Validation Results for ISiKDokumentenaustauschImplementationGuide

Generated Thu Apr 02 08:29:07 UTC 2026, FHIR version 4.0.1 for dokumentenaustausch#6.0.0-rc (canonical = https://gematik.de/fhir/isik (history)). See Full QA Report & IP

Quality Checks
Publisher Version:IG Publisher Version: v2.2.4
Publication Code:n/a . PackageId = dokumentenaustausch, Canonical = https://gematik.de/fhir/isik
Realm Check for n/a:
  • n/a
Language Info:This IG has no language information
Publication Request:
  • This IG has never been published
  • No publication request found
Supressed Messages:No Suppressed Issues
Dependency Checks:
PackageVersionFHIRCanonicalWeb BaseComment
.. dokumentenaustausch6.0.0-rcR4https://gematik.de/fhir/isik
... hl7.terminology.r47.1.0 MR4http://terminology.hl7.orghttp://terminology.hl7.org/7.1.0
.... hl7.fhir.uv.extensions.r45.2.0 MR4http://hl7.org/fhir/extensionshttp://hl7.org/fhir/extensions/5.2.0
... hl7.fhir.uv.extensions.r45.2.0 MR4http://hl7.org/fhir/extensionshttp://hl7.org/fhir/extensions/5.2.0 (as above)
... hl7.fhir.uv.ips1.1.0 OR4http://hl7.org/fhir/uv/ipshttp://hl7.org/fhir/uv/ips/STU1.1Latest Release is 2.0.0
.... hl7.terminology.r45.0.0 OR4http://terminology.hl7.orghttp://terminology.hl7.org/5.0.0Latest Release is 7.1.0
.... fhir.dicom2022.4.20221006 OR4http://fhir.org/packages/fhir.dicomhttp://fhir.org/packages/fhir.dicomLatest Release is 2025.3.20250714
.... hl7.terminology.r45.0.0 OR4http://terminology.hl7.orghttp://terminology.hl7.org/5.0.0 (as above). Latest Release is 7.1.0
... de.basisprofil.r41.5.4 UR4
... de.ihe-d.terminology3.0.1 UR4http://fhir.de/packages/de.ihe-d.terminologyhttp://fhir.de/packages/de.ihe-d.terminology
... dvmd.kdl.r42025.0.1 UR4
... ihe.formatcode.fhir1.4.0 OR4https://profiles.ihe.net/fhir/ihe.formatcode.fhirhttps://profiles.ihe.net/fhir/ihe.formatcode.fhir/1.4.0Latest Release is 1.5.0
.... hl7.terminology.r46.3.0 OR4http://terminology.hl7.orghttp://terminology.hl7.org/6.3.0Latest Release is 7.1.0
..... hl7.fhir.uv.extensions.r45.2.0 MR4http://hl7.org/fhir/extensionshttp://hl7.org/fhir/extensions/5.2.0 (as above)
.... hl7.fhir.uv.extensions.r45.2.0 MR4http://hl7.org/fhir/extensionshttp://hl7.org/fhir/extensions/5.2.0 (as above)
... hl7.fhir.uv.sdc3.0.0 OR4http://hl7.org/fhir/uv/sdchttp://hl7.org/fhir/uv/sdc/STU3Latest Release is 4.0.0
.... hl7.fhir.r4.examples4.0.1 OR4http://hl7.org/fhirhttp://hl7.org/fhir/R4Latest Release is 5.0.0
... de.gematik.terminology1.0.6 OR4https://gematik.de/fhir/terminologyhttps://gematik.de/fhir/terminology/1.0.6Latest Release is 1.0.9
.... hl7.terminology.r46.3.0 OR4http://terminology.hl7.orghttp://terminology.hl7.org/6.3.0 (as above). Latest Release is 7.1.0
.... hl7.fhir.uv.extensions.r45.2.0 MR4http://hl7.org/fhir/extensionshttp://hl7.org/fhir/extensions/5.2.0 (as above)
.... dvmd.kdl.r42025.0.0 UR4
... hl7.fhir.uv.tools.r41.1.2 MR4http://hl7.org/fhir/toolshttp://hl7.org/fhir/tools/1.1.2Internal Dependency
Templates: gematik.ig.template#0.0.1 -> fhir.base.template#0.8.1
Related IGs:n/a
Dependent IGs:no references
Global Profiles:(none declared)
Terminology Server(s):http://tx.fhir.org/r4, https://tx.fhir.org/r4 (details)
HTA Analysis:Non-HL7 Igs are exempt from terminology dependency analysis
R5 Dependencies:(none)
Draft Dependencies:
Modifier Extensions:(none)
Previous Version Comparison: Unable to compare with previous version: Unable to find version history at https://gematik.de/fhir/isik (Problem #1 with package-list.json at https://gematik.de/fhir/isik: Not Found)
IPA Comparison: n/a
IPS Comparison: n/a
Validation Flags: On: autoLoad; Off: hintAboutNonMustSupport, anyExtensionsAllowed, checkAggregation, showReferenceMessages, noExperimentalContent, displayWarnings
Summary: errors = 13, warn = 33, info = 7, broken links = 16, pinned = n/a.
FilenameErrorsWarningsHints
Build Errors16131
/__w/spec-ISiK-Basismodul/spec-ISiK-Basismodul/publisher-guides/Dokumentenaustausch/fsh-generated/resources/ImplementationGuide-dokumentenaustausch1100
/__w/spec-ISiK-Basismodul/spec-ISiK-Basismodul/publisher-guides/Dokumentenaustausch/input/resources/CapabilityStatement-ISiKCapabilityStatementDokumentenServerAkteur010
/__w/spec-ISiK-Basismodul/spec-ISiK-Basismodul/publisher-guides/Dokumentenaustausch/input/resources/CapabilityStatement-ISiKCapabilityStatementDokumentenServerAkteur-expanded030
/__w/spec-ISiK-Basismodul/spec-ISiK-Basismodul/publisher-guides/Dokumentenaustausch/input/resources/CapabilityStatement-ISiKCapabilityStatementDokumentenverwaltungRolle020
/__w/spec-ISiK-Basismodul/spec-ISiK-Basismodul/publisher-guides/Dokumentenaustausch/input/resources/CapabilityStatement-ISiKCapabilityStatementMetadatenErzeugenRolle020
/__w/spec-ISiK-Basismodul/spec-ISiK-Basismodul/publisher-guides/Dokumentenaustausch/input/resources/CapabilityStatement-ISiKCapabilityStatementMetadatenUpdateRolle010
/__w/spec-ISiK-Basismodul/spec-ISiK-Basismodul/publisher-guides/Dokumentenaustausch/input/resources/DocumentReference-dok-beispiel-client-with-binary-jpeg-example200
/__w/spec-ISiK-Basismodul/spec-ISiK-Basismodul/publisher-guides/Dokumentenaustausch/input/resources/DocumentReference-dok-beispiel-client-with-binary-jpeg-example-short200
/__w/spec-ISiK-Basismodul/spec-ISiK-Basismodul/publisher-guides/Dokumentenaustausch/input/resources/DocumentReference-dok-beispiel-client-with-binary-pdf-example200
/__w/spec-ISiK-Basismodul/spec-ISiK-Basismodul/publisher-guides/Dokumentenaustausch/input/resources/DocumentReference-dok-beispiel-client-with-binary-pdf-example-short200
/__w/spec-ISiK-Basismodul/spec-ISiK-Basismodul/publisher-guides/Dokumentenaustausch/input/resources/DocumentReference-dok-beispiel-server200
/__w/spec-ISiK-Basismodul/spec-ISiK-Basismodul/publisher-guides/Dokumentenaustausch/input/resources/StructureDefinition-ExtensionISiKCapabilityStatementImportsExpectation020
/__w/spec-ISiK-Basismodul/spec-ISiK-Basismodul/publisher-guides/Dokumentenaustausch/input/resources/StructureDefinition-ISiKBinary011

