Profile Comparison between https://gematik.de/fhir/isik/StructureDefinition/ISiKDokumentenMetadaten vs https://www.medizininformatik-initiative.de/fhir/ext/modul-dokument/StructureDefinition/mii-pr-dokument-dokument

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/DocumentReference
copyright
date	2025-10-23		Removed the item '2025-10-23'
description	Dieses Profil spezifiziert die Minimalanforderungen für die Bereitstellung von Dokumentenmetadaten im Rahmen des Bestätigungsverfahrens der gematik. ### Motivation Die Ressource DocumentReference enthält die Metadaten, die für die Verwaltung von und die Suche nach Dokumenten benötigt werden. Der Inhalt des Dokumentes wird über DocumentReference.content beschrieben und über DocumentReference.content.attachment referenziert. Die Trennung von Dokument und Metadaten ermöglicht Clients die effiziente Suche und Auflistung von verfügbaren Dokumenten, ohne dass diese vollständig vom Server geladen werden müssen. Servern ermöglicht dieser Ansatz die Trennung zwischen den Metadaten in einer Datenbank und der Dokumentenablage in z.B. einem Dateisystem. ### Kompatibilität Dieses Profil basiert auf dem Profil [MHD DocumentReference Comprehensive UnContained References Option](https://profiles.ihe.net/ITI/MHD/StructureDefinition-IHE.MHD.UnContained.Comprehensive.DocumentReference.html) (Version 4.2.0) von IHE International. #### Abweichungen vom IHE-Profil - Die Verwendung von `DocumentReference.docStatus` ist im ISiK-Kontext gestattet. - `DocumentReference.category` muss vom Client bei Vorhandensein eines KDL-Codes in `DocumentReference.type` nicht gefüllt werden. Bei der Verarbeitung auf dem Server im Rahmen der Interaktion {{pagelink: Dokumentenbereitstellung}} wird `DocumentReference.category` anhand der [KDL-Mappings](https://simplifier.net/kdl/%7Eresources?category=ConceptMap&sortBy=RankScore_desc) ergänzt und damit die IHE-Kompatibilität hergestellt. - `DocumentReference.sourcePatientInfo` muss im Rahmen von ISiK nicht gefüllt werden #### Einschränkungen des IHE-Profils Elemente mit ValueSet-Bindings ohne verbindliche Vorgabe seitens IHE wurden auf die in Deutschland gebräuchlichen Terminologien (gemäß der Festlegungen von IHE Deutschland e.V.) eingeschränkt.	Klinisches Dokument mit zugehörigen Metadaten	Values Differ
experimental	false		Removed the item 'false'
fhirVersion	4.0.1
jurisdiction
kind	resource
name	ISiKDokumentenMetadaten	MII_PR_Dokument_Dokument	Values Differ
publisher	gematik GmbH	Medizininformatik Initiative	Values Differ
purpose
status	active
title	Erforderliche Metadaten für Dokumentenaustausch in ISiK	MII PR Dokument Dokument	Values Differ
type	DocumentReference
url	https://gematik.de/fhir/isik/StructureDefinition/ISiKDokumentenMetadaten	https://www.medizininformatik-initiative.de/fhir/ext/modul-dokument/StructureDefinition/mii-pr-dokument-dokument	Values Differ
version	5.1.0	2026.0.0	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	R Type	R Description & Constraints	Comments
DocumentReference		0..*	DocumentReference	A reference to a document		0..*	DocumentReference	A reference to a document
id	SΣ	0..1	id	serverseitige, interne ID des Datensatzes	Σ	0..1	id	Logical id of this artifact	Elements differ in definition for mustSupport: 'true' vs 'false'
meta	Σ	0..1	Meta	Metadata about the resource	SΣ	0..1	Meta	Metadata about the resource	Elements differ in definition for mustSupport: 'false' vs 'true'
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Eindeutiger Name der serverseitigen Version des Datensatzes	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	Zeitpunkt der letzten Änderung	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to	SΣ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to	Elements differ in definition for mustSupport: 'false' vs 'true'
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.	Σ	0..*	Coding	Security Labels applied to this resource Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: ?? (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".	Σ	0..*	Coding	Tags applied to this resource Binding: ?? (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	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding
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		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		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored	?!	0..*	Extension	Extensions that cannot be ignored
