MII IG Dokument
2026.0.0-ballot - ci-build Unknown region code '276'

MII IG Dokument, published by Medizininformatik-Initiative. This guide is not an authorized publication; it is the continuous build for version 2026.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/medizininformatik-initiative/kerndatensatz-dokument/ and changes regularly. See the Directory of published versions

Resource Profile: MII PR Dokument Dokument

Official URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-dokument/StructureDefinition/mii-pr-dokument-dokument Version: 2026.0.0-ballot
Draft as of 2025-11-07 Computable Name: MII_PR_Dokument_Dokument

Klinisches Dokument mit zugehörigen Metadaten

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference 0..* DocumentReference A reference to a document
... meta SΣ 0..1 Meta Metadata about the resource
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:nlp-processing-status S 0..1 CodeableConcept NLP Processing Status
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-dokument/StructureDefinition/mii-ex-dokument-nlp-processing-status
... masterIdentifier SΣ 0..1 Identifier Versionsspezifische OID des Dokuments
... identifier SΣ 0..* Identifier Weitere Dokumente assoziierte Identifikatoren
... status ?!SΣ 1..1 code Zustand des Dokumentenmetadatensatzes
Binding: DocumentReferenceStatus (required): The status of the document reference.
... docStatus SΣ 0..1 code Bearbeitungsstatus des Dokumentes
Binding: CompositionStatus (required): Status of the underlying document.
... type SΣC 0..1 CodeableConcept Charakterisierung der Dokumentart im Detail
Binding: DocumentTypeValueSet (preferred): Precise type of clinical document.
Constraints: mii-iv-dokument-dokument-type
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:All Slices Content/Rules for all slices
...... system SΣ 1..1 uri Identity of the terminology system
...... code SΣ 1..1 code Symbol in syntax defined by the system
..... coding:KDL SΣ 0..1 Coding Code defined by a terminology system
Binding: ValueSet Klinische Dokumentenklassen-Liste (Version 2025) (required)
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://dvmd.de/fhir/CodeSystem/kdl
...... code SΣ 1..1 code Symbol in syntax defined by the system
..... coding:LNC SΣ 0..1 Coding Code defined by a terminology system
Binding: DocumentTypeValueSet (required)
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code SΣ 1..1 code Symbol in syntax defined by the system
..... coding:SCT SΣ 0..1 Coding Code defined by a terminology system
Binding: MII VS Dokument SCT Dokument Typ (required)
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... code SΣ 1..1 code Symbol in syntax defined by the system
..... coding:XDS SΣ 0..1 Coding Code defined by a terminology system
Binding: IHE XDS typeCode (required)
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://ihe-d.de/CodeSystems/IHEXDStypeCode
...... code SΣ 1..1 code Symbol in syntax defined by the system
... category SΣC 0..* CodeableConcept Charakterisierung der Dokumentenart in Übersicht
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
Constraints: mii-iv-dokument-dokument-category
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:All Slices Content/Rules for all slices
...... system SΣ 1..1 uri Identity of the terminology system
...... code SΣ 1..1 code Symbol in syntax defined by the system
..... coding:LNC SΣ 0..1 Coding Code defined by a terminology system
Binding: DocumentClassValueSet (required)
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code SΣ 1..1 code Symbol in syntax defined by the system
..... coding:SCT SΣ 0..1 Coding Code defined by a terminology system
Binding: MII VS Dokument SCT Dokument Kategorie (required)
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... code SΣ 1..1 code Symbol in syntax defined by the system
..... coding:XDS SΣ 0..1 Coding Code defined by a terminology system
Binding: IHE XDS classCode (required)
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://ihe-d.de/CodeSystems/IHEXDSclassCode
...... code SΣ 1..1 code Symbol in syntax defined by the system
... subject SΣ 0..1 Reference(Patient | MII PR Person Patient | MII PR Person Patient (Pseudonymisiert)) Referenz auf den Patient des Dokumentes
... relatesTo SΣ 0..* BackboneElement Beziehung des Dokuments
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code SΣ 1..1 code Beziehung zu anderem Dokument
Binding: DocumentRelationshipType (required): The type of relationship between documents.
.... target SΣ 1..1 Reference(DocumentReference) Referenz auf DocumentReference
... description SΣ 0..1 string Beschreibung des Inhalts des Dokumentes
... securityLabel SΣ 0..* CodeableConcept Status über den Sicherheitsbedarf des Dokuments
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
... Slices for content SΣ 1..* BackboneElement Inhalt des Dokuments
Slice: Unordered, Open by exists:attachment.url
.... content:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... attachment SΣ 1..1 Attachment Zugang zum Dokument
...... contentType SΣ 0..1 code MIME-Typ des Dokumenteninhalts
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Example General: text/plain; charset=UTF-8, image/png
...... language SΣ 0..1 code Verwendete Sprache in dem Dokument
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding

Example General: en-AU
...... data 0..1 base64Binary Dokument als Binärdaten
...... url Σ 0..1 url Verweis auf den lokalen Ablageort des Dokumentes
Example General: http://www.acme.com/logo-small.png
...... creation SΣ 0..1 dateTime Datum der Erstellung des Dokumentes
..... format SΣ 0..1 Coding Komplexe Formatangabe
Binding: MII CS Dokument Format Code (preferred)
.... content:Binärdaten SΣ 0..* BackboneElement Dokument als Binärdaten
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... attachment SΣ 1..1 Attachment Zugang zum Dokument
...... contentType SΣ 0..1 code MIME-Typ des Dokumenteninhalts
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Example General: text/plain; charset=UTF-8, image/png
...... language SΣ 0..1 code Verwendete Sprache in dem Dokument
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding

Example General: en-AU
...... data S 1..1 base64Binary Dokument als Binärdaten
...... creation SΣ 0..1 dateTime Datum der Erstellung des Dokumentes
..... format SΣ 0..1 Coding Komplexe Formatangabe
Binding: MII CS Dokument Format Code (preferred)
.... content:Verweis SΣ 0..* BackboneElement Dokument als Verweis
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... attachment SΣ 1..1 Attachment Zugang zum Dokument
...... contentType SΣ 0..1 code MIME-Typ des Dokumenteninhalts
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Example General: text/plain; charset=UTF-8, image/png
...... language SΣ 0..1 code Verwendete Sprache in dem Dokument
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding

Example General: en-AU
...... url SΣ 1..1 url Verweis auf den lokalen Ablageort des Dokumentes
Example General: http://www.acme.com/logo-small.png
...... creation SΣ 0..1 dateTime Datum der Erstellung des Dokumentes
..... format SΣ 0..1 Coding Komplexe Formatangabe
Binding: MII CS Dokument Format Code (preferred)
... context SΣ 0..1 BackboneElement Erzeugungskontext des Dokumentes
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... encounter S 0..* Reference(Encounter | MII PR Fall Kontakt mit einer Gesundheitseinrichtung) Referenz zum FALL
.... event S 0..* CodeableConcept Handlungen oder Prozeduren
Binding: IHE XDS eventCodeList (required)
..... coding Σ 1..* Coding Code defined by a terminology system
...... system SΣ 1..1 uri Identity of the terminology system
...... code SΣ 1..1 code Symbol in syntax defined by the system
.... period SΣ 0..1 Period Durchführungszeitraum
.... facilityType S 0..1 CodeableConcept Art der Einrichtung
Binding: MII VS Dokument Einrichtungart (required)
..... coding Σ 1..* Coding Code defined by a terminology system
...... system SΣ 1..1 uri Identity of the terminology system
...... code SΣ 1..1 code Symbol in syntax defined by the system
.... practiceSetting S 0..1 CodeableConcept Klinisches Fachgebiet
Binding: MII VS Dokument Fachgebiet (required)
..... coding Σ 1..* Coding Code defined by a terminology system
...... system SΣ 1..1 uri Identity of the terminology system
...... code SΣ 1..1 code Symbol in syntax defined by the system

