Medizininformatik Initiative - Implementation Guide - Modul Bildgebung v2026
MII-Initiative

Medizininformatik Initiative - Implementation Guide - Modul Bildgebung v2026

Extension Bildgebungsgrund

Diese Extension dient zum Anlegen des Grundes für die Bildgebung. Dieser ist zwar ebenso über eine Referenz in der ImagingStudy abgebildet, in diesem Attribut soll jedoch der Wert aus dem entsprechenden DICOM Tag (Reason for the Requested Procedure Attribute [0040,1002]) genutzt werden.

NameStatusVersionCanonicalBasis
MII_EX_Bildgebung_Bildgebungsgrundactive2026.0.0https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-bildgebungsgrundhttp://hl7.org/fhir/StructureDefinition/Extension

Inhalt

id0..1string
extensionC0..0Extension
url1..1uriFixed Value
valueStringstring

Die Extension ermöglicht es, den Bildgebungsgrund aus dem entsprechenden DICOM Tag [0040,1002] auf Studien-Ebene anzugeben.

<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="mii-ex-bildgebung-bildgebungsgrund" />
<extension url="https://www.medizininformatik-initiative.de/fhir/modul-meta/StructureDefinition/mii-ex-meta-license-codeable">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/spdx-license" />
<code value="CC-BY-4.0" />
<display value="Creative Commons Attribution 4.0 International" />
</coding>
</valueCodeableConcept>
</extension>
<url value="https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-bildgebungsgrund" />
<version value="2026.0.0" />
<name value="MII_EX_Bildgebung_Bildgebungsgrund">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="MII_EX_Imaging_Imaging_Reason" />
</extension>
</extension>
</name>
<title value="MII EX Bildgebung Bildgebungsgrund">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="MII EX Imaging Imaging Reason" />
</extension>
</extension>
</title>
<status value="active" />
<experimental value="false" />
<publisher value="Medizininformatik Initiative" />
<contact>
<telecom>
<system value="url" />
<value value="https://www.medizininformatik-initiative.de" />
</telecom>
</contact>
<description value="Die Extension ermöglicht es, den Bildgebungsgrund aus dem entsprechenden DICOM Tag [0040,1002] auf Studien-Ebene anzugeben.">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="The extension allows specifying the reason for the imaging procedure from the corresponding DICOM tag [0040/1002] at the study level." />
</extension>
</extension>
</description>
<fhirVersion value="4.0.1" />
<kind value="complex-type" />
<abstract value="false" />
<context>
<type value="element" />
<expression value="ImagingStudy" />
</context>
<type value="Extension" />
<baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />
<derivation value="constraint" />
<snapshot>
<element id="Extension">
<path value="Extension" />
<short value="Optional Extensions Element" />
<definition value="Optional Extension Element - found in all resources." />
<min value="0" />
<max value="*" />
<base>
<path value="Extension" />
<min value="0" />
<max value="*" />
</base>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Extension.id">
<path value="Extension.id" />
<representation value="xmlAttr" />
<short value="Unique id for inter-element referencing" />
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
<min value="0" />
<max value="1" />
<base>
<path value="Element.id" />
<min value="0" />
<max value="1" />
</base>
<type>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
</element>
<element id="Extension.extension">
<path value="Extension.extension" />
<slicing>
<discriminator>
<type value="value" />
<path value="url" />
</discriminator>
<description value="Extensions are always sliced by (at least) url" />
<rules value="open" />
</slicing>
<short value="Additional content defined by implementations" />
<definition value="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." />
<comment value="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." />
<alias value="extensions" />
<alias value="user content" />
<min value="0" />
<max value="0" />
<base>
<path value="Element.extension" />
<min value="0" />
<max value="*" />
</base>
<type>
<code value="Extension" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<constraint>
<key value="ext-1" />
<severity value="error" />
<human value="Must have either extensions or value[x], not both" />
<expression value="extension.exists() != value.exists()" />
<xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
<source value="http://hl7.org/fhir/StructureDefinition/Extension" />
</constraint>
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Extension.url">
<path value="Extension.url" />
<representation value="xmlAttr" />
<short value="identifies the meaning of the extension" />
<definition value="Source of the definition for the extension code - a logical name or a URL." />
<comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension." />
<min value="1" />
<max value="1" />
<base>
<path value="Extension.url" />
<min value="1" />
<max value="1" />
</base>
<type>
<extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="uri" />
</extension>