n/a Show Validation Information

ImplementationGuide​.definition​.parameter[24]​.valueerrorSupressed messages file not found
ImplementationGuide/dokumentenaustauscherrorThis IG is version 4.0.1, while the IG 'hl7.fhir.uv.subscriptions-backport.r4' is from version 4.0.0
ImplementationGuide.dependency[5].urlwarningThe canonical URL for an Implementation Guide must point directly to the implementation guide resource, not to the Implementation Guide as a whole
warningUnable to find ImplementationGuide.definition.resource.description for the resource DocumentReference/dok-beispiel-client-with-binary-jpeg-example. Descriptions are strongly encouraged if they cannot be inferred from the resource to allow proper population of the artifact list.
warningUnable to find ImplementationGuide.definition.resource.description for the resource DocumentReference/dok-beispiel-client-with-binary-jpeg-example-short. Descriptions are strongly encouraged if they cannot be inferred from the resource to allow proper population of the artifact list.
warningUnable to find ImplementationGuide.definition.resource.description for the resource DocumentReference/dok-beispiel-client-with-binary-pdf-example. Descriptions are strongly encouraged if they cannot be inferred from the resource to allow proper population of the artifact list.
warningUnable to find ImplementationGuide.definition.resource.description for the resource DocumentReference/dok-beispiel-client-with-binary-pdf-example-short. Descriptions are strongly encouraged if they cannot be inferred from the resource to allow proper population of the artifact list.
warningUnable to find ImplementationGuide.definition.resource.description for the resource DocumentReference/dok-beispiel-server. Descriptions are strongly encouraged if they cannot be inferred from the resource to allow proper population of the artifact list.
output/Abgrenzung-Basis.htmlinformationThe html source does not contain the publish box; this is recommended for publishing support (see note at https://confluence.hl7.org/spaces/FHIR/pages/66930646/FHIR+Implementation+Guide+Publishing+Requirements#FHIRImplementationGuidePublishingRequirements-PublishBox). Note that this is mandatory for HL7 specifications, and on the ci-build, but in other cases it's still recommended (this is only reported once, but applies for all pages)
CapabilityStatement-ISiKCapabilityStatementDokumentenServerAkteur-expanded​.html​#​/html​/body​/div​/div​/div​/div​/div​/p​/p​/a at Line 291, column 11warningThe link 'https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKCapabilityStatementImportsExpectation' for "CapabilityStatement-Imports-Expectation-Extension" is a canonical link and is therefore unsafe with regard to versions HTML_LINK_VERSIONLESS_CANONICAL
CapabilityStatement-ISiKCapabilityStatementDokumentenServerAkteur​.html​#​/html​/body​/div​/div​/div​/div​/div​/p​/p​/a at Line 291, column 11warningThe link 'https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKCapabilityStatementImportsExpectation' for "CapabilityStatement-Imports-Expectation-Extension" is a canonical link and is therefore unsafe with regard to versions HTML_LINK_VERSIONLESS_CANONICAL
StructureDefinition-ISiKDokumentenMetadaten-definitions​.html​#​/html​/body​/div​/div​/div​/div​/div​/div​/div​/table​/tr​/td​/p​/a at Line 503, column 62errorThe link 'https://gematik.de/fhir/isik/StructureDefinition/ISiKPatient' for "ISiKPatient" cannot be resolved HTML_LINK_CHECK_FAILED
StructureDefinition-ISiKDokumentenMetadaten-definitions​.html​#​/html​/body​/div​/div​/div​/div​/div​/div​/div​/table​/tr​/td​/p​/a at Line 632, column 100errorThe link 'https://gematik.de/fhir/isik/v3/Basismodul/StructureDefinition/ISiKBinary' for "ISIKBinary" cannot be resolved HTML_LINK_CHECK_FAILED
StructureDefinition-ISiKDokumentenMetadaten-definitions​.html​#​/html​/body​/div​/div​/div​/div​/div​/div​/div​/table​/tr​/td​/p​/a at Line 679, column 62errorThe link 'https://gematik.de/fhir/isik/StructureDefinition/ISiKKontaktGesundheitseinrichtung' for "ISiKKontaktGesundheitseinrichtung" cannot be resolved HTML_LINK_CHECK_FAILED
StructureDefinition-ISiKDokumentenMetadaten-definitions​.html​#​/html​/body​/div​/div​/div​/div​/div​/div​/div​/table​/tr​/td​/p​/a at Line 828, column 62errorThe link 'https://gematik.de/fhir/isik/StructureDefinition/ISiKPatient' for "ISiKPatient" cannot be resolved HTML_LINK_CHECK_FAILED
StructureDefinition-ISiKDokumentenMetadaten-definitions​.html​#​/html​/body​/div​/div​/div​/div​/div​/div​/div​/table​/tr​/td​/p​/a at Line 897, column 124errorThe link 'https://gematik.de/fhir/isik/v3/Basismodul/StructureDefinition/ISiKBinary' for "ISIKBinary" cannot be resolved HTML_LINK_CHECK_FAILED
StructureDefinition-ISiKDokumentenMetadaten-definitions​.html​#​/html​/body​/div​/div​/div​/div​/div​/div​/div​/table​/tr​/td​/p​/a at Line 926, column 62errorThe link 'https://gematik.de/fhir/isik/StructureDefinition/ISiKKontaktGesundheitseinrichtung' for "ISiKKontaktGesundheitseinrichtung" cannot be resolved HTML_LINK_CHECK_FAILED
StructureDefinition-ISiKDokumentenMetadaten-definitions​.html​#​/html​/body​/div​/div​/div​/div​/div​/div​/div​/table​/tr​/td​/p​/a at Line 1309, column 62errorThe link 'https://gematik.de/fhir/isik/StructureDefinition/ISiKPatient' for "ISiKPatient" cannot be resolved HTML_LINK_CHECK_FAILED
StructureDefinition-ISiKDokumentenMetadaten-definitions​.html​#​/html​/body​/div​/div​/div​/div​/div​/div​/div​/table​/tr​/td​/p​/a at Line 1512, column 124errorThe link 'https://gematik.de/fhir/isik/v3/Basismodul/StructureDefinition/ISiKBinary' for "ISIKBinary" cannot be resolved HTML_LINK_CHECK_FAILED
StructureDefinition-ISiKDokumentenMetadaten-definitions​.html​#​/html​/body​/div​/div​/div​/div​/div​/div​/div​/table​/tr​/td​/p​/a at Line 1581, column 62errorThe link 'https://gematik.de/fhir/isik/StructureDefinition/ISiKKontaktGesundheitseinrichtung' for "ISiKKontaktGesundheitseinrichtung" cannot be resolved HTML_LINK_CHECK_FAILED