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DocumentReference.status Base required DocumentReferenceStatus 📍4.0.1 FHIR Std.
DocumentReference.docStatus Base required CompositionStatus 📍4.0.1 FHIR Std.
DocumentReference.type Base preferred Document Type Value Set 📍4.0.1 FHIR Std.
DocumentReference.type.​coding:KDL Base required ValueSet Klinische Dokumentenklassen-Liste (Version 2025) 📦2025 dvmd.kdl.r4 v2025.0
DocumentReference.type.​coding:LNC Base required Document Type Value Set 📦4.0.1 FHIR Std.
DocumentReference.type.​coding:SCT Base required MII VS Dokument SCT Dokument Typ 📦2026.0.0-ballot This IG
DocumentReference.type.​coding:XDS Base required IHE XDS typeCode 📦2020-02-07T07:55:58 de.ihe-d.terminology v3.0
DocumentReference.category Base example Document Class Value Set 📍4.0.1 FHIR Std.
DocumentReference.category.​coding:LNC Base required Document Class Value Set 📦4.0.1 FHIR Std.
DocumentReference.category.​coding:SCT Base required MII VS Dokument SCT Dokument Kategorie 📦2026.0.0-ballot This IG
DocumentReference.category.​coding:XDS Base required IHE XDS classCode 📦2021-06-25T13:44:47 de.ihe-d.terminology v3.0
DocumentReference.relatesTo.​code Base required DocumentRelationshipType 📍4.0.1 FHIR Std.
DocumentReference.securityLabel Base extensible SecurityLabels 📍4.0.1 FHIR Std.
DocumentReference.content.​attachment.contentType Base required MimeType 📍4.0.1 FHIR Std.
DocumentReference.content.​attachment.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DocumentReference.content.​format Base preferred MII CS Dokument Format Code 📦2026.0.0-ballot This IG
DocumentReference.content:Binärdaten.​attachment.contentType Base required MimeType 📍4.0.1 FHIR Std.
DocumentReference.content:Binärdaten.​attachment.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DocumentReference.content:Binärdaten.​format Base preferred MII CS Dokument Format Code 📦2026.0.0-ballot This IG
DocumentReference.content:Verweis.​attachment.contentType Base required MimeType 📍4.0.1 FHIR Std.
DocumentReference.content:Verweis.​attachment.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DocumentReference.content:Verweis.​format Base preferred MII CS Dokument Format Code 📦2026.0.0-ballot This IG
DocumentReference.context.​event Base required IHE XDS eventCodeList 📦2021-07-06T21:19:41 de.ihe-d.terminology v3.0
DocumentReference.context.​facilityType Base required MII VS Dokument Einrichtungart 📦2026.0.0-ballot This IG
DocumentReference.context.​practiceSetting Base required MII VS Dokument Fachgebiet 📦2026.0.0-ballot This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error DocumentReference If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DocumentReference If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error DocumentReference If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error DocumentReference If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DocumentReference A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
mii-iv-dokument-dokument-category warning DocumentReference.category Empfehlung: Eine Kodierungen aus XDS SOLLTE in `category` vorhanden sein coding.where(system = 'http://ihe-d.de/CodeSystems/IHEXDSclassCode').exists()
mii-iv-dokument-dokument-type warning DocumentReference.type Empfehlung: Mindestens eine Kodierungen aus KDL oder XDS SOLLTE in `type` vorhanden sein coding.where(system = 'http://dvmd.de/fhir/CodeSystem/kdl').exists() or coding.where(system = 'http://ihe-d.de/CodeSystems/IHEXDStypeCode').exists()

This structure is derived from DocumentReference

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference 0..* DocumentReference A reference to a document
... meta S 0..1 Meta Metadata about the resource
.... profile S 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:nlp-processing-status S 0..1 CodeableConcept NLP Processing Status
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-dokument/StructureDefinition/mii-ex-dokument-nlp-processing-status
... masterIdentifier S 0..1 Identifier Versionsspezifische OID des Dokuments
... status S 1..1 code Zustand des Dokumentenmetadatensatzes
... docStatus S 0..1 code Bearbeitungsstatus des Dokumentes
... type SC 0..1 CodeableConcept Charakterisierung der Dokumentart im Detail
Constraints: mii-iv-dokument-dokument-type
.... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:All Slices Content/Rules for all slices
...... system S 1..1 uri Identity of the terminology system
...... code S 1..1 code Symbol in syntax defined by the system
..... coding:KDL S 0..1 Coding Code defined by a terminology system
Binding: ValueSet Klinische Dokumentenklassen-Liste (Version 2025) (required)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://dvmd.de/fhir/CodeSystem/kdl
..... coding:LNC S 0..1 Coding Code defined by a terminology system
Binding: DocumentTypeValueSet (required)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... coding:SCT S 0..1 Coding Code defined by a terminology system
Binding: MII VS Dokument SCT Dokument Typ (required)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... coding:XDS S 0..1 Coding Code defined by a terminology system
Binding: IHE XDS typeCode (required)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://ihe-d.de/CodeSystems/IHEXDStypeCode
... category SC 0..* CodeableConcept Charakterisierung der Dokumentenart in Übersicht
Constraints: mii-iv-dokument-dokument-category
.... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:All Slices Content/Rules for all slices
...... system S 1..1 uri Identity of the terminology system
...... code S 1..1 code Symbol in syntax defined by the system
..... coding:LNC S 0..1 Coding Code defined by a terminology system
Binding: DocumentClassValueSet (required)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... coding:SCT S 0..1 Coding Code defined by a terminology system
Binding: MII VS Dokument SCT Dokument Kategorie (required)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... coding:XDS S 0..1 Coding Code defined by a terminology system
Binding: IHE XDS classCode (required)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://ihe-d.de/CodeSystems/IHEXDSclassCode
... subject S 0..1 Reference(Patient | MII PR Person Patient | MII PR Person Patient (Pseudonymisiert)) Referenz auf den Patient des Dokumentes
... relatesTo S 0..* BackboneElement Beziehung des Dokuments
.... code S 1..1 code Beziehung zu anderem Dokument
.... target S 1..1 Reference(DocumentReference) Referenz auf DocumentReference
... description S 0..1 string Beschreibung des Inhalts des Dokumentes
... securityLabel S 0..* CodeableConcept Status über den Sicherheitsbedarf des Dokuments
... Slices for content S 1..* BackboneElement Inhalt des Dokuments
Slice: Unordered, Open by exists:attachment.url
.... content:All Slices Content/Rules for all slices
..... attachment S 1..1 Attachment Zugang zum Dokument
...... contentType S 0..1 code MIME-Typ des Dokumenteninhalts
...... language S 0..1 code Verwendete Sprache in dem Dokument
...... data 0..1 base64Binary Dokument als Binärdaten
...... url 0..1 url Verweis auf den lokalen Ablageort des Dokumentes
...... creation S 0..1 dateTime Datum der Erstellung des Dokumentes
..... format S 0..1 Coding Komplexe Formatangabe
Binding: MII CS Dokument Format Code (preferred)
.... content:Binärdaten S 0..* BackboneElement Dokument als Binärdaten
..... attachment S 1..1 Attachment Zugang zum Dokument
...... contentType S 0..1 code MIME-Typ des Dokumenteninhalts
...... language S 0..1 code Verwendete Sprache in dem Dokument
...... data S 1..1 base64Binary Dokument als Binärdaten
...... url 0..0 Verweis auf den lokalen Ablageort des Dokumentes
...... creation S 0..1 dateTime Datum der Erstellung des Dokumentes
..... format S 0..1 Coding Komplexe Formatangabe
.... content:Verweis S 0..* BackboneElement Dokument als Verweis
..... attachment S 1..1 Attachment Zugang zum Dokument
...... contentType S 0..1 code MIME-Typ des Dokumenteninhalts
...... language S 0..1 code Verwendete Sprache in dem Dokument
...... data 0..0 Dokument als Binärdaten
...... url S 1..1 url Verweis auf den lokalen Ablageort des Dokumentes
...... creation S 0..1 dateTime Datum der Erstellung des Dokumentes
..... format S 0..1 Coding Komplexe Formatangabe
... context S 0..1 BackboneElement Erzeugungskontext des Dokumentes
.... encounter S 0..* Reference(Encounter | MII PR Fall Kontakt mit einer Gesundheitseinrichtung) Referenz zum FALL
.... event S 0..* CodeableConcept Handlungen oder Prozeduren
Binding: IHE XDS eventCodeList (required)
..... coding 1..* Coding Code defined by a terminology system
...... system S 1..1 uri Identity of the terminology system
...... code S 1..1 code Symbol in syntax defined by the system
.... period S 0..1 Period Durchführungszeitraum
.... facilityType S 0..1 CodeableConcept Art der Einrichtung
Binding: MII VS Dokument Einrichtungart (required)
..... coding 1..* Coding Code defined by a terminology system
...... system S 1..1 uri Identity of the terminology system
...... code S 1..1 code Symbol in syntax defined by the system
.... practiceSetting S 0..1 CodeableConcept Klinisches Fachgebiet
Binding: MII VS Dokument Fachgebiet (required)
..... coding 1..* Coding Code defined by a terminology system
...... system S 1..1 uri Identity of the terminology system
...... code S 1..1 code Symbol in syntax defined by the system

