Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation Constraints: dom-2, dom-3, dom-4, dom-5, dom-6
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension	S	1..*	Extension	Extension Slice: Unordered, Closed by value:url
extension:Beneficiary	S	1..1	IdentifierTelematikId	Die ID des Begünstigten des E-Rezept-Belegs (z. B. TelematikID der Apotheke) URL: https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_EX_Beneficiary
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
status	?!SΣ	1..1	code	Status = "final" Binding: CompositionStatus (required): The workflow/clinical status of the composition. Fixed Value: final
type	SΣ	1..1	CodeableConcept	Document Type = "Receipt" Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
coding	Σ	1..1	Coding	Code defined by a terminology system Binding: ValueSet der Dokumenttyp-Codes (required)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://gematik.de/fhir/erp/CodeSystem/GEM_ERP_CS_DocumentType
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 3
display	Σ	0..1	string	Representation defined by the system Fixed Value: Receipt
date	SΣ	1..1	dateTime	Composition editing time
author	SΣC	1..*	Reference(GEM ERP PR Device) {r, b}	Referenz zur Überprüfung des Dienstes (Gerät) Constraints: ref-1
title	SΣ	1..1	string	Document title = "Quittung" Fixed Value: Quittung
event	Σ	1..1	BackboneElement	The clinical service(s) being documented
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
period	SΣC	1..1	Period	The period covered by the documentation Constraints: per-1
start	SΣC	1..1	dateTime	Startzeit der Ausgabe
end	ΣC	1..1	dateTime	Das Ende der Ausgabe
detail	SΣC	0..*	Reference(Resource)	The event(s) being documented Constraints: ref-1
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.status	Base	required	CompositionStatus	📍4.0.1	FHIR Std.
Composition.type	Base	preferred	FHIR Document Type Codes	📍4.0.1	FHIR Std.
Composition.type.coding	Base	required	ValueSet der Dokumenttyp-Codes	📦2.0.0-ballot.1	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
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()
per-1	error	Composition.event.period	If present, start SHALL have a lower value than end	start.hasValue().not() or end.hasValue().not() or (start <= end)
ref-1	error	Composition.author, Composition.event.detail	SHALL have a contained resource if a local reference is provided	reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition			Composition
Slices for extension	S	1..*	Extension	Extension Slice: Unordered, Closed by value:url
extension:Beneficiary	S	1..1	IdentifierTelematikId	Die ID des Begünstigten des E-Rezept-Belegs (z. B. TelematikID der Apotheke) URL: https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_EX_Beneficiary
status	S	1..1	code	Status = "final" Fixed Value: final
type	S	1..1	CodeableConcept	Document Type = "Receipt"
coding		1..1	Coding	Code defined by a terminology system Binding: ValueSet der Dokumenttyp-Codes (required)
system		1..1	uri	Identity of the terminology system Fixed Value: https://gematik.de/fhir/erp/CodeSystem/GEM_ERP_CS_DocumentType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 3
display		0..1	string	Representation defined by the system Fixed Value: Receipt
date	S	1..1	dateTime	Composition editing time
author	S	1..*	Reference(GEM ERP PR Device) {r, b}	Referenz zur Überprüfung des Dienstes (Gerät)
title	S	1..1	string	Document title = "Quittung" Fixed Value: Quittung
event		1..1	BackboneElement	The clinical service(s) being documented
period	S	1..1	Period	The period covered by the documentation
start	S	1..1	dateTime	Startzeit der Ausgabe
end		1..1	dateTime	Das Ende der Ausgabe
detail	S	0..*	Reference(Resource)	The event(s) being documented
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Composition.type.coding	Base	required	ValueSet der Dokumenttyp-Codes	📦2.0.0-ballot.1	This IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation Constraints: dom-2, dom-3, dom-4, dom-5, dom-6
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
Slices for extension	S	1..*	Extension	Extension Slice: Unordered, Closed by value:url
extension:Beneficiary	S	1..1	IdentifierTelematikId	Die ID des Begünstigten des E-Rezept-Belegs (z. B. TelematikID der Apotheke) URL: https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_EX_Beneficiary
