Profile Comparison between https://gematik.de/fhir/isik/StructureDefinition/ISiKBerichtSubSysteme vs http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr

Left:ISiKBerichtSubSysteme (https://gematik.de/fhir/isik/StructureDefinition/ISiKBerichtSubSysteme)
Right:Composition: obligations (http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr)

Messages

ErrorStructureDefinition.urlValues for url differ: 'https://gematik.de/fhir/isik/StructureDefinition/ISiKBerichtSubSysteme' vs 'http://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr'
ErrorStructureDefinition.versionValues for version differ: '5.0.0' vs '0.1.0-ballot'
InformationStructureDefinition.nameValues for name differ: 'ISiKBerichtSubSysteme' vs 'CompositionEuHdrObligation'
InformationStructureDefinition.statusValues for status differ: 'active' vs 'draft'
InformationStructureDefinition.dateValues for date differ: '2025-06-26' vs '2025-06-03T12:48:49+02:00'
InformationStructureDefinition.publisherValues for publisher differ: 'gematik GmbH' vs 'HL7 Europe'
InformationStructureDefinition.jurisdictionAdded the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#150'
ErrorStructureDefinition.baseDefinitionValues for baseDefinition differ: 'http://hl7.org/fhir/StructureDefinition/Composition' vs 'http://hl7.eu/fhir/hdr/StructureDefinition/composition-eu-hdr'
InformationStructureDefinition.shortValues for short differ: 'A set of resources composed into a single coherent clinical statement with clinical attestation' vs 'Hospital Discharge Report composition'
InformationStructureDefinition.definitionValues for definition differ: 'A set of healthcare-related information that is assembled together into a single logical package that provides a single coherent statement of meaning, establishes its own context and that has clinical attestation with regard to who is making the statement. A Composition defines the structure and narrative content necessary for a document. However, a Composition alone does not constitute a document. Rather, the Composition must be the first entry in a Bundle where Bundle.type=document, and any other resources referenced from Composition must be included as subsequent entries in the Bundle (for example Patient, Practitioner, Encounter, etc.).' vs 'Hospital Discharge Report composition. A composition is a set of healthcare-related information that is assembled together into a single logical document that provides a single coherent statement of meaning, establishes its own context and that has clinical attestation with regard to who is making the statement. While a Composition defines the structure, it does not actually contain the content: rather the full content of a document is contained in a Bundle, of which the Composition is the first resource contained.'
InformationStructureDefinition.shortValues for short differ: 'Narrativ' vs 'Text summary of the resource, for human interpretation'
InformationStructureDefinition.commentValues for comment differ: 'HTML-Repräsentation des Dokumenten-Headers. Bitte Hinweise unter [Document Presentation](https://hl7.org/fhir/documents.html#presentation) beachten. Der DokumentenHeader muss mindestens die folgenden Informationen enthalten: * `Composition.subject:Patient.name.family` * `Composition.subject:Patient.birthDate` * `Composition.subject:Patient.identifier:pid` * `Composition.status` * `Composition.type.text` * `Composition.date` * `Composition.title` * `Composition.author.display`' vs 'Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a 'text blob' or where text is additionally entered raw or narrated and encoded information is added later.'
WarningComposition.textElements differ in definition for mustSupport: 'true' vs 'false'
InformationComposition.textElement minimum cardinalities differ: '1' vs '0'
InformationStructureDefinition.shortValues for short differ: 'Additional content defined by implementations' vs 'Extension'
InformationStructureDefinition.definitionValues for definition differ: 'May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'An Extension'
InformationStructureDefinition.requirementsValues for requirements differ: 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).' vs 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).'
InformationStructureDefinition.shortValues for short differ: 'Eindeutige Dokumenten-ID' vs 'HDR business identifier'
InformationStructureDefinition.commentValues for comment differ: 'Eine vom erzeugenden Subsystem vergebene, eindeutige DokumentenID. Wenn es sich bei dem verwendeten Identifier um eine OID oder UUID handelt, so ist hier der Wert `urn:ietf:rfc:3986` anzugeben und in `Identifier.value` das jeweilige Präfix `urn:uuid:` bzw. `urn:oid:` zu verwenden. Beispiel: ```xml <identifier> <system value='urn:ietf:rfc:3986'> <value value='urn:oid:2.16.840.1.113883.6.96'> </identifier> ```' vs 'Similar to ClinicalDocument/setId in CDA. See discussion in resource definition for how these relate.'
WarningComposition.identifierElements differ in definition for mustSupport: 'true' vs 'false'
InformationComposition.identifierElement minimum cardinalities differ: '1' vs '0'
InformationStructureDefinition.shortValues for short differ: 'Status des Dokumentes' vs 'HDR status'
