|
Type
|
Reference
|
Content
|
|
web
|
www.netzwerk-universitaetsmedizin.de
|
contact
: NUM-DIZ: https://www.netzwerk-universitaetsmedizin.de
|
|
web
|
www.netzwerk-universitaetsmedizin.de
|
|
|
web
|
github.com
|
Konformität
|
|
web
|
github.com
|
Konformität
|
|
web
|
github.com
|
Allgemeine Anforderungen
|
|
web
|
github.com
|
Must-Support
|
|
web
|
github.com
|
Umgang mit fehlenden Daten
|
|
web
|
www.netzwerk-universitaetsmedizin.de
|
IG © 2026+ NUM-DIZ
.
Package de.medizininformatikinitiative.kerndatensatz.dokument#2027.0.0-ballot.2 basiert auf FHIR 4.0.1
.
Erstellt 2026-09-14
Links: Inhaltsverzeichnis |
QA-Bericht
| netzwerk-universitaetsmedizin.de
| medizininformatik-initiative.de
| Impressum
HL7®, FHIR® and the FHIR flame design are registered trademarks of Health Level Seven International. Their use does not constitute endorsement by HL7.
|
|
web
|
www.netzwerk-universitaetsmedizin.de
|
Links: Inhaltsverzeichnis
|
QA-Bericht
| netzwerk-universitaetsmedizin.de
| medizininformatik-initiative.de
| Impressum
HL7®, FHIR® and the FHIR flame design are registered trademarks of Health Level Seven International. Their use does not constitute endorsement by HL7.
|
|
web
|
www.medizininformatik-initiative.de
|
Links: Inhaltsverzeichnis
|
QA-Bericht
| netzwerk-universitaetsmedizin.de
| medizininformatik-initiative.de
| Impressum
HL7®, FHIR® and the FHIR flame design are registered trademarks of Health Level Seven International. Their use does not constitute endorsement by HL7.
|
|
web
|
www.netzwerk-universitaetsmedizin.de
|
Links: Inhaltsverzeichnis
|
QA-Bericht
| netzwerk-universitaetsmedizin.de
| medizininformatik-initiative.de
| Impressum
HL7®, FHIR® and the FHIR flame design are registered trademarks of Health Level Seven International. Their use does not constitute endorsement by HL7.
|
|
web
|
github.com
|
Woher die Versionen kommen.
Jedes Paket der Tabelle ist direkt in
sushi-config.yaml
( dependencies:
) gepinnt — auch hl7.terminology.r4
(THO) und
hl7.fhir.uv.extensions.r4
, und diese beiden mit Bedacht: Die
Automatik des IG Publishers
liest ausschließlich die eigene
Abhängigkeitsliste dieses Leitfadens;
ohne direkten Pin würde jeder Build stillschweigend das jeweils aktuellste
THO-/Extensions-Release injizieren — eine allein im MII-Meta-Paket gepinnte
Version kann den Build nicht steuern (verifiziert im Publisher-Quellcode des
gepinnten Release). Eine wöchentliche Prüfung warnt, wenn diese beiden Pins
von den Vorgaben des gepinnten Meta-Pakets abweichen; die von einem
konkreten Build verwendeten Versionen stehen in dessen qa-versions.json
.
|
|
web
|
www.ihe.net
|
Some content from IHE® Copyright © 2015 IHE International, Inc
.
Show Usage
|
|
web
|
github.com
|
Expansionsparameter sind Query-Parameter, die an eine ValueSet
-
$expand
-Operation übergeben werden können, um zu steuern, wie das ValueSet
expandiert wird — also wie die vollständige Liste der Codes aus der
ValueSet-Definition erzeugt wird. Die für diesen IG verwendeten
IG-Parameter
sind in
sushi-config.yaml
( parameters:
) deklariert. Dieser Leitfaden pinnt seine Expansionsparameter
zusätzlich über ein CRMI-Manifest: die Ressource
Parameters/mii-param-dokument-manifest
(SNOMED CT International Edition 20260701
), verlinkt über
cqf-expansionParameters
und dem Publisher über path-expansion-params
/
pin-manifest
bekannt gemacht. Einzelheiten beschreibt die Seite
Metadaten-Übersicht
.
