MII Implementierungsleitfaden Kerndatensatz Basis
2026.0.0 - Release Germany

MII Implementation Guide Core Dataset Base - Local Development build (v2026.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Beispiel Bundle: MII EXA Base Test Data Bundle 1

Language: de

Security Label: test health data (Details: ActReason code HTEST = 'test health data')

Bundle mii-exa-base-test-data-bundle-1 of type transaction

Entry 1 - fullUrl = https://www.medizininformatik-initiative.de/Patient/mii-exa-person-patient-1

Resource Patient:

> Language: de

> Profile: MII PR Person Patientversion: null2026.0.0)

> Security Label: test health data (Details: ActReason code HTEST = 'test health data')

> Maja Julia Van-der-Dussen (official) Female, DoB: 1998-09-19 ( Medical record number (use: usual, ))

> Deceased: | false
> Other Id: | Krankenversichertennummer/A999999999 (use: official, )
> Alt. Name: | Bachmann (Name changed for Marriage)
> Contact Detail | Anna-Louisa-Karsch Str. 2 Berlin DE-BE 10178 DE

Request:

    POST Patient

Entry 2 - fullUrl = https://www.medizininformatik-initiative.de/Encounter/mii-exa-fall-kontakt-gesundheitseinrichtung-8

Resource Encounter:

> Language: de

> Profile: MII PR Fall Kontakt mit einer Gesundheitseinrichtungversion: null2026.0.0)

> Security Label: test health data (Details: ActReason code HTEST = 'test health data')

> identifier: Visit number/F_20190926_001

> status: completed

> class: ambulatory

> subject: Maja Julia Van-der-Dussen (official) Female, DoB: 1998-09-19 ( Medical record number (use: usual, ))

> serviceProvider: Identifier: `http://fhir.de/sid/dkgev/iknr`/260950472

Request:

    POST Encounter

Entry 3 - fullUrl = https://www.medizininformatik-initiative.de/Encounter/mii-exa-fall-kontakt-gesundheitseinrichtung-1

Resource Encounter:

> Language: de

> Profile: MII PR Fall Kontakt mit einer Gesundheitseinrichtungversion: null2026.0.0)

> Security Label: test health data (Details: ActReason code HTEST = 'test health data')

> identifier: Visit number/E0

> status: completed

> class: inpatient encounter

> type: Einrichtungskontakt

> subject: Maja Julia Van-der-Dussen (official) Female, DoB: 1998-09-19 ( Medical record number (use: usual, ))

> serviceProvider: Identifier: `http://fhir.de/sid/dkgev/iknr`/260950472

> account: Account A1 - DRG G23B Appendektomie ohne schwere CC (Identifier: `https://www.charite.de/fhir/sid/fallnummer`/F-2020-000123)

Request:

    POST Encounter

Entry 4 - fullUrl = https://www.medizininformatik-initiative.de/Encounter/mii-exa-fall-kontakt-gesundheitseinrichtung-9

Resource Encounter:

> Language: de

> Profile: MII PR Fall Kontakt mit einer Gesundheitseinrichtungversion: null2026.0.0)

> Security Label: test health data (Details: ActReason code HTEST = 'test health data')

> > ExtensionAufnahmegrund

> > - VierteStelle: AufnahmegrundVierteStelle: 7 (Notfall)

> identifier: Visit number/A1E

> status: completed

> class: ambulatory

> priority: emergency

> type: Abteilungskontakt

> subject: Maja Julia Van-der-Dussen (official) Female, DoB: 1998-09-19 ( Medical record number (use: usual, ))

> partOf: Encounter: identifier = Visit number; status = finished; class = inpatient encounter (ActCode#IMP); type = Einrichtungskontakt; period = 2020-01-08 07:00:00+0100 --> 2020-01-17 18:00:00+0100

> serviceProvider: Identifier: `http://fhir.de/sid/dkgev/iknr`/260950472

> account: Account A1 - DRG G23B Appendektomie ohne schwere CC (Identifier: `https://www.charite.de/fhir/sid/fallnummer`/F-2020-000123)

Request:

