MII IG Dokument DE v2025

Datensätze inkl. Beschreibungen

Die offiziell beschlossene Version des Informationsmodells befinden sich auf ART DECOR. Zur Vereinheitlichung der Repräsentation wurde das Informationsmodell zusätzlich als FHIR Logical Model abgebildet:

MII_LM_Dokument (mii-lm-dokument)			Element	Element id mii-lm-dokument Short description MII LM Dokument Definition MII Logical Model Erweiterungsmodul Dokument Data type Element Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
id		0..1	string	There are no (further) constraints on this element Element id mii-lm-dokument.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id mii-lm-dokument.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
Dokument		1..1	BackboneElement	Element id mii-lm-dokument.Dokument Short description Dokument Definition Klinisches Dokument inkl. Metadaten, Inhalt, Erzeugungskontext und Beziehungen Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a mii-map-dokument: DocumentReference
id		0..1	string	There are no (further) constraints on this element Element id mii-lm-dokument.Dokument.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id mii-lm-dokument.Dokument.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
modifierExtension	Σ ?! I	0..*	Extension	There are no (further) constraints on this element Element id mii-lm-dokument.Dokument.modifierExtension Short description Extensions that cannot be ignored even if unrecognized Alternate names extensions, user content, modifiers Definition May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: N/A
Masteridentifikator		0..1	Identifier	Element id mii-lm-dokument.Dokument.Masteridentifikator Short description Versionsspezifische Kennung Definition Versionsspezifische eindeutige Kennung, die dem Dokument durch die Dokumentenquelle zugewiesen wurde Data type Identifier Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CX / EI (occasionally, more often EI maps to a resource id or a URL) rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd: Identifier mii-map-dokument: DocumentReference.masterIdentifier
Businessidentifikator		0..1	Identifier	Element id mii-lm-dokument.Dokument.Businessidentifikator Short description Versionsunabhängige Kennung Definition Andere versionsunabhängige Kennung, die dem Dokument (z.B. durch weitere dokumentenverarbeitende Systeme) zugewiesen wurde Data type Identifier Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CX / EI (occasionally, more often EI maps to a resource id or a URL) rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd: Identifier mii-map-dokument: DocumentReference.identifier
Dokumentenreferenzstatus		1..1	code	Element id mii-lm-dokument.Dokument.Dokumentenreferenzstatus Short description Status der Dokumentenreferenz Definition Status dieser Dokumentenreferenz (aktuell, überholt oder irrtümlich eingegeben) Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings mii-map-dokument: DocumentReference.status
Dokumentenstatus		0..1	code	Element id mii-lm-dokument.Dokument.Dokumentenstatus Short description Status des Dokuments Definition Status des zugrunde liegenden Dokuments (vorläufig, final, geändert oder irrtümlich eingegeben) Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings mii-map-dokument: DocumentReference.docStatus
Dokumententyp		0..1	code	Element id mii-lm-dokument.Dokument.Dokumententyp Short description Art des Dokuments Definition Art des Dokuments auf das verwiesen wird (z.B. Anamnese und Untersuchung, Entlassungsbericht, Verlaufsbericht) Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings mii-map-dokument: DocumentReference.type
Dokumentenkategorie		0..*	code	Element id mii-lm-dokument.Dokument.Dokumentenkategorie Short description Kategorien des Dokuments Definition Übergeordnete Kategorie des Dokuments auf das verwiesen wird (z.B. Arztberichte oder Arztdokumentation) Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings mii-map-dokument: DocumentReference.category
Patient		0..1	Identifier	Element id mii-lm-dokument.Dokument.Patient Short description Verweis auf Patient Definition Patient auf den sich das verwiesene Dokument bezieht Data type Identifier Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CX / EI (occasionally, more often EI maps to a resource id or a URL) rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd: Identifier mii-map-dokument: DocumentReference.subject
Beschreibung		0..1	string	Element id mii-lm-dokument.Dokument.Beschreibung Short description Beschreibung des Dokuments Definition Menschenlesbare Beschreibung zum verwiesenen Dokuments Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings mii-map-dokument: DocumentReference.description
Sicherheitsstufe		0..*	code	Element id mii-lm-dokument.Dokument.Sicherheitsstufe Short description Vertraulichkeit des Dokuments Definition Grad der Vertraulichkeit/Sicherheit des verwiesenen Dokuments (z. B. uneingeschränkt, gering, mittel, normal oder eingeschränkt) Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings mii-map-dokument: DocumentReference.securityLabel
Dokumentenbeziehung		0..*	BackboneElement	Element id mii-lm-dokument.Dokument.Dokumentenbeziehung Short description Beziehung des Dokuments Definition Beziehungen des verwiesenen Dokuments zu anderen Dokumenten Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a mii-map-dokument: DocumentReference.relatesTo
id		0..1	string	There are no (further) constraints on this element Element id mii-lm-dokument.Dokument.Dokumentenbeziehung.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id mii-lm-dokument.Dokument.Dokumentenbeziehung.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
modifierExtension	Σ ?! I	0..*	Extension	There are no (further) constraints on this element Element id mii-lm-dokument.Dokument.Dokumentenbeziehung.modifierExtension Short description Extensions that cannot be ignored even if unrecognized Alternate names extensions, user content, modifiers Definition May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: N/A
