MII IG Dokument
2027.0.0-ballot.2 -
MII IG Dokument
2027.0.0-ballot.2 -
MII IG Dokument - Downloaded Version 2027.0.0-ballot.2 See the Directory of published versions
| Official URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-dokument/ImplementationGuide/mii-ig-dokument | Version: 2027.0.0-ballot.2 | |||
| Draft as of 2026-09-14 | Computable Name: MII_IG_Dokument | |||
The present specification describes the FHIR representation of the Core Dataset (KDS) module Dokument of the Medical Informatics Initiative. In the following, the use cases of the module as well as the associated FHIR profiles and terminology resources are described in their binding form.
The Core Dataset of the Medical Informatics Initiative (MII) enables the standardized use of routine clinical data for medical research.
With the MII KDS module Dokument, metadata about clinically relevant documents of any kind can be captured in a structured way for any purpose. In this context, documents are arbitrary binary objects — for example images or videos as well.
| Version | Date | Status |
| 2027.0.0-ballot.2 | 2026-09-14 | draft |
Realm: DE (jurisdiction Germany). Versioning follows CalVer YYYY.n.n.
The guide's full version history is documented on the Changes page.
Using the profile is intended to make internal and external use of documents easier. The central aspects of characterization by metadata: document relationships, document status, document discoverability, corpus navigation and document archiving are addressed by the module and coordinated according to a standardized scheme.
The MII KDS module enables the creation of document references with the option of establishing relationships to the Fall and Person modules, which have been folded into the base module. The module also contains an NLP extension that represents the processing status with respect to NLP procedures such as annotations (see UML for this).
With regard to document processing workflows, e.g. format conversions,
anonymization and NLP annotations, the relation to other documents (MII KDS
module Dokument) becomes particularly significant for representing
processing chains (relatesTo).
The information model separates information about the reference itself
from the metadata of the referenced documents (content). The document
body is referenced via a locally interpreted URL
(content.attachment.url). In principle, the document body of the
referenced document can also be embedded directly within the reference
(content.attachment.data). The module does not prescribe the semantics of
this resolution.
The document body can contain a wide range of identifying data and/or
metadata (e.g. names, patient ID). The data holder can express that such
data has been de-identified via an appropriate securityLabel and/or codes
of the NLP Processing Status extension
(MII EX Dokument NLP Processing Status).
This implementation guide is aimed at:
Implementers
Data Integration Centers (DIC), software developers and system architects building FHIR-based solutions.
→ see Profiles and Logical Models.
Researchers
Scientists using KDS data for medical research.
→ see Guidance.
This module is part of the MII Core Dataset; the other KDS modules and their dependencies are described at medizininformatik-initiative.de.
Formal dependencies of this module (see dependencies in
sushi-config.yaml): KDS base module (kerndatensatz.base), KDS Meta
(kerndatensatz.meta), German base profiles (de.basisprofil.r4), ISiK
(de.gematik.isik), IHE-D terminology (de.ihe-d.terminology), KDL
(dvmd.kdl.r4), IHE FormatCode (ihe.formatcode.fhir), the HL7
terminology and extensions packages (hl7.terminology.r4,
hl7.fhir.uv.extensions.r4) plus the tooling packages hl7.fhir.uv.crmi
and hl7.fhir.uv.xver-r5.r4. The following table reads the versions
from the ImplementationGuide resource at build time; the complete table with
links is rendered on the
MII ImplementationGuide Resource page.
| Package | Version |
| de.basisprofil.r4 | 1.6.0 |
| de.gematik.isik | 6.0.0 |
| de.ihe-d.terminology | 3.0.1 |
| de.medizininformatikinitiative.kerndatensatz.base | 2027.0.0-ballot |
| de.medizininformatikinitiative.kerndatensatz.meta | 2027.0.0-ballot |
| dvmd.kdl.r4 | 2025.0.1 |
| hl7.fhir.uv.extensions.r4 | 5.2.0 |
| hl7.terminology.r4 | 7.1.0 |
| ihe.formatcode.fhir | 1.4.0 |
| hl7.fhir.uv.crmi | 2.0.0 |
| hl7.fhir.uv.xver-r5.r4 | 0.1.0 |
More FHIR implementation guides can be found in the official
FHIR IG Registry (source:
FHIR/ig-registry).
This guide was created within the Medical Informatics Initiative and is subject, by its governance process, to the coordination procedure of the Interoperability Forum and the technical committees of HL7 Deutschland e. V.
Questions about the present publication can be asked at any time on
chat.fhir.org in the 'german/mi-initiative' stream.
In addition, the MII Zulip mii.zulipchat.com
is available in the MII-Kerndatensatz stream.
Comments and criticism are always gladly received in the form of 'Issues' in the GitHub project.
Domain contacts for this module:
© 2019+ TMF e. V., Charlottenstraße 42, 10117 Berlin.
This work is licensed under the Creative Commons Attribution 4.0 International License (CC BY 4.0).
For the usage rights of the underlying FHIR technology, see the FHIR base specification.
Some of the code systems used are published and maintained by other organizations. The copyright of the publishers listed there applies.
The content of this document is public. Please note that parts of this document are based on FHIR version R4, for which the copyright of HL7 International applies.
Although this publication was prepared with the greatest care, the authors cannot accept any liability for direct or indirect damage that may arise from the content of this specification.