<code value="http://hl7.org/fhirpath/System.String" />
</type>
<fixedUri value="https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-bildgebungsgrund" />
<mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
<element id="Extension.value[x]">
<path value="Extension.value[x]" />
<short value="Value of extension" />
<definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)." />
<min value="0" />
<max value="1" />
<base>
<path value="Extension.value[x]" />
<min value="0" />
<max value="1" />
</base>
<type>
<code value="string" />
</type>
<condition value="ele-1" />
<constraint>
<key value="ele-1" />
<severity value="error" />
<human value="All FHIR elements must have a @value or children" />
<expression value="hasValue() or (children().count() > id.count())" />
<xpath value="@value|f:*|h:div" />
<source value="http://hl7.org/fhir/StructureDefinition/Element" />
</constraint>
<mapping>
<identity value="rim" />
<map value="n/a" />
</mapping>
<mapping>
<identity value="rim" />
<map value="N/A" />
</mapping>
</element>
</snapshot>
<differential>
<element id="Extension.extension">
<path value="Extension.extension" />
<max value="0" />
</element>
<element id="Extension.url">
<path value="Extension.url" />
<fixedUri value="https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-bildgebungsgrund" />
</element>
<element id="Extension.value[x]">
<path value="Extension.value[x]" />
<type>
<code value="string" />
</type>
</element>
</differential>
</StructureDefinition>
{
"resourceType": "StructureDefinition",
"id": "mii-ex-bildgebung-bildgebungsgrund",
"extension": [
{
"url": "https://www.medizininformatik-initiative.de/fhir/modul-meta/StructureDefinition/mii-ex-meta-license-codeable",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/spdx-license",
"code": "CC-BY-4.0",
"display": "Creative Commons Attribution 4.0 International"
}
]
}
}
],
"url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-bildgebungsgrund",
"version": "2026.0.0",
"name": "MII_EX_Bildgebung_Bildgebungsgrund",
"_name": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en-US"
},
{
"url": "content",
"valueString": "MII_EX_Imaging_Imaging_Reason"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"title": "MII EX Bildgebung Bildgebungsgrund",
"_title": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en-US"
},
{
"url": "content",
"valueString": "MII EX Imaging Imaging Reason"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"status": "active",
"experimental": false,
"publisher": "Medizininformatik Initiative",
"contact": [
{
"telecom": [
{
"system": "url",
"value": "https://www.medizininformatik-initiative.de"
}
]
}
],
"description": "Die Extension ermöglicht es, den Bildgebungsgrund aus dem entsprechenden DICOM Tag [0040,1002] auf Studien-Ebene anzugeben.",
"_description": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en-US"
},
{
"url": "content",
"valueString": "The extension allows specifying the reason for the imaging procedure from the corresponding DICOM tag [0040/1002] at the study level."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"fhirVersion": "4.0.1",
"kind": "complex-type",
"abstract": false,
"context": [
{
"type": "element",
"expression": "ImagingStudy"
}
],
"type": "Extension",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
"derivation": "constraint",
"snapshot": {
"element": [
{
"id": "Extension",
"path": "Extension",
"short": "Optional Extensions Element",
"definition": "Optional Extension Element - found in all resources.",
"min": 0,
"max": "*",
"base": {
"path": "Extension",
"min": 0,
"max": "*"
},
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.id",
"path": "Extension.id",
"representation": [
"xmlAttr"
],
"short": "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.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.extension",
"path": "Extension.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"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.",
"comment": "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.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "0",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.url",
"path": "Extension.url",
"representation": [
"xmlAttr"
],
"short": "identifies the meaning of the extension",
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "uri"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"fixedUri": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-bildgebungsgrund",
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.value[x]",
"path": "Extension.value[x]",
"short": "Value of extension",
"definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).",
"min": 0,
"max": "1",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
}
]
},
"differential": {
"element": [
{
"id": "Extension.extension",
"path": "Extension.extension",
"max": "0"
},
{
"id": "Extension.url",
"path": "Extension.url",
"fixedUri": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-bildgebungsgrund"
},
{
"id": "Extension.value[x]",
"path": "Extension.value[x]",
"type": [
{
"code": "string"
}
]
}
]
}
}
MII EX Bildgebung Bildgebungsgrund