    POST Encounter

Entry 5 - fullUrl = https://www.medizininformatik-initiative.de/Encounter/mii-exa-fall-kontakt-gesundheitseinrichtung-11

Resource Encounter:

> Language: de

> Profile: MII PR Fall Kontakt mit einer Gesundheitseinrichtungversion: null2026.0.0)

> Security Label: test health data (Details: ActReason code HTEST = 'test health data')

> identifier: Visit number/VS1

> status: completed

> class: ambulatory

> type: Versorgungsstellenkontakt

> subject: Maja Julia Van-der-Dussen (official) Female, DoB: 1998-09-19 ( Medical record number (use: usual, ))

> partOf: Encounter: extension = ; identifier = Visit number; status = finished; class = ambulatory (ActCode#AMB); type = Abteilungskontakt; priority = emergency; period = 2020-01-08 07:00:00+0100 --> 2020-01-08 09:00:00+0100

> serviceProvider: Identifier: `http://fhir.de/sid/dkgev/iknr`/260950472

> account: Account A1 - DRG G23B Appendektomie ohne schwere CC (Identifier: `https://www.charite.de/fhir/sid/fallnummer`/F-2020-000123)

> ### Locations

> - | Location | Status
> * | Emergency Department, Treatment Room 3 | Completed

Request:

    POST Encounter

Entry 6 - fullUrl = https://www.medizininformatik-initiative.de/Encounter/mii-exa-fall-kontakt-gesundheitseinrichtung-2

Resource Encounter:

> Language: de

> Profile: MII PR Fall Kontakt mit einer Gesundheitseinrichtungversion: null2026.0.0)

> Security Label: test health data (Details: ActReason code HTEST = 'test health data')

> identifier: Visit number/A2E

> status: completed

> class: inpatient encounter

> type: Abteilungskontakt

> serviceType: No display for Encounter.serviceType (concept: Allgemeine Chirurgie)

> subject: Maja Julia Van-der-Dussen (official) Female, DoB: 1998-09-19 ( Medical record number (use: usual, ))

> partOf: Encounter: identifier = Visit number; status = finished; class = inpatient encounter (ActCode#IMP); type = Einrichtungskontakt; period = 2020-01-08 07:00:00+0100 --> 2020-01-17 18:00:00+0100

> serviceProvider: Identifier: `http://fhir.de/sid/dkgev/iknr`/260950472

> > diagnosis

> > condition: No display for Encounter.diagnosis.condition (reference: ->Condition Acute appendicitis)

> > use: Admission diagnosis

> > diagnosis

> > condition: No display for Encounter.diagnosis.condition (reference: ->Condition Acute appendicitis)

> > use: Behandlungsrelevante Diagnosen

> > diagnosis

> > condition: No display for Encounter.diagnosis.condition (reference: ->Condition Prellung des Ellenbogens)

> > use: Behandlungsrelevante Diagnosen

> account: Account A1 - DRG G23B Appendektomie ohne schwere CC (Identifier: `https://www.charite.de/fhir/sid/fallnummer`/F-2020-000123)

Request:

    POST Encounter

Entry 7 - fullUrl = https://www.medizininformatik-initiative.de/Encounter/mii-exa-fall-kontakt-gesundheitseinrichtung-4

Resource Encounter:

> Language: de

> Profile: MII PR Fall Kontakt mit einer Gesundheitseinrichtungversion: null2026.0.0)

> Security Label: test health data (Details: ActReason code HTEST = 'test health data')

> identifier: Visit number/VS2

> status: completed

> class: inpatient encounter

> type: Versorgungsstellenkontakt

> subject: Maja Julia Van-der-Dussen (official) Female, DoB: 1998-09-19 ( Medical record number (use: usual, ))

> partOf: Encounter: identifier = Visit number; status = finished; class = inpatient encounter (ActCode#IMP); type = Abteilungskontakt; serviceType = Allgemeine Chirurgie; period = 2020-01-08 09:00:00+0100 --> 2020-01-11 23:59:00+0100