|
|
web
|
ihe.net
|
XDS metadata equivalent
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web
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snomed.info
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25731000087105
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
1365827000
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|
1365810008
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
270116006
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
308375000
|
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|
185014001
|
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310601008
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184755000
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184873009
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|
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275656009
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134188003
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422735006
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371534008
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371540001
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371544005
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|
1217279005
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371535009
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4221000179107
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714337009
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308619006
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|
721599005
|
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web
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snomed.info
|
416700005
|
|
web
|
keepachangelog.com
|
Sie hält die Änderungen zwischen den veröffentlichten Versionen des
Moduls Dokument
fest, die neueste Version zuerst, und folgt
Keep a Changelog
und dem
KDS-CalVer-Schema, das die Seite Versionierung
beschreibt.
|
|
web
|
github.com
|
Known Issue
: 2 Validierungsfehler bei Beispielen mit context.event
(eventCodeList-Expansion, Upstream-Bug in de.ihe-d.terminology 3.0.1
) —
siehe
Issue #33
|
|
web
|
mii-termserv.de
|
Wichtig:
CodeSystem-Ressourcen externer Terminologien (z. B. ICD-10-GM, OPS,
SNOMED CT) werden in diesem Modul nicht
publiziert, sondern über den
zentralen KDS-Terminologieserver (SU-TermServ) bezogen:
https://mii-termserv.de/
.
|
|
web
|
doi.org
|
Quelle: GraSCCo Datensatz, DOI (Zenodo): 10.5281/zenodo.6539130
|
|
web
|
github.com
|
Für die KDS-weiten Konformitätsanforderungen siehe die
Konformitätsregeln des Meta-Moduls
;
für die technischen Artefakte siehe Profile
.
|
|
web
|
profiles.ihe.net
|
IHE Mobile access to Health Documents (MHD)
- Profil zum Austausch von Gesundheitsdokumenten über mobile Anwendungen, mobile Geräte oder anderen Systemen, die ressourcen- und plattformbeschränkt sind
|
|
web
|
profiles.ihe.net
|
Die vorliegende Spezifikation ist an der FHIR-Kernspezifikation zur DocumentReference-Ressource
orientiert. Die bestehenden der KBV Basis-Profile
, des Gematik ISiK
und von IHE MHD
sind bei der Modellierung bzgl. einer Widerspruchsfreiheit (siehe Seite Kompatibilität
) berücksichtigt worden. Wichtig ist hierbei zu beachten, dass eine Kompatibilität aus der klinischen Routine zu der Referenz Dokument gewährleistet werden kann, aber keine Rückwärtskompatibilität in die Routine vorgesehen ist. Siehe auch das Paketabhängigkeitsdiagramm:
|
|
web
|
art-decor.org
|
Wir empfehlen den auch in ISiK verwendeten DVMD KDL-Standard
für die präzise Typbeschreibung ( type
) sowie die IHE XDS Class-Codes
für die gröbere Dokumentkategorie ( category
) zu verwenden. IHE XDS Type- und Class-Codes können eindeutig aus KDL hergeleitet werden.
Weitere Kodierungen wie Hauscodes, SNOMED CT oder LOINC sind optional möglich.
|
|
web
|
github.com
|
Die feldweise Gegenüberstellung zu ISiK Dokumentenaustausch, KBV MIO Basis und
IHE MHD steht auf der Seite Kompatibilität
; die
technischen Artefakte des Moduls finden sich unter Profile
.
Die KDS-weiten Konformitätsanforderungen (Anforderungssprache, Must-Support,
Umgang mit fehlenden Daten) pflegt zentral das
Meta-Modul
;
sie gelten für dieses Modul unverändert.
|
|
web
|
github.com
|
Konformität
— die KDS-weiten Konformitätsregeln (Anforderungssprache,
Must-Support, Umgang mit fehlenden Daten) pflegt zentral das
Meta-Modul
;
die modul-spezifischen Aspekte zu
Sicherheit und Datenschutz
sind Teil dieses
Leitfadens.
