MII Implementierungsleitfaden Kerndatensatz Basis
2026.0.1 - Release Germany

This page is part of the MII Implementation Guide Core Dataset Base (v2026.0.1: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: MII EXA Fall Kontakt Gesundheitseinrichtung (Abteilungskontakt Innere Medizin)

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<Encounter xmlns="http://hl7.org/fhir">
  <id value="mii-exa-fall-kontakt-gesundheitseinrichtung-7"/>
  <meta>
    <extension url="http://hl7.org/fhir/StructureDefinition/package-source">
      <extension url="packageId">
        <valueId value="de.medizininformatikinitiative.kerndatensatz.base"/>
      </extension>
      <extension url="version">
        <valueString value="2026.0.1"/>
      </extension>
      <extension url="uri">
        <valueUri
                  value="https://www.medizininformatik-initiative.de/fhir/modul-base"/>
      </extension>
    </extension>
    <profile
             value="https://www.medizininformatik-initiative.de/fhir/core/modul-fall/StructureDefinition/KontaktGesundheitseinrichtung|2026.0.1"/>
    <security>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <code value="HTEST"/>
      <display value="test health data"/>
    </security>
  </meta>
  <language value="de"/>
  <text>
    <status value="generated"/>
    <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-7</b></p><a name="de-mii-exa-fall-kontakt-gesundheitseinrichtung-7"> </a><a name="de-hcmii-exa-fall-kontakt-gesundheitseinrichtung-7"> </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"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-mii-pr-fall-kontakt-gesundheitseinrichtung.html">MII PR Fall Kontakt mit einer Gesundheitseinrichtung</a> version: 2026.0.1</p><p style="margin-bottom: 0px">Security Label: <a href="http://terminology.hl7.org/7.2.0/CodeSystem-v3-ActReason.html">test health data (Details: ActReason code HTEST = 'test health data')</a></p></div><p><b>identifier</b>: Fallnummer/F_20200108_001_INME</p><p><b>status</b>: Finished</p><p><b>class</b>: <a href="http://terminology.hl7.org/7.2.0/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 0100}">Innere Medizin</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 (use: usual, ))</a></p><p><b>period</b>: 2020-01-12 00:00:00+0100 --&gt; 2020-01-17 18:00:00+0100</p><blockquote><p><b>diagnosis</b></p><p><b>condition</b>: <a href="Condition-mii-exa-diagnose-condition-multiple-codings.html">Condition Sonstige näher bezeichnete Krankheiten des Innenohres</a></p><p><b>use</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/diagnosis-role CC}">Chief complaint</span></p></blockquote><blockquote><p><b>diagnosis</b></p><p><b>condition</b>: <a href="Condition-mii-exa-diagnose-condition-multiple-codings.html">Condition Sonstige näher bezeichnete Krankheiten des Innenohres</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-mehrfachcodierung-primaercode.html">Condition Gonokokkeninfektion des Muskel-Skelett-Systems</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>
  </text>
  <identifier>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <code value="VN"/>
      </coding>
    </type>
    <system value="https://www.charite.de/fhir/sid/aufnahmenummer"/>
    <value value="F_20200108_001_INME"/>
  </identifier>
  <status value="finished"/>
  <class>
    <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
    <code value="IMP"/>
  </class>
  <type>
    <coding>
      <system value="http://fhir.de/CodeSystem/Kontaktebene"/>
      <code value="abteilungskontakt"/>
    </coding>
  </type>
  <serviceType>
    <coding>
      <system
              value="http://fhir.de/CodeSystem/dkgev/Fachabteilungsschluessel"/>
      <code value="0100"/>
      <display value="Innere Medizin"/>
    </coding>
  </serviceType>
  <subject>🔗 
    <reference value="Patient/mii-exa-person-patient-1"/>
  </subject>
  <period>
    <start value="2020-01-12T00:00:00+01:00"/>
    <end value="2020-01-17T18:00:00+01:00"/>
  </period>
  <diagnosis>
    <condition>🔗 
      <reference
                 value="Condition/mii-exa-diagnose-condition-multiple-codings"/>
    </condition>
    <use>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/diagnosis-role"/>
        <code value="CC"/>
        <display value="Chief complaint"/>
      </coding>
    </use>
  </diagnosis>
  <diagnosis>
    <condition>🔗 
      <reference
                 value="Condition/mii-exa-diagnose-condition-multiple-codings"/>
    </condition>
    <use>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/diagnosis-role"/>
        <code value="AD"/>
        <display value="Admission diagnosis"/>
      </coding>
    </use>
  </diagnosis>
  <diagnosis>
    <condition>🔗 
      <reference
                 value="Condition/mii-exa-diagnose-mehrfachcodierung-primaercode"/>
    </condition>
    <use>
      <coding>
        <system value="http://fhir.de/CodeSystem/KontaktDiagnoseProzedur"/>
        <code value="treatment-diagnosis"/>
      </coding>
    </use>
  </diagnosis>
  <account>
    <identifier>
      <system value="https://www.charite.de/fhir/sid/fallnummer"/>
      <value value="F-2020-000123"/>
    </identifier>
    <display value="Account A1 - DRG G23B Appendektomie ohne schwere CC"/>
  </account>
  <serviceProvider>
    <identifier>
      <system value="http://fhir.de/sid/dkgev/iknr"/>
      <value value="260950472"/>
    </identifier>
  </serviceProvider>
  <partOf>🔗 
    <reference
               value="Encounter/mii-exa-fall-kontakt-gesundheitseinrichtung-1"/>
  </partOf>
</Encounter>