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier	Σ	0..1	Identifier	Version-independent identifier for the Composition
status	?!SΣ	1..1	code	Status = "final" Binding: CompositionStatus (required): The workflow/clinical status of the composition. Fixed Value: final
type	SΣ	1..1	CodeableConcept	Document Type = "Receipt" Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
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..1	Coding	Code defined by a terminology system Binding: ValueSet der Dokumenttyp-Codes (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://gematik.de/fhir/erp/CodeSystem/GEM_ERP_CS_DocumentType
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 3
display	Σ	0..1	string	Representation defined by the system Fixed Value: Receipt
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	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	ΣC	0..1	Reference(Resource)	Who and/or what the composition is about Constraints: ref-1
encounter	ΣC	0..1	Reference(Encounter)	Context of the Composition Constraints: ref-1
date	SΣ	1..1	dateTime	Composition editing time
author	SΣC	1..*	Reference(GEM ERP PR Device) {r, b}	Referenz zur Überprüfung des Dienstes (Gerät) Constraints: ref-1
title	SΣ	1..1	string	Document title = "Quittung" Fixed Value: Quittung
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 Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time		0..1	dateTime	When the composition was attested
party	C	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	Who attested the composition Constraints: ref-1
custodian	ΣC	0..1	Reference(Organization)	Organization which maintains the composition Constraints: ref-1
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 Slice: Unordered, Open by value:url
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	1..1	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 Slice: Unordered, Open by value:url
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	SΣC	1..1	Period	The period covered by the documentation Constraints: per-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣC	1..1	dateTime	Startzeit der Ausgabe
end	ΣC	1..1	dateTime	Das Ende der Ausgabe
detail	SΣC	0..*	Reference(Resource)	The event(s) being documented Constraints: ref-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
section	C	0..*	BackboneElement	Composition is broken into sections Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author	C	0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section Constraints: ref-1
focus	C	0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition Constraints: ref-1
text	C	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	C	0..*	Reference(Resource)	A reference to data that supports this section Constraints: ref-1
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
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Composition.status	Base	required	CompositionStatus	📍4.0.1	FHIR Std.
Composition.type	Base	preferred	FHIR Document Type Codes	📍4.0.1	FHIR Std.
Composition.type.coding	Base	required	ValueSet der Dokumenttyp-Codes	📦2.0.0-ballot.1	This IG
Composition.category	Base	example	Document Class Value Set	📍4.0.1	FHIR Std.
Composition.confidentiality	Base	required	V3 Value SetConfidentialityClassification	📍2014-03-26	FHIR Std.
Composition.attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.relatesTo.​code	Base	required	DocumentRelationshipType	📍4.0.1	FHIR Std.
Composition.event.code	Base	example	v3 Code System ActCode	📦3.0.0	THO v7.1
Composition.event.detail.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Composition.section.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
cmp-1	error	Composition.section	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	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()
per-1	error	Composition.event.period	If present, start SHALL have a lower value than end	start.hasValue().not() or end.hasValue().not() or (start <= end)
ref-1	error	Composition.subject, Composition.encounter, Composition.author, Composition.attester.party, Composition.custodian, Composition.event.detail, Composition.section.author, Composition.section.focus, Composition.section.entry	SHALL have a contained resource if a local reference is provided	reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Summary