|
|
web
|
www.medizininformatik-initiative.de
|
Dieses Modul ist Teil des MII-Kerndatensatzes; die weiteren KDS-Module und ihre
Abhängigkeiten sind unter
medizininformatik-initiative.de
beschrieben.
|
|
web
|
github.com
|
Weitere FHIR-Implementierungsleitfäden finden Sie im offiziellen
FHIR IG Registry
(Quelle:
FHIR/ig-registry
).
|
|
web
|
mii.zulipchat.com
|
Fragen zu der vorliegenden Publikation können jederzeit unter
chat.fhir.org
im Stream 'german/mi-initiative'
gestellt werden. Ergänzend steht das MII-Zulip
mii.zulipchat.com
im Stream
MII-Kerndatensatz
zur Verfügung.
|
|
web
|
github.com
|
Anmerkungen und Kritik wird in Form von 'Issues' im
GitHub Projekt
stets gern entgegengenommen.
|
|
web
|
creativecommons.org
|
Dieses Werk ist lizenziert unter der
Creative Commons Namensnennung 4.0 International Lizenz
(CC BY 4.0).
|
|
web
|
art-decor.org
|
Die offiziell beschlossene Version des Informationsmodells befinden sich auf ART DECOR
. Zur Vereinheitlichung der Repräsentation wurde das Informationsmodell zusätzlich als FHIR Logical Model abgebildet:
|
|
web
|
github.com
|
Die folgenden CRMI-Metadaten werden in
sushi-config.yaml
gesetzt und landen in der erzeugten ImplementationGuide
-Ressource.
|
|
web
|
github.com
|
CRMI-Profile auf Artefakt-Ebene.
Die CRMI-Shareable-/Publishable-Profile
beansprucht dieses Modul auf der ImplementationGuide
-Ressource. Seine
StructureDefinitions, CapabilityStatements, CodeSysteme und ValueSets tragen
sie nicht; CodeSysteme und ValueSets beanspruchen die HL7-Basisprofile
ShareableCodeSystem
bzw. ShareableValueSet
. Für die artefaktweise
Anwendung liegt das Idiom aus kerndatensatz-basis
als gemeinsames RuleSet
in
input/fsh/rulesets/crmi.fsh
bereit.
|
|
web
|
github.com
|
Veröffentlicht ein Modul CodeSystem-Supplements, ist zu beachten: Das
CRMI-Profil ShareableCodeSystem
verlangt CodeSystem.caseSensitive
, während
die FHIR-Validierung warnt, dass ein Supplement caseSensitive
nicht erneut
angeben sollte, weil das dem ergänzten CodeSystem widersprechen könnte.
kerndatensatz-basis
beansprucht deshalb bei Supplements nur das Publishable
-CRMI-Profil und lässt
das Shareable-Profil weg.
|
|
web
|
www.go-fair.org
|
Die FAIR-Prinzipien
beschreiben
Ziele dafür, digitale Objekte auffindbar (Findable), zugänglich (Accessible),
interoperabel (Interoperable) und wiederverwendbar (Reusable) zu machen. Dieser
Abschnitt ist eine informative Selbsteinschätzung, wie die CRMI-Metadaten dieses
Leitfadens eine FAIR-konforme Veröffentlichung von FHIR-Spezifikationsartefakten
unterstützen.
|
|
web
|
www.medizininformatik-initiative.de
|
Das
übergreifende Datenschutzkonzept der Medizininformatik-Initiative
regelt, wie Patientendaten über das Netz der Datenintegrationszentren hinweg
für die Forschung verarbeitet werden
dürfen: die Rechtsgrundlage (der Broad Consent der MII), die Rollen der
Datenintegrationszentren und der Use-&-Access-Committees sowie die
standortübergreifenden Anwendungsszenarien (Machbarkeitsanfragen, verteilte
Analysen, Daten- und Bioproben-Bereitstellung). Alles, was dieses Modul
spezifiziert, bewegt sich innerhalb dieses Rahmens — dieser Leitfaden fügt
keinen eigenen Verarbeitungszweck hinzu.
