MII IG ICU
2027.0.0-ballot.3 - Germany

This page is part of the MII IG ICU (v2027.0.0-ballot.3: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

MII ImplementationGuide Resource

This ImplementationGuide resource defines the technical details of this publication, including dependencies and publishing parameters.

Cross Version Analysis

​This is an R4 IG. None of the features it uses are changed in R4B, so it can be used as is with R4B systems. Packages for both R4 (de.medizininformatikinitiative.kerndatensatz.icu.r4) and R4B (de.medizininformatikinitiative.kerndatensatz.icu.r4b) are available.

IG Dependencies

This IG contains the following dependencies on other IGs.

IGPackageFHIR
.. MII IG ICUde.medizininformatikinitiative.kerndatensatz.icu#2027.0.0-ballot.3R4
... de.basisprofil.r4de.basisprofil.r4#1.6.0R4
.... FHIR Extensions Packhl7.fhir.uv.extensions.r4#5.2.0R4
... de.gematik.isikde.gematik.isik#6.0.0R4
.... Extensions for Using Data Elements from FHIR R5 in FHIR R4hl7.fhir.uv.xver-r5.r4#0.1.0R4
..... HL7 Terminology (THO)hl7.terminology.r4#7.1.0R4
.... Subscriptions R5 Backporthl7.fhir.uv.subscriptions-backport.r4#1.1.0R4
..... HL7 Terminology (THO)hl7.terminology.r4#5.0.0R4
.... de.ihe-d.terminologyde.ihe-d.terminology#3.0.1R4
.... dvmd.kdl.r4dvmd.kdl.r4#2025.0.1R4
.... Structured Data Capturehl7.fhir.uv.sdc#4.0.0R4
..... FHIR Tooling Extensions IGhl7.fhir.uv.tools.r4#1.1.2R4
..... FHIR Extensions Packhl7.fhir.uv.extensions.r4#5.3.0-ballot-tc1R4
...... HL7 Terminology (THO)hl7.terminology.r4#6.5.0R4
.... TI Terminologyde.gematik.terminology#1.0.6R4
..... HL7 Terminology (THO)hl7.terminology.r4#6.3.0R4
..... dvmd.kdl.r4dvmd.kdl.r4#2025.0.0R4
.... Implementation Guide TI Commonde.gematik.ti#1.3.1R4
..... de.basisprofil.r4de.basisprofil.r4#1.5.4R4
..... TI Terminologyde.gematik.terminology#1.0.9R4
.... Medication IG DEde.fhir.medication#1.0.7R4
..... HL7 Terminology (THO)hl7.terminology.r4#7.2.0R4
...... FHIR Extensions Packhl7.fhir.uv.extensions.r4#5.3.0R4
.... MII IG Core Dataset Basede.medizininformatikinitiative.kerndatensatz.base#2026.0.0R4
.... MII IG Metade.medizininformatikinitiative.kerndatensatz.meta#2026.0.0R4
... MII Implementation Guide Core Dataset Basede.medizininformatikinitiative.kerndatensatz.base#2027.0.0-ballotR4
.... MII IG Metade.medizininformatikinitiative.kerndatensatz.meta#2027.0.0-ballotR4
..... Canonical Resource Management Infrastructure Implementation Guidehl7.fhir.uv.crmi#2.0.0R4
.... International Patient Summary Implementation Guidehl7.fhir.uv.ips#2.0.1R4
..... International Patient Accesshl7.fhir.uv.ipa#1.1.0R4
...... HL7 Terminology (THO)hl7.terminology.r4#6.2.0R4
...... SMART App Launchhl7.fhir.uv.smart-app-launch#2.0.0R4
... Klinische Dokumentenklassen-Liste (KDL)dvmd.kdl.r4#2026.0.0R4

Package hl7.fhir.uv.extensions.r4#5.2.0

This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Mon, Feb 10, 2025 21:45+1100+11:00)

Package de.basisprofil.r4#1.6.0

Projekt Basisprofilierung R4 (HL7 Deutschland e.V.)