output​/StructureDefinition-ISiKDokumentenMetadaten-mappings​.htmlwarningThe html source has duplicate anchor Ids: DocumentReference,DocumentReference.authenticator,DocumentReference.author,DocumentReference.author.display,DocumentReference.author.extension,DocumentReference.author.id,DocumentReference.author.identifier,DocumentReference.author.reference,DocumentReference.author.type,DocumentReference.category,DocumentReference.category.coding,DocumentReference.category.coding.2,DocumentReference.category.coding.code,DocumentReference.category.coding.display,DocumentReference.category.coding.extension,DocumentReference.category.coding.id,DocumentReference.category.coding.system,DocumentReference.category.coding.userSelected,DocumentReference.category.coding.version,DocumentReference.category.extension,DocumentReference.category.id,DocumentReference.category.text,DocumentReference.contained,DocumentReference.content,DocumentReference.content.attachment,DocumentReference.content.attachment.contentType,DocumentReference.content.attachment.creation,DocumentReference.content.attachment.data,DocumentReference.content.attachment.extension,DocumentReference.content.attachment.hash,DocumentReference.content.attachment.id,DocumentReference.content.attachment.language,DocumentReference.content.attachment.size,DocumentReference.content.attachment.title,DocumentReference.content.attachment.url,DocumentReference.content.extension,DocumentReference.content.format,DocumentReference.content.id,DocumentReference.content.modifierExtension,DocumentReference.context,DocumentReference.context.encounter,DocumentReference.context.encounter.display,DocumentReference.context.encounter.extension,DocumentReference.context.encounter.id,DocumentReference.context.encounter.identifier,DocumentReference.context.encounter.reference,DocumentReference.context.encounter.type,DocumentReference.context.event,DocumentReference.context.event.coding,DocumentReference.context.event.coding.code,DocumentReference.context.event.coding.display,DocumentReference.context.event.coding.extension,DocumentReference.context.event.coding.id,DocumentReference.context.event.coding.system,DocumentReference.context.event.coding.userSelected,DocumentReference.context.event.coding.version,DocumentReference.context.event.extension,DocumentReference.context.event.id,DocumentReference.context.event.text,DocumentReference.context.extension,DocumentReference.context.facilityType,DocumentReference.context.id,DocumentReference.context.modifierExtension,DocumentReference.context.period,DocumentReference.context.practiceSetting,DocumentReference.context.related,DocumentReference.context.sourcePatientInfo,DocumentReference.custodian,DocumentReference.date,DocumentReference.description,DocumentReference.docStatus,DocumentReference.extension,DocumentReference.id,DocumentReference.identifier,DocumentReference.identifier.assigner,DocumentReference.identifier.extension,DocumentReference.identifier.id,DocumentReference.identifier.period,DocumentReference.identifier.system,DocumentReference.identifier.type,DocumentReference.identifier.use,DocumentReference.identifier.value,DocumentReference.implicitRules,DocumentReference.language,DocumentReference.masterIdentifier,DocumentReference.masterIdentifier.assigner,DocumentReference.masterIdentifier.extension,DocumentReference.masterIdentifier.id,DocumentReference.masterIdentifier.period,DocumentReference.masterIdentifier.system,DocumentReference.masterIdentifier.type,DocumentReference.masterIdentifier.use,DocumentReference.masterIdentifier.value,DocumentReference.meta,DocumentReference.meta.extension,DocumentReference.meta.id,DocumentReference.meta.lastUpdated,DocumentReference.meta.profile,DocumentReference.meta.security,DocumentReference.meta.source,DocumentReference.meta.tag,DocumentReference.meta.versionId,DocumentReference.modifierExtension,DocumentReference.relatesTo,DocumentReference.relatesTo.code,DocumentReference.relatesTo.extension,DocumentReference.relatesTo.id,DocumentReference.relatesTo.modifierExtension,DocumentReference.relatesTo.target,DocumentReference.securityLabel,DocumentReference.status,DocumentReference.subject,DocumentReference.subject.display,DocumentReference.subject.extension,DocumentReference.subject.id,DocumentReference.subject.identifier,DocumentReference.subject.identifier.assigner,DocumentReference.subject.identifier.extension,DocumentReference.subject.identifier.id,DocumentReference.subject.identifier.period,DocumentReference.subject.identifier.system,DocumentReference.subject.identifier.type,DocumentReference.subject.identifier.use,DocumentReference.subject.identifier.value,DocumentReference.subject.reference,DocumentReference.subject.type,DocumentReference.text,DocumentReference.type,DocumentReference.type.coding,DocumentReference.type.coding.2,DocumentReference.type.coding.3,DocumentReference.type.coding.code,DocumentReference.type.coding.code.2,DocumentReference.type.coding.display,DocumentReference.type.coding.display.2,DocumentReference.type.coding.extension,DocumentReference.type.coding.extension.2,DocumentReference.type.coding.id,DocumentReference.type.coding.id.2,DocumentReference.type.coding.system,DocumentReference.type.coding.system.2,DocumentReference.type.coding.userSelected,DocumentReference.type.coding.userSelected.2,DocumentReference.type.coding.version,DocumentReference.type.coding.version.2,DocumentReference.type.extension,DocumentReference.type.id,DocumentReference.type.text
StructureDefinition-ISiKDokumentenMetadaten​.html​#​/html​/body​/div​/div​/div​/div​/div​/p​/ul​/li​/a at Line 336, column 311errorThe link 'Interaktion-Dokumentenbereitstellung.md.html' for "Dokumentenbereitstellung" cannot be resolved HTML_LINK_CHECK_FAILED
StructureDefinition-ISiKDokumentenMetadaten​.html​#​/html​/body​/div​/div​/div​/div​/div​/div​/div​/div​/div​/table​/tbody​/tr​/td​/p​/a at Line 3299, column 100errorThe link 'https://gematik.de/fhir/isik/v3/Basismodul/StructureDefinition/ISiKBinary' for "ISIKBinary" cannot be resolved HTML_LINK_CHECK_FAILED
StructureDefinition-ISiKDokumentenMetadaten​.html​#​/html​/body​/div​/div​/div​/div​/div​/div​/div​/div​/div​/table​/tbody​/tr​/td​/p​/a at Line 3336, column 62errorThe link 'https://gematik.de/fhir/isik/StructureDefinition/ISiKKontaktGesundheitseinrichtung' for "ISiKKontaktGesundheitseinrichtung" cannot be resolved HTML_LINK_CHECK_FAILED
StructureDefinition-ISiKDokumentenMetadaten​.html​#​/html​/body​/div​/div​/div​/div​/div​/div​/div​/div​/div​/table​/tbody​/tr​/td​/p​/a at Line 3483, column 62errorThe link 'https://gematik.de/fhir/isik/StructureDefinition/ISiKPatient' for "ISiKPatient" cannot be resolved HTML_LINK_CHECK_FAILED
artifacts​.html​#​/html​/body​/div​/div​/div​/div​/div​/table​/tbody​/tr​/td​/ul​/li​/a at Line 1239, column 311errorThe link 'Interaktion-Dokumentenbereitstellung.md.html' for "Dokumentenbereitstellung" cannot be resolved HTML_LINK_CHECK_FAILED
1warningThe HTML fragment 'ip-statements.xhtml' is not included anywhere in the produced implementation guide
2warningAn HTML fragment from the set [cross-version-analysis.xhtml, cross-version-analysis-inline.xhtml] is not included anywhere in the produced implementation guide
3warningAn HTML fragment from the set [dependency-table.xhtml, dependency-table-short.xhtml, dependency-table-nontech.xhtml] is not included anywhere in the produced implementation guide
4warningThe HTML fragment 'globals-table.xhtml' is not included anywhere in the produced implementation guide