|
|
web
|
medizininformatik-initiative.github.io
|
Wie Daten, die ein Datenintegrationszentrum verlassen, praktisch
de-identifiziert werden, spezifiziert
DIMP (De-Identification — Minimisation — Pseudonymisation)
in der Dokumentation des Datenportals: direkte Identifikatoren werden
entfernt, vom genehmigten Projekt nicht benötigte Datenelemente entfallen, und
identifizierende Werte werden durch projektspezifische Pseudonyme ersetzt
(FHIR-Pseudonymizer-Konfiguration). Die Profile dieses Moduls beschreiben die
Daten vor
Anwendung von DIMP; welche Elemente eine konkrete
Datenbereitstellung erreicht, entscheidet je Projekt die DIMP-Konfiguration,
nicht dieser Leitfaden.
|
|
web
|
github.com
|
Übersetzte Seiten liegen unter input/translations/en/pagecontent/
(gleicher
Dateiname wie die deutsche Seite); Ressourcen-Übersetzungen als .po
-Dateien
unter input/translations/en/
. Details:
docs/recipes/add-translation.md
in diesem Repository.
|
|
web
|
wiki.hl7.de
|
IHE XDS ValueSets (z.B. TypeCode
, ClassCode
, HealthcareFacilityTypeCode
, PracticeSettingCode
)
|
|
web
|
wiki.hl7.de
|
IHE XDS ValueSets (z.B. TypeCode
, ClassCode
, HealthcareFacilityTypeCode
, PracticeSettingCode
)
|
|
web
|
wiki.hl7.de
|
IHE XDS ValueSets (z.B. TypeCode
, ClassCode
, HealthcareFacilityTypeCode
, PracticeSettingCode
)
|
|
web
|
wiki.hl7.de
|
IHE XDS ValueSets (z.B. TypeCode
, ClassCode
, HealthcareFacilityTypeCode
, PracticeSettingCode
)
|
|
web
|
github.com
|
Releases folgen dem
Module Release Workflow
:
Die Version wird im Release-Branch angehoben, der Changelog-Eintrag geschrieben,
die Validierungs-Workflows laufen auf dem Release-Pull-Request, und nach dem
Merge wird das Release getaggt. Die Änderungen jeder veröffentlichten Version
verzeichnet die Änderungshistorie
.
|
|
web
|
www.netzwerk-universitaetsmedizin.de
|
|
|
web
|
github.com
|
Conformance
|
|
web
|
github.com
|
Conformance
|
|
web
|
github.com
|
General Requirements
|
|
web
|
github.com
|
Must Support
|
|
web
|
github.com
|
Handling Missing Data
|
|
web
|
www.netzwerk-universitaetsmedizin.de
|
IG © 2026+ NUM-DIZ
.
Package de.medizininformatikinitiative.kerndatensatz.dokument#2027.0.0-ballot.2 based on FHIR 4.0.1
.
Generated 2026-09-14
Links: Table of Contents |
QA Report
| netzwerk-universitaetsmedizin.de
| medizininformatik-initiative.de
| Legal notice
HL7®, FHIR® and the FHIR flame design are registered trademarks of Health Level Seven International. Their use does not constitute endorsement by HL7.
|
|
web
|
www.netzwerk-universitaetsmedizin.de
|
Links: Table of Contents
|
QA Report
| netzwerk-universitaetsmedizin.de
| medizininformatik-initiative.de
| Legal notice
HL7®, FHIR® and the FHIR flame design are registered trademarks of Health Level Seven International. Their use does not constitute endorsement by HL7.
|
|
web
|
www.medizininformatik-initiative.de
|
Links: Table of Contents
|
QA Report
| netzwerk-universitaetsmedizin.de
| medizininformatik-initiative.de
| Legal notice
HL7®, FHIR® and the FHIR flame design are registered trademarks of Health Level Seven International. Their use does not constitute endorsement by HL7.
|
|
web
|
www.netzwerk-universitaetsmedizin.de
|
Links: Table of Contents
|
QA Report
| netzwerk-universitaetsmedizin.de
| medizininformatik-initiative.de
| Legal notice
HL7®, FHIR® and the FHIR flame design are registered trademarks of Health Level Seven International. Their use does not constitute endorsement by HL7.
|
|
web
|
github.com
|
Where the versions come from.