masterIdentifier	SΣ	1..1	Identifier	Versionsspezifische OID des Dokumentes	SΣ	0..1	Identifier	Specific Identifier for this version of the document	Element minimum cardinalities differ: '1' vs '0'
id		0..1	string	Unique id for inter-element referencing					Removed this element
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url					Removed this element
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: ?? (required): Identifies the purpose for this identifier, if known .					Removed this element
type	Σ	0..1	CodeableConcept	Description of identifier Binding: ?? (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.					Removed this element
system	SΣ	1..1	uri	Namensraum des Identifiers Example General: http://www.acme.com/identifiers/patient					Removed this element
value	SΣ	1..1	string	Wert des Identifiers Example General: 123456					Removed this element
period	Σ	0..1	Period	Time period when id is/was valid for use					Removed this element
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)					Removed this element
identifier	SΣ	0..*	Identifier	Other identifiers for the document	SΣ	0..*	Identifier	Further document associated Identifiers
status	?!SΣ	1..1	code	Status des Dokumentenmetadatensatzes Binding: ?? (required): The status of the document reference.	?!SΣ	1..1	code	Status about the condition of the document reference Binding: ?? (required): The status of the document reference.
docStatus	SΣ	0..1	code	Bearbeitungsstatus des Dokumentes Binding: ?? (required): Status of the underlying document.	SΣ	0..1	code	Status about the referenced document itself Binding: ?? (required): Status of the underlying document.
type	SΣ	1..1	CodeableConcept	Dokumententyp Binding: ?? (preferred): Precise type of clinical document.	SΣC	0..1	CodeableConcept	Precise description of the document type Binding: ?? (preferred): Precise type of clinical document. Constraints: mii-iv-dokument-dokument-type	Element minimum cardinalities differ: '1' vs '0'
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		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 pattern:$this	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
id						0..1	string	Unique id for inter-element referencing	Added this element
Slices for extension						0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url	Added this element
system					SΣ	1..1	uri	Identity of the terminology system	Added this element
version					Σ	0..1	string	Version of the system - if relevant	Added this element
code					SΣ	1..1	code	Symbol in syntax defined by the system	Added this element
display					Σ	0..1	string	Representation defined by the system	Added this element
userSelected					Σ	0..1	boolean	If this coding was chosen directly by the user	Added this element
text	Σ	0..1	string	Plain text representation of the concept	Σ	0..1	string	Plain text representation of the concept
category	SΣ	0..1	CodeableConcept	Dokumentklasse/-Kategorie Binding: ?? (example): High-level kind of a clinical document at a macro level.	SΣC	0..*	CodeableConcept	General description of the document type Binding: ?? (example): High-level kind of a clinical document at a macro level. Constraints: mii-iv-dokument-dokument-category	Element maximum cardinalities differ: '1' vs '2147483647'
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
id						0..1	string	Unique id for inter-element referencing	Added this element
Slices for extension						0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url	Added this element
system					SΣ	1..1	uri	Identity of the terminology system	Added this element
version					Σ	0..1	string	Version of the system - if relevant	Added this element
code					SΣ	1..1	code	Symbol in syntax defined by the system	Added this element
display					Σ	0..1	string	Representation defined by the system	Added this element
userSelected					Σ	0..1	boolean	If this coding was chosen directly by the user	Added this element
text	Σ	0..1	string	Plain text representation of the concept	Σ	0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(Patient | Practitioner | Group | Device)	Patientenbezug	SΣ	0..1	Reference(Patient | https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/Patient | https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/PatientPseudonymisiert)	Patient reference to the document	Element minimum cardinalities differ: '1' vs '0'