fsh-generated/resources/ImplementationGuide-dokumentenaustausch.json Show Validation Information (1)

PathSeverityMessageValidating
ImplementationGuide​.dependsOn[4]​.uri (l1​/c2448)warningA definition could not be found for Canonical URL 'http://fhir.org/packages/de.basisprofil.r4/ImplementationGuide/de.basisprofil.r4' TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVEImplementationGuide
ImplementationGuide​.dependsOn[6]​.uri (l1​/c2732)warningA definition could not be found for Canonical URL 'http://fhir.org/packages/dvmd.kdl.r4/ImplementationGuide/dvmd.kdl.r4' TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVEImplementationGuide
ImplementationGuide​.definition​.resource[14]​.description (l1​/c28648)warningvalue should not start or finish with whitespace '\n## Interaktion: Update von Metadaten, Löschen von Dokumenten\n\nDie Operation ``UpdateMetadata`` ermöglicht es, unkritische Metadaten gezielt und kontrolliert zu aktualisieren oder vorläufige Dokumente durch Setzen des Status entered-in-error zuverlässig zu löschen, ohne ein neues Dokument anlegen zu müssen.\n\n**Herstellung von Dokumentenkontext**\n\nDer Client muss zunächst die URL der DocumentReference ermitteln, auf die das Update angewendet werden soll. Hierzu kann die Interaktion [Dokumentenabfrage](Dokumentenabfrage.html) verwendet werden.\n\n**Metadatenupdate**\n\nDas Update der Metadaten erfolgt mittels der `$update-metadata` Operation.\nHinweis: Der zum Zeitpunkt der Erstellung dieser Spezifikation vorliegende IHE-MHD-Implementierungsleitfaden sieht kein Metadatenupdate vor. Hier müsste stets ein neues Dokument übermittelt werden.\n\nFür den ISiK Use Case als maßgeblich relevant und unkritisch in Bezug auf die Versionierung hat sich jedoch das Element `docStatus`erwiesen, welches im IHE-Kontext keine Berücksichtigung findet. Im einrichtungsinternen Dokumentenaustausch kommt es häufig vor, dass sich der Status eines Dokumentes ändert (z.b. `preliminary` -> `final`), ohne dass dies Auswirkungen auf den Inhalt hat. Die Anlage eines neuen Dokumentes wäre in diesem Kontext nicht effizient.\n\nEbenso erlaubt diese Operation, vorläufige Dokumente durch ein Update von docStatus zu *löschen* (`preliminary` -> `entered-in-error` ). \n\nWenn Dokumenten-Server $update-metadata unterstützen, dann MÜSSEN Dokumenten-Server das *Löschen* von vorläufigen Dokumenten unterstützen, d.h. dann MÜSSEN Server bei einem Update auf den Status `entered-in-error` auch den Code in `DocumentReference.status` auf `entered-in-error` setzen und dafür Sorge tragen, dass diese Dokumente bei Suchanfragen nicht mehr als Ergebnisse zurückgegeben werden (siehe [Search Related Safety Checks](https://hl7.org/fhir/R4/safety.html)), es sei denn der Client sucht *explizit* nach gelöschten Dokumenten (z.B. `/DocumentReference?status=entered-in-error`). \n\nSobald ein Dokument den Status `final` erreicht hat, MUSS ein Server die Änderungen von Metadaten NICHT mehr zulassen (d.h. ein Server KANN in diesem Fall die Löschung finaler Dokumente erlauben, MUSS es aber nicht. Der Server KANN in diesem Fall auch eine Fehlermeldung ausgeben).\n\nFinale Dokumente SOLLEN nur noch mit MHD-konformen Methoden aktualisiert bzw. gelöscht werden, indem sie durch eine neue bzw. leere Version ersetzt werden. \nEin Client SOLL in diesem Fall eine erneute Dokumentenbereitstellung durchführen, mit Referenz auf das zu ersetzende Dokument in `DocumentReference.relatesTo.target` und dem Code `replaces` in `DocumentReference.relatesTo.code`.' Type_Specific_Checks_DT_String_WSImplementationGuide
ImplementationGuide​.dependsOn[2] (l1​/c2107)warningThe ImplementationGuide uses package hl7.fhir.uv.ips#1.1.0 released on 2022-11-22, but the most recent appropriate version is 2.0.0. This reference is getting old and the more recent version should be considered IG_DEPENDENCY_VERSION_WARNING_OLD--
ImplementationGuide​.dependsOn[3] (l1​/c2333)warningThe ImplementationGuide is based on FHIR version 4.0.1 but package hl7.fhir.uv.subscriptions-backport.r4#1.1.0 is based on FHIR version 4.0.0. In general, this version mismatch should be avoided - some tools will try to make this work with variable degrees of success, but others will not even try IG_DEPENDENCY_VERSION_WARNING--