Beziehungstyp		1..1	code	Element id mii-lm-dokument.Dokument.Dokumentenbeziehung.Beziehungstyp Short description Art der Beziehung Definition Beziehung zu anderen Dokumenten Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings mii-map-dokument: DocumentReference.relatesTo.code
Beziehungsreferenz		1..1	Identifier	Element id mii-lm-dokument.Dokument.Dokumentenbeziehung.Beziehungsreferenz Short description Verweis auf Dokument Definition Ziel der Dokumentenbeziehung Data type Identifier Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CX / EI (occasionally, more often EI maps to a resource id or a URL) rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd: Identifier mii-map-dokument: DocumentReference.relatesTo.target
Anhang		1..*	BackboneElement	Element id mii-lm-dokument.Dokument.Anhang Short description Inhalt des Dokuments Definition Dokument (Base64-kodierte Daten) oder Verweis (URL) mit relevanten Metadaten zum Anhang Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a mii-map-dokument: DocumentReference.content
id		0..1	string	There are no (further) constraints on this element Element id mii-lm-dokument.Dokument.Anhang.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id mii-lm-dokument.Dokument.Anhang.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
modifierExtension	Σ ?! I	0..*	Extension	There are no (further) constraints on this element Element id mii-lm-dokument.Dokument.Anhang.modifierExtension Short description Extensions that cannot be ignored even if unrecognized Alternate names extensions, user content, modifiers Definition May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: N/A
Sprache		0..1	code	Element id mii-lm-dokument.Dokument.Anhang.Sprache Short description Verfassungssprache des Inhalts Definition Verwendete Sprache in dem Dokument Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings mii-map-dokument: DocumentReference.attachment.language
Erstellungsdatum		0..1	dateTime	Element id mii-lm-dokument.Dokument.Anhang.Erstellungsdatum Short description Erstellungsdatum des Inhalts Definition Datum der Erstellung des Dokumentes Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings mii-map-dokument: DocumentReference.attachment.creation
Daten		0..1	base64Binary	Element id mii-lm-dokument.Dokument.Anhang.Daten Short description Binärdaten zum Inhalt Definition Dokument als Binärdaten Comments A stream of bytes, base64 encoded Data type base64Binary Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings mii-map-dokument: DocumentReference.attachment.data
DokumentenUrl		0..1	string	Element id mii-lm-dokument.Dokument.Anhang.DokumentenUrl Short description URL zum Inhalt Definition Verweis auf den (lokalen) Ablageort des Dokuments Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings mii-map-dokument: DocumentReference.attachment.url
Dokumentenformat		0..1	code	Element id mii-lm-dokument.Dokument.Anhang.Dokumentenformat Short description MIME-Typ zum Inhalt Definition MIME-Typ des Dokumenteninhalts Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings mii-map-dokument: DocumentReference.attachment.contentType
Kontext		0..1	BackboneElement	Element id mii-lm-dokument.Dokument.Kontext Short description Erzeugungskontext des Dokuments Definition Klinischer Kontext, in welchem das Dokument erzeugt wurde Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a mii-map-dokument: DocumentReference.context
id		0..1	string	There are no (further) constraints on this element Element id mii-lm-dokument.Dokument.Kontext.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id mii-lm-dokument.Dokument.Kontext.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
modifierExtension	Σ ?! I	0..*	Extension	There are no (further) constraints on this element Element id mii-lm-dokument.Dokument.Kontext.modifierExtension Short description Extensions that cannot be ignored even if unrecognized Alternate names extensions, user content, modifiers Definition May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: N/A
Gesundheitseinrichtungskontakt		0..*	Identifier	Element id mii-lm-dokument.Dokument.Kontext.Gesundheitseinrichtungskontakt Short description Verweis auf Einrichtungskontakt Definition Kontakt zur Gesundheitseinrichtung oder die Art der Versorgung, die mit dem Dokumenteninhalt assoziiert ist Data type Identifier Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CX / EI (occasionally, more often EI maps to a resource id or a URL) rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd: Identifier mii-map-dokument: DocumentReference.context.encounter
Vorgang		0..*	code	Element id mii-lm-dokument.Dokument.Kontext.Vorgang Short description Dokumentierter Vorgang Definition Handlungen oder Prozeduren, die im Kontext dokumentiert wurden Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings mii-map-dokument: DocumentReference.context.event
Fachgebiet		0..1	code	Element id mii-lm-dokument.Dokument.Kontext.Fachgebiet Short description Klinisches Fachgebiet zum Vorgang Definition Klinisches Fachgebiet, in dem Dokumenteninhalt erstellt wurde Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings mii-map-dokument: DocumentReference.context.practiceSetting
Dokumentationszeitraum	I	0..1	Period	Element id mii-lm-dokument.Dokument.Kontext.Dokumentationszeitraum Short description Durchführungszeitraum zum Vorgang Definition Zeitraum, in dem die in dem Dokument beschriebene Handlung oder Prozedur durchgeführt wurde Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1: If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim: n/a v2: DR rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] mii-map-dokument: DocumentReference.context.period
Einrichtungsart		0..1	code	Element id mii-lm-dokument.Dokument.Kontext.Einrichtungsart Short description Art der Einrichtung zum Vorgang Definition Art der Einrichtung, in der die Handlung oder Prozedur am Patienten erfolgte Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings mii-map-dokument: DocumentReference.context.facilityType