Mandatory: 9 elements(1 nested mandatory element)
Must-Support: 11 elements
Fixed: 5 elements

Structures

This structure refers to these other structures:

• GEM ERP PR Device (https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_PR_Device)

Extensions

This structure refers to these extensions:

• https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_EX_Beneficiary

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation Constraints: dom-2, dom-3, dom-4, dom-5, dom-6
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension	S	1..*	Extension	Extension Slice: Unordered, Closed by value:url
extension:Beneficiary	S	1..1	IdentifierTelematikId	Die ID des Begünstigten des E-Rezept-Belegs (z. B. TelematikID der Apotheke) URL: https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_EX_Beneficiary
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
status	?!SΣ	1..1	code	Status = "final" Binding: CompositionStatus (required): The workflow/clinical status of the composition. Fixed Value: final
type	SΣ	1..1	CodeableConcept	Document Type = "Receipt" Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
coding	Σ	1..1	Coding	Code defined by a terminology system Binding: ValueSet der Dokumenttyp-Codes (required)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://gematik.de/fhir/erp/CodeSystem/GEM_ERP_CS_DocumentType
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 3
display	Σ	0..1	string	Representation defined by the system Fixed Value: Receipt
date	SΣ	1..1	dateTime	Composition editing time
author	SΣC	1..*	Reference(GEM ERP PR Device) {r, b}	Referenz zur Überprüfung des Dienstes (Gerät) Constraints: ref-1
title	SΣ	1..1	string	Document title = "Quittung" Fixed Value: Quittung
event	Σ	1..1	BackboneElement	The clinical service(s) being documented
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
period	SΣC	1..1	Period	The period covered by the documentation Constraints: per-1
start	SΣC	1..1	dateTime	Startzeit der Ausgabe
end	ΣC	1..1	dateTime	Das Ende der Ausgabe
detail	SΣC	0..*	Reference(Resource)	The event(s) being documented Constraints: ref-1
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.status	Base	required	CompositionStatus	📍4.0.1	FHIR Std.
Composition.type	Base	preferred	FHIR Document Type Codes	📍4.0.1	FHIR Std.
Composition.type.coding	Base	required	ValueSet der Dokumenttyp-Codes	📦2.0.0-ballot.1	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
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()
per-1	error	Composition.event.period	If present, start SHALL have a lower value than end	start.hasValue().not() or end.hasValue().not() or (start <= end)
ref-1	error	Composition.author, Composition.event.detail	SHALL have a contained resource if a local reference is provided	reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition			Composition
Slices for extension	S	1..*	Extension	Extension Slice: Unordered, Closed by value:url
extension:Beneficiary	S	1..1	IdentifierTelematikId	Die ID des Begünstigten des E-Rezept-Belegs (z. B. TelematikID der Apotheke) URL: https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_EX_Beneficiary
status	S	1..1	code	Status = "final" Fixed Value: final
type	S	1..1	CodeableConcept	Document Type = "Receipt"
coding		1..1	Coding	Code defined by a terminology system Binding: ValueSet der Dokumenttyp-Codes (required)
system		1..1	uri	Identity of the terminology system Fixed Value: https://gematik.de/fhir/erp/CodeSystem/GEM_ERP_CS_DocumentType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 3
display		0..1	string	Representation defined by the system Fixed Value: Receipt
date	S	1..1	dateTime	Composition editing time
author	S	1..*	Reference(GEM ERP PR Device) {r, b}	Referenz zur Überprüfung des Dienstes (Gerät)
title	S	1..1	string	Document title = "Quittung" Fixed Value: Quittung
event		1..1	BackboneElement	The clinical service(s) being documented
period	S	1..1	Period	The period covered by the documentation
start	S	1..1	dateTime	Startzeit der Ausgabe
end		1..1	dateTime	Das Ende der Ausgabe
detail	S	0..*	Reference(Resource)	The event(s) being documented
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Composition.type.coding	Base	required	ValueSet der Dokumenttyp-Codes	📦2.0.0-ballot.1	This IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Composition		0..*	Composition	A set of resources composed into a single coherent clinical statement with clinical attestation Constraints: dom-2, dom-3, dom-4, dom-5, dom-6
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
Slices for extension	S	1..*	Extension	Extension Slice: Unordered, Closed by value:url
extension:Beneficiary	S	1..1	IdentifierTelematikId	Die ID des Begünstigten des E-Rezept-Belegs (z. B. TelematikID der Apotheke) URL: https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_EX_Beneficiary
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier	Σ	0..1	Identifier	Version-independent identifier for the Composition
status	?!SΣ	1..1	code	Status = "final" Binding: CompositionStatus (required): The workflow/clinical status of the composition. Fixed Value: final