> serviceProvider: Identifier: `http://fhir.de/sid/dkgev/iknr`/260950472

> account: Account A1 - DRG G23B Appendektomie ohne schwere CC (Identifier: `https://www.charite.de/fhir/sid/fallnummer`/F-2020-000123)

> ### Locations

> - | Location | Status
> * | Radiology Department, CT Scanner | Completed

Request:

    POST Encounter

Entry 8 - fullUrl = https://www.medizininformatik-initiative.de/Encounter/mii-exa-fall-kontakt-gesundheitseinrichtung-5

Resource Encounter:

> Language: de

> Profile: MII PR Fall Kontakt mit einer Gesundheitseinrichtungversion: null2026.0.0)

> Security Label: test health data (Details: ActReason code HTEST = 'test health data')

> identifier: Visit number/VS3

> status: completed

> class: inpatient encounter

> type: Versorgungsstellenkontakt, Operation

> subject: Maja Julia Van-der-Dussen (official) Female, DoB: 1998-09-19 ( Medical record number (use: usual, ))

> partOf: Encounter: identifier = Visit number; status = finished; class = inpatient encounter (ActCode#IMP); type = Abteilungskontakt; serviceType = Allgemeine Chirurgie; period = 2020-01-08 09:00:00+0100 --> 2020-01-11 23:59:00+0100

> serviceProvider: Identifier: `http://fhir.de/sid/dkgev/iknr`/260950472

> account: Account A1 - DRG G23B Appendektomie ohne schwere CC (Identifier: `https://www.charite.de/fhir/sid/fallnummer`/F-2020-000123)

> ### Locations

> - | Location | Status
> * | OR 4 (Operating Room 4) | Completed

Request:

    POST Encounter

Entry 9 - fullUrl = https://www.medizininformatik-initiative.de/Encounter/mii-exa-fall-kontakt-gesundheitseinrichtung-6

Resource Encounter:

> Language: de

> Profile: MII PR Fall Kontakt mit einer Gesundheitseinrichtungversion: null2026.0.0)

> Security Label: test health data (Details: ActReason code HTEST = 'test health data')

> identifier: Visit number/VS4

> status: completed

> class: inpatient encounter

> type: Versorgungsstellenkontakt

> subject: Maja Julia Van-der-Dussen (official) Female, DoB: 1998-09-19 ( Medical record number (use: usual, ))

> partOf: Encounter: identifier = Visit number; status = finished; class = inpatient encounter (ActCode#IMP); type = Abteilungskontakt; serviceType = Allgemeine Chirurgie; period = 2020-01-08 09:00:00+0100 --> 2020-01-11 23:59:00+0100

> serviceProvider: Identifier: `http://fhir.de/sid/dkgev/iknr`/260950472

> account: Account A1 - DRG G23B Appendektomie ohne schwere CC (Identifier: `https://www.charite.de/fhir/sid/fallnummer`/F-2020-000123)

> ### Locations

> - | Location | Status
> * | PACU (Post-Anesthesia Care Unit) | Completed

Request:

    POST Encounter

Entry 10 - fullUrl = https://www.medizininformatik-initiative.de/Encounter/mii-exa-fall-kontakt-gesundheitseinrichtung-10

Resource Encounter:

> Language: de

> Profile: MII PR Fall Kontakt mit einer Gesundheitseinrichtungversion: null2026.0.0)

> Security Label: test health data (Details: ActReason code HTEST = 'test health data')

> identifier: Visit number/VS5

> status: completed

> class: inpatient encounter

> type: Versorgungsstellenkontakt

> subject: Maja Julia Van-der-Dussen (official) Female, DoB: 1998-09-19 ( Medical record number (use: usual, ))

> partOf: Encounter: identifier = Visit number; status = finished; class = inpatient encounter (ActCode#IMP); type = Abteilungskontakt; serviceType = Allgemeine Chirurgie; period = 2020-01-08 09:00:00+0100 --> 2020-01-11 23:59:00+0100

> serviceProvider: Identifier: `http://fhir.de/sid/dkgev/iknr`/260950472

> account: Account A1 - DRG G23B Appendektomie ohne schwere CC (Identifier: `https://www.charite.de/fhir/sid/fallnummer`/F-2020-000123)