Beispiele

Hinweis
Warning Aus Gründen der Übersichtlichkeit wurde in diesem Beispiel darauf verzichtet, alle dazugehörigen Serien bzw. Instanzen mit einzubinden. Natürlich ist es bei der Implementierung vorgesehen, dass alle zur jeweiligen Studie gehörenden Serien und Instanzen auch in der resultierenden FHIR-Ressource enthalten sind - dafür wird dann einfach die Sequenz "series" bzw "instance" für jede Serie bzw. Instanz wiederholt und mit den entsprechenden Werten befüllt.

Beispiele von ImagingStudy-Ressourcen mit der Extension für den Bildgebungsgrund:

Beispiel eines CTs:

{
"resourceType": "ImagingStudy",
"id": "mii-exa-bildgebung-bildgebungsstudie-ct",
"meta": {
"profile": [
"https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-pr-bildgebung-bildgebungsstudie"
]
},
"extension": [
{
"url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-bildgebungsgrund",
"valueString": "Verdacht auf Karzinom"
}
],
"status": "available",
"modality": [
{
"system": "http://dicom.nema.org/resources/ontology/DCM",
"code": "CT",
"display": "Computed Tomography"
}
],
"subject": {
"reference": "Patient/PatExample",
"identifier": {
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "MR",
"display": "Medical record number"
}
]
},
"system": "https://system-url",
"value": "study-uid"
}
},
"encounter": {
"reference": "Encounter/EncExample"
},
"basedOn": [
{
"reference": "ServiceRequest/mii-exa-bildgebung-anforderung-bildgebung"
}
],
"numberOfSeries": 2,
"numberOfInstances": 390,
"procedureReference": {
"reference": "Procedure/mii-exa-bildgebung-bildgebungsprozedur"
},
"reasonReference": [
{
"reference": "Condition/CondExample"
}
],
"description": "whole body aquisition",
"series": [
{
"extension": [
{
"extension": [
{
"url": "convolutionalKernel",
"valueString": "SOFT"
},
{
"url": "CTDIvol",
"valueQuantity": {
"value": 4.04,
"unit": "milligray"
}
},
{
"url": "KVP",
"valueQuantity": {
"value": 110,
"unit": "kilovolt"
}
},
{
"url": "exposure",
"valueQuantity": {
"value": 38,
"unit": "milliampere second"
}
},
{
"url": "exposureTime",
"valueQuantity": {
"value": 600,
"unit": "milliseconds"
}
},
{
"url": "xRayTubeCurrent",
"valueQuantity": {
"value": 96,
"unit": "milliampere"
}
}
],
"url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-ct"
},
{
"extension": [
{
"url": "contrastBolus",
"valueBoolean": true
},
{
"url": "contrastBolusDetails",
"valueReference": {
"reference": "MedicationAdministration/mii-exa-bildgebung-kontrastmittelgabe"
}
}
],
"url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-kontrastmittel"
}
],
"uid": "series-example-uid",
"number": 1,
"modality": {
"system": "http://dicom.nema.org/resources/ontology/DCM",
"code": "CT",
"display": "Computed Tomography"
},
"description": "AC LD CT Whole Body 4.0 HD Field of View",
"numberOfInstances": 195,
"bodySite": {
"system": "http://snomed.info/sct",
"code": "51185008",
"display": "Thoracic structure (body structure)"
},
"laterality": {
"