Editors: Rainer Röhrig, Thomas Ganslandt, Klaus Jung, Ann-Kristin Kock-Schoppenhauer, Jochem König, Ulrich Sax, Martin Sedlmayr, Cord Spreckelsen, and Antonia Zapf
Introduction: As part of the German Medical Informatics Initiative (MII) and Network University Medicine (NUM), a central research terminology service (TS) is provided by the Service Unit Terminology Services (SU-TermServ). This HL7 FHIR-based service depends on the timely and comprehensive availability of FHIR terminology resources to provide the necessary interactions for the distributed MII/NUM infrastructure. While German legislation has recently instituted a national terminology service for medical classifications and terminologies, the scope of the MII and NUM extends beyond routine patient care, encompassing the need for supplementary or specialized services and terminologies that are not commonly utilized elsewhere.
Methods: The SU-TermServ’s processes are based on established FHIR principles and the recently-proposed Canonical Resources Management Infrastructure Implementation Guide, which are outlined in this paper.
Results: The strategy and processes implemented within the project can deliver the needed resources both to the central FHIR terminology service, but also to the local data integration centers, in a transparent and consistent fashion. The service currently provides approximately 7000 resources to users via the standardized FHIR API.
Conclusion: The professionalized distribution and maintenance of these terminological resources and the provision of a powerful TS implementation aids both the development of the Core Data Set and the data integration centers, and ultimately biomedical researchers requesting access to this rich data.
@article{wiedekopf2025ImplementationHL7FHIRBaseda,title={Implementation of {{HL7 FHIR-Based Terminology Services}} for a {{National Federated Health Research Infrastructure}}},booktitle={Studies in {{Health Technology}} and {{Informatics}}},author={Wiedekopf, Joshua and Ohlsen, Tessa and Koops, Alan and Kock-Schoppenhauer, Ann-Kristin and Adnan, Muhammad and Ballout, Sarah and Philipzik, Nele and Beyan, Oya and Beyer, Andreas and Marschollek, Michael and Ingenerf, Josef},editor={Röhrig, Rainer and Ganslandt, Thomas and Jung, Klaus and Kock-Schoppenhauer, Ann-Kristin and König, Jochem and Sax, Ulrich and Sedlmayr, Martin and Spreckelsen, Cord and Zapf, Antonia},year={2025},month=sep,day={03},publisher={IOS Press},doi={10.3233/SHTI251396},abbr={SHTI},language={en},featured=true,slides={gmds2025/GMDS2025_SU-TermServ-DeliveringContent.pdf}}
Die neue zentrale Service Unit Terminological Services (SU-TermServ) der MII
@article{sutermserv2023miracumjournal,author={Ingenerf, Josef and Wiedekopf, Joshua and Beyer, Andreas and Adnan, Muhammad and Marschollek, Michael and Haarbrandt, Birger},journal={MIRACUM DIFUTURE Journal},title={Die neue zentrale Service Unit Terminological Services (SU-TermServ) der MII},year={2023},month=apr,language={de},pdf={20230505-MIRACUM_Journal-SU-TermServ.pdf},url={https://www.miracum.org/2023/04/24/erstes-miracum-difuture-journal-veroeffentlicht}}