> ### Locations

> - | Location | Status
> * | Surgical Ward C3, Room 315, Bed 315-02 | Completed

Request:

    POST Encounter

Entry 11 - fullUrl = https://www.medizininformatik-initiative.de/Encounter/mii-exa-fall-kontakt-gesundheitseinrichtung-7

Resource Encounter:

> Language: de

> Profile: MII PR Fall Kontakt mit einer Gesundheitseinrichtungversion: null2026.0.0)

> Security Label: test health data (Details: ActReason code HTEST = 'test health data')

> identifier: Visit number/F_20200108_001_INME

> status: completed

> class: inpatient encounter

> type: Abteilungskontakt

> serviceType: No display for Encounter.serviceType (concept: Innere Medizin)

> subject: Maja Julia Van-der-Dussen (official) Female, DoB: 1998-09-19 ( Medical record number (use: usual, ))

> partOf: Encounter: identifier = Visit number; status = finished; class = inpatient encounter (ActCode#IMP); type = Einrichtungskontakt; period = 2020-01-08 07:00:00+0100 --> 2020-01-17 18:00:00+0100

> serviceProvider: Identifier: `http://fhir.de/sid/dkgev/iknr`/260950472

> > diagnosis

> > condition: No display for Encounter.diagnosis.condition (reference: ->Condition Sonstige näher bezeichnete Krankheiten des Innenohres)

> > use: Chief complaint

> > diagnosis

> > condition: No display for Encounter.diagnosis.condition (reference: ->Condition Sonstige näher bezeichnete Krankheiten des Innenohres)

> > use: Admission diagnosis

> > diagnosis

> > condition: No display for Encounter.diagnosis.condition (reference: ->Condition Gonokokkeninfektion des Muskel-Skelett-Systems)

> > use: Behandlungsrelevante Diagnosen

> account: Account A1 - DRG G23B Appendektomie ohne schwere CC (Identifier: `https://www.charite.de/fhir/sid/fallnummer`/F-2020-000123)

Request:

    POST Encounter

Entry 12 - fullUrl = https://www.medizininformatik-initiative.de/Condition/mii-exa-diagnose-mehrfachcodierung-primaercode

Resource Condition:

> Language: de

> Profile: MII PR Diagnose Conditionversion: null2026.0.0)

> Security Label: test health data (Details: ActReason code HTEST = 'test health data')

> clinicalStatus: Active

> verificationStatus: Confirmed

> code: Gonokokkeninfektion des Muskel-Skelett-Systems

> subject: Maja Julia Van-der-Dussen (official) Female, DoB: 1998-09-19 ( Medical record number (use: usual, ))

> encounter: Encounter: identifier = Visit number; status = finished; class = ambulatory (ActCode#AMB); period = 2019-09-26 10:00:00+0200 --> 2019-09-26 12:00:00+0200

> onset: 2019-09-26

> recordedDate: 2019-09-26 11:30:00+0200

Request:

    POST Condition

Entry 13 - fullUrl = https://www.medizininformatik-initiative.de/Condition/mii-exa-diagnose-mehrfachcodierung-sekundaercode

Resource Condition:

> Language: de

> Profile: MII PR Diagnose Conditionversion: null2026.0.0)

> Security Label: test health data (Details: ActReason code HTEST = 'test health data')

> Condition Related: Condition Gonokokkeninfektion des Muskel-Skelett-Systems

> clinicalStatus: Active

> verificationStatus: Confirmed

> code: Bursitis gonorrhoica: Hand

> subject: Maja Julia Van-der-Dussen (official) Female, DoB: 1998-09-19 ( Medical record number (use: usual, ))

> encounter: Encounter: identifier = Visit number; status = finished; class = ambulatory (ActCode#AMB); period = 2019-09-26 10:00:00+0200 --> 2019-09-26 12:00:00+0200

> onset: 2019-09-26

> recordedDate: 2019-09-26 11:30:00+0200

Request:

