MII IG Dokument
2027.0.0-ballot.2 - Germany flag

This page is part of the MII IG Dokument (v2027.0.0-ballot.2: 2027 Ballot 3) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Profiles

This page lists the FHIR profiles of the Dokument module. The module's extensions are listed on the Extensions page.

The module defines one profile: MII PR Dokument Dokument (MII_PR_Dokument_Dokument), based on the DocumentReference resource. The technical detail views — structure, differential, XML and JSON — are generated by the IG Publisher on the artifact page; the underlying dataset is described on the Logical Models page.

Profile MII PR Dokument Dokument

The module defines one profile: MII PR Dokument Dokument on DocumentReference — "clinical document with its metadata". The domain notes, the mapping to the logical dataset and the examples are on the artifact page; the structure is rendered here directly (the profile's XML and JSON are embedded only on the artifact page because of their size).

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference 0..* DocumentReference A reference to a document
... meta S 0..1 Meta Metadata about the resource
.... profile S 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:nlp-processing-status S 0..1 CodeableConcept NLP Processing Status
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-dokument/StructureDefinition/mii-ex-dokument-nlp-processing-status
... masterIdentifier S 0..1 Identifier Specific Identifier for this version of the document
... status S 1..1 code Status about the condition of the document reference
... docStatus S 0..1 code Status about the referenced document itself
... type SC 0..1 CodeableConcept Precise description of the document type
Constraints: mii-iv-dokument-dokument-type
.... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:All Slices Content/Rules for all slices
...... system S 1..1 uri Identity of the terminology system
...... code S 1..1 code Symbol in syntax defined by the system
..... coding:KDL S 0..1 Coding Code defined by a terminology system
Binding: ValueSet Klinische Dokumentenklassen-Liste (Version 2025) (required)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://dvmd.de/fhir/CodeSystem/kdl
..... coding:LNC S 0..1 Coding Code defined by a terminology system
Binding: DocumentTypeValueSet (required)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... coding:SCT S 0..1 Coding Code defined by a terminology system
Binding: MII VS Dokument SCT Dokument Typ (required)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... coding:XDS S 0..1 Coding Code defined by a terminology system
Binding: IHE XDS typeCode (required)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://ihe-d.de/CodeSystems/IHEXDStypeCode
... category SC 0..* CodeableConcept General description of the document type
Constraints: mii-iv-dokument-dokument-category
.... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:All Slices Content/Rules for all slices
...... system S 1..1 uri Identity of the terminology system
...... code S 1..1 code Symbol in syntax defined by the system
..... coding:LNC S 0..1 Coding Code defined by a terminology system
Binding: DocumentClassValueSet (required)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... coding:SCT S 0..1 Coding Code defined by a terminology system
Binding: MII VS Dokument SCT Dokument Kategorie (required)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... coding:XDS S 0..1 Coding Code defined by a terminology system
Binding: IHE XDS classCode (required)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://ihe-d.de/CodeSystems/IHEXDSclassCode
... subject S 0..1 Reference(Patient | MII PR Person Patient(2027.0.0-ballot) | MII PR Person Patient (Pseudonymisiert)(2027.0.0-ballot)) Patient reference to the document
... relatesTo S 0..* BackboneElement Document relationships
.... code S 1..1 code Relationship to other document
.... target S 1..1 Reference(DocumentReference) Target of document relations
... description S 0..1 string Description of the documents content
... securityLabel S 0..* CodeableConcept Security level of the document
... Slices for content S 1..* BackboneElement Document content
Slice: Unordered, Open by exists:attachment.url
.... content:All Slices Content/Rules for all slices
..... attachment S 1..1 Attachment Access to the document
...... contentType S 0..1 code MIME type of the document content
...... language S 0..1 code Used language in the document
...... data 0..1 base64Binary Document as binary data [Base64]
...... url 0..1 url Link to the local location where the document is kept
...... creation S 0..1 dateTime Date of the creation of the document
..... format S 0..1 Coding Complex format specification
Binding: MII VS Dokument Format Code (preferred)
.... content:Binaerdaten S 0..* BackboneElement Document referenced
..... attachment S 1..1 Attachment Access to the document
...... contentType S 0..1 code MIME type of the document content
...... language S 0..1 code Used language in the document
...... data 1..1 base64Binary Document as binary data [Base64]
...... url 0..0 Link to the local location where the document is kept
...... creation S 0..1 dateTime Date of the creation of the document
..... format S 0..1 Coding Complex format specification
.... content:Verweis S 0..* BackboneElement Document referenced
..... attachment S 1..1 Attachment Access to the document
...... contentType S 0..1 code MIME type of the document content
...... language S 0..1 code Used language in the document
...... data 0..0 Document as binary data [Base64]
...... url 1..1 url Link to the local location where the document is kept
...... creation S 0..1 dateTime Date of the creation of the document
..... format S 0..1 Coding Complex format specification
... context S 0..1 BackboneElement Document creation context
.... encounter S 0..* Reference(Encounter | MII PR Fall Kontakt mit einer Gesundheitseinrichtung(2027.0.0-ballot)) Reference to FALL
.... event S 0..* CodeableConcept Acts or procedures
Binding: IHE XDS eventCodeList (required)
..... coding 1..* Coding Code defined by a terminology system
...... system S 1..1 uri Identity of the terminology system
...... code S 1..1 code Symbol in syntax defined by the system
.... period S 0..1 Period Performance period
.... facilityType S 0..1 CodeableConcept Type of facility
Binding: MII VS Dokument Einrichtungsart (required)
..... coding 1..* Coding Code defined by a terminology system
...... system S 1..1 uri Identity of the terminology system
...... code S 1..1 code Symbol in syntax defined by the system
.... practiceSetting S 0..1 CodeableConcept Clinical specialty
Binding: MII VS Dokument Fachgebiet (required)
..... coding 1..* Coding Code defined by a terminology system
...... system S 1..1 uri Identity of the terminology system
...... code S 1..1 code Symbol in syntax defined by the system