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DocumentReference.type.​coding:KDL Base required ValueSet Klinische Dokumentenklassen-Liste (Version 2025) 📦2025 dvmd.kdl.r4 v2025.0
DocumentReference.type.​coding:LNC Base required Document Type Value Set 📦4.0.1 FHIR Std.
DocumentReference.type.​coding:SCT Base required MII VS Dokument SCT Dokument Typ 📦2026.0.0-ballot This IG
DocumentReference.type.​coding:XDS Base required IHE XDS typeCode 📦2020-02-07T07:55:58 de.ihe-d.terminology v3.0
DocumentReference.category.​coding:LNC Base required Document Class Value Set 📦4.0.1 FHIR Std.
DocumentReference.category.​coding:SCT Base required MII VS Dokument SCT Dokument Kategorie 📦2026.0.0-ballot This IG
DocumentReference.category.​coding:XDS Base required IHE XDS classCode 📦2021-06-25T13:44:47 de.ihe-d.terminology v3.0
DocumentReference.content.​format Base preferred MII CS Dokument Format Code 📦2026.0.0-ballot This IG
DocumentReference.context.​event Base required IHE XDS eventCodeList 📦2021-07-06T21:19:41 de.ihe-d.terminology v3.0
DocumentReference.context.​facilityType Base required MII VS Dokument Einrichtungart 📦2026.0.0-ballot This IG
DocumentReference.context.​practiceSetting Base required MII VS Dokument Fachgebiet 📦2026.0.0-ballot This IG

Constraints

Id Grade Path(s) Description Expression
mii-iv-dokument-dokument-category warning DocumentReference.category Empfehlung: Eine Kodierungen aus XDS SOLLTE in `category` vorhanden sein coding.where(system = 'http://ihe-d.de/CodeSystems/IHEXDSclassCode').exists()
mii-iv-dokument-dokument-type warning DocumentReference.type Empfehlung: Mindestens eine Kodierungen aus KDL oder XDS SOLLTE in `type` vorhanden sein coding.where(system = 'http://dvmd.de/fhir/CodeSystem/kdl').exists() or coding.where(system = 'http://ihe-d.de/CodeSystems/IHEXDStypeCode').exists()
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference 0..* DocumentReference A reference to a document
... id Σ 0..1 id Logical id of this artifact
... meta SΣ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (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
... 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
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:nlp-processing-status S 0..1 CodeableConcept NLP Processing Status
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-dokument/StructureDefinition/mii-ex-dokument-nlp-processing-status
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... masterIdentifier SΣ 0..1 Identifier Versionsspezifische OID des Dokuments
... identifier SΣ 0..* Identifier Weitere Dokumente assoziierte Identifikatoren
... status ?!SΣ 1..1 code Zustand des Dokumentenmetadatensatzes
Binding: DocumentReferenceStatus (required): The status of the document reference.
... docStatus SΣ 0..1 code Bearbeitungsstatus des Dokumentes
Binding: CompositionStatus (required): Status of the underlying document.
... type SΣC 0..1 CodeableConcept Charakterisierung der Dokumentart im Detail
Binding: DocumentTypeValueSet (preferred): Precise type of clinical document.
Constraints: mii-iv-dokument-dokument-type
.... id 0..1 string Unique id for inter-element referencing
.... extension 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 value:system
..... coding:All Slices Content/Rules for all slices
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:KDL SΣ 0..1 Coding Code defined by a terminology system
Binding: ValueSet Klinische Dokumentenklassen-Liste (Version 2025) (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://dvmd.de/fhir/CodeSystem/kdl
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:LNC SΣ 0..1 Coding Code defined by a terminology system
Binding: DocumentTypeValueSet (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:SCT SΣ 0..1 Coding Code defined by a terminology system
Binding: MII VS Dokument SCT Dokument Typ (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:XDS SΣ 0..1 Coding Code defined by a terminology system
Binding: IHE XDS typeCode (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://ihe-d.de/CodeSystems/IHEXDStypeCode
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... category SΣC 0..* CodeableConcept Charakterisierung der Dokumentenart in Übersicht
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
Constraints: mii-iv-dokument-dokument-category
.... id 0..1 string Unique id for inter-element referencing
.... extension 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 value:system
..... coding:All Slices Content/Rules for all slices
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:LNC SΣ 0..1 Coding Code defined by a terminology system
Binding: DocumentClassValueSet (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:SCT SΣ 0..1 Coding Code defined by a terminology system
Binding: MII VS Dokument SCT Dokument Kategorie (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:XDS SΣ 0..1 Coding Code defined by a terminology system
Binding: IHE XDS classCode (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://ihe-d.de/CodeSystems/IHEXDSclassCode
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... subject SΣ 0..1 Reference(Patient | MII PR Person Patient | MII PR Person Patient (Pseudonymisiert)) Referenz auf den Patient des Dokumentes
... date Σ 0..1 instant When this document reference was created
... author 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
... custodian 0..1 Reference(Organization) Organization which maintains the document
... relatesTo SΣ 0..* BackboneElement Beziehung des Dokuments
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code SΣ 1..1 code Beziehung zu anderem Dokument
Binding: DocumentRelationshipType (required): The type of relationship between documents.
.... target SΣ 1..1 Reference(DocumentReference) Referenz auf DocumentReference
... description SΣ 0..1 string Beschreibung des Inhalts des Dokumentes
... securityLabel SΣ 0..* CodeableConcept Status über den Sicherheitsbedarf des Dokuments
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
... Slices for content SΣ 1..* BackboneElement Inhalt des Dokuments
Slice: Unordered, Open by exists:attachment.url
.... content:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... attachment SΣ 1..1 Attachment Zugang zum Dokument
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... contentType SΣ 0..1 code MIME-Typ des Dokumenteninhalts
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Example General: text/plain; charset=UTF-8, image/png
...... language SΣ 0..1 code Verwendete Sprache in dem Dokument
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding

Example General: en-AU
...... data 0..1 base64Binary Dokument als Binärdaten
...... url Σ 0..1 url Verweis auf den lokalen Ablageort des Dokumentes
Example General: http://www.acme.com/logo-small.png
...... size Σ 0..1 unsignedInt Number of bytes of content (if url provided)
...... hash Σ 0..1 base64Binary Hash of the data (sha-1, base64ed)
...... title Σ 0..1 string Label to display in place of the data
Example General: Official Corporate Logo
...... creation SΣ 0..1 dateTime Datum der Erstellung des Dokumentes
..... format SΣ 0..1 Coding Komplexe Formatangabe
Binding: MII CS Dokument Format Code (preferred)
.... content:Binärdaten SΣ 0..* BackboneElement Dokument als Binärdaten
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... attachment SΣ 1..1 Attachment Zugang zum Dokument
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... contentType SΣ 0..1 code MIME-Typ des Dokumenteninhalts
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Example General: text/plain; charset=UTF-8, image/png
...... language SΣ 0..1 code Verwendete Sprache in dem Dokument
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding

Example General: en-AU
...... data S 1..1 base64Binary Dokument als Binärdaten
...... size Σ 0..1 unsignedInt Number of bytes of content (if url provided)
...... hash Σ 0..1 base64Binary Hash of the data (sha-1, base64ed)
...... title Σ 0..1 string Label to display in place of the data
Example General: Official Corporate Logo
...... creation SΣ 0..1 dateTime Datum der Erstellung des Dokumentes
..... format SΣ 0..1 Coding Komplexe Formatangabe
Binding: MII CS Dokument Format Code (preferred)
.... content:Verweis SΣ 0..* BackboneElement Dokument als Verweis
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... attachment SΣ 1..1 Attachment Zugang zum Dokument
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... contentType SΣ 0..1 code MIME-Typ des Dokumenteninhalts
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Example General: text/plain; charset=UTF-8, image/png
...... language SΣ 0..1 code Verwendete Sprache in dem Dokument
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding

Example General: en-AU
...... url SΣ 1..1 url Verweis auf den lokalen Ablageort des Dokumentes
Example General: http://www.acme.com/logo-small.png
...... size Σ 0..1 unsignedInt Number of bytes of content (if url provided)
...... hash Σ 0..1 base64Binary Hash of the data (sha-1, base64ed)
...... title Σ 0..1 string Label to display in place of the data
Example General: Official Corporate Logo
...... creation SΣ 0..1 dateTime Datum der Erstellung des Dokumentes
..... format SΣ 0..1 Coding Komplexe Formatangabe
Binding: MII CS Dokument Format Code (preferred)
... context SΣ 0..1 BackboneElement Erzeugungskontext des Dokumentes
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... encounter S 0..* Reference(Encounter | MII PR Fall Kontakt mit einer Gesundheitseinrichtung) Referenz zum FALL
.... event S 0..* CodeableConcept Handlungen oder Prozeduren
Binding: IHE XDS eventCodeList (required)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 1..* Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... period SΣ 0..1 Period Durchführungszeitraum
.... facilityType S 0..1 CodeableConcept Art der Einrichtung
Binding: MII VS Dokument Einrichtungart (required)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 1..* Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... practiceSetting S 0..1 CodeableConcept Klinisches Fachgebiet
Binding: MII VS Dokument Fachgebiet (required)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 1..* Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... sourcePatientInfo 0..1 Reference(Patient) Patient demographics from source
.... related 0..* Reference(Resource) Related identifiers or resources

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DocumentReference.meta.​security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
DocumentReference.meta.​tag Base example Common Tags 📍4.0.1 FHIR Std.
DocumentReference.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DocumentReference.status Base required DocumentReferenceStatus 📍4.0.1 FHIR Std.
DocumentReference.docStatus Base required CompositionStatus 📍4.0.1 FHIR Std.
DocumentReference.type Base preferred Document Type Value Set 📍4.0.1 FHIR Std.
DocumentReference.type.​coding:KDL Base required ValueSet Klinische Dokumentenklassen-Liste (Version 2025) 📦2025 dvmd.kdl.r4 v2025.0
DocumentReference.type.​coding:LNC Base required Document Type Value Set 📦4.0.1 FHIR Std.
DocumentReference.type.​coding:SCT Base required MII VS Dokument SCT Dokument Typ 📦2026.0.0-ballot This IG
DocumentReference.type.​coding:XDS Base required IHE XDS typeCode 📦2020-02-07T07:55:58 de.ihe-d.terminology v3.0
DocumentReference.category Base example Document Class Value Set 📍4.0.1 FHIR Std.
DocumentReference.category.​coding:LNC Base required Document Class Value Set 📦4.0.1 FHIR Std.
DocumentReference.category.​coding:SCT Base required MII VS Dokument SCT Dokument Kategorie 📦2026.0.0-ballot This IG
DocumentReference.category.​coding:XDS Base required IHE XDS classCode 📦2021-06-25T13:44:47 de.ihe-d.terminology v3.0
DocumentReference.relatesTo.​code Base required DocumentRelationshipType 📍4.0.1 FHIR Std.
DocumentReference.securityLabel Base extensible SecurityLabels 📍4.0.1 FHIR Std.
DocumentReference.content.​attachment.contentType Base required MimeType 📍4.0.1 FHIR Std.
DocumentReference.content.​attachment.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DocumentReference.content.​format Base preferred MII CS Dokument Format Code 📦2026.0.0-ballot This IG
DocumentReference.content:Binärdaten.​attachment.contentType Base required MimeType 📍4.0.1 FHIR Std.
DocumentReference.content:Binärdaten.​attachment.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DocumentReference.content:Binärdaten.​format Base preferred MII CS Dokument Format Code 📦2026.0.0-ballot This IG
DocumentReference.content:Verweis.​attachment.contentType Base required MimeType 📍4.0.1 FHIR Std.
DocumentReference.content:Verweis.​attachment.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DocumentReference.content:Verweis.​format Base preferred MII CS Dokument Format Code 📦2026.0.0-ballot This IG
DocumentReference.context.​event Base required IHE XDS eventCodeList 📦2021-07-06T21:19:41 de.ihe-d.terminology v3.0
DocumentReference.context.​facilityType Base required MII VS Dokument Einrichtungart 📦2026.0.0-ballot This IG
DocumentReference.context.​practiceSetting Base required MII VS Dokument Fachgebiet 📦2026.0.0-ballot This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error DocumentReference If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DocumentReference If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error DocumentReference If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error DocumentReference If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DocumentReference A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
mii-iv-dokument-dokument-category warning DocumentReference.category Empfehlung: Eine Kodierungen aus XDS SOLLTE in `category` vorhanden sein coding.where(system = 'http://ihe-d.de/CodeSystems/IHEXDSclassCode').exists()
mii-iv-dokument-dokument-type warning DocumentReference.type Empfehlung: Mindestens eine Kodierungen aus KDL oder XDS SOLLTE in `type` vorhanden sein coding.where(system = 'http://dvmd.de/fhir/CodeSystem/kdl').exists() or coding.where(system = 'http://ihe-d.de/CodeSystems/IHEXDStypeCode').exists()