ImplementationGuide​.dependsOn[4] (l1​/c2499)warningThe canonical URL http://fhir.org/packages/de.basisprofil.r4/ImplementationGuide/de.basisprofil.r4 doesn't point to an actual ImplementationGuide resource IG_DEPENDENCY_INVALID_URL--
ImplementationGuide​.dependsOn[5] (l1​/c2635)errorThe URL should refer directly to the ImplementationGuide resource (e.g. include '/ImplementationGuide/') IG_DEPENDENCY_DIRECT--
ImplementationGuide​.dependsOn[5] (l1​/c2635)warningThe canonical URL http://fhir.de/packages/de.ihe-d.terminology doesn't point to an actual ImplementationGuide resource IG_DEPENDENCY_INVALID_URL--
ImplementationGuide​.dependsOn[6] (l1​/c2780)warningThe canonical URL http://fhir.org/packages/dvmd.kdl.r4/ImplementationGuide/dvmd.kdl.r4 doesn't point to an actual ImplementationGuide resource IG_DEPENDENCY_INVALID_URL--
ImplementationGuide​.dependsOn[7] (l1​/c2959)warningThe ImplementationGuide uses package ihe.formatcode.fhir#1.4.0 released on 2025-05-20, but the most recent appropriate version is 1.5.0. This reference is getting old and the more recent version should be considered IG_DEPENDENCY_VERSION_WARNING_OLD--
ImplementationGuide​.dependsOn[8] (l1​/c3103)warningThe ImplementationGuide uses package hl7.fhir.uv.sdc#3.0.0 released on 2022-03-08, but the most recent appropriate version is 4.0.0. This reference is getting old and the more recent version should be considered IG_DEPENDENCY_VERSION_WARNING_OLD--

input/resources/CapabilityStatement-ISiKCapabilityStatementDokumentenServerAkteur.json Show Validation Information (1)

PathSeverityMessageValidating
CapabilityStatement​.implementationGuide[0] (l1​/c5618)warningA definition could not be found for Canonical URL 'https://gematik.de/fhir/isik/ImplementationGuide/ISiK-Dokumentenaustausch' TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVECapabilityStatement

input/resources/CapabilityStatement-ISiKCapabilityStatementDokumentenServerAkteur-expanded.json Show Validation Information (1)

PathSeverityMessageValidating
CapabilityStatement​.implementationGuide[0] (l1​/c18707)warningA definition could not be found for Canonical URL 'https://gematik.de/fhir/isik/ImplementationGuide/ISiK-Dokumentenaustausch' TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVECapabilityStatement
CapabilityStatement​.rest[0]​.resource[0]​.searchParam[10]​.definition (l1​/c27411)warningA definition could not be found for Canonical URL 'http://profiles.ihe.net/ITI/MHD/SearchParameter/DocumentReference-Creation' TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVECapabilityStatement
CapabilityStatement​.rest[0]​.resource[0]​.operation[0]​.definition (l1​/c28486)warningA definition could not be found for Canonical URL 'https://profiles.ihe.net/ITI/MHD/OperationDefinition/generate-metadata' TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVECapabilityStatement

input/resources/CapabilityStatement-ISiKCapabilityStatementDokumentenverwaltungRolle.json Show Validation Information (1)

PathSeverityMessageValidating
CapabilityStatement​.implementationGuide[0] (l1​/c16645)warningA definition could not be found for Canonical URL 'https://gematik.de/fhir/isik/ImplementationGuide/ISiK-Dokumentenaustausch' TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVECapabilityStatement
CapabilityStatement​.rest[0]​.resource[0]​.searchParam[10]​.definition (l1​/c25349)warningA definition could not be found for Canonical URL 'http://profiles.ihe.net/ITI/MHD/SearchParameter/DocumentReference-Creation' TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVECapabilityStatement

input/resources/CapabilityStatement-ISiKCapabilityStatementMetadatenErzeugenRolle.json Show Validation Information (1)

PathSeverityMessageValidating
CapabilityStatement​.implementationGuide[0] (l1​/c6047)warningA definition could not be found for Canonical URL 'https://gematik.de/fhir/isik/ImplementationGuide/ISiK-Dokumentenaustausch' TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVECapabilityStatement
CapabilityStatement​.rest[0]​.resource[0]​.operation[0]​.definition (l1​/c6472)warningA definition could not be found for Canonical URL 'https://profiles.ihe.net/ITI/MHD/OperationDefinition/generate-metadata' TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVECapabilityStatement

input/resources/CapabilityStatement-ISiKCapabilityStatementMetadatenUpdateRolle.json Show Validation Information (1)