InformationStructureDefinition.commentValues for comment differ: 'Im Kontext diese Moduls ist nur der Austausch finaler Berichte vorgesehen. Ein Mechanismus zur Änderung oder Ersetzung bereits übermittelter Daten ist derzeit nicht spezifiziert. Hier ist stets der Wert `final` anzugeben.' vs 'If a composition is marked as withdrawn, the compositions/documents in the series, or data from the composition or document series, should never be displayed to a user without being clearly marked as untrustworthy. The flag 'entered-in-error' is why this element is labeled as a modifier of other elements. Some reporting work flows require that the original narrative of a final document never be altered; instead, only new narrative can be added. The composition resource has no explicit status for explicitly noting whether this business rule is in effect. This would be handled by an extension if required.'
WarningComposition.statusElements differ in definition for mustSupport: 'true' vs 'false'
InformationStructureDefinition.shortValues for short differ: 'Dokumenttyp' vs 'Kind of composition ('Hospital Discharge Report')'
InformationStructureDefinition.definitionValues for definition differ: 'Specifies the particular kind of composition (e.g. History and Physical, Discharge Summary, Progress Note). This usually equates to the purpose of making the composition.' vs 'Specifies that this composition refer to a Hospital Discharge Report'
InformationStructureDefinition.commentValues for comment differ: 'Begründung zu Must Support: Der Dokumenttyp ist für die Identifikation des Berichtes und die Zuordnung zu einem Subsystem für die weitere Verarbeitung erforderlich. *Hinweis für Implementierer:* Der zu übermittelnde Bericht repräsentiert eine Zusammenfassung der strukturierten Daten aus dem Subsystem. Das Dokument KANN z.B. mittels KDL oder IHE-D-XDS-Typecodes klassifiziert werden. Es KANN derzeit jedoch auch eine rein textuelle Beschreibung des Dokumenttyps angegeben werden. Während KDL-Codes eine feingranulare Dokumentenklassifikation für die gezielte Suche nach medizinischen und Administrativen Dokumenten ermöglichen, sind IHE-XDS-Type-Codes für den einrichtungsübergreifenden Dokumentenaustausch maßgeblich. Der XDS-Type-Code kann mit Hilfe der bereitgestellten [ConceptMaps](https://simplifier.net/kdl/~resources?category=ConceptMap) aus dem KDL-Code ermittelt werden. Weitere Typisierungen (z.B. nach SNOMED oder LOINC) sind uneingeschränkt erlaubt. [Konsens der Arbeitsgruppe vom 18.02.2022]. Im Falle, dass der Code 'UNK' entsprechend der ConceptMap verwendet werden soll, MUSS das System 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor' verwendet werden.' vs 'For Composition type, LOINC is ubiquitous and strongly endorsed by HL7. Most implementation guides will require a specific LOINC code, or use LOINC as an extensible binding.'
WarningComposition.typeElements differ in definition for mustSupport: 'true' vs 'false'
InformationStructureDefinition.shortValues for short differ: 'Dokument-Kategorie' vs 'Categorization of Composition'
InformationStructureDefinition.commentValues for comment differ: 'Begründung zu Must Support: Die Klassifizierung kann zur Strukturierung der Berichte genutzt werden, in dem Fall, dass das Narrative des Berichts dem Benutzer angezeigt wird. Das Dokument KANN z.B. mittels LOINC oder IHE-D-XDS-Classcodes klassifiziert werden.' vs 'This is a metadata field from [XDS/MHD](http://wiki.ihe.net/index.php?title=Mobile_access_to_Health_Documents_(MHD)).'
WarningComposition.categoryElements differ in definition for mustSupport: 'true' vs 'false'
InformationStructureDefinition.shortValues for short differ: 'Patientenbezug' vs 'Who and/or what the composition is about'
InformationStructureDefinition.definitionValues for definition differ: 'Who or what the composition is about. The composition can be about a person, (patient or healthcare practitioner), a device (e.g. a machine) or even a group of subjects (such as a document about a herd of livestock, or a set of patients that share a common exposure).' vs 'Who or what the composition is about. In general a composition can be about a person, (patient or healthcare practitioner), a device (e.g. a machine) or even a group of subjects (such as a document about a herd of livestock, or a set of patients that share a common exposure). For the hdr the subject is always the patient.'
WarningComposition.subjectElements differ in definition for mustSupport: 'true' vs 'false'
InformationStructureDefinition.shortValues for short differ: 'Aufenthaltsbezug' vs 'Context of the Composition'
WarningComposition.encounterElements differ in definition for mustSupport: 'true' vs 'false'
InformationStructureDefinition.shortValues for short differ: 'Dokumentendatum' vs 'HDR date'
InformationStructureDefinition.commentValues for comment differ: 'Datum der letzten Änderung des Dokumentes' vs 'The Last Modified Date on the composition may be after the date of the document was attested without being changed.'
InformationStructureDefinition.requirementsValues for requirements differ: 'dateTime is used for tracking, organizing versions and searching. Note that this is the time of *authoring*. When packaged in a document, [Bundle.timestamp](bundle-definitions.html#Bundle.timestamp) is the date of packaging.' vs 'dateTime is used for tracking, organizing versions and searching. Note that this is the time of *authoring*. When packaged in a document, [Bundle.timestamp](http://hl7.org/fhir/R4/bundle-definitions.html#Bundle.timestamp) is the date of packaging.'
WarningComposition.dateElements differ in definition for mustSupport: 'true' vs 'false'