This structure is derived from DocumentReference

Summary

Mandatory: 0 element(17 nested mandatory elements)
Must-Support: 58 elements
Fixed: 7 elements
Prohibited: 2 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of DocumentReference.type.coding
  • The element 1 is sliced based on the value of DocumentReference.category.coding
  • The element 1 is sliced based on the value of DocumentReference.content

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference 0..* DocumentReference A reference to a document
... meta SΣ 0..1 Meta Metadata about the resource
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:nlp-processing-status S 0..1 CodeableConcept NLP Processing Status
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-dokument/StructureDefinition/mii-ex-dokument-nlp-processing-status
... masterIdentifier SΣ 0..1 Identifier Versionsspezifische OID des Dokuments
... identifier SΣ 0..* Identifier Weitere Dokumente assoziierte Identifikatoren
... status ?!SΣ 1..1 code Zustand des Dokumentenmetadatensatzes
Binding: DocumentReferenceStatus (required): The status of the document reference.
... docStatus SΣ 0..1 code Bearbeitungsstatus des Dokumentes
Binding: CompositionStatus (required): Status of the underlying document.
... type SΣC 0..1 CodeableConcept Charakterisierung der Dokumentart im Detail
Binding: DocumentTypeValueSet (preferred): Precise type of clinical document.
Constraints: mii-iv-dokument-dokument-type
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:All Slices Content/Rules for all slices
...... system SΣ 1..1 uri Identity of the terminology system
...... code SΣ 1..1 code Symbol in syntax defined by the system
..... coding:KDL SΣ 0..1 Coding Code defined by a terminology system
Binding: ValueSet Klinische Dokumentenklassen-Liste (Version 2025) (required)
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://dvmd.de/fhir/CodeSystem/kdl
...... code SΣ 1..1 code Symbol in syntax defined by the system
..... coding:LNC SΣ 0..1 Coding Code defined by a terminology system
Binding: DocumentTypeValueSet (required)
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code SΣ 1..1 code Symbol in syntax defined by the system
..... coding:SCT SΣ 0..1 Coding Code defined by a terminology system
Binding: MII VS Dokument SCT Dokument Typ (required)
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... code SΣ 1..1 code Symbol in syntax defined by the system
..... coding:XDS SΣ 0..1 Coding Code defined by a terminology system
Binding: IHE XDS typeCode (required)
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://ihe-d.de/CodeSystems/IHEXDStypeCode
...... code SΣ 1..1 code Symbol in syntax defined by the system
... category SΣC 0..* CodeableConcept Charakterisierung der Dokumentenart in Übersicht
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
Constraints: mii-iv-dokument-dokument-category
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:All Slices Content/Rules for all slices
...... system SΣ 1..1 uri Identity of the terminology system
...... code SΣ 1..1 code Symbol in syntax defined by the system
..... coding:LNC SΣ 0..1 Coding Code defined by a terminology system
Binding: DocumentClassValueSet (required)
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code SΣ 1..1 code Symbol in syntax defined by the system
..... coding:SCT SΣ 0..1 Coding Code defined by a terminology system
Binding: MII VS Dokument SCT Dokument Kategorie (required)
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... code SΣ 1..1 code Symbol in syntax defined by the system
..... coding:XDS SΣ 0..1 Coding Code defined by a terminology system
Binding: IHE XDS classCode (required)
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://ihe-d.de/CodeSystems/IHEXDSclassCode
...... code SΣ 1..1 code Symbol in syntax defined by the system
... subject SΣ 0..1 Reference(Patient | MII PR Person Patient | MII PR Person Patient (Pseudonymisiert)) Referenz auf den Patient des Dokumentes
... relatesTo SΣ 0..* BackboneElement Beziehung des Dokuments
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code SΣ 1..1 code Beziehung zu anderem Dokument
Binding: DocumentRelationshipType (required): The type of relationship between documents.
.... target SΣ 1..1 Reference(DocumentReference) Referenz auf DocumentReference
... description SΣ 0..1 string Beschreibung des Inhalts des Dokumentes
... securityLabel SΣ 0..* CodeableConcept Status über den Sicherheitsbedarf des Dokuments
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
... Slices for content SΣ 1..* BackboneElement Inhalt des Dokuments
Slice: Unordered, Open by exists:attachment.url
.... content:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... attachment SΣ 1..1 Attachment Zugang zum Dokument
...... contentType SΣ 0..1 code MIME-Typ des Dokumenteninhalts
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Example General: text/plain; charset=UTF-8, image/png
...... language SΣ 0..1 code Verwendete Sprache in dem Dokument
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding

Example General: en-AU
...... data 0..1 base64Binary Dokument als Binärdaten
...... url Σ 0..1 url Verweis auf den lokalen Ablageort des Dokumentes
Example General: http://www.acme.com/logo-small.png
...... creation SΣ 0..1 dateTime Datum der Erstellung des Dokumentes
..... format SΣ 0..1 Coding Komplexe Formatangabe
Binding: MII CS Dokument Format Code (preferred)
.... content:Binärdaten SΣ 0..* BackboneElement Dokument als Binärdaten
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... attachment SΣ 1..1 Attachment Zugang zum Dokument
...... contentType SΣ 0..1 code MIME-Typ des Dokumenteninhalts
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Example General: text/plain; charset=UTF-8, image/png
...... language SΣ 0..1 code Verwendete Sprache in dem Dokument
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding

Example General: en-AU
...... data S 1..1 base64Binary Dokument als Binärdaten
...... creation SΣ 0..1 dateTime Datum der Erstellung des Dokumentes
..... format SΣ 0..1 Coding Komplexe Formatangabe
Binding: MII CS Dokument Format Code (preferred)
.... content:Verweis SΣ 0..* BackboneElement Dokument als Verweis
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... attachment SΣ 1..1 Attachment Zugang zum Dokument
...... contentType SΣ 0..1 code MIME-Typ des Dokumenteninhalts
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Example General: text/plain; charset=UTF-8, image/png
...... language SΣ 0..1 code Verwendete Sprache in dem Dokument
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding

Example General: en-AU
...... url SΣ 1..1 url Verweis auf den lokalen Ablageort des Dokumentes
Example General: http://www.acme.com/logo-small.png
...... creation SΣ 0..1 dateTime Datum der Erstellung des Dokumentes
..... format SΣ 0..1 Coding Komplexe Formatangabe
Binding: MII CS Dokument Format Code (preferred)
... context SΣ 0..1 BackboneElement Erzeugungskontext des Dokumentes
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... encounter S 0..* Reference(Encounter | MII PR Fall Kontakt mit einer Gesundheitseinrichtung) Referenz zum FALL
.... event S 0..* CodeableConcept Handlungen oder Prozeduren
Binding: IHE XDS eventCodeList (required)
..... coding Σ 1..* Coding Code defined by a terminology system
...... system SΣ 1..1 uri Identity of the terminology system
...... code SΣ 1..1 code Symbol in syntax defined by the system
.... period SΣ 0..1 Period Durchführungszeitraum
.... facilityType S 0..1 CodeableConcept Art der Einrichtung
Binding: MII VS Dokument Einrichtungart (required)
..... coding Σ 1..* Coding Code defined by a terminology system
...... system SΣ 1..1 uri Identity of the terminology system
...... code SΣ 1..1 code Symbol in syntax defined by the system
.... practiceSetting S 0..1 CodeableConcept Klinisches Fachgebiet
Binding: MII VS Dokument Fachgebiet (required)
..... coding Σ 1..* Coding Code defined by a terminology system
...... system SΣ 1..1 uri Identity of the terminology system
...... code SΣ 1..1 code Symbol in syntax defined by the system