Every package in the table is pinned
directly in
sushi-config.yaml
( dependencies:
) — including hl7.terminology.r4
(THO) and
hl7.fhir.uv.extensions.r4
, and those two deliberately so: the IG
Publisher's
automatic-packages rule
consults only this guide's own
dependency list, so without a direct pin
every build would silently inject the latest THO/extensions release — a
version pinned by the MII meta package alone cannot control the build
(verified in the publisher source at the pinned release). A weekly check
warns when these two pins drift from what the pinned meta package ships,
and the exact versions a concrete build used are recorded in its
qa-versions.json
output.
|
|
web
|
github.com
|
Expansion parameters are query parameters that can be passed to a ValueSet
$expand
operation to control how the ValueSet is expanded — that is, how the
full list of codes is generated from the ValueSet definition. The
IG Parameters
used for this IG are declared in
sushi-config.yaml
( parameters:
). This guide additionally pins its expansion parameters through
a CRMI manifest: the resource
Parameters/mii-param-dokument-manifest
(SNOMED CT International Edition 20260701
), linked via
cqf-expansionParameters
and made known to the publisher through
path-expansion-params
/ pin-manifest
. The
Metadata Overview
page has the details.
|
|
web
|
keepachangelog.com
|
It records the changes between the released versions of the
Dokument
module, newest version first, and follows
Keep a Changelog
and the KDS calendar
versioning scheme described on the Versioning
page.
|
|
web
|
github.com
|
Known Issue
: 2 validation errors on examples with context.event
(eventCodeList expansion, upstream defect in de.ihe-d.terminology 3.0.1
) —
see
Issue #33
|
|
web
|
github.com
|
Known Issue
: 2 validation errors on examples with context.event
(eventCodeList expansion, an upstream bug in de.ihe-d.terminology 3.0.1
) —
see
Issue #33
|
|
web
|
mii-termserv.de
|
Important:
CodeSystem resources of external terminologies (e.g. ICD-10-GM,
OPS, SNOMED CT) are not
published in this module; they are obtained from the
central KDS terminology service (SU-TermServ):
https://mii-termserv.de/
.
|
|
web
|
doi.org
|
Source: GraSCCo dataset, DOI (Zenodo): 10.5281/zenodo.6539130
|
|
web
|
github.com
|
For the KDS-wide conformance requirements see the
Conformance rules of the Meta module
;
for the technical artifacts see Profiles
.
|
|
web
|
profiles.ihe.net
|
IHE Mobile access to Health Documents (MHD)
- profile for exchanging health documents via mobile applications, mobile devices or other resource- and platform-constrained systems
|
|
web
|
profiles.ihe.net
|
This specification follows the FHIR core specification for the DocumentReference resource
. The existing profiles of the KBV base profiles
, of Gematik ISiK
and of IHE MHD
were taken into account during modelling with regard to freedom from contradiction (see the Compatibility
page). It is important to note here that compatibility from clinical routine towards the Dokument reference can be ensured, but that backward compatibility into routine care is not intended. See also the package dependency diagram:
|
|
web
|
art-decor.org
|
We recommend the DVMD KDL standard
, which is also used in ISiK, for the precise type description ( type
), as well as the IHE XDS class codes
for the coarser document category ( category
). IHE XDS type and class codes can be derived unambiguously from KDL.
Further codings such as in-house codes, SNOMED CT or LOINC are optionally possible.
|
|
web
|
github.com
|
The field-by-field comparison with ISiK document exchange, KBV MIO Basis and
IHE MHD is on the Compatibility
page; the module's
technical artifacts are under Profiles
. The KDS-wide
conformance requirements (requirement language, Must Support, handling of
missing data) are maintained centrally by the
Meta module
;
they apply to this module unchanged.
|
|
web
|
github.com
|
Conformance
— the KDS-wide conformance rules (requirements language,
Must Support, handling missing data) are maintained centrally by the
Meta module
;
the module-specific Security and Privacy
considerations are part of this guide.
|
|
web
|
www.medizininformatik-initiative.de
|
This module is part of the MII Core Dataset; the other KDS modules and their
dependencies are described at
medizininformatik-initiative.de
.
|
|
web
|
github.com
|
More FHIR implementation guides can be found in the official
FHIR IG Registry
(source:
FHIR/ig-registry
).