InformationStructureDefinition.shortValues for short differ: 'Verfasser/Ersteller des Dokumentes (Person oder Subsystem/Gerät)' vs 'Who and/or what authored the Hospital Discharge Report'
InformationStructureDefinition.definitionValues for definition differ: 'Identifies who is responsible for the information in the composition, not necessarily who typed it in.' vs 'Identifies who is responsible for the information in the Hospital Discharge Report, not necessarily who typed it in.'
WarningComposition.authorElements differ in definition for mustSupport: 'true' vs 'false'
ErrorComposition.authorType Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner]]) vs Reference([CanonicalType[http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core], CanonicalType[http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device], CanonicalType[http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core]])
InformationStructureDefinition.shortValues for short differ: 'Dokumentenbezeichnung' vs 'Hospital Discharge Report'
InformationStructureDefinition.definitionValues for definition differ: 'Official human-readable label for the composition.' vs 'Official human-readable label for the composition. For this document should be 'Hospital Discharge Report' or any equivalent translation'
InformationStructureDefinition.commentValues for comment differ: 'Die Dokumentenbezeichnung dient der Darstellung des Dokumentes in einer Übersicht, z.B. in einer Patientenakte, und KANN der schnellen Auffindbarkeit eines gesuchten Dokumentes dienen. Geeignete Bezeichnungen sind zum Beispiel: * &quot;Kleines Blutbild vom 13.10.2020&quot; * &quot;Pathologiebefund (Abstrich) vom 13.10.2020&quot; * &quot;Blutgasmessung vom 13.10.2020 14:14h&quot;' vs 'For many compositions, the title is the same as the text or a display name of Composition.type (e.g. a 'consultation' or 'progress note'). Note that CDA does not make title mandatory, but there are no known cases where it is useful for title to be omitted, so it is mandatory here. Feedback on this requirement is welcome during the trial use period.'
WarningComposition.titleElements differ in definition for mustSupport: 'true' vs 'false'
InformationStructureDefinition.requirementsValues for requirements differ: 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).' vs 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).'
InformationStructureDefinition.shortValues for short differ: 'personal | professional | legal | official' vs 'The type of attestation'
InformationStructureDefinition.shortValues for short differ: 'When the composition was attested' vs 'When the composition was attested.'
InformationStructureDefinition.shortValues for short differ: 'Who attested the composition' vs 'Who attested the composition.'
ErrorComposition.attester.partyType Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson], CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner], CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization]]) vs Reference([CanonicalType[http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core], CanonicalType[http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core], CanonicalType[http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core]])
InformationStructureDefinition.requirementsValues for requirements differ: 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).' vs 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).'
InformationStructureDefinition.requirementsValues for requirements differ: 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).' vs 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).'
InformationStructureDefinition.shortValues for short differ: 'Kapitel' vs 'Sections composing the Hospital Discharge Report'
InformationStructureDefinition.definitionValues for definition differ: 'The root of the sections that make up the composition.' vs 'The root of the sections that make up the Hospital Discharge Report composition.'
WarningComposition.sectionElements differ in definition for mustSupport: 'true' vs 'false'
InformationStructureDefinition.requirementsValues for requirements differ: 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).' vs 'Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).'
InformationStructureDefinition.shortValues for short differ: 'Kapitelbezeichnung' vs 'Label for section (e.g. for ToC)'
WarningComposition.section.titleElements differ in definition for mustSupport: 'true' vs 'false'
InformationComposition.section.titleElement minimum cardinalities differ: '1' vs '0'
InformationStructureDefinition.shortValues for short differ: 'Narrativ' vs 'Text summary of the section, for human interpretation'
InformationStructureDefinition.commentValues for comment differ: 'menschenlesbare HTML-Repräsentation des Inhalts dieses Kapitels. Hinweise: Für Aggregation einer vollständigen menschenlesbaren Repräsentation MÜSSEN die Repräsentationen der einzelnen Kapitel an die Repräsentation der Metadaten (Composition.text) angehängt werden. Für die Separierung KÖNNEN einfache <div>-Tags verwendet werden. Es ist zu beachten, dass Kapitel auch Unterkapitel enthalten KÖNNEN (Composition.section.section), die bei der Aggregation entsprechend berücksichtigt werden MÜSSEN. Die Mindestanforderungen an den Inhalt der menschenlesbaren Repräsentation umfasst folgende Informationen: * `section.title` + Freitext oder * `section.title` + `Resource.text` der referenzierten Ressource oder * `section.title` + eine aggregierte Repräsentation von `Resource.text`, wenn in einer Section mehrere Ressourcen referenziert werden (z.B. eine tabellarische Auflistung mehrere Blutdruckmesswerte, Diagnosen oder Allergien).' vs 'Document profiles may define what content should be represented in the narrative to ensure clinical safety.'