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DocumentReference.status Base required DocumentReferenceStatus 📍4.0.1 FHIR Std.
DocumentReference.docStatus Base required CompositionStatus 📍4.0.1 FHIR Std.
DocumentReference.type Base preferred Document Type Value Set 📍4.0.1 FHIR Std.
DocumentReference.type.​coding:KDL Base required ValueSet Klinische Dokumentenklassen-Liste (Version 2025) 📦2025 dvmd.kdl.r4 v2025.0
DocumentReference.type.​coding:LNC Base required Document Type Value Set 📦4.0.1 FHIR Std.
DocumentReference.type.​coding:SCT Base required MII VS Dokument SCT Dokument Typ 📦2026.0.0-ballot This IG
DocumentReference.type.​coding:XDS Base required IHE XDS typeCode 📦2020-02-07T07:55:58 de.ihe-d.terminology v3.0
DocumentReference.category Base example Document Class Value Set 📍4.0.1 FHIR Std.
DocumentReference.category.​coding:LNC Base required Document Class Value Set 📦4.0.1 FHIR Std.
DocumentReference.category.​coding:SCT Base required MII VS Dokument SCT Dokument Kategorie 📦2026.0.0-ballot This IG
DocumentReference.category.​coding:XDS Base required IHE XDS classCode 📦2021-06-25T13:44:47 de.ihe-d.terminology v3.0
DocumentReference.relatesTo.​code Base required DocumentRelationshipType 📍4.0.1 FHIR Std.
DocumentReference.securityLabel Base extensible SecurityLabels 📍4.0.1 FHIR Std.
DocumentReference.content.​attachment.contentType Base required MimeType 📍4.0.1 FHIR Std.
DocumentReference.content.​attachment.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DocumentReference.content.​format Base preferred MII CS Dokument Format Code 📦2026.0.0-ballot This IG
DocumentReference.content:Binärdaten.​attachment.contentType Base required MimeType 📍4.0.1 FHIR Std.
DocumentReference.content:Binärdaten.​attachment.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DocumentReference.content:Binärdaten.​format Base preferred MII CS Dokument Format Code 📦2026.0.0-ballot This IG
DocumentReference.content:Verweis.​attachment.contentType Base required MimeType 📍4.0.1 FHIR Std.
DocumentReference.content:Verweis.​attachment.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DocumentReference.content:Verweis.​format Base preferred MII CS Dokument Format Code 📦2026.0.0-ballot This IG
DocumentReference.context.​event Base required IHE XDS eventCodeList 📦2021-07-06T21:19:41 de.ihe-d.terminology v3.0
DocumentReference.context.​facilityType Base required MII VS Dokument Einrichtungart 📦2026.0.0-ballot This IG
DocumentReference.context.​practiceSetting Base required MII VS Dokument Fachgebiet 📦2026.0.0-ballot This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error DocumentReference If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DocumentReference If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error DocumentReference If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error DocumentReference If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DocumentReference A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
mii-iv-dokument-dokument-category warning DocumentReference.category Empfehlung: Eine Kodierungen aus XDS SOLLTE in `category` vorhanden sein coding.where(system = 'http://ihe-d.de/CodeSystems/IHEXDSclassCode').exists()
mii-iv-dokument-dokument-type warning DocumentReference.type Empfehlung: Mindestens eine Kodierungen aus KDL oder XDS SOLLTE in `type` vorhanden sein coding.where(system = 'http://dvmd.de/fhir/CodeSystem/kdl').exists() or coding.where(system = 'http://ihe-d.de/CodeSystems/IHEXDStypeCode').exists()

Differential View

This structure is derived from DocumentReference

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference 0..* DocumentReference A reference to a document
... meta S 0..1 Meta Metadata about the resource
.... profile S 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:nlp-processing-status S 0..1 CodeableConcept NLP Processing Status
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-dokument/StructureDefinition/mii-ex-dokument-nlp-processing-status
... masterIdentifier S 0..1 Identifier Versionsspezifische OID des Dokuments
... status S 1..1 code Zustand des Dokumentenmetadatensatzes
... docStatus S 0..1 code Bearbeitungsstatus des Dokumentes
... type SC 0..1 CodeableConcept Charakterisierung der Dokumentart im Detail
Constraints: mii-iv-dokument-dokument-type
.... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:All Slices Content/Rules for all slices
...... system S 1..1 uri Identity of the terminology system
...... code S 1..1 code Symbol in syntax defined by the system
..... coding:KDL S 0..1 Coding Code defined by a terminology system
Binding: ValueSet Klinische Dokumentenklassen-Liste (Version 2025) (required)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://dvmd.de/fhir/CodeSystem/kdl
..... coding:LNC S 0..1 Coding Code defined by a terminology system
Binding: DocumentTypeValueSet (required)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... coding:SCT S 0..1 Coding Code defined by a terminology system
Binding: MII VS Dokument SCT Dokument Typ (required)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... coding:XDS S 0..1 Coding Code defined by a terminology system
Binding: IHE XDS typeCode (required)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://ihe-d.de/CodeSystems/IHEXDStypeCode
... category SC 0..* CodeableConcept Charakterisierung der Dokumentenart in Übersicht
Constraints: mii-iv-dokument-dokument-category
.... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:All Slices Content/Rules for all slices
...... system S 1..1 uri Identity of the terminology system
...... code S 1..1 code Symbol in syntax defined by the system
..... coding:LNC S 0..1 Coding Code defined by a terminology system
Binding: DocumentClassValueSet (required)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... coding:SCT S 0..1 Coding Code defined by a terminology system
Binding: MII VS Dokument SCT Dokument Kategorie (required)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... coding:XDS S 0..1 Coding Code defined by a terminology system
Binding: IHE XDS classCode (required)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://ihe-d.de/CodeSystems/IHEXDSclassCode
... subject S 0..1 Reference(Patient | MII PR Person Patient | MII PR Person Patient (Pseudonymisiert)) Referenz auf den Patient des Dokumentes
... relatesTo S 0..* BackboneElement Beziehung des Dokuments
.... code S 1..1 code Beziehung zu anderem Dokument
.... target S 1..1 Reference(DocumentReference) Referenz auf DocumentReference
... description S 0..1 string Beschreibung des Inhalts des Dokumentes
... securityLabel S 0..* CodeableConcept Status über den Sicherheitsbedarf des Dokuments
... Slices for content S 1..* BackboneElement Inhalt des Dokuments
Slice: Unordered, Open by exists:attachment.url
.... content:All Slices Content/Rules for all slices
..... attachment S 1..1 Attachment Zugang zum Dokument
...... contentType S 0..1 code MIME-Typ des Dokumenteninhalts
...... language S 0..1 code Verwendete Sprache in dem Dokument
...... data 0..1 base64Binary Dokument als Binärdaten
...... url 0..1 url Verweis auf den lokalen Ablageort des Dokumentes
...... creation S 0..1 dateTime Datum der Erstellung des Dokumentes
..... format S 0..1 Coding Komplexe Formatangabe
Binding: MII CS Dokument Format Code (preferred)
.... content:Binärdaten S 0..* BackboneElement Dokument als Binärdaten
..... attachment S 1..1 Attachment Zugang zum Dokument
...... contentType S 0..1 code MIME-Typ des Dokumenteninhalts
...... language S 0..1 code Verwendete Sprache in dem Dokument
...... data S 1..1 base64Binary Dokument als Binärdaten
...... url 0..0 Verweis auf den lokalen Ablageort des Dokumentes
...... creation S 0..1 dateTime Datum der Erstellung des Dokumentes
..... format S 0..1 Coding Komplexe Formatangabe
.... content:Verweis S 0..* BackboneElement Dokument als Verweis
..... attachment S 1..1 Attachment Zugang zum Dokument
...... contentType S 0..1 code MIME-Typ des Dokumenteninhalts
...... language S 0..1 code Verwendete Sprache in dem Dokument
...... data 0..0 Dokument als Binärdaten
...... url S 1..1 url Verweis auf den lokalen Ablageort des Dokumentes
...... creation S 0..1 dateTime Datum der Erstellung des Dokumentes
..... format S 0..1 Coding Komplexe Formatangabe
... context S 0..1 BackboneElement Erzeugungskontext des Dokumentes
.... encounter S 0..* Reference(Encounter | MII PR Fall Kontakt mit einer Gesundheitseinrichtung) Referenz zum FALL
.... event S 0..* CodeableConcept Handlungen oder Prozeduren
Binding: IHE XDS eventCodeList (required)
..... coding 1..* Coding Code defined by a terminology system
...... system S 1..1 uri Identity of the terminology system
...... code S 1..1 code Symbol in syntax defined by the system
.... period S 0..1 Period Durchführungszeitraum
.... facilityType S 0..1 CodeableConcept Art der Einrichtung
Binding: MII VS Dokument Einrichtungart (required)
..... coding 1..* Coding Code defined by a terminology system
...... system S 1..1 uri Identity of the terminology system
...... code S 1..1 code Symbol in syntax defined by the system
.... practiceSetting S 0..1 CodeableConcept Klinisches Fachgebiet
Binding: MII VS Dokument Fachgebiet (required)
..... coding 1..* Coding Code defined by a terminology system
...... system S 1..1 uri Identity of the terminology system
...... code S 1..1 code Symbol in syntax defined by the system