    POST Condition

Entry 14 - fullUrl = https://www.medizininformatik-initiative.de/Condition/mii-exa-diagnose-appendicitis

Resource Condition:

> Language: de

> Profile: MII PR Diagnose Conditionversion: null2026.0.0)

> Security Label: test health data (Details: ActReason code HTEST = 'test health data')

> Condition Asserted Date: 2020-01-08 07:30:00+0100

> clinicalStatus: Resolved

> verificationStatus: Confirmed

> code: Akute Appendizitis

> subject: Maja Julia Van-der-Dussen (official) Female, DoB: 1998-09-19 ( Medical record number (use: usual, ))

> encounter: Encounter: identifier = Visit number; status = finished; class = inpatient encounter (ActCode#IMP); type = Abteilungskontakt; serviceType = Allgemeine Chirurgie; period = 2020-01-08 09:00:00+0100 --> 2020-01-11 23:59:00+0100

> onset: 2020-01-08 04:00:00+0100

> recordedDate: 2020-01-08 09:00:00+0100

Request:

    POST Condition

Entry 15 - fullUrl = https://www.medizininformatik-initiative.de/Condition/mii-exa-diagnose-condition-elbow-contusion

Resource Condition:

> Language: de

> Profile: MII PR Diagnose Conditionversion: null2026.0.0)

> Security Label: test health data (Details: ActReason code HTEST = 'test health data')

> Condition Asserted Date: 2020-01-08 08:00:00+0100

> clinicalStatus: Resolved

> verificationStatus: Confirmed

> code: Prellung des Ellenbogens

> subject: Maja Julia Van-der-Dussen (official) Female, DoB: 1998-09-19 ( Medical record number (use: usual, ))

> encounter: Encounter: identifier = Visit number; status = finished; class = inpatient encounter (ActCode#IMP); type = Abteilungskontakt; serviceType = Allgemeine Chirurgie; period = 2020-01-08 09:00:00+0100 --> 2020-01-11 23:59:00+0100

> onset: 2020-01-08 06:00:00+0100

> recordedDate: 2020-01-08 09:00:00+0100

Request:

    POST Condition

Entry 16 - fullUrl = https://www.medizininformatik-initiative.de/Condition/mii-exa-diagnose-condition-multiple-codings

Resource Condition:

> Language: de

> Profile: MII PR Diagnose Conditionversion: null2026.0.0)

> Security Label: test health data (Details: ActReason code HTEST = 'test health data')

> Condition Asserted Date: 2020-01-13 14:00:00+0100

> clinicalStatus: Active

> verificationStatus: Confirmed

> code: Sonstige näher bezeichnete Krankheiten des Innenohres

> subject: Maja Julia Van-der-Dussen (official) Female, DoB: 1998-09-19 ( Medical record number (use: usual, ))

> encounter: Encounter: identifier = Visit number; status = finished; class = inpatient encounter (ActCode#IMP); type = Abteilungskontakt; serviceType = Innere Medizin; period = 2020-01-12 00:00:00+0100 --> 2020-01-17 18:00:00+0100

> onset: 2020-01-13 14:00:00+0100

> recordedDate: 2020-01-13 16:00:00+0100

Request:

    POST Condition

Entry 17 - fullUrl = https://www.medizininformatik-initiative.de/Procedure/mii-exa-prozedur-procedure

Resource Procedure:

> Language: de

> Profile: MII PR Prozedur Procedureversion: null2026.0.0)

> Security Label: test health data (Details: ActReason code HTEST = 'test health data')

> ExtensionProzedurDokumentationsdatum: 2020-01-08 23:00:00+0100

> MII EX Prozedur Durchführungsabsicht: SNOMED CT: 262202000 (Therapeutic)

> status: Completed

> category: Surgical procedure

> code: Appendektomie

> subject: Maja Julia Van-der-Dussen (official) Female, DoB: 1998-09-19 ( Medical record number (use: usual, ))

> encounter: Encounter: identifier = Visit number; status = finished; class = inpatient encounter (ActCode#IMP); type = Abteilungskontakt; serviceType = Allgemeine Chirurgie; period = 2020-01-08 09:00:00+0100 --> 2020-01-11 23:59:00+0100