WarningComposition.section.textElements differ in definition for mustSupport: 'true' vs 'false'
InformationComposition.section.textElement minimum cardinalities differ: '1' vs '0'
InformationStructureDefinition.shortValues for short differ: 'Unterkapitel' vs 'Nested Section'
WarningComposition.section.sectionElements differ in definition for mustSupport: 'true' vs 'false'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/Compositionhttp://hl7.eu/fhir/hdr/StructureDefinition/composition-eu-hdr
    • Values Differ
    .copyrightUsed by permission of HL7 Europe, all rights reserved Creative Commons License
    • Added the item 'Used by permission of HL7 Europe, all rights reserved Creative Commons License'
    .date2025-06-262025-06-03T12:48:49+02:00
    • Values Differ
    .descriptionDieses Profil ermöglicht die krankenhaus-interne Übermittlung eines Berichtes bestehend aus beliebigen strukturierten FHIR-Ressourcen sowie einer textuellen HTML-Repräsentation (Narrative) an einen ISiK-Basis-kompatiblen Server. ### Motivation In der heterogenen Systemlandschaft im Krankenhaus sind eine Vielzahl spezialisierter Subsysteme im Einsatz. Die Ergebnisse aus diesen Subsystemen sind aktuell jedoch häufig nicht in den Primärsystemen des Krankenhauses verfügbar, denn es bestehen folgende Herausforderungen: Die Daten in Subsystemen sind sehr heterogen und können hochspezialisiert sein. Bei der Nutzung dieser Subsysteme besteht häufig ein Interesse, auf die menschenlesbare Repräsentation der strukturierten Daten einwirken zu können. Künftig ist mit Szenarien zu rechnen, bei denen Befunde aus Subsystemen in eine elektronische Patientenakte übertragen werden sollen. Aktuell werden Befunde, obwohl diese in den Subsystemen in hochstrukturierter Form vorliegen, nur als PDF an das Primärsystem übermittelt. Oft weil kein strukturiertes Format spezifiziert ist, das sowohl versendendes Subsystem als auch empfangendes Primärsystem implementiert haben. Der Umfang, in dem eine Datenübernahme in ein Primärsystem möglich ist, variiert stark zwischen den Systemen oder Installationen, z.B. abhängig davon, ob ein Modul für Vitalparameter installiert ist. Die ISiK-Spezifikation begegnet diesen Herausforderungen, indem sie die Übermittlung von Ergebnissen aus Subsystemen an die Primärsysteme in Form von strukturierten Dokumenten erfordert, die über eine menschenlesbare Repräsentation verfügen. Diese strukturierten Dokumente werden im ISiK-Kontext als Berichte bezeichnet. Dabei sind die strukturierten Inhalte der Berichte harmonisiert mit den verbreiteten Formaten für Primärsysteme. (Semi-)Strukturierte Dokumente werden in FHIR mit der `Composition`-Ressource repräsentiert, die die Dokumentenmetadaten sowie die textuelle Repräsentation des Dokumentes enthält. Die Composition referenziert auf beliebige weiter FHIR-Ressourcen, die die strukturierten Komponenten des Dokumentes darstellen. Für den Transport wird die Composition zusammen mit allen direkt oder indirekt referenzierten Ressourcen in eine `Bundle`-Ressource vom Typ `document` aggregiert. Das Document-Bundle trägt alle Eigenschaften eines Dokumentes: Abgeschlossenheit, Unveränderbarkeit, Signierbarkeit. Es obliegt dem empfangenden System, ob dieses Dokument lediglich in seiner Gesamtheit persistiert wird, oder ob darüber hinaus einzelne Bestandteile (Ressourcen) als strukturierte Daten automatisch oder auf Veranlassung eines Benutzers in die Patientenakte übernommen werden. In der aktuellen Ausbaustufe von ISiK ist lediglich die Übernahme und Anzeige der Dokument-Metadaten (z.B. Dokumenttyp, Dokumentdatum, Quelle) und der menschenlesbaren HTML-Repräsentation in die Primärsysteme erforderlich. In weiteren Ausbaustufen von ISiK soll darüber hinaus eine Übernahme der strukturierten Anteile der Dokumente möglich sein, die den ISiK-Spezifikationen entsprechen, z.B. Diagnosen und Prozeduren. ### Kompatibilität Hinweise zu Inkompatibilitäten können über die [Portalseite](https://service.gematik.de/servicedesk/customer/portal/16) gemeldet werden.This profile defines obligations for a Hospital Discharge Report (HDR) for the scope of this guide.
    • Values Differ
    .experimentalfalse
    • Removed the item 'false'
    .fhirVersion4.0.1
      .jurisdiction
        ..jurisdiction[0]http://unstats.un.org/unsd/methods/m49/m49.htm#150
        • Added the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#150'
        .kindresource
          .nameISiKBerichtSubSystemeCompositionEuHdrObligation
          • Values Differ
          .publishergematik GmbHHL7 Europe
          • Values Differ
          .purpose
            .statusactivedraft
            • Values Differ
            .titleComposition: obligations
            • Added the item 'Composition: obligations'
            .typeComposition
              .urlhttps://gematik.de/fhir/isik/StructureDefinition/ISiKBerichtSubSystemehttp://hl7.eu/fhir/hdr/StructureDefinition/composition-obl-eu-hdr
              • Values Differ
              .version5.0.00.1.0-ballot
              • Values Differ

