"min": 1,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"https://emiga.rki.de/fhir/case/StructureDefinition/CaseAssignment"
]
}
],
"mustSupport": true
},
{
"id": "Composition.status",
"path": "Composition.status",
"patternCode": "final",
"mustSupport": true
},
{
"id": "Composition.type",
"path": "Composition.type",
"short": "The type of composition (e.g. admission note, discharge summary, procedure note).",
"definition": "The type of composition (e.g. admission note, discharge summary, procedure note).",
"mustSupport": true
},
{
"id": "Composition.type.coding",
"path": "Composition.type.coding",
"min": 1,
"max": "1",
"mustSupport": true
},
{
"id": "Composition.type.coding.system",
"path": "Composition.type.coding.system",
"min": 1,
"patternUri": "http://loinc.org",
"mustSupport": true
},
{
"id": "Composition.type.coding.code",
"path": "Composition.type.coding.code",
"min": 1,
"patternCode": "55751-2",
"mustSupport": true
},
{
"id": "Composition.type.coding.display",
"path": "Composition.type.coding.display",
"patternString": "Public health case report"
},
{
"id": "Composition.type.text",
"path": "Composition.type.text",
"max": "0"
},
{
"id": "Composition.category",
"path": "Composition.category",
"short": "A categorization for the type of the composition - helps for indexing and searching. This may be implied by or derived from the code specified in the Composition Type.",
"mustSupport": true
},
{
"id": "Composition.category.coding",
"path": "Composition.category.coding",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "$this"
}
],
"rules": "open"
},
"definition": "Kodierte Darstellung der Kategorie des Dokuments. Die Kategorie unterstützt die inhaltliche Einordnung, Indexierung und Suche und kann aus unterschiedlichen Katalogen (z.B. EMIGA/SurvNet-spezifische Codes oder SNOMED CT) stammen.",
"min": 1,
"mustSupport": true
},
{
"id": "Composition.category.coding:fallcategorieSurvNet",
"path": "Composition.category.coding",
"sliceName": "fallcategorieSurvNet",
"short": "Fallkategorie",
"definition": "Fallkategorie gemäß dem EMIGA-spezifischen CodeSystem „CaseCategory“. Dient der einheitlichen fachlichen Klassifikation von Fällen im Kontext der Meldesysteme und der darauf aufbauenden Auswertungen.",
"min": 0,
"max": "1",
"patternCoding": {
"system": "https://emiga.rki.de/fhir/CodeSystem/CaseCategory"
},
"mustSupport": true,
"binding": {
"strength": "required",
"valueSet": "https://emiga.rki.de/fhir/ValueSet/CaseCategoryVS"
}
},
{
"id": "Composition.category.coding:fallcategorieSurvNet.system",
"path": "Composition.category.coding.system",
"min": 1,
"mustSupport": true
},
{
"id": "Composition.category.coding:fallcategorieSurvNet.version",
"path": "Composition.category.coding.version",
"mustSupport": true
},
{
"id": "Composition.category.coding:fallcategorieSurvNet.code",
"path": "Composition.category.coding.code",
"min": 1,
"mustSupport": true
},
{
"id": "Composition.category.coding:fallcategorieSurvNet.display",
"path": "Composition.category.coding.display",
"mustSupport": true
},
{
"id": "Composition.category.coding:fallcategorieSurvNet.userSelected",
"path": "Composition.category.coding.userSelected",
"max": "0"
},
{
"id": "Composition.category.coding:fallcategorieSnomed",
"path": "Composition.category.coding",
"sliceName": "fallcategorieSnomed",
"short": "Fallkategorie mit Snomed kodiert",
"definition": "Optionale parallele Kodierung der Fallkategorie mit SNOMED CT. Ermöglicht eine semantisch interoperable, international verständliche Klassifikation des Falles ergänzend zur SurvNet-spezifischen Kodierung.",
"min": 0,
"max": "1",
"patternCoding": {
"system": "http://snomed.info/sct"
},
"mustSupport": true,
"binding": {
"strength": "required",
"valueSet": "http://snomed.info/sct"
}
},
{
"id": "Composition.category.coding:fallcategorieSnomed.system",
"path": "Composition.category.coding.system",
"min": 1,
"mustSupport": true
},
{
"id": "Composition.category.coding:fallcategorieSnomed.version",
"path": "Composition.category.coding.version",
"mustSupport": true
},
{
"id": "Composition.category.coding:fallcategorieSnomed.code",
"path": "Composition.category.coding.code",
"min": 1,
"mustSupport": true
},
{
"id": "Composition.category.coding:fallcategorieSnomed.display",
"path": "Composition.category.coding.display",
"mustSupport": true
},
{
"id": "Composition.category.coding:fallcategorieSnomed.userSelected",
"path": "Composition.category.coding.userSelected",
"max": "0"
},
{
"id": "Composition.subject",
"path": "Composition.subject",
"type": [
{
"code": "Reference",
"targetProfile": [
