MII IG Dokument - Downloaded Version 2027.0.0-ballot.2 See the Directory of published versions

Value Sets

This page describes the ValueSets of the Dokument module. For general guidance on using codes, see FHIR Terminology; the code systems the sets draw from are described on the Code Systems page.

Expansions: ValueSet expansions in this guide are produced by a FHIR terminology server — SU-TermServ if the client certificate is configured, otherwise the public HL7 server tx.fhir.org (in which case some KDS-specific ValueSets may not expand completely).

SNOMED CT content of this module uses the International Edition, version 20260701 (http://snomed.info/sct/900000000000207008/version/20260701) per the MII Terminology Version Policy; the pin is anchored in the expansion manifest (Parameters/mii-param-dokument-manifest) and in the ValueSet definitions themselves.

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Defined ValueSets

Overview of the module's own ValueSets, read from the package at build time (descriptions in the resources' source language):

ValueSet	Status	Description
MII_VS_Dokument_Einrichtungsart	active	ValueSet zur Art der erzeugenden Einrichtung eines Dokuments
MII_VS_Dokument_Fachgebiet	active	ValueSet zum erzeugenden Fachgebiet eines Dokuments
MII_VS_Dokument_Format_Code	active	ValueSet zum (komplexen) Format Code eines Dokuments
MII_VS_Dokument_NLP_Processing_Status	active	ValueSet zum Status der NLP-Verarbeitung des referenzierten Dokuments
MII_VS_Dokument_SCT_Dokument_Kategorie	active	SNOMED CT ValueSet zur Kategorie (oder Klasse) eines Dokuments
MII_VS_Dokument_SCT_Dokument_Typ	active	SNOMED CT ValueSet zum Typ eines Dokuments

The following ValueSets are defined in this module itself.

Document types

To narrow down the possible codes, the following restriction was made with regard to the selection:

• SNOMED CT codes below (descendants of) the code 229059009 | Document type code

The ValueSet created for this MII KDS module contains exclusively these codes.

See MII VS Dokument SCT Dokument Typ.

Document classes

To narrow down the possible codes, the following restriction was made with regard to the selection:

• SNOMED CT codes below (descendants of) the code 424545009 | Record composition (record artifact)

The ValueSet created for this MII KDS module contains exclusively these codes.

See MII VS Dokument SCT Dokument Kategorie.

Format codes

To narrow down the possible codes, the following restriction was made with regard to the selection:

• IHE XDS format codes from http://ihe.net/fhir/ihe.formatcode.fhir/ValueSet/formatcode
• IHE-D XDS format codes from http://ihe-d.de/ValueSets/IHEXDSformatCodeDE

See MII VS Dokument Format Code.

Logical Definition (CLD)

Facility types

To narrow down the possible codes, the following restriction was made with regard to the selection:

• SNOMED CT codes below (descendants of) the code 440654001 | Inpatient environment (environment)
• SNOMED CT codes below (descendants of) the code 440655000 | Outpatient environment (environment)
• SNOMED CT codes below (descendants of) the code 43741000 | Site of care (environment)
• IHE-D XDS healthcare facility type codes from http://ihe-d.de/ValueSets/IHEXDShealthcareFacilityTypeCode

The ValueSet created for this MII KDS module contains exclusively these codes.

See MII VS Dokument Einrichtungsart.

Clinical specialties

To narrow down the possible codes, the following restriction was made with regard to the selection:

• SNOMED CT codes below (descendants of) the code 394733009 | Medical specialty (qualifier value)
• IHE-D XDS practice setting codes from http://ihe-d.de/ValueSets/IHEXDSpracticeSettingCode

The ValueSet created for this MII KDS module contains exclusively these codes.

See MII VS Dokument Fachgebiet.

NLP processing status

The ValueSet MII VS Dokument NLP Processing Status collects the concepts of the module's own CodeSystem MII CS Dokument NLP Processing Status; it is bound by the extension NLP Processing Status.

Logical Definition (CLD)

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Used ValueSets

General information

The following terminologies form the core of the clinical document classification in the DOKUMENT module:

• Klinische Dokumentenklasse-Liste (KDL) - this is the recommendation
• IHE XDS ValueSets (e.g. TypeCode, ClassCode, HealthcareFacilityTypeCode, PracticeSettingCode)
• Optional: SNOMED CT for a more specific classification of the clinical documents or of the associated medical domain

HL7 base profile R4

For the ValueSets declared in the FHIR R4 base profile, the following recommendations apply in addition:

ValueSet	Description & example
document-reference-status	HL7 base profile, usually: current
composition-status	HL7 base profile, usually final
document.relationship-type	HL7 base profile, usually: transforms or appends
security-labels	We recommend, also for ISiK compatibility, at least the use of the HL7 base profile subset from http://terminology.hl7.org/CodeSystem/v3-Confidentiality, e.g. N (normal) for patient-related documents; R (restricted) and V (very restricted) for particularly sensitive content
mimetypes	HL7 base profile, e.g. text/plain
languages	HL7 base profile, e.g. de or de-DE
content.format	No separate recommendation, but ISiK possible
context.event	No separate recommendation, but ISiK possible
context.facilityType	Recommendation per the German base profiles, usually KHS
context.practiceSetting	No separate recommendation, but ISiK possible