              Structure

              NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.R TypeR Description & ConstraintsCommentsdoco
              .. Composition 0..*CompositionA set of resources composed into a single coherent clinical statement with clinical attestation
              		C0..*CompositionEuHdrHospital Discharge Report composition
              text-or-section: A Composition SHALL have either text, at least one section, or both.
                ... id Σ0..1stringLogical id of this artifactΣ0..1idLogical id of this artifact
                  ... meta Σ0..1MetaMetadata about the resourceΣ0..1MetaMetadata about the resource
                    ... implicitRules ?!Σ0..1uriA set of rules under which this content was created?!Σ0..1uriA set of rules under which this content was created
                      ... language 0..1codeLanguage of the resource content
                      Binding: ?? (preferred): A human language.

                      Additional BindingsPurpose
                      ??Max Binding
                      		0..1codeLanguage of the resource content
                      Binding: ?? (preferred): A human language.

                      Additional BindingsPurpose
                      ??Max Binding
                        ... text S1..1NarrativeNarrativ0..1NarrativeText summary of the resource, for human interpretation
                        • Elements differ in definition for mustSupport: 'true' vs 'false'
                        • Element minimum cardinalities differ: '1' vs '0'
                        .... id 0..1stringUnique id for inter-element referencing
                        • Removed this element
                        .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                        Slice: Unordered, Open by value:url
                        • Removed this element
                        .... status S1..1codegenerated | extensions | additional | empty
                        Binding: ?? (required): The status of a resource narrative.


                        Fixed Value: extensions
                        • Removed this element
                        .... div SC1..1xhtmlLimited xhtml content
                        txt-1: The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes
                        txt-2: The narrative SHALL have some non-whitespace content
                        • Removed this element
                        ... contained 0..*ResourceContained, inline Resources
                        		0..*ResourceContained, inline Resources
                          ... extension 0..*ExtensionAdditional content defined by implementations
                          		0..*ExtensionExtension
                          Slice: Unordered, Open by value:url
                            ... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
                            		?!0..*ExtensionExtensions that cannot be ignored
                              ... identifier SΣ1..1IdentifierEindeutige Dokumenten-IDOΣ0..1IdentifierHDR business identifier
                              ObligationsActor
                              SHALL:handlehttp://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr
                              SHOULD:able-to-populatehttp://hl7.eu/fhir/laboratory/actor-creator-eu-hdr
                              • Elements differ in definition for mustSupport: 'true' vs 'false'
                              • Element minimum cardinalities differ: '1' vs '0'
                              .... id 0..1stringUnique id for inter-element referencing
                              • Removed this element
                              .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                              Slice: Unordered, Open by value:url
                              • Removed this element
                              .... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
                              Binding: ?? (required): Identifies the purpose for this identifier, if known .