id		0..1	string	Unique id for inter-element referencing					Removed this element
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url					Removed this element
reference	SΣC	0..1	string	Patienten-Link					Removed this element
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).					Removed this element
identifier	SΣ	0..1	Identifier	Patienten-Link (logische Referenz)					Removed this element
display	Σ	0..1	string	Text alternative for the resource					Removed this element
date	Σ	0..1	instant	When this document reference was created	Σ	0..1	instant	When this document reference was created
author	SΣ	0..*	Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson)	Autor des Dokumentes	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson)	Who and/or what authored the document	Elements differ in definition for mustSupport: 'true' vs 'false'
id		0..1	string	Unique id for inter-element referencing					Removed this element
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url					Removed this element
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL					Removed this element
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).					Removed this element
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known					Removed this element
display	SΣ	0..1	string	Text alternative for the resource					Removed this element
authenticator		0..1	Reference(Practitioner | PractitionerRole | Organization)	Who/what authenticated the document		0..1	Reference(Practitioner | PractitionerRole | Organization)	Who/what authenticated the document
custodian		0..1	Reference(Organization)	Organization which maintains the document		0..1	Reference(Organization)	Organization which maintains the document
relatesTo	SΣ	0..*	BackboneElement	Relationships to other documents	SΣ	0..*	BackboneElement	Document relationships
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	code	replaces | transforms | signs | appends Binding: ?? (required): The type of relationship between documents.	SΣ	1..1	code	Relationship to other document Binding: ?? (required): The type of relationship between documents.	Elements differ in definition for mustSupport: 'false' vs 'true'
target	Σ	1..1	Reference(DocumentReference)	Target of the relationship	SΣ	1..1	Reference(DocumentReference)	Target of document relations	Elements differ in definition for mustSupport: 'false' vs 'true'
description	Σ	0..1	string	Human-readable description	SΣ	0..1	string	Description of the documents content	Elements differ in definition for mustSupport: 'false' vs 'true'
securityLabel	SΣ	1..*	CodeableConcept	Vertraulichkeit Binding: ?? (required)	SΣ	0..*	CodeableConcept	Security level of the document Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.	Element minimum cardinalities differ: '1' vs '0'
content	SΣ	1..1	BackboneElement	Beschreibung des Dokumenteninhaltes	SΣ	1..*	BackboneElement	Document content Slice: Unordered, Open by exists:attachment.url	Element maximum cardinalities differ: '1' vs '2147483647'
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
attachment	SΣ	1..1	Attachment	Anhang	SΣ	1..1	Attachment	Access to the document
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
contentType	SΣ	1..1	code	Mimetype des Dokumentes Binding: ?? (required): The mime type of an attachment. Any valid mime type is allowed. Example General: text/plain; charset=UTF-8, image/png	SΣ	0..1	code	MIME type of the document content Binding: ?? (required): The mime type of an attachment. Any valid mime type is allowed. Example General: text/plain; charset=UTF-8, image/png	Element minimum cardinalities differ: '1' vs '0'
language	SΣ	1..1	code	Sprache, in der das Dokument verfasst wurde. Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding Example General: en-AU	SΣ	0..1	code	Used language in the document Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding Example General: en-AU	Element minimum cardinalities differ: '1' vs '0'
data	S	0..1	base64Binary	Base64-codierte Binärdaten		0..1	base64Binary	Document as binary data [Base64]	Elements differ in definition for mustSupport: 'true' vs 'false'
url	SΣ	0..1	url	Referenz auf Dokument Example General: http://www.acme.com/logo-small.png	Σ	0..1	url	Link to the local location where the document is kept Example General: http://www.acme.com/logo-small.png	Elements differ in definition for mustSupport: 'true' vs 'false'