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DocumentReference.type.​coding:KDL Base required ValueSet Klinische Dokumentenklassen-Liste (Version 2025) 📦2025 dvmd.kdl.r4 v2025.0
DocumentReference.type.​coding:LNC Base required Document Type Value Set 📦4.0.1 FHIR Std.
DocumentReference.type.​coding:SCT Base required MII VS Dokument SCT Dokument Typ 📦2026.0.0-ballot This IG
DocumentReference.type.​coding:XDS Base required IHE XDS typeCode 📦2020-02-07T07:55:58 de.ihe-d.terminology v3.0
DocumentReference.category.​coding:LNC Base required Document Class Value Set 📦4.0.1 FHIR Std.
DocumentReference.category.​coding:SCT Base required MII VS Dokument SCT Dokument Kategorie 📦2026.0.0-ballot This IG
DocumentReference.category.​coding:XDS Base required IHE XDS classCode 📦2021-06-25T13:44:47 de.ihe-d.terminology v3.0
DocumentReference.content.​format Base preferred MII CS Dokument Format Code 📦2026.0.0-ballot This IG
DocumentReference.context.​event Base required IHE XDS eventCodeList 📦2021-07-06T21:19:41 de.ihe-d.terminology v3.0
DocumentReference.context.​facilityType Base required MII VS Dokument Einrichtungart 📦2026.0.0-ballot This IG
DocumentReference.context.​practiceSetting Base required MII VS Dokument Fachgebiet 📦2026.0.0-ballot This IG

Constraints

Id Grade Path(s) Description Expression
mii-iv-dokument-dokument-category warning DocumentReference.category Empfehlung: Eine Kodierungen aus XDS SOLLTE in `category` vorhanden sein coding.where(system = 'http://ihe-d.de/CodeSystems/IHEXDSclassCode').exists()
mii-iv-dokument-dokument-type warning DocumentReference.type Empfehlung: Mindestens eine Kodierungen aus KDL oder XDS SOLLTE in `type` vorhanden sein coding.where(system = 'http://dvmd.de/fhir/CodeSystem/kdl').exists() or coding.where(system = 'http://ihe-d.de/CodeSystems/IHEXDStypeCode').exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference 0..* DocumentReference A reference to a document
... id Σ 0..1 id Logical id of this artifact
... meta SΣ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (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
... 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
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:nlp-processing-status S 0..1 CodeableConcept NLP Processing Status
URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-dokument/StructureDefinition/mii-ex-dokument-nlp-processing-status
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... masterIdentifier SΣ 0..1 Identifier Versionsspezifische OID des Dokuments
... identifier SΣ 0..* Identifier Weitere Dokumente assoziierte Identifikatoren
... status ?!SΣ 1..1 code Zustand des Dokumentenmetadatensatzes
Binding: DocumentReferenceStatus (required): The status of the document reference.
... docStatus SΣ 0..1 code Bearbeitungsstatus des Dokumentes
Binding: CompositionStatus (required): Status of the underlying document.
... type SΣC 0..1 CodeableConcept Charakterisierung der Dokumentart im Detail
Binding: DocumentTypeValueSet (preferred): Precise type of clinical document.
Constraints: mii-iv-dokument-dokument-type
.... id 0..1 string Unique id for inter-element referencing
.... extension 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 value:system
..... coding:All Slices Content/Rules for all slices
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:KDL SΣ 0..1 Coding Code defined by a terminology system
Binding: ValueSet Klinische Dokumentenklassen-Liste (Version 2025) (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://dvmd.de/fhir/CodeSystem/kdl
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:LNC SΣ 0..1 Coding Code defined by a terminology system
Binding: DocumentTypeValueSet (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:SCT SΣ 0..1 Coding Code defined by a terminology system
Binding: MII VS Dokument SCT Dokument Typ (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:XDS SΣ 0..1 Coding Code defined by a terminology system
Binding: IHE XDS typeCode (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://ihe-d.de/CodeSystems/IHEXDStypeCode
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... category SΣC 0..* CodeableConcept Charakterisierung der Dokumentenart in Übersicht
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
Constraints: mii-iv-dokument-dokument-category
.... id 0..1 string Unique id for inter-element referencing
.... extension 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 value:system
..... coding:All Slices Content/Rules for all slices
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:LNC SΣ 0..1 Coding Code defined by a terminology system
Binding: DocumentClassValueSet (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:SCT SΣ 0..1 Coding Code defined by a terminology system
Binding: MII VS Dokument SCT Dokument Kategorie (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:XDS SΣ 0..1 Coding Code defined by a terminology system
Binding: IHE XDS classCode (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://ihe-d.de/CodeSystems/IHEXDSclassCode
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... subject SΣ 0..1 Reference(Patient | MII PR Person Patient | MII PR Person Patient (Pseudonymisiert)) Referenz auf den Patient des Dokumentes
... date Σ 0..1 instant When this document reference was created
... author 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
... custodian 0..1 Reference(Organization) Organization which maintains the document
... relatesTo SΣ 0..* BackboneElement Beziehung des Dokuments
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code SΣ 1..1 code Beziehung zu anderem Dokument
Binding: DocumentRelationshipType (required): The type of relationship between documents.
.... target SΣ 1..1 Reference(DocumentReference) Referenz auf DocumentReference
... description SΣ 0..1 string Beschreibung des Inhalts des Dokumentes
... securityLabel SΣ 0..* CodeableConcept Status über den Sicherheitsbedarf des Dokuments
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
... Slices for content SΣ 1..* BackboneElement Inhalt des Dokuments
Slice: Unordered, Open by exists:attachment.url
.... content:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... attachment SΣ 1..1 Attachment Zugang zum Dokument
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... contentType SΣ 0..1 code MIME-Typ des Dokumenteninhalts
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Example General: text/plain; charset=UTF-8, image/png
...... language SΣ 0..1 code Verwendete Sprache in dem Dokument
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding

Example General: en-AU
...... data 0..1 base64Binary Dokument als Binärdaten
...... url Σ 0..1 url Verweis auf den lokalen Ablageort des Dokumentes
Example General: http://www.acme.com/logo-small.png
...... size Σ 0..1 unsignedInt Number of bytes of content (if url provided)
...... hash Σ 0..1 base64Binary Hash of the data (sha-1, base64ed)
...... title Σ 0..1 string Label to display in place of the data
Example General: Official Corporate Logo
...... creation SΣ 0..1 dateTime Datum der Erstellung des Dokumentes
..... format SΣ 0..1 Coding Komplexe Formatangabe
Binding: MII CS Dokument Format Code (preferred)
.... content:Binärdaten SΣ 0..* BackboneElement Dokument als Binärdaten
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... attachment SΣ 1..1 Attachment Zugang zum Dokument
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... contentType SΣ 0..1 code MIME-Typ des Dokumenteninhalts
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Example General: text/plain; charset=UTF-8, image/png
...... language SΣ 0..1 code Verwendete Sprache in dem Dokument
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding

Example General: en-AU
...... data S 1..1 base64Binary Dokument als Binärdaten
...... size Σ 0..1 unsignedInt Number of bytes of content (if url provided)
...... hash Σ 0..1 base64Binary Hash of the data (sha-1, base64ed)
...... title Σ 0..1 string Label to display in place of the data
Example General: Official Corporate Logo
...... creation SΣ 0..1 dateTime Datum der Erstellung des Dokumentes
..... format SΣ 0..1 Coding Komplexe Formatangabe
Binding: MII CS Dokument Format Code (preferred)
.... content:Verweis SΣ 0..* BackboneElement Dokument als Verweis
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... attachment SΣ 1..1 Attachment Zugang zum Dokument
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... contentType SΣ 0..1 code MIME-Typ des Dokumenteninhalts
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Example General: text/plain; charset=UTF-8, image/png
...... language SΣ 0..1 code Verwendete Sprache in dem Dokument
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding

Example General: en-AU
...... url SΣ 1..1 url Verweis auf den lokalen Ablageort des Dokumentes
Example General: http://www.acme.com/logo-small.png
...... size Σ 0..1 unsignedInt Number of bytes of content (if url provided)
...... hash Σ 0..1 base64Binary Hash of the data (sha-1, base64ed)
...... title Σ 0..1 string Label to display in place of the data
Example General: Official Corporate Logo
...... creation SΣ 0..1 dateTime Datum der Erstellung des Dokumentes
..... format SΣ 0..1 Coding Komplexe Formatangabe
Binding: MII CS Dokument Format Code (preferred)
... context SΣ 0..1 BackboneElement Erzeugungskontext des Dokumentes
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... encounter S 0..* Reference(Encounter | MII PR Fall Kontakt mit einer Gesundheitseinrichtung) Referenz zum FALL
.... event S 0..* CodeableConcept Handlungen oder Prozeduren
Binding: IHE XDS eventCodeList (required)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 1..* Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... period SΣ 0..1 Period Durchführungszeitraum
.... facilityType S 0..1 CodeableConcept Art der Einrichtung
Binding: MII VS Dokument Einrichtungart (required)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 1..* Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... practiceSetting S 0..1 CodeableConcept Klinisches Fachgebiet
Binding: MII VS Dokument Fachgebiet (required)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 1..* Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... sourcePatientInfo 0..1 Reference(Patient) Patient demographics from source
.... related 0..* Reference(Resource) Related identifiers or resources

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DocumentReference.meta.​security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
DocumentReference.meta.​tag Base example Common Tags 📍4.0.1 FHIR Std.
DocumentReference.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DocumentReference.status Base required DocumentReferenceStatus 📍4.0.1 FHIR Std.
DocumentReference.docStatus Base required CompositionStatus 📍4.0.1 FHIR Std.
DocumentReference.type Base preferred Document Type Value Set 📍4.0.1 FHIR Std.
DocumentReference.type.​coding:KDL Base required ValueSet Klinische Dokumentenklassen-Liste (Version 2025) 📦2025 dvmd.kdl.r4 v2025.0
DocumentReference.type.​coding:LNC Base required Document Type Value Set 📦4.0.1 FHIR Std.
DocumentReference.type.​coding:SCT Base required MII VS Dokument SCT Dokument Typ 📦2026.0.0-ballot This IG
DocumentReference.type.​coding:XDS Base required IHE XDS typeCode 📦2020-02-07T07:55:58 de.ihe-d.terminology v3.0
DocumentReference.category Base example Document Class Value Set 📍4.0.1 FHIR Std.
DocumentReference.category.​coding:LNC Base required Document Class Value Set 📦4.0.1 FHIR Std.
DocumentReference.category.​coding:SCT Base required MII VS Dokument SCT Dokument Kategorie 📦2026.0.0-ballot This IG
DocumentReference.category.​coding:XDS Base required IHE XDS classCode 📦2021-06-25T13:44:47 de.ihe-d.terminology v3.0
DocumentReference.relatesTo.​code Base required DocumentRelationshipType 📍4.0.1 FHIR Std.
DocumentReference.securityLabel Base extensible SecurityLabels 📍4.0.1 FHIR Std.
DocumentReference.content.​attachment.contentType Base required MimeType 📍4.0.1 FHIR Std.
DocumentReference.content.​attachment.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DocumentReference.content.​format Base preferred MII CS Dokument Format Code 📦2026.0.0-ballot This IG
DocumentReference.content:Binärdaten.​attachment.contentType Base required MimeType 📍4.0.1 FHIR Std.
DocumentReference.content:Binärdaten.​attachment.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DocumentReference.content:Binärdaten.​format Base preferred MII CS Dokument Format Code 📦2026.0.0-ballot This IG
DocumentReference.content:Verweis.​attachment.contentType Base required MimeType 📍4.0.1 FHIR Std.
DocumentReference.content:Verweis.​attachment.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DocumentReference.content:Verweis.​format Base preferred MII CS Dokument Format Code 📦2026.0.0-ballot This IG
DocumentReference.context.​event Base required IHE XDS eventCodeList 📦2021-07-06T21:19:41 de.ihe-d.terminology v3.0
DocumentReference.context.​facilityType Base required MII VS Dokument Einrichtungart 📦2026.0.0-ballot This IG
DocumentReference.context.​practiceSetting Base required MII VS Dokument Fachgebiet 📦2026.0.0-ballot This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error DocumentReference If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DocumentReference If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error DocumentReference If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error DocumentReference If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DocumentReference A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
mii-iv-dokument-dokument-category warning DocumentReference.category Empfehlung: Eine Kodierungen aus XDS SOLLTE in `category` vorhanden sein coding.where(system = 'http://ihe-d.de/CodeSystems/IHEXDSclassCode').exists()
mii-iv-dokument-dokument-type warning DocumentReference.type Empfehlung: Mindestens eine Kodierungen aus KDL oder XDS SOLLTE in `type` vorhanden sein coding.where(system = 'http://dvmd.de/fhir/CodeSystem/kdl').exists() or coding.where(system = 'http://ihe-d.de/CodeSystems/IHEXDStypeCode').exists()

This structure is derived from DocumentReference

Summary

Mandatory: 0 element(17 nested mandatory elements)
Must-Support: 58 elements
Fixed: 7 elements
Prohibited: 2 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of DocumentReference.type.coding
  • The element 1 is sliced based on the value of DocumentReference.category.coding
  • The element 1 is sliced based on the value of DocumentReference.content

 

Other representations of profile: CSV, Excel, Schematron