                              • Removed this element
                              .... type Σ0..1CodeableConceptDescription of identifier
                              Binding: ?? (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

                              • Removed this element
                              .... system SΣ0..1uriNamensraum des Identifiers
                              Example General: http://www.acme.com/identifiers/patient
                              • Removed this element
                              .... value SΣ0..1stringThe value that is unique
                              Example General: 123456
                              • Removed this element
                              .... period Σ0..1PeriodTime period when id is/was valid for use
                              • Removed this element
                              .... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
                              • Removed this element
                              ... status ?!SΣ1..1codeStatus des Dokumentes
                              Binding: ?? (required): The workflow/clinical status of the composition.


                              Fixed Value: final                              		?!OΣ1..1codeHDR status
                              Binding: ?? (required): The workflow/clinical status of the composition.

                              ObligationsActor
                              SHALL:handlehttp://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr
                              SHALL:able-to-populatehttp://hl7.eu/fhir/laboratory/actor-creator-eu-hdr
                              • Elements differ in definition for mustSupport: 'true' vs 'false'
                              ... type SΣ1..1CodeableConceptDokumenttyp
                              Binding: ?? (preferred): Type of a composition.

                              		OΣ1..1??Kind of composition ("Hospital Discharge Report")
                              Binding: ?? (preferred): Type of a composition.


                              Required Pattern: {"coding":[{"system":"http://loinc.org","code":"34105-7","display":"Hospital Discharge summary"}]}
                              ObligationsActor
                              SHALL:handlehttp://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr
                              SHALL:able-to-populatehttp://hl7.eu/fhir/laboratory/actor-creator-eu-hdr
                              • Elements differ in definition for mustSupport: 'true' vs 'false'
                              .... id 0..1stringUnique id for inter-element referencing
                              • Removed this element
                              .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                              Slice: Unordered, Open by value:url
                              • Removed this element
                              .... Slices for coding SΣ0..*CodingCode defined by a terminology system
                              Slice: Unordered, Open by pattern:$this
                              • Removed this element
                              .... text SΣ0..1stringDokumenttyp (Freitext)
                              • Removed this element
                              ... category SΣ0..*CodeableConceptDokument-Kategorie
                              Binding: ?? (example): High-level kind of a clinical document at a macro level.


                              		Σ0..*CodeableConceptCategorization of Composition
                              Binding: ?? (example): High-level kind of a clinical document at a macro level.


                              • Elements differ in definition for mustSupport: 'true' vs 'false'
                              .... id 0..1stringUnique id for inter-element referencing
                              • Removed this element
                              .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                              Slice: Unordered, Open by value:url
                              • Removed this element
                              .... Slices for coding SΣ0..*CodingCode defined by a terminology system
                              Slice: Unordered, Open by pattern:$this
                              • Removed this element
                              .... text Σ0..1stringPlain text representation of the concept
                              • Removed this element
                              ... subject SΣ1..1Reference(Resource)PatientenbezugOΣ1..1Reference(Patient (EU core))Who and/or what the composition is about
                              ObligationsActor
                              SHALL:handlehttp://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr
                              SHALL:able-to-populatehttp://hl7.eu/fhir/laboratory/actor-creator-eu-hdr
                              • Elements differ in definition for mustSupport: 'true' vs 'false'
                              .... id 0..1stringUnique id for inter-element referencing
                              • Removed this element
                              .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                              Slice: Unordered, Open by value:url
                              • Removed this element
                              .... reference SΣC1..1stringPatienten-Link
                              • Removed this element
                              .... type Σ0..1uriType the reference refers to (e.g. "Patient")
                              Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).

                              • Removed this element
                              .... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
                              • Removed this element
                              .... display Σ0..1stringText alternative for the resource
                              • Removed this element
                              ... encounter SΣ0..1Reference(Encounter)AufenthaltsbezugOΣ0..1Reference(Encounter (HDR))Context of the Composition
                              ObligationsActor
                              SHALL:handlehttp://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr
                              SHALL:able-to-populatehttp://hl7.eu/fhir/laboratory/actor-creator-eu-hdr
                              • Elements differ in definition for mustSupport: 'true' vs 'false'
                              .... id 0..1stringUnique id for inter-element referencing
                              • Removed this element
                              .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                              Slice: Unordered, Open by value:url
                              • Removed this element
                              .... reference SΣC1..1stringEncounter-Link
                              • Removed this element
                              .... type Σ0..1uriType the reference refers to (e.g. "Patient")
                              Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).