> bodySite: Appendix

Request:

    POST Procedure

Entry 18 - fullUrl = https://www.medizininformatik-initiative.de/Procedure/mii-exa-prozedur-procedure-2

Resource Procedure:

> Language: de

> Profile: MII PR Prozedur Procedureversion: null2026.0.0)

> Security Label: test health data (Details: ActReason code HTEST = 'test health data')

> ExtensionProzedurDokumentationsdatum: 2020-01-17 00:00:00+0100

> MII EX Prozedur Durchführungsabsicht: SNOMED CT: 262202000 (Therapeutic)

> status: Completed

> category: Therapeutic procedure

> code: Funktionsorientierte physikalische Monotherapie

> subject: Maja Julia Van-der-Dussen (official) Female, DoB: 1998-09-19 ( Medical record number (use: usual, ))

> encounter: Encounter: identifier = Visit number; status = finished; class = inpatient encounter (ActCode#IMP); type = Abteilungskontakt; serviceType = Innere Medizin; period = 2020-01-12 00:00:00+0100 --> 2020-01-17 18:00:00+0100

> bodySite: Hand structure

Request:

    POST Procedure

Entry 19 - fullUrl = https://www.medizininformatik-initiative.de/Procedure/mii-exa-prozedur-imaging

Resource Procedure:

> Language: de

> Profile: MII PR Prozedur Procedureversion: null2026.0.0)

> Security Label: test health data (Details: ActReason code HTEST = 'test health data')

> ExtensionProzedurDokumentationsdatum: 2020-01-08 10:30:00+0100

> MII EX Prozedur Durchführungsabsicht: SNOMED CT: 261004008 (Diagnostic intent)

> status: Completed

> category: Imaging

> code: Native Computertomographie des Abdomens

> subject: Maja Julia Van-der-Dussen (official) Female, DoB: 1998-09-19 ( Medical record number (use: usual, ))

> encounter: Encounter: identifier = Visit number; status = finished; class = inpatient encounter (ActCode#IMP); type = Abteilungskontakt; serviceType = Allgemeine Chirurgie; period = 2020-01-08 09:00:00+0100 --> 2020-01-11 23:59:00+0100

> bodySite: Abdomen

Request:

    POST Procedure

Entry 20 - fullUrl = https://www.medizininformatik-initiative.de/Observation/mii-exa-person-observation-vitalstatus

Resource Observation:

> Language: de

> Profile: MII PR Person Vitalstatusversion: null2026.0.0)

> Security Label: test health data (Details: ActReason code HTEST = 'test health data')

> status: Final

> category: Survey

> code: Patient Disposition

> subject: Maja Julia Van-der-Dussen (official) Female, DoB: 1998-09-19 ( Medical record number (use: usual, ))

> encounter: Encounter: extension = ; identifier = Visit number; status = finished; class = ambulatory (ActCode#AMB); type = Abteilungskontakt; priority = emergency; period = 2020-01-08 07:00:00+0100 --> 2020-01-08 09:00:00+0100

> effective: 2020-01-08 07:00:00+0100

> value: Patient lebt

Request:

    POST Observation

Entry 21 - fullUrl = https://www.medizininformatik-initiative.de/Observation/mii-exa-person-observation-vitalstatus-discharge

Resource Observation:

> Language: de

> Profile: MII PR Person Vitalstatusversion: null2026.0.0)

> Security Label: test health data (Details: ActReason code HTEST = 'test health data')

> status: Final

> category: Survey

> code: Vital status

> subject: Maja Julia Van-der-Dussen (official) Female, DoB: 1998-09-19 ( Medical record number (use: usual, ))

> encounter: Encounter: identifier = Visit number; status = finished; class = inpatient encounter (ActCode#IMP); type = Abteilungskontakt; serviceType = Innere Medizin; period = 2020-01-12 00:00:00+0100 --> 2020-01-17 18:00:00+0100

> effective: 2020-01-17 18:00:00+0100

> value: Patient lebt

Request:

    POST Observation