Profile Comparison between https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_DocumentReference 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	Im folgenden Profil können Codes aus den Codesystemen Snomed, Loinc oder Ucum enthalten sein, die dem folgenden Urheberrecht unterliegen: This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of SNOMED International. All rights reserved. SNOMED CT®, was originally created by The College of American Pathologists. SNOMED and SNOMED CT are registered trademarks of SNOMED International. Implementers of these artefacts must have the appropriate SNOMED CT Affiliate license. This material contains content from LOINC (http://loinc.org). LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://loinc.org/license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc. This product includes all or a portion of the UCUM table, UCUM codes, and UCUM definitions or is derived from it, subject to a license from Regenstrief Institute, Inc. and The UCUM Organization. Your use of the UCUM table, UCUM codes, UCUM definitions also is subject to this license, a copy of which is available at http://unitsofmeasure.org. The current complete UCUM table, UCUM Specification are available for download at http://unitsofmeasure.org. The UCUM table and UCUM codes are copyright © 1995-2009, Regenstrief Institute, Inc. and the Unified Codes for Units of Measures (UCUM) Organization. All rights reserved. THE UCUM TABLE (IN ALL FORMATS), UCUM DEFINITIONS, AND SPECIFICATION ARE PROVIDED 'AS IS.' ANY EXPRESS OR IMPLIED WARRANTIES ARE DISCLAIMED, INCLUDING, BUT NOT LIMITED TO, THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE.		Removed the item 'Im folgenden Profil können Codes aus den Codesystemen Snomed, Loinc oder Ucum enthalten sein, die dem folgenden Urheberrecht unterliegen: This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of SNOMED International. All rights reserved. SNOMED CT®, was originally created by The College of American Pathologists. SNOMED and SNOMED CT are registered trademarks of SNOMED International. Implementers of these artefacts must have the appropriate SNOMED CT Affiliate license. This material contains content from LOINC (http://loinc.org). LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://loinc.org/license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc. This product includes all or a portion of the UCUM table, UCUM codes, and UCUM definitions or is derived from it, subject to a license from Regenstrief Institute, Inc. and The UCUM Organization. Your use of the UCUM table, UCUM codes, UCUM definitions also is subject to this license, a copy of which is available at http://unitsofmeasure.org. The current complete UCUM table, UCUM Specification are available for download at http://unitsofmeasure.org. The UCUM table and UCUM codes are copyright © 1995-2009, Regenstrief Institute, Inc. and the Unified Codes for Units of Measures (UCUM) Organization. All rights reserved. THE UCUM TABLE (IN ALL FORMATS), UCUM DEFINITIONS, AND SPECIFICATION ARE PROVIDED 'AS IS.' ANY EXPRESS OR IMPLIED WARRANTIES ARE DISCLAIMED, INCLUDING, BUT NOT LIMITED TO, THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE.'
date	2025-02-11		Removed the item '2025-02-11'
description	Hier wird auf ein externes Dokument verwiesen und/oder ein Dokument angehängt.	Klinisches Dokument mit zugehörigen Metadaten	Values Differ
experimental
fhirVersion	4.0.1
jurisdiction
kind	resource
name	KBV_PR_Base_DocumentReference	MII_PR_Dokument_Dokument	Values Differ
publisher	Kassenärztliche Bundesvereinigung (KBV)	Medizininformatik Initiative	Values Differ
purpose
status	active
title		MII PR Dokument Dokument	Added the item 'MII PR Dokument Dokument'
type	DocumentReference
url	https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_DocumentReference	https://www.medizininformatik-initiative.de/fhir/ext/modul-dokument/StructureDefinition/mii-pr-dokument-dokument	Values Differ
version	1.7.0	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	Σ	0..1	id	Logical id of this artifact	Σ	0..1	id	Logical id of this artifact
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	Added this element
Slices for extension						0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url	Added this element
versionId					Σ	0..1	id	Version specific identifier	Added this element
lastUpdated					Σ	0..1	instant	When the resource version last changed	Added this element
source					Σ	0..1	uri	Identifies where the resource comes from	Added this element
profile					SΣ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to	Added this element
security					Σ	0..*	Coding	Security Labels applied to this resource Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.	Added this element
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".	Added this element
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	Σ	0..1	Identifier	Master Version Specific Identifier	SΣ	0..1	Identifier	Specific Identifier for this version of the document	Elements differ in definition for mustSupport: 'false' vs 'true'
identifier	Σ	0..*	Identifier	Other identifiers for the document	SΣ	0..*	Identifier	Further document associated Identifiers	Elements differ in definition for mustSupport: 'false' vs 'true'
status	?!Σ	1..1	code	current | superseded | entered-in-error 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.	Elements differ in definition for mustSupport: 'false' vs 'true'
docStatus	Σ	0..1	code	preliminary | final | amended | entered-in-error Binding: ?? (required): Status of the underlying document.	SΣ	0..1	code	Status about the referenced document itself Binding: ?? (required): Status of the underlying document.	Elements differ in definition for mustSupport: 'false' vs 'true'
type	Σ	0..1	CodeableConcept	Kind of document (LOINC if possible) 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	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