                              • Removed this element
                              .... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
                              • Removed this element
                              .... display Σ0..1stringText alternative for the resource
                              • Removed this element
                              ... date SΣ1..1dateTimeDokumentendatumOΣ1..1dateTimeHDR date
                              ObligationsActor
                              SHALL:handlehttp://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr
                              SHALL:able-to-populatehttp://hl7.eu/fhir/laboratory/actor-creator-eu-hdr
                              • Elements differ in definition for mustSupport: 'true' vs 'false'
                              ... author SΣ1..*Reference(PractitionerRole | Device | Organization | RelatedPerson | Patient | Practitioner)Verfasser/Ersteller des Dokumentes (Person oder Subsystem/Gerät)
                              		OΣ1..*Reference(Practitioner (EU core) | PractitionerRole (EU core) | Device | Organization (EU core))Who and/or what authored the Hospital Discharge Report
                              ObligationsActor
                              SHALL:handlehttp://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr
                              SHALL:able-to-populatehttp://hl7.eu/fhir/laboratory/actor-creator-eu-hdr
                              • Elements differ in definition for mustSupport: 'true' vs 'false'
                              • Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner]]) vs Reference([CanonicalType[http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core], CanonicalType[http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device], CanonicalType[http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core]])
                              .... id 0..1stringUnique id for inter-element referencing
                              • Removed this element
                              .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                              Slice: Unordered, Open by value:url
                              • Removed this element
                              .... reference ΣC0..1stringLiteral reference, Relative, internal or absolute URL
                              • Removed this element
                              .... type Σ0..1uriType the reference refers to (e.g. "Patient")
                              Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).

                              • Removed this element
                              .... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
                              • Removed this element
                              .... display SΣ1..1stringBezeichnung des Verfassers (Freitext)
                              • Removed this element
                              ... title SΣ1..1stringDokumentenbezeichnungOΣ1..1stringHospital Discharge Report
                              ObligationsActor
                              SHALL:handlehttp://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr
                              SHALL:able-to-populatehttp://hl7.eu/fhir/laboratory/actor-creator-eu-hdr
                              • Elements differ in definition for mustSupport: 'true' vs 'false'
                              ... confidentiality Σ0..1codeAs defined by affinity domain
                              Binding: ?? (required): Codes specifying the level of confidentiality of the composition.

                              		Σ0..1codeAs defined by affinity domain
                              Binding: ?? (required): Codes specifying the level of confidentiality of the composition.

                                ... attester 0..*BackboneElementAttests to accuracy of composition
                                		O0..*BackboneElementAttests to accuracy of composition
                                ObligationsActor
                                SHALL:handlehttp://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr
                                SHOULD:able-to-populatehttp://hl7.eu/fhir/laboratory/actor-creator-eu-hdr
                                  .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                    .... extension 0..*ExtensionAdditional content defined by implementations
                                    		0..*ExtensionAdditional content defined by implementations
                                      .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                      		?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                        .... mode 1..1codepersonal | professional | legal | official
                                        Binding: ?? (required): The way in which a person authenticated a composition.

                                        		O1..1codeThe type of attestation
                                        Binding: ?? (required): The way in which a person authenticated a composition.

                                        ObligationsActor
                                        SHALL:handlehttp://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr
                                        SHALL:able-to-populatehttp://hl7.eu/fhir/laboratory/actor-creator-eu-hdr
                                          .... time 0..1dateTimeWhen the composition was attestedO0..1dateTimeWhen the composition was attested.
                                          ObligationsActor
                                          SHALL:handlehttp://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr
                                          SHALL:able-to-populatehttp://hl7.eu/fhir/laboratory/actor-creator-eu-hdr
                                            .... party 0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)Who attested the compositionO0..1Reference(Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core))Who attested the composition.
                                            ObligationsActor
                                            SHALL:handlehttp://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr
                                            SHALL:able-to-populatehttp://hl7.eu/fhir/laboratory/actor-creator-eu-hdr
                                            • Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson], CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner], CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization]]) vs Reference([CanonicalType[http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core], CanonicalType[http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core], CanonicalType[http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core]])
                                            ... custodian Σ0..1Reference(Organization)Organization which maintains the compositionΣ0..1Reference(Organization)Organization which maintains the composition
                                              ... relatesTo 0..*BackboneElementRelationships to other compositions/documents
                                              		0..*BackboneElementRelationships to other compositions/documents
                                                .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                  .... extension 0..*ExtensionAdditional content defined by implementations
                                                  		0..*ExtensionAdditional content defined by implementations
                                                    .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                    		?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                      .... code 1..1codereplaces | transforms | signs | appends
                                                      Binding: ?? (required): The type of relationship between documents.