PathSeverityMessageValidating
CapabilityStatement​.implementationGuide[0] (l1​/c6086)warningA definition could not be found for Canonical URL 'https://gematik.de/fhir/isik/ImplementationGuide/ISiK-Dokumentenaustausch' TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVECapabilityStatement

input/resources/DocumentReference-dok-beispiel-client-with-binary-jpeg-example.json Show Validation Information (1)

PathSeverityMessageValidating
DocumentReference.subject (l29/c4)errorUnable to resolve resource with reference 'Patient/PatientinMusterfrau' Reference_REF_CantResolveErforderliche Metadaten für Dokumentenaustausch in ISiK
DocumentReference​.context​.encounter[0] (l77​/c8)errorUnable to resolve resource with reference 'Encounter/FachabteilungskontaktNormal' Reference_REF_CantResolveErforderliche Metadaten für Dokumentenaustausch in ISiK

input/resources/DocumentReference-dok-beispiel-client-with-binary-jpeg-example-short.json Show Validation Information (1)

PathSeverityMessageValidating
DocumentReference.subject (l29/c4)errorUnable to resolve resource with reference 'Patient/PatientinMusterfrau' Reference_REF_CantResolveErforderliche Metadaten für Dokumentenaustausch in ISiK
DocumentReference​.context​.encounter[0] (l77​/c8)errorUnable to resolve resource with reference 'Encounter/FachabteilungskontaktNormal' Reference_REF_CantResolveErforderliche Metadaten für Dokumentenaustausch in ISiK

input/resources/DocumentReference-dok-beispiel-client-with-binary-pdf-example.json Show Validation Information (1)

PathSeverityMessageValidating
DocumentReference.subject (l29/c4)errorUnable to resolve resource with reference 'Patient/PatientinMusterfrau' Reference_REF_CantResolveErforderliche Metadaten für Dokumentenaustausch in ISiK
DocumentReference​.context​.encounter[0] (l77​/c8)errorUnable to resolve resource with reference 'Encounter/FachabteilungskontaktNormal' Reference_REF_CantResolveErforderliche Metadaten für Dokumentenaustausch in ISiK

input/resources/DocumentReference-dok-beispiel-client-with-binary-pdf-example-short.json Show Validation Information (1)

PathSeverityMessageValidating
DocumentReference.subject (l29/c4)errorUnable to resolve resource with reference 'Patient/PatientinMusterfrau' Reference_REF_CantResolveErforderliche Metadaten für Dokumentenaustausch in ISiK
DocumentReference​.context​.encounter[0] (l77​/c8)errorUnable to resolve resource with reference 'Encounter/FachabteilungskontaktNormal' Reference_REF_CantResolveErforderliche Metadaten für Dokumentenaustausch in ISiK

input/resources/DocumentReference-dok-beispiel-server.json Show Validation Information (1)

PathSeverityMessageValidating
DocumentReference.subject (l45/c4)errorUnable to resolve resource with reference 'Patient/PatientinMusterfrau' Reference_REF_CantResolveErforderliche Metadaten für Dokumentenaustausch in ISiK
DocumentReference​.context​.encounter[0] (l93​/c8)errorUnable to resolve resource with reference 'Encounter/FachabteilungskontaktNormal' Reference_REF_CantResolveErforderliche Metadaten für Dokumentenaustausch in ISiK

input/resources/StructureDefinition-ExtensionISiKCapabilityStatementImportsExpectation.json Show Validation Information (1)

PathSeverityMessageValidating
StructureDefinition​.snapshot​.element[4]​.binding​.valueSet (l1​/c18517)warningThere are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/conformance-expectation'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '2.0.0', found versions: 0.3.0 (from hl7.terminology.r4#5.0.0), 1.0.0 (from hl7.terminology.r4#6.3.0), 2.0.0 (from hl7.terminology.r4#7.1.0). Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/conformance-expectation' to 'http://terminology.hl7.org/ValueSet/conformance-expectation|2.0.0' TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONSStructureDefinition
StructureDefinition​.differential​.element[3]​.binding​.valueSet (l1​/c19695)warningThere are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/conformance-expectation'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '2.0.0', found versions: 0.3.0 (from hl7.terminology.r4#5.0.0), 1.0.0 (from hl7.terminology.r4#6.3.0), 2.0.0 (from hl7.terminology.r4#7.1.0). Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/conformance-expectation' to 'http://terminology.hl7.org/ValueSet/conformance-expectation|2.0.0' TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONSStructureDefinition

input/resources/StructureDefinition-ISiKBinary.json Show Validation Information (1)

PathSeverityMessageValidating
StructureDefinition​.snapshot​.element[12]​.binding​.extension[0] (l1​/c34580)informationThe extension http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet|5.2.0 is deprecated MSG_DEPENDS_ON_DEPRECATEDStructureDefinition
StructureDefinition​.where(url = 'https:​/​/gematik​.de​/fhir​/isik​/StructureDefinition​/ISiKBinary')warningThe Implementation Guide contains no examples for this profile --

Suppressed Messages (Warnings, hints, broken links)

No suppressed messsages

Errors sorted by type

IG_DEPENDENCY_DIRECT

fsh-generated/resources/ImplementationGuide-dokumentenaustausch.jsonThe URL should refer directly to the ImplementationGuide resource (e.g. include '/ImplementationGuide/')--

IG_DEPENDENCY_INVALID_URL

fsh-generated/resources/ImplementationGuide-dokumentenaustausch.jsonThe canonical URL http://fhir.org/packages/de.basisprofil.r4/ImplementationGuide/de.basisprofil.r4 doesn't point to an actual ImplementationGuide resource--
fsh-generated/resources/ImplementationGuide-dokumentenaustausch.jsonThe canonical URL http://fhir.de/packages/de.ihe-d.terminology doesn't point to an actual ImplementationGuide resource--
fsh-generated/resources/ImplementationGuide-dokumentenaustausch.jsonThe canonical URL http://fhir.org/packages/dvmd.kdl.r4/ImplementationGuide/dvmd.kdl.r4 doesn't point to an actual ImplementationGuide resource--