"https://emiga.rki.de/fhir/common/StructureDefinition/AffectedPerson"
]
}
],
"mustSupport": true
},
{
"id": "Composition.encounter",
"path": "Composition.encounter",
"max": "0"
},
{
"id": "Composition.date",
"path": "Composition.date",
"short": "Meldedatum",
"definition": "Meldedatum",
"mustSupport": true
},
{
"id": "Composition.author",
"path": "Composition.author",
"short": "Die Person oder das Gerät, die bzw. das die Composition erstellt hat.",
"definition": "Die Person oder das Gerät, die bzw. das die Composition erstellt hat.",
"type": [
{
"code": "Reference",
"targetProfile": [
"https://emiga.rki.de/fhir/common/StructureDefinition/EmigaUserPractitioner"
]
}
],
"mustSupport": true
},
{
"id": "Composition.title",
"path": "Composition.title",
"short": "Official human-readable label for the composition.",
"patternString": "Public health case report",
"mustSupport": true
},
{
"id": "Composition.confidentiality",
"path": "Composition.confidentiality",
"max": "0"
},
{
"id": "Composition.attester",
"path": "Composition.attester",
"short": "Zuständige Bearbeiter:in",
"definition": "Zuständige Bearbeiter:in",
"mustSupport": true
},
{
"id": "Composition.attester.mode",
"path": "Composition.attester.mode",
"patternCode": "official"
},
{
"id": "Composition.attester.party",
"path": "Composition.attester.party",
"type": [
{
"code": "Reference",
"targetProfile": [
"https://emiga.rki.de/fhir/common/StructureDefinition/EmigaUserPractitioner"
]
}
],
"mustSupport": true
},
{
"id": "Composition.relatesTo",
"path": "Composition.relatesTo",
"short": "Relationships that this composition has with other compositions or documents that already exist.",
"comment": "Derzeit für EMIGA Anwendungsfälle nicht relevant",
"max": "0"
},
{
"id": "Composition.event",
"path": "Composition.event",
"max": "0"
},
{
"id": "Composition.section",
"path": "Composition.section",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "code.coding.code"
}
],
"rules": "closed"
},
"min": 1,
"mustSupport": true
},
{
"id": "Composition.section:caseInformationCommon",
"path": "Composition.section",
"sliceName": "caseInformationCommon",
"min": 1,
"max": "*",
"mustSupport": true
},
{
"id": "Composition.section:caseInformationCommon.code",
"path": "Composition.section.code",
"min": 1,
"mustSupport": true
},
{
"id": "Composition.section:caseInformationCommon.code.coding",
"path": "Composition.section.code.coding",
"min": 1,
"max": "1",
"mustSupport": true
},
{
"id": "Composition.section:caseInformationCommon.code.coding.system",
"path": "Composition.section.code.coding.system",
"min": 1,
"fixedUri": "https://emiga.rki.de/fhir/case/CodeSystem/CaseSectionCodes",
"mustSupport": true
},
{
"id": "Composition.section:caseInformationCommon.code.coding.version",
"path": "Composition.section.code.coding.version",
"mustSupport": true
},
{
"id": "Composition.section:caseInformationCommon.code.coding.code",
"path": "Composition.section.code.coding.code",
"min": 1,
"patternCode": "generalCaseInformation",
"mustSupport": true
},
{
"id": "Composition.section:caseInformationCommon.code.coding.display",
"path": "Composition.section.code.coding.display",
"patternString": "Übergreifende Fallinformationen",
"mustSupport": true
},
{
"id": "Composition.section:caseInformationCommon.code.coding.userSelected",
"path": "Composition.section.code.coding.userSelected",
"max": "0"
},
{
"id": "Composition.section:caseInformationCommon.code.text",
"path": "Composition.section.code.text",
"max": "0"
},
{
"id": "Composition.section:caseInformationCommon.author",
"path": "Composition.section.author",
"max": "0"
},
{
"id": "Composition.section:caseInformationCommon.focus",
"path": "Composition.section.focus",
"max": "0"
},
{
"id": "Composition.section:caseInformationCommon.text",
"path": "Composition.section.text",
"max": "0"
},
{
"id": "Composition.section:caseInformationCommon.mode",
"path": "Composition.section.mode",
"max": "0"
},
{
"id": "Composition.section:caseInformationCommon.orderedBy",
"path": "Composition.section.orderedBy",
"max": "0"
},
{
"id": "Composition.section:caseInformationCommon.entry",
"path": "Composition.section.entry",
"min": 1,
"max": "1",
"type": [
{
"code": "Reference",
"targetProfile": [
"https://emiga.rki.de/fhir/case/StructureDefinition/CaseInformationCommonQuestionnaireResponse"
]
}
],
"mustSupport": true
},
{
"id": "Composition.section:caseInformationCommon.entry.reference",
"path": "Composition.section.entry.reference",
"min": 1,
"mustSupport": true
},
{
"id": "Composition.section:caseInformation",
"path": "Composition.section",
"sliceName": "caseInformation",
"min": 0,
"max": "*",