                                                      		1..1codereplaces | transforms | signs | appends
                                                      Binding: ?? (required): The type of relationship between documents.

                                                        .... target[x] 1..1Identifier, Reference(Composition)Target of the relationship1..1Identifier, Reference(Composition)Target of the relationship
                                                          ... event Σ0..*BackboneElementThe clinical service(s) being documented
                                                          		Σ0..*BackboneElementThe clinical service(s) being documented
                                                            .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                              .... extension 0..*ExtensionAdditional content defined by implementations
                                                              		0..*ExtensionAdditional content defined by implementations
                                                                .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                		?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                  .... code Σ0..*CodeableConceptCode(s) that apply to the event being documented
                                                                  Binding: ?? (example): This list of codes represents the main clinical acts being documented.


                                                                  		Σ0..*CodeableConceptCode(s) that apply to the event being documented
                                                                  Binding: ?? (example): This list of codes represents the main clinical acts being documented.


                                                                    .... period Σ0..1PeriodThe period covered by the documentationΣ0..1PeriodThe period covered by the documentation
                                                                      .... detail Σ0..*Reference(Resource)The event(s) being documented
                                                                      		Σ0..*Reference(Resource)The event(s) being documented
                                                                        ... section SC1..*BackboneElementKapitel
                                                                        cmp-1: A section must contain at least one of text, entries, or sub-sections
                                                                        cmp-2: A section can only have an emptyReason if it is empty
                                                                        		OC1..*BackboneElementSections composing the Hospital Discharge Report
                                                                        Slice: Unordered, Open by value:code
                                                                        cmp-1: A section must contain at least one of text, entries, or sub-sections
                                                                        cmp-2: A section can only have an emptyReason if it is empty
                                                                        ObligationsActor
                                                                        SHALL:handlehttp://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr
                                                                        SHALL:able-to-populatehttp://hl7.eu/fhir/laboratory/actor-creator-eu-hdr
                                                                        • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                                        .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                          .... extension 0..*ExtensionAdditional content defined by implementations
                                                                          		0..*ExtensionAdditional content defined by implementations
                                                                            .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                            		?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                              .... title S1..1stringKapitelbezeichnung0..1stringLabel for section (e.g. for ToC)
                                                                              • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                                              • Element minimum cardinalities differ: '1' vs '0'
                                                                              .... code 0..1CodeableConceptClassification of section (recommended)
                                                                              Binding: ?? (example): Classification of a section of a composition/document.

                                                                              		0..1CodeableConceptClassification of section (recommended)
                                                                              Binding: ?? (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
                                                                                		0..*Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)Who and/or what authored the section
                                                                                  .... focus 0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition0..1Reference(Resource)Who/what the section is about, when it is not about the subject of composition
                                                                                    .... text SC1..1NarrativeNarrativOC0..1NarrativeText summary of the section, for human interpretation
                                                                                    ObligationsActor
                                                                                    SHALL:handlehttp://hl7.eu/fhir/laboratory/actor-consumer-eu-hdr
                                                                                    SHALL:able-to-populatehttp://hl7.eu/fhir/laboratory/actor-creator-eu-hdr
                                                                                    • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                                                    • Element minimum cardinalities differ: '1' vs '0'
                                                                                    .... mode 0..1codeworking | snapshot | changes
                                                                                    Binding: ?? (required): The processing mode that applies to this section.

                                                                                    		0..1codeworking | snapshot | changes
                                                                                    Binding: ?? (required): The processing mode that applies to this section.

                                                                                      .... orderedBy 0..1CodeableConceptOrder of section entries
                                                                                      Binding: ?? (preferred): What order applies to the items in the entry.

                                                                                      		0..1CodeableConceptOrder of section entries
                                                                                      Binding: ?? (preferred): What order applies to the items in the entry.

                                                                                        .... entry C0..*Reference(Resource)A reference to data that supports this section
                                                                                        		C0..*Reference(Resource)A reference to data that supports this section
                                                                                          .... emptyReason C0..1CodeableConceptWhy the section is empty
                                                                                          Binding: ?? (preferred): If a section is empty, why it is empty.

                                                                                          		C0..1CodeableConceptWhy the section is empty
                                                                                          Binding: ?? (preferred): If a section is empty, why it is empty.

                                                                                            .... section SC0..*See section (Composition)Unterkapitel
                                                                                            		C0..*See section (Composition)Nested Section
                                                                                            • Elements differ in definition for mustSupport: 'true' vs 'false'

                                                                                            doco Documentation for this format