size	Σ	0..1	unsignedInt	Number of bytes of content (if url provided)	Σ	0..1	unsignedInt	Number of bytes of content (if url provided)
hash	Σ	0..1	base64Binary	Hash of the data (sha-1, base64ed)	Σ	0..1	base64Binary	Hash of the data (sha-1, base64ed)
title	SΣ	1..1	string	Bezeichnung des Dokuments Example General: Official Corporate Logo	Σ	0..1	string	Label to display in place of the data Example General: Official Corporate Logo	Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '1' vs '0'
creation	SΣ	1..1	dateTime	Dokumentendatum	SΣ	0..1	dateTime	Date of the creation of the document	Element minimum cardinalities differ: '1' vs '0'
format	SΣ	1..1	Coding	Format des Dokumentes Binding: ?? (required)	SΣ	0..1	Coding	Complex format specification Binding: ?? (preferred)	Element minimum cardinalities differ: '1' vs '0'
context	SΣ	1..1	BackboneElement	Clinical context of document	SΣ	0..1	BackboneElement	Document creation context	Element minimum cardinalities differ: '1' vs '0'
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
encounter	S	0..1	Reference(Encounter | EpisodeOfCare)	Aufenthaltsbezug	S	0..*	Reference(Encounter | https://www.medizininformatik-initiative.de/fhir/core/modul-fall/StructureDefinition/KontaktGesundheitseinrichtung)	Reference to FALL	Element maximum cardinalities differ: '1' vs '2147483647'
id		0..1	string	Unique id for inter-element referencing					Removed this element
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url					Removed this element
reference	SΣC	1..1	string	Encounter-Link					Removed this element
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).					Removed this element
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known					Removed this element
display	Σ	0..1	string	Text alternative for the resource					Removed this element
event		0..*	CodeableConcept	Main clinical acts documented Binding: ?? (required)	S	0..*	CodeableConcept	Acts or procedures Binding: ?? (required)	Elements differ in definition for mustSupport: 'false' vs 'true'
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system	Σ	1..*	Coding	Code defined by a terminology system	Element maximum cardinalities differ: '1' vs '2147483647'
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system	SΣ	1..1	uri	Identity of the terminology system	Elements differ in definition for mustSupport: 'false' vs 'true'
version	Σ	0..1	string	Version of the system - if relevant	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system	SΣ	1..1	code	Symbol in syntax defined by the system	Elements differ in definition for mustSupport: 'false' vs 'true'
display	Σ	0..1	string	Representation defined by the system	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept	Σ	0..1	string	Plain text representation of the concept
period	Σ	0..1	Period	Time of service that is being documented	SΣ	0..1	Period	Performance period	Elements differ in definition for mustSupport: 'false' vs 'true'
facilityType	S	1..1	CodeableConcept	Art der Einrichtung, aus der das Dokument stammt Binding: ?? (required)	S	0..1	CodeableConcept	Type of facility Binding: ?? (required)	Element minimum cardinalities differ: '1' vs '0'
id						0..1	string	Unique id for inter-element referencing	Added this element
Slices for extension						0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url	Added this element
coding					Σ	1..*	Coding	Code defined by a terminology system	Added this element
text					Σ	0..1	string	Plain text representation of the concept	Added this element
practiceSetting	S	1..1	CodeableConcept	Additional details about where the content was created (e.g. clinical specialty) Binding: ?? (required)	S	0..1	CodeableConcept	Clinical specialty Binding: ?? (required)	Element minimum cardinalities differ: '1' vs '0'
id						0..1	string	Unique id for inter-element referencing	Added this element
Slices for extension						0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url	Added this element
coding					Σ	1..*	Coding	Code defined by a terminology system	Added this element
text					Σ	0..1	string	Plain text representation of the concept	Added this element
sourcePatientInfo		0..1	Reference(Patient)	Patient demographics from source		0..1	Reference(Patient)	Patient demographics from source
related		0..*	Reference(Resource)	Related identifiers or resources		0..*	Reference(Resource)	Related identifiers or resources
Documentation for this format