Package hl7.fhir.uv.xver-r5.r4#0.1.0

Extensions for Using Data Elements from FHIR R5 in FHIR R4 (built Fri, Mar 20, 2026 15:40+1100+11:00)

Package hl7.fhir.uv.subscriptions-backport.r4#1.1.0

The Subscription R5 Backport Implementation Guide enables servers running versions of FHIR earlier than R5 to implement a subset of R5 Subscriptions in a standardized way. (built Wed, Jan 11, 2023 15:34+1100+11:00)

Package de.ihe-d.terminology#3.0.1

de.ihe-d.terminology

Package dvmd.kdl.r4#2025.0.1

Publikation der Terminologie-Ressourcen für die Nutzung der Klinische Dokumentenklassen-Liste (KDL) des DVMD Version 2025

Package hl7.fhir.uv.tools.r4#1.1.2

This IG defines the extensions that the tools use internally. Some of these extensions are content that are being evaluated for elevation into the main spec, and others are tooling concerns (built Tue, Mar 24, 2026 11:13+1100+11:00)

Package hl7.fhir.uv.extensions.r4#5.3.0-ballot-tc1

This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Sun, Aug 3, 2025 06:28+1000+10:00)

Package hl7.fhir.uv.sdc#4.0.0

The SDC specification provides an infrastructure to standardize the capture and expanded use of patient-level data collected within an EHR. (built Tue, Mar 24, 2026 16:16+1100+11:00)

Package dvmd.kdl.r4#2025.0.0

Publikation der Terminologie-Ressourcen für die Nutzung der Klinische Dokumentenklassen-Liste (KDL) des DVMD Version 2025

Package de.gematik.terminology#1.0.6

Terminologies for Telematics Infrastructure (TI)

Package de.basisprofil.r4#1.5.4

Projekt Basisprofilierung R4 (HL7 Deutschland e.V.)

Package de.gematik.terminology#1.0.9

Terminologies for Telematics Infrastructure (TI)

Package de.gematik.ti#1.3.1

Telematikinfrastruktur (TI) Common

Package hl7.fhir.uv.extensions.r4#5.3.0

This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Sat, May 16, 2026 18:32+1000+10:00)

Package de.medizininformatikinitiative.kerndatensatz.base#2026.0.0

Basismodule Person, Diagnose, Prozedur, Fall v2026+

Package de.medizininformatikinitiative.kerndatensatz.meta#2026.0.0

Medizininformatik Initiative - Modul Meta

Package de.gematik.isik#6.0.0

LOCAL SNAPSHOT-BEARING REBUILD of de.gematik.isik 6.0.0, generated with the official HL7 validator_cli snapshot command (ProfileUtilities). NOT an upstream release.

Package hl7.fhir.uv.crmi#2.0.0

This implementation guide defines profiles, operations, capability statements and guidance to facilitate the content management lifecycle for authoring, publishing, distribution, and implementation of FHIR knowledge artifacts such as value sets, profiles, libraries, rules, and measures. The guide is intended to be used by specification and content implementation guide authors as both a dependency for validation of published artifacts, and a guide for construction and publication of content. (built Thu, Jul 2, 2026 00:17+1000+10:00)

Package de.medizininformatikinitiative.kerndatensatz.meta#2027.0.0-ballot

The Meta module contains foundational artifacts used by all other MII implementation guides. (built Thu, Sep 10, 2026 12:37+0000+00:00)

Package hl7.fhir.uv.ipa#1.1.0

This IG describes how an application acting on behalf of a patient can access information about the patient from an clinical records system using a FHIR based API. The clinical records system may be supporting a clinical care provider (e.g. a hospital, or a general practitioner), or a health data exchange, including a national health record system. (built Wed, Mar 19, 2025 14:34+0000+00:00)

Package de.medizininformatikinitiative.kerndatensatz.base#2027.0.0-ballot

Implementation Guide for the Core Dataset Base Modules Person, Diagnosis, Procedure, and Treatment Case. Release notes: https://medizininformatik-initiative.github.io/kerndatensatz-basis/2027.0.0-ballot/changes.html (built Thu, Sep 10, 2026 14:57+0000+00:00)

Package dvmd.kdl.r4#2026.0.0

Das Package enthält die KDL im FHIR-Format für den Datenaustausch im Kontext der elektronischen Patientenakte. Die Zusammenstellung des FHIR Pakets basiert auf den Inhalten, die seitens DVMD e.V. zur Verfügung gestellt wurden.

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.

Global Profiles

This IG declares the following global profiles — profiles that apply to every instance of their resource type exchanged under this guide. An empty table means this module declares none.

There are no Global profiles defined

Copyrights

This publication includes IP covered under the following statements.

IG Parameter Settings and Expansion Parameters

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:). A module that pins its expansion parameters through a CRMI manifest additionally links the generated Parameters resource from here (see the commented manifest blocks in sushi-config.yaml and the Metadata Overview page, if the module keeps it).