"mustSupport": true
},
{
"id": "Composition.section:caseInformation.code",
"path": "Composition.section.code",
"min": 1,
"mustSupport": true
},
{
"id": "Composition.section:caseInformation.code.coding",
"path": "Composition.section.code.coding",
"min": 1,
"max": "1",
"mustSupport": true
},
{
"id": "Composition.section:caseInformation.code.coding.system",
"path": "Composition.section.code.coding.system",
"min": 1,
"fixedUri": "https://emiga.rki.de/fhir/case/CodeSystem/CaseSectionCodes",
"mustSupport": true
},
{
"id": "Composition.section:caseInformation.code.coding.version",
"path": "Composition.section.code.coding.version",
"mustSupport": true
},
{
"id": "Composition.section:caseInformation.code.coding.code",
"path": "Composition.section.code.coding.code",
"min": 1,
"patternCode": "specificCaseInformation",
"mustSupport": true
},
{
"id": "Composition.section:caseInformation.code.coding.display",
"path": "Composition.section.code.coding.display",
"patternString": "Spezifische Fallinformationen",
"mustSupport": true
},
{
"id": "Composition.section:caseInformation.code.coding.userSelected",
"path": "Composition.section.code.coding.userSelected",
"max": "0"
},
{
"id": "Composition.section:caseInformation.code.text",
"path": "Composition.section.code.text",
"max": "0"
},
{
"id": "Composition.section:caseInformation.author",
"path": "Composition.section.author",
"max": "0"
},
{
"id": "Composition.section:caseInformation.focus",
"path": "Composition.section.focus",
"max": "0"
},
{
"id": "Composition.section:caseInformation.text",
"path": "Composition.section.text",
"max": "0"
},
{
"id": "Composition.section:caseInformation.mode",
"path": "Composition.section.mode",
"max": "0"
},
{
"id": "Composition.section:caseInformation.orderedBy",
"path": "Composition.section.orderedBy",
"max": "0"
},
{
"id": "Composition.section:caseInformation.entry",
"path": "Composition.section.entry",
"min": 1,
"max": "1",
"type": [
{
"code": "Reference",
"targetProfile": [
"https://emiga.rki.de/fhir/case/StructureDefinition/CaseInformationSpecificQuestionnaireResponse"
]
}
],
"mustSupport": true
},
{
"id": "Composition.section:caseInformation.entry.reference",
"path": "Composition.section.entry.reference",
"min": 1,
"mustSupport": true
},
{
"id": "Composition.section:notification",
"path": "Composition.section",
"sliceName": "notification",
"min": 0,
"max": "*",
"mustSupport": true
},
{
"id": "Composition.section:notification.id",
"path": "Composition.section.id",
"max": "0"
},
{
"id": "Composition.section:notification.extension",
"path": "Composition.section.extension",
"max": "0"
},
{
"id": "Composition.section:notification.modifierExtension",
"path": "Composition.section.modifierExtension",
"max": "0"
},
{
"id": "Composition.section:notification.code",
"path": "Composition.section.code",
"min": 1,
"mustSupport": true
},
{
"id": "Composition.section:notification.code.coding",
"path": "Composition.section.code.coding",
"min": 1,
"max": "1",
"mustSupport": true
},
{
"id": "Composition.section:notification.code.coding.system",
"path": "Composition.section.code.coding.system",
"min": 1,
"fixedUri": "https://emiga.rki.de/fhir/CodeSystem/NotificationSectionCodes",
"mustSupport": true
},
{
"id": "Composition.section:notification.code.coding.code",
"path": "Composition.section.code.coding.code",
"min": 1,
"fixedCode": "SectionNotificationInformation",
"mustSupport": true
},
{
"id": "Composition.section:notification.author",
"path": "Composition.section.author",
"max": "0"
},
{
"id": "Composition.section:notification.focus",
"path": "Composition.section.focus",
"max": "0"
},
{
"id": "Composition.section:notification.text",
"path": "Composition.section.text",
"max": "0"
},
{
"id": "Composition.section:notification.mode",
"path": "Composition.section.mode",
"max": "0"
},
{
"id": "Composition.section:notification.orderedBy",
"path": "Composition.section.orderedBy",
"max": "0"
},
{
"id": "Composition.section:notification.entry",
"path": "Composition.section.entry",
"short": "Informationen zu einer Meldung",
"definition": "Referenz auf eine QuestionnaireResponse-Ressource, die Informationen über eine Meldung enthält.",
"max": "1",
"type": [
{
"code": "Reference",
"targetProfile": [
"https://emiga.rki.de/fhir/case/StructureDefinition/NotificationComposition"
]
}
],
"mustSupport": true
},
{
"id": "Composition.section:notification.emptyReason",
"path": "Composition.section.emptyReason",
"max": "0"
},
{
"id": "Composition.section:notification.section",
"path": "Composition.section.section",
"max": "0"
}
]
}
}
FHIR
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