Es ist zu beachten, dass das Logical Model rein auf die Abbildung der Datenelemente und deren Beschreibung abzielt. Verwendete Datentypen und Kardinalitäten sind nicht als verpflichtend anzusehen. Dies wird abschließend durch die FHIR-Profile festgelegt. Für jedes Element innerhalb des Logical Models existiert ein 1:1 Mapping auf ein Element einer konkreten FHIR Ressource.

Logischer Datensatz	Beschreibung
mii-lm-dokument	MII Logical Model Erweiterungsmodul Dokument
Dokument	Klinisches Dokument inkl. Metadaten, Inhalt, Erzeugungskontext und Beziehungen
Dokument. Masteridentifikator	Versionsspezifische eindeutige Kennung, die dem Dokument durch die Dokumentenquelle zugewiesen wurde
Dokument. Businessidentifikator	Andere versionsunabhängige Kennung, die dem Dokument (z.B. durch weitere dokumentenverarbeitende Systeme) zugewiesen wurde
Dokument. Dokumentenreferenzstatus	Status dieser Dokumentenreferenz (aktuell, überholt oder irrtümlich eingegeben)
Dokument. Dokumentenstatus	Status des zugrunde liegenden Dokuments (vorläufig, final, geändert oder irrtümlich eingegeben)
Dokument. Dokumententyp	Art des Dokuments auf das verwiesen wird (z.B. Anamnese und Untersuchung, Entlassungsbericht, Verlaufsbericht)
Dokument. Dokumentenkategorie	Übergeordnete Kategorie des Dokuments auf das verwiesen wird (z.B. Arztberichte oder Arztdokumentation)
Dokument. Patient	Patient auf den sich das verwiesene Dokument bezieht
Dokument. Beschreibung	Menschenlesbare Beschreibung zum verwiesenen Dokuments
Dokument. Sicherheitsstufe	Grad der Vertraulichkeit/Sicherheit des verwiesenen Dokuments (z. B. uneingeschränkt, gering, mittel, normal oder eingeschränkt)
Dokument. Dokumentenbeziehung	Beziehungen des verwiesenen Dokuments zu anderen Dokumenten
Dokument. Dokumentenbeziehung. Beziehungstyp	Beziehung zu anderen Dokumenten
Dokument. Dokumentenbeziehung. Beziehungsreferenz	Ziel der Dokumentenbeziehung
Dokument. Anhang	Dokument (Base64-kodierte Daten) oder Verweis (URL) mit relevanten Metadaten zum Anhang
Dokument. Anhang. Sprache	Verwendete Sprache in dem Dokument
Dokument. Anhang. Erstellungsdatum	Datum der Erstellung des Dokumentes
Dokument. Anhang. Daten	Dokument als Binärdaten
Dokument. Anhang. DokumentenUrl	Verweis auf den (lokalen) Ablageort des Dokuments
Dokument. Anhang. Dokumentenformat	MIME-Typ des Dokumenteninhalts
Dokument. Kontext	Klinischer Kontext, in welchem das Dokument erzeugt wurde
Dokument. Kontext. Gesundheitseinrichtungskontakt	Kontakt zur Gesundheitseinrichtung oder die Art der Versorgung, die mit dem Dokumenteninhalt assoziiert ist
Dokument. Kontext. Vorgang	Handlungen oder Prozeduren, die im Kontext dokumentiert wurden
Dokument. Kontext. Fachgebiet	Klinisches Fachgebiet, in dem Dokumenteninhalt erstellt wurde
Dokument. Kontext. Dokumentationszeitraum	Zeitraum, in dem die in dem Dokument beschriebene Handlung oder Prozedur durchgeführt wurde
Dokument. Kontext. Einrichtungsart	Art der Einrichtung, in der die Handlung oder Prozedur am Patienten erfolgte