MII Implementierungsleitfaden Kerndatensatz Basis
2026.0.0 - Release Germany

This page is part of the MII Implementation Guide Core Dataset Base (v2026.0.0: Release) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2026.0.1. For a full list of available versions, see the Directory of published versions

: MII EXA Fall Kontakt Gesundheitseinrichtung (Abteilungskontakt Chirurgie A2E)

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{
  "resourceType" : "Encounter",
  "id" : "mii-exa-fall-kontakt-gesundheitseinrichtung-2",
  "meta" : {
    "profile" : [
      🔗 "https://www.medizininformatik-initiative.de/fhir/core/modul-fall/StructureDefinition/KontaktGesundheitseinrichtung|2026.0.0"
    ],
    "security" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "language" : "de",
  "text" : {
    "status" : "generated",
    "div" : "<div xml:lang=\"de\" lang=\"de\"><hr/><p><b>German</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: Encounter mii-exa-fall-kontakt-gesundheitseinrichtung-2</b></p><a name=\"de-mii-exa-fall-kontakt-gesundheitseinrichtung-2\"> </a><a name=\"de-hcmii-exa-fall-kontakt-gesundheitseinrichtung-2\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Language: en</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mii-pr-fall-kontakt-gesundheitseinrichtung.html\">MII PR Fall Kontakt mit einer Gesundheitseinrichtungversion: null2026.0.0)</a></p><p style=\"margin-bottom: 0px\">Security Label: test health data (Details: ActReason code HTEST = 'test health data')</p></div><p><b>identifier</b>: Fallnummer/A2E</p><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/7.0.1/CodeSystem-v3-ActCode.html#v3-ActCode-IMP\">ActCode: IMP</a> (inpatient encounter)</p><p><b>type</b>: <span title=\"Codes:{http://fhir.de/CodeSystem/Kontaktebene abteilungskontakt}\">Abteilungskontakt</span></p><p><b>serviceType</b>: <span title=\"Codes:{http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel 1500}\">Allgemeine Chirurgie</span></p><p><b>subject</b>: <a href=\"Patient-mii-exa-person-patient-1.html\">Maja Julia Van-der-Dussen (official) Female, DoB: 1998-09-19 ( Krankenaktennummer\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>period</b>: 2020-01-08 09:00:00+0100 --&gt; 2020-01-11 23:59:00+0100</p><blockquote><p><b>diagnosis</b></p><p><b>condition</b>: <a href=\"Condition-mii-exa-diagnose-appendicitis.html\">Condition Acute appendicitis</a></p><p><b>use</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/diagnosis-role AD}\">Admission diagnosis</span></p></blockquote><blockquote><p><b>diagnosis</b></p><p><b>condition</b>: <a href=\"Condition-mii-exa-diagnose-appendicitis.html\">Condition Acute appendicitis</a></p><p><b>use</b>: <span title=\"Codes:{http://fhir.de/CodeSystem/KontaktDiagnoseProzedur treatment-diagnosis}\">Behandlungsrelevante Diagnosen</span></p></blockquote><blockquote><p><b>diagnosis</b></p><p><b>condition</b>: <a href=\"Condition-mii-exa-diagnose-condition-elbow-contusion.html\">Condition Prellung des Ellenbogens</a></p><p><b>use</b>: <span title=\"Codes:{http://fhir.de/CodeSystem/KontaktDiagnoseProzedur treatment-diagnosis}\">Behandlungsrelevante Diagnosen</span></p></blockquote><p><b>account</b>: Account A1 - DRG G23B Appendektomie ohne schwere CC (Identifier: <code>https://www.charite.de/fhir/sid/fallnummer</code>/F-2020-000123)</p><p><b>serviceProvider</b>: Identifier: <code>http://fhir.de/sid/dkgev/iknr</code>/260950472</p><p><b>partOf</b>: <a href=\"Encounter-mii-exa-fall-kontakt-gesundheitseinrichtung-1.html\">Encounter: identifier = Fallnummer; status = finished; class = inpatient encounter (ActCode#IMP); type = Einrichtungskontakt; period = 2020-01-08 07:00:00+0100 --&gt; 2020-01-17 18:00:00+0100</a></p></div>"
  },
  "identifier" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "VN"
          }
        ]
      },
      "system" : "https://www.charite.de/fhir/sid/aufnahmenummer",
      "value" : "A2E"
    }
  ],
  "status" : "finished",
  "class" : {
    "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
    "code" : "IMP"
  },
  "type" : [
    {
      "coding" : [
        {
          "system" : "http://fhir.de/CodeSystem/Kontaktebene",
          "code" : "abteilungskontakt"
        }
      ]
    }
  ],
  "serviceType" : {
    "coding" : [
      {
        "system" : "http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel",
        "code" : "1500",
        "display" : "Allgemeine Chirurgie"
      }
    ]
  },
  "subject" : {
    🔗 "reference" : "Patient/mii-exa-person-patient-1"
  },
  "period" : {
    "start" : "2020-01-08T09:00:00+01:00",
    "end" : "2020-01-11T23:59:00+01:00"
  },
  "diagnosis" : [
    {
      "condition" : {
        🔗 "reference" : "Condition/mii-exa-diagnose-appendicitis"
      },
      "use" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/diagnosis-role",
            "code" : "AD",
            "display" : "Admission diagnosis"
          }
        ]
      }
    },
    {
      "condition" : {
        🔗 "reference" : "Condition/mii-exa-diagnose-appendicitis"
      },
      "use" : {
        "coding" : [
          {
            "system" : "http://fhir.de/CodeSystem/KontaktDiagnoseProzedur",
            "code" : "treatment-diagnosis"
          }
        ]
      }
    },
    {
      "condition" : {
        🔗 "reference" : "Condition/mii-exa-diagnose-condition-elbow-contusion"
      },
      "use" : {
        "coding" : [
          {
            "system" : "http://fhir.de/CodeSystem/KontaktDiagnoseProzedur",
            "code" : "treatment-diagnosis"
          }
        ]
      }
    }
  ],
  "account" : [
    {
      "identifier" : {
        "system" : "https://www.charite.de/fhir/sid/fallnummer",
        "value" : "F-2020-000123"
      },
      "display" : "Account A1 - DRG G23B Appendektomie ohne schwere CC"
    }
  ],
  "serviceProvider" : {
    "identifier" : {
      "system" : "http://fhir.de/sid/dkgev/iknr",
      "value" : "260950472"
    }
  },
  "partOf" : {
    🔗 "reference" : "Encounter/mii-exa-fall-kontakt-gesundheitseinrichtung-1"
  }
}