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference 0..* DocumentReference A reference to a document
... id Σ 0..1 id Logical id of this artifact
... meta SΣ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... 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 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:nlp-processing-status S 0..1 CodeableConcept NLP Processing Status
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-dokument/StructureDefinition/mii-ex-dokument-nlp-processing-status
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... masterIdentifier SΣ 0..1 Identifier Specific Identifier for this version of the document
... identifier SΣ 0..* Identifier Further document associated Identifiers
... status ?!SΣ 1..1 code Status about the condition of the document reference
Binding: DocumentReferenceStatus (required): The status of the document reference.
... docStatus SΣ 0..1 code Status about the referenced document itself
Binding: CompositionStatus (required): Status of the underlying document.
... type SΣC 0..1 CodeableConcept Precise description of the document type
Binding: DocumentTypeValueSet (preferred): Precise type of clinical document.
Constraints: mii-iv-dokument-dokument-type
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:All Slices Content/Rules for all slices
...... 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 SΣ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:KDL SΣ 0..1 Coding Code defined by a terminology system
Binding: ValueSet Klinische Dokumentenklassen-Liste (Version 2025) (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 SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://dvmd.de/fhir/CodeSystem/kdl
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:LNC SΣ 0..1 Coding Code defined by a terminology system
Binding: DocumentTypeValueSet (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 SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:SCT SΣ 0..1 Coding Code defined by a terminology system
Binding: MII VS Dokument SCT Dokument Typ (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 SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:XDS SΣ 0..1 Coding Code defined by a terminology system
Binding: IHE XDS typeCode (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 SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://ihe-d.de/CodeSystems/IHEXDStypeCode
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... 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 SΣC 0..* CodeableConcept General description of the document type
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
Constraints: mii-iv-dokument-dokument-category
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:All Slices Content/Rules for all slices
...... 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 SΣ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:LNC SΣ 0..1 Coding Code defined by a terminology system
Binding: DocumentClassValueSet (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 SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:SCT SΣ 0..1 Coding Code defined by a terminology system
Binding: MII VS Dokument SCT Dokument Kategorie (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 SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:XDS SΣ 0..1 Coding Code defined by a terminology system
Binding: IHE XDS classCode (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 SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://ihe-d.de/CodeSystems/IHEXDSclassCode
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... 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
... subject SΣ 0..1 Reference(Patient | MII PR Person Patient(2027.0.0-ballot) | MII PR Person Patient (Pseudonymisiert)(2027.0.0-ballot)) Patient reference to the document
... date Σ 0..1 instant When this document reference was created
... author Σ 0..* Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson) Who and/or what authored the document
... authenticator 0..1 Reference(Practitioner | PractitionerRole | Organization) Who/what authenticated the document
... custodian 0..1 Reference(Organization) Organization which maintains the document
... relatesTo SΣ 0..* BackboneElement Document relationships
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code SΣ 1..1 code Relationship to other document
Binding: DocumentRelationshipType (required): The type of relationship between documents.
.... target SΣ 1..1 Reference(DocumentReference) Target of document relations
... description SΣ 0..1 string Description of the documents content
... securityLabel SΣ 0..* CodeableConcept Security level of the document
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
... Slices for content SΣ 1..* BackboneElement Document content
Slice: Unordered, Open by exists:attachment.url
.... content:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... attachment SΣ 1..1 Attachment Access to the document
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... contentType SΣ 0..1 code MIME type of the document content
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Example General: text/plain; charset=UTF-8, image/png
...... language SΣ 0..1 code Used language in the document
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding

Example General: en-AU
...... data 0..1 base64Binary Document as binary data [Base64]
...... url Σ 0..1 url Link to the local location where the document is kept
Example General: http://www.acme.com/logo-small.png
...... size Σ 0..1 unsignedInt Number of bytes of content (if url provided)
...... hash Σ 0..1 base64Binary Hash of the data (sha-1, base64ed)
...... title Σ 0..1 string Label to display in place of the data
Example General: Official Corporate Logo
...... creation SΣ 0..1 dateTime Date of the creation of the document
..... format SΣ 0..1 Coding Complex format specification
Binding: MII VS Dokument Format Code (preferred)
.... content:Binaerdaten SΣ 0..* BackboneElement Document referenced
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... attachment SΣ 1..1 Attachment Access to the document
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... contentType SΣ 0..1 code MIME type of the document content
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Example General: text/plain; charset=UTF-8, image/png
...... language SΣ 0..1 code Used language in the document
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding

Example General: en-AU
...... data 1..1 base64Binary Document as binary data [Base64]
...... size Σ 0..1 unsignedInt Number of bytes of content (if url provided)
...... hash Σ 0..1 base64Binary Hash of the data (sha-1, base64ed)
...... title Σ 0..1 string Label to display in place of the data
Example General: Official Corporate Logo
...... creation SΣ 0..1 dateTime Date of the creation of the document
..... format SΣ 0..1 Coding Complex format specification
Binding: MII VS Dokument Format Code (preferred)
.... content:Verweis SΣ 0..* BackboneElement Document referenced
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... attachment SΣ 1..1 Attachment Access to the document
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... contentType SΣ 0..1 code MIME type of the document content
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Example General: text/plain; charset=UTF-8, image/png
...... language SΣ 0..1 code Used language in the document
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding

Example General: en-AU
...... url Σ 1..1 url Link to the local location where the document is kept
Example General: http://www.acme.com/logo-small.png
...... size Σ 0..1 unsignedInt Number of bytes of content (if url provided)
...... hash Σ 0..1 base64Binary Hash of the data (sha-1, base64ed)
...... title Σ 0..1 string Label to display in place of the data
Example General: Official Corporate Logo
...... creation SΣ 0..1 dateTime Date of the creation of the document
..... format SΣ 0..1 Coding Complex format specification
Binding: MII VS Dokument Format Code (preferred)
... context SΣ 0..1 BackboneElement Document creation context
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... encounter S 0..* Reference(Encounter | MII PR Fall Kontakt mit einer Gesundheitseinrichtung(2027.0.0-ballot)) Reference to FALL
.... event S 0..* CodeableConcept Acts or procedures
Binding: IHE XDS eventCodeList (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
..... coding Σ 1..* Coding Code defined by a terminology system
...... 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 SΣ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... 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
.... period SΣ 0..1 Period Performance period
.... facilityType S 0..1 CodeableConcept Type of facility
Binding: MII VS Dokument Einrichtungsart (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
..... coding Σ 1..* Coding Code defined by a terminology system
...... 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 SΣ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... 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
.... practiceSetting S 0..1 CodeableConcept Clinical specialty
Binding: MII VS Dokument Fachgebiet (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
..... coding Σ 1..* Coding Code defined by a terminology system
...... 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 SΣ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... 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
.... sourcePatientInfo 0..1 Reference(Patient) Patient demographics from source
.... related 0..* Reference(Resource) Related identifiers or resources

doco Documentation for this format