type	SΣ	1..1	CodeableConcept	Document Type = "Receipt" Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.
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..1	Coding	Code defined by a terminology system Binding: ValueSet der Dokumenttyp-Codes (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://gematik.de/fhir/erp/CodeSystem/GEM_ERP_CS_DocumentType
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: 3
display	Σ	0..1	string	Representation defined by the system Fixed Value: Receipt
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	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	ΣC	0..1	Reference(Resource)	Who and/or what the composition is about Constraints: ref-1
encounter	ΣC	0..1	Reference(Encounter)	Context of the Composition Constraints: ref-1
date	SΣ	1..1	dateTime	Composition editing time
author	SΣC	1..*	Reference(GEM ERP PR Device) {r, b}	Referenz zur Überprüfung des Dienstes (Gerät) Constraints: ref-1
title	SΣ	1..1	string	Document title = "Quittung" Fixed Value: Quittung
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 Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
mode		1..1	code	personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
time		0..1	dateTime	When the composition was attested
party	C	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)	Who attested the composition Constraints: ref-1
custodian	ΣC	0..1	Reference(Organization)	Organization which maintains the composition Constraints: ref-1
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 Slice: Unordered, Open by value:url
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	1..1	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 Slice: Unordered, Open by value:url
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	SΣC	1..1	Period	The period covered by the documentation Constraints: per-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣC	1..1	dateTime	Startzeit der Ausgabe
end	ΣC	1..1	dateTime	Das Ende der Ausgabe
detail	SΣC	0..*	Reference(Resource)	The event(s) being documented Constraints: ref-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
section	C	0..*	BackboneElement	Composition is broken into sections Constraints: cmp-1, cmp-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
title		0..1	string	Label for section (e.g. for ToC)
code		0..1	CodeableConcept	Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
author	C	0..*	Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)	Who and/or what authored the section Constraints: ref-1
focus	C	0..1	Reference(Resource)	Who/what the section is about, when it is not about the subject of composition Constraints: ref-1
text	C	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	C	0..*	Reference(Resource)	A reference to data that supports this section Constraints: ref-1
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
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Composition.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Composition.status	Base	required	CompositionStatus	📍4.0.1	FHIR Std.
Composition.type	Base	preferred	FHIR Document Type Codes	📍4.0.1	FHIR Std.
Composition.type.coding	Base	required	ValueSet der Dokumenttyp-Codes	📦2.0.0-ballot.1	This IG
Composition.category	Base	example	Document Class Value Set	📍4.0.1	FHIR Std.
Composition.confidentiality	Base	required	V3 Value SetConfidentialityClassification	📍2014-03-26	FHIR Std.
Composition.attester.​mode	Base	required	CompositionAttestationMode	📍4.0.1	FHIR Std.
Composition.relatesTo.​code	Base	required	DocumentRelationshipType	📍4.0.1	FHIR Std.
Composition.event.code	Base	example	v3 Code System ActCode	📦3.0.0	THO v7.1
Composition.event.detail.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Composition.section.​code	Base	example	Document Section Codes	📍4.0.1	FHIR Std.
Composition.section.​mode	Base	required	ListMode	📍4.0.1	FHIR Std.
Composition.section.​orderedBy	Base	preferred	List Order Codes	📍4.0.1	FHIR Std.
Composition.section.​emptyReason	Base	preferred	List Empty Reasons	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
cmp-1	error	Composition.section	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	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()
per-1	error	Composition.event.period	If present, start SHALL have a lower value than end	start.hasValue().not() or end.hasValue().not() or (start <= end)
ref-1	error	Composition.subject, Composition.encounter, Composition.author, Composition.attester.party, Composition.custodian, Composition.event.detail, Composition.section.author, Composition.section.focus, Composition.section.entry	SHALL have a contained resource if a local reference is provided	reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Summary

Mandatory: 9 elements(1 nested mandatory element)
Must-Support: 11 elements
Fixed: 5 elements

Structures

This structure refers to these other structures:

• GEM ERP PR Device (https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_PR_Device)

Extensions

This structure refers to these extensions:

• https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_EX_Beneficiary