|
|
web
|
mii.zulipchat.com
|
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.
|
|
web
|
github.com
|
Comments and criticism are always gladly received in the form of 'Issues' in
the GitHub project
.
|
|
web
|
creativecommons.org
|
This work is licensed under the
Creative Commons Attribution 4.0 International License
(CC BY 4.0).
|
|
web
|
art-decor.org
|
The officially adopted version of the information model is located on ART DECOR
. To unify the representation, the information model was additionally mapped as a FHIR Logical Model:
|
|
web
|
github.com
|
The following CRMI-related metadata is set in
sushi-config.yaml
and ends up in the generated ImplementationGuide
resource.
|
|
web
|
github.com
|
CRMI profiles at artifact level.
This module claims the CRMI
shareable/publishable profiles on the ImplementationGuide
resource. Its
StructureDefinitions, CapabilityStatements, CodeSystems and ValueSets do not
carry them; the CodeSystems and ValueSets claim the HL7 base profiles
ShareableCodeSystem
and ShareableValueSet
. For artifact-level use, the
kerndatensatz-basis
idiom is available as a shared RuleSet
in
input/fsh/rulesets/crmi.fsh
.
|
|
web
|
github.com
|
Where a module publishes CodeSystem supplements, note that the CRMI
ShareableCodeSystem
profile requires CodeSystem.caseSensitive
, while FHIR
validation warns that a supplement should not restate caseSensitive
because
that could contradict the supplemented code system.
kerndatensatz-basis
therefore claims only the publishable
CRMI profile on supplements and omits
the shareable one.
|
|
web
|
www.go-fair.org
|
The FAIR principles
describe goals
for making digital objects Findable, Accessible, Interoperable and Reusable.
This section is an informative self-assessment of how the CRMI-based metadata of
this guide supports FAIR-aligned publication of FHIR specification artifacts.
|
|
web
|
www.medizininformatik-initiative.de
|
The
overarching data protection concept of the Medical Informatics Initiative
governs how patient data may be processed for research across the network of
Data Integration Centers: it
covers the legal basis (the MII Broad Consent), the roles of the Data
Integration Centers and Use & Access Committees, and the cross-site application
scenarios (feasibility queries, distributed analyses, data and biosample
provision). Everything this module specifies operates inside that framework —
this guide adds no processing purpose of its own.
|
|
web
|
medizininformatik-initiative.github.io
|
How data leaving a Data Integration Center is de-identified in practice is
specified by
DIMP (De-Identification — Minimisation — Pseudonymisation)
in the data portal documentation: direct identifiers are removed,
data elements not needed by the approved project are dropped, and identifying
values are replaced by project-specific pseudonyms (FHIR Pseudonymizer
configuration). The profiles of this module describe data before
DIMP is
applied; which elements reach a concrete data provision is decided per project
by the DIMP configuration, not by this guide.
|
|
web
|
github.com
|
Translated pages live under input/translations/de/pagecontent/
(same file
name as the German page); resource translations are .po
files under
input/translations/de/
. Details:
docs/recipes/add-translation.md
in this repository.
|
|
web
|
wiki.hl7.de
|
IHE XDS ValueSets (e.g. TypeCode
, ClassCode
, HealthcareFacilityTypeCode
, PracticeSettingCode
)
|
|
web
|
wiki.hl7.de
|
IHE XDS ValueSets (e.g. TypeCode
, ClassCode
, HealthcareFacilityTypeCode
, PracticeSettingCode
)
|
|
web
|
wiki.hl7.de
|
IHE XDS ValueSets (e.g. TypeCode
, ClassCode
, HealthcareFacilityTypeCode
, PracticeSettingCode
)
|
|
web
|
wiki.hl7.de
|
IHE XDS ValueSets (e.g. TypeCode
, ClassCode
, HealthcareFacilityTypeCode
, PracticeSettingCode
)
|
|
web
|
github.com
|
Releases follow the
Module Release Workflow
:
the version is raised in the release branch, the changelog entry is written, the
validation workflows run on the release pull request, and the release is tagged
after the merge. The changes of each released version are recorded in the
Changelog
.
|