IG_DEPENDENCY_VERSION_WARNING

fsh-generated/resources/ImplementationGuide-dokumentenaustausch.jsonThe ImplementationGuide is based on FHIR version 4.0.1 but package hl7.fhir.uv.subscriptions-backport.r4#1.1.0 is based on FHIR version 4.0.0. In general, this version mismatch should be avoided - some tools will try to make this work with variable degrees of success, but others will not even try--

IG_DEPENDENCY_VERSION_WARNING_OLD

fsh-generated/resources/ImplementationGuide-dokumentenaustausch.jsonThe ImplementationGuide uses package hl7.fhir.uv.ips#1.1.0 released on 2022-11-22, but the most recent appropriate version is 2.0.0. This reference is getting old and the more recent version should be considered--
fsh-generated/resources/ImplementationGuide-dokumentenaustausch.jsonThe ImplementationGuide uses package ihe.formatcode.fhir#1.4.0 released on 2025-05-20, but the most recent appropriate version is 1.5.0. This reference is getting old and the more recent version should be considered--
fsh-generated/resources/ImplementationGuide-dokumentenaustausch.jsonThe ImplementationGuide uses package hl7.fhir.uv.sdc#3.0.0 released on 2022-03-08, but the most recent appropriate version is 4.0.0. This reference is getting old and the more recent version should be considered--

MSG_DEPENDS_ON_DEPRECATED

input/resources/StructureDefinition-ISiKBinary.jsonThe extension http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet|5.2.0 is deprecatedStructureDefinition

PIN_VERSION

input/resources/ValueSet-ISiKConfidentialityCodes.jsonPinned the version of http://terminology.hl7.org/CodeSystem/v3-Confidentiality to 4.0.0 from choices of 2.2.0 (hl7.terminology.r4#5.0.0), 3.0.0 (hl7.terminology.r4#6.3.0), 4.0.0 (hl7.terminology.r4#7.1.0)--

Reference_REF_CantResolve

input/resources/DocumentReference-dok-beispiel-client-with-binary-jpeg-example.jsonUnable to resolve resource with reference 'Patient/PatientinMusterfrau'Erforderliche Metadaten für Dokumentenaustausch in ISiK
input/resources/DocumentReference-dok-beispiel-client-with-binary-jpeg-example.jsonUnable to resolve resource with reference 'Encounter/FachabteilungskontaktNormal'Erforderliche Metadaten für Dokumentenaustausch in ISiK
input/resources/DocumentReference-dok-beispiel-client-with-binary-jpeg-example-short.jsonUnable to resolve resource with reference 'Patient/PatientinMusterfrau'Erforderliche Metadaten für Dokumentenaustausch in ISiK
input/resources/DocumentReference-dok-beispiel-client-with-binary-jpeg-example-short.jsonUnable to resolve resource with reference 'Encounter/FachabteilungskontaktNormal'Erforderliche Metadaten für Dokumentenaustausch in ISiK
input/resources/DocumentReference-dok-beispiel-client-with-binary-pdf-example.jsonUnable to resolve resource with reference 'Patient/PatientinMusterfrau'Erforderliche Metadaten für Dokumentenaustausch in ISiK
input/resources/DocumentReference-dok-beispiel-client-with-binary-pdf-example.jsonUnable to resolve resource with reference 'Encounter/FachabteilungskontaktNormal'Erforderliche Metadaten für Dokumentenaustausch in ISiK
input/resources/DocumentReference-dok-beispiel-client-with-binary-pdf-example-short.jsonUnable to resolve resource with reference 'Patient/PatientinMusterfrau'Erforderliche Metadaten für Dokumentenaustausch in ISiK
input/resources/DocumentReference-dok-beispiel-client-with-binary-pdf-example-short.jsonUnable to resolve resource with reference 'Encounter/FachabteilungskontaktNormal'Erforderliche Metadaten für Dokumentenaustausch in ISiK
input/resources/DocumentReference-dok-beispiel-server.jsonUnable to resolve resource with reference 'Patient/PatientinMusterfrau'Erforderliche Metadaten für Dokumentenaustausch in ISiK
input/resources/DocumentReference-dok-beispiel-server.jsonUnable to resolve resource with reference 'Encounter/FachabteilungskontaktNormal'Erforderliche Metadaten für Dokumentenaustausch in ISiK

SD_PATH_SLICING_DEPRECATED

input/resources/StructureDefinition-ISiKDokumentenMetadaten.jsonThe discriminator type 'pattern' is deprecated in R5+. For future compatibility, you could consider using type=value with a pattern[x] instead (if this is not an inherited slicing)--
input/resources/StructureDefinition-ISiKDokumentenMetadaten.jsonThe discriminator type 'pattern' is deprecated in R5+. For future compatibility, you could consider using type=value with a pattern[x] instead (if this is not an inherited slicing)--
input/resources/StructureDefinition-ISiKDokumentenMetadaten.jsonThe discriminator type 'pattern' is deprecated in R5+. For future compatibility, you could consider using type=value with a pattern[x] instead (if this is not an inherited slicing)--
input/resources/StructureDefinition-ISiKDokumentenMetadaten.jsonThe discriminator type 'pattern' is deprecated in R5+. For future compatibility, you could consider using type=value with a pattern[x] instead (if this is not an inherited slicing)--

TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS

input/resources/StructureDefinition-ExtensionISiKCapabilityStatementImportsExpectation.jsonThere are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/conformance-expectation'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '2.0.0', found versions: 0.3.0 (from hl7.terminology.r4#5.0.0), 1.0.0 (from hl7.terminology.r4#6.3.0), 2.0.0 (from hl7.terminology.r4#7.1.0). Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/conformance-expectation' to 'http://terminology.hl7.org/ValueSet/conformance-expectation|2.0.0'StructureDefinition
input/resources/StructureDefinition-ExtensionISiKCapabilityStatementImportsExpectation.jsonThere are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/conformance-expectation'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '2.0.0', found versions: 0.3.0 (from hl7.terminology.r4#5.0.0), 1.0.0 (from hl7.terminology.r4#6.3.0), 2.0.0 (from hl7.terminology.r4#7.1.0). Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/conformance-expectation' to 'http://terminology.hl7.org/ValueSet/conformance-expectation|2.0.0'StructureDefinition

TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE

fsh-generated/resources/ImplementationGuide-dokumentenaustausch.jsonA definition could not be found for Canonical URL 'http://fhir.org/packages/de.basisprofil.r4/ImplementationGuide/de.basisprofil.r4'ImplementationGuide
fsh-generated/resources/ImplementationGuide-dokumentenaustausch.jsonA definition could not be found for Canonical URL 'http://fhir.org/packages/dvmd.kdl.r4/ImplementationGuide/dvmd.kdl.r4'ImplementationGuide
input/resources/CapabilityStatement-ISiKCapabilityStatementDokumentenServerAkteur.jsonA definition could not be found for Canonical URL 'https://gematik.de/fhir/isik/ImplementationGuide/ISiK-Dokumentenaustausch'CapabilityStatement
input/resources/CapabilityStatement-ISiKCapabilityStatementDokumentenServerAkteur-expanded.jsonA definition could not be found for Canonical URL 'https://gematik.de/fhir/isik/ImplementationGuide/ISiK-Dokumentenaustausch'CapabilityStatement
input/resources/CapabilityStatement-ISiKCapabilityStatementDokumentenServerAkteur-expanded.jsonA definition could not be found for Canonical URL 'http://profiles.ihe.net/ITI/MHD/SearchParameter/DocumentReference-Creation'CapabilityStatement
input/resources/CapabilityStatement-ISiKCapabilityStatementDokumentenServerAkteur-expanded.jsonA definition could not be found for Canonical URL 'https://profiles.ihe.net/ITI/MHD/OperationDefinition/generate-metadata'CapabilityStatement
input/resources/CapabilityStatement-ISiKCapabilityStatementDokumentenverwaltungRolle.jsonA definition could not be found for Canonical URL 'https://gematik.de/fhir/isik/ImplementationGuide/ISiK-Dokumentenaustausch'CapabilityStatement
input/resources/CapabilityStatement-ISiKCapabilityStatementDokumentenverwaltungRolle.jsonA definition could not be found for Canonical URL 'http://profiles.ihe.net/ITI/MHD/SearchParameter/DocumentReference-Creation'CapabilityStatement
input/resources/CapabilityStatement-ISiKCapabilityStatementMetadatenErzeugenRolle.jsonA definition could not be found for Canonical URL 'https://gematik.de/fhir/isik/ImplementationGuide/ISiK-Dokumentenaustausch'CapabilityStatement
input/resources/CapabilityStatement-ISiKCapabilityStatementMetadatenErzeugenRolle.jsonA definition could not be found for Canonical URL 'https://profiles.ihe.net/ITI/MHD/OperationDefinition/generate-metadata'CapabilityStatement
input/resources/CapabilityStatement-ISiKCapabilityStatementMetadatenUpdateRolle.jsonA definition could not be found for Canonical URL 'https://gematik.de/fhir/isik/ImplementationGuide/ISiK-Dokumentenaustausch'CapabilityStatement

Type_Specific_Checks_DT_String_WS

fsh-generated/resources/ImplementationGuide-dokumentenaustausch.jsonvalue should not start or finish with whitespace '\n## Interaktion: Update von Metadaten, Löschen von Dokumenten\n\nDie Operation ``UpdateMetadata`` ermöglicht es, unkritische Metadaten gezielt und kontrolliert zu aktualisieren oder vorläufige Dokumente durch Setzen des Status entered-in-error zuverlässig zu löschen, ohne ein neues Dokument anlegen zu müssen.\n\n**Herstellung von Dokumentenkontext**\n\nDer Client muss zunächst die URL der DocumentReference ermitteln, auf die das Update angewendet werden soll. Hierzu kann die Interaktion [Dokumentenabfrage](Dokumentenabfrage.html) verwendet werden.\n\n**Metadatenupdate**\n\nDas Update der Metadaten erfolgt mittels der `$update-metadata` Operation.\nHinweis: Der zum Zeitpunkt der Erstellung dieser Spezifikation vorliegende IHE-MHD-Implementierungsleitfaden sieht kein Metadatenupdate vor. Hier müsste stets ein neues Dokument übermittelt werden.\n\nFür den ISiK Use Case als maßgeblich relevant und unkritisch in Bezug auf die Versionierung hat sich jedoch das Element `docStatus`erwiesen, welches im IHE-Kontext keine Berücksichtigung findet. Im einrichtungsinternen Dokumentenaustausch kommt es häufig vor, dass sich der Status eines Dokumentes ändert (z.b. `preliminary` -> `final`), ohne dass dies Auswirkungen auf den Inhalt hat. Die Anlage eines neuen Dokumentes wäre in diesem Kontext nicht effizient.\n\nEbenso erlaubt diese Operation, vorläufige Dokumente durch ein Update von docStatus zu *löschen* (`preliminary` -> `entered-in-error` ). \n\nWenn Dokumenten-Server $update-metadata unterstützen, dann MÜSSEN Dokumenten-Server das *Löschen* von vorläufigen Dokumenten unterstützen, d.h. dann MÜSSEN Server bei einem Update auf den Status `entered-in-error` auch den Code in `DocumentReference.status` auf `entered-in-error` setzen und dafür Sorge tragen, dass diese Dokumente bei Suchanfragen nicht mehr als Ergebnisse zurückgegeben werden (siehe [Search Related Safety Checks](https://hl7.org/fhir/R4/safety.html)), es sei denn der Client sucht *explizit* nach gelöschten Dokumenten (z.B. `/DocumentReference?status=entered-in-error`). \n\nSobald ein Dokument den Status `final` erreicht hat, MUSS ein Server die Änderungen von Metadaten NICHT mehr zulassen (d.h. ein Server KANN in diesem Fall die Löschung finaler Dokumente erlauben, MUSS es aber nicht. Der Server KANN in diesem Fall auch eine Fehlermeldung ausgeben).\n\nFinale Dokumente SOLLEN nur noch mit MHD-konformen Methoden aktualisiert bzw. gelöscht werden, indem sie durch eine neue bzw. leere Version ersetzt werden. \nEin Client SOLL in diesem Fall eine erneute Dokumentenbereitstellung durchführen, mit Referenz auf das zu ersetzende Dokument in `DocumentReference.relatesTo.target` und dem Code `replaces` in `DocumentReference.relatesTo.code`.'ImplementationGuide