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system	Element minimum cardinalities differ: '0' vs '1'
id						0..1	string	Unique id for inter-element referencing	Added this element
Slices for extension						0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url	Added this element
system					SΣ	1..1	uri	Identity of the terminology system	Added this element
version					Σ	0..1	string	Version of the system - if relevant	Added this element
code					SΣ	1..1	code	Symbol in syntax defined by the system	Added this element
display					Σ	0..1	string	Representation defined by the system	Added this element
userSelected					Σ	0..1	boolean	If this coding was chosen directly by the user	Added this element
text	Σ	0..1	string	Plain text representation of the concept	Σ	0..1	string	Plain text representation of the concept
category	Σ	0..*	CodeableConcept	Categorization of document Binding: ?? (example): High-level kind of a clinical document at a macro level.	SΣC	0..*	CodeableConcept	General description of the document type Binding: ?? (example): High-level kind of a clinical document at a macro level. Constraints: mii-iv-dokument-dokument-category	Elements differ in definition for mustSupport: 'false' vs 'true'
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system	Element minimum cardinalities differ: '0' vs '1'
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	Σ	0..1	Reference(Patient | Practitioner | Group | Device | KBV_PR_Base_Patient(1.7.0) | KBV_PR_Base_Device(1.7.0) | KBV_PR_Base_Practitioner(1.7.0))	Who/what is the subject of the document	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	Elements differ in definition for mustSupport: 'false' vs 'true'
date	Σ	0..1	instant	When this document reference was created	Σ	0..1	instant	When this document reference was created
author	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson | KBV_PR_Base_PractitionerRole(1.7.0) | KBV_PR_Base_Practitioner(1.7.0) | KBV_PR_Base_Organization(1.7.0) | KBV_PR_Base_Patient(1.7.0) | KBV_PR_Base_RelatedPerson(1.7.0) | KBV_PR_Base_Device(1.7.0))	Who and/or what authored the document	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		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	Σ	0..*	BackboneElement	Relationships to other documents	SΣ	0..*	BackboneElement	Document relationships	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
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	Σ	0..*	CodeableConcept	Document security-tags Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.	SΣ	0..*	CodeableConcept	Security level of the document Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.	Elements differ in definition for mustSupport: 'false' vs 'true'
Slices for content	Σ	1..*	BackboneElement	Document referenced Slice: Unordered, Open by exists:attachment.url	SΣ	1..*	BackboneElement	Document content Slice: Unordered, Open by exists:attachment.url	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
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	Σ	1..1	Attachment	Where to access the document	SΣ	1..1	Attachment	Access to the document	Elements differ in definition for mustSupport: 'false' vs 'true'
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
contentType					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	Added this element
language					SΣ	0..1	code	Used language in the document Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding Example General: en-AU	Added this element
data						0..1	base64Binary	Document as binary data [Base64]	Added this element
url					Σ	0..1	url	Link to the local location where the document is kept Example General: http://www.acme.com/logo-small.png	Added this element
size					Σ	0..1	unsignedInt	Number of bytes of content (if url provided)	Added this element
hash					Σ	0..1	base64Binary	Hash of the data (sha-1, base64ed)	Added this element
title					Σ	0..1	string	Label to display in place of the data Example General: Official Corporate Logo	Added this element
creation					SΣ	0..1	dateTime	Date of the creation of the document	Added this element
format	Σ	0..1	Coding	Format/content rules for the document Binding: ?? (preferred): Document Format Codes.	SΣ	0..1	Coding	Complex format specification Binding: ?? (preferred)	Elements differ in definition for mustSupport: 'false' vs 'true' Example/preferred bindings differ at DocumentReference.content.format using binding from KBV_PR_Base_DocumentReference
context	Σ	0..1	BackboneElement	Clinical context of document	SΣ	0..1	BackboneElement	Document creation context	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
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		0..*	Reference(Encounter | EpisodeOfCare)	Context of the document content	S	0..*	Reference(Encounter | https://www.medizininformatik-initiative.de/fhir/core/modul-fall/StructureDefinition/KontaktGesundheitseinrichtung)	Reference to FALL	Elements differ in definition for mustSupport: 'false' vs 'true'
event		0..*	CodeableConcept	Main clinical acts documented Binding: ?? (example): This list of codes represents the main clinical acts being documented.	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	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
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		0..1	CodeableConcept	Kind of facility where patient was seen Binding: ?? (example): XDS Facility Type.	S	0..1	CodeableConcept	Type of facility Binding: ?? (required)	Elements differ in definition for mustSupport: 'false' vs 'true'
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		0..1	CodeableConcept	Additional details about where the content was created (e.g. clinical specialty) Binding: ?? (example): Additional details about where the content was created (e.g. clinical specialty).	S	0..1	CodeableConcept	Clinical specialty Binding: ?? (required)	Elements differ in definition for mustSupport: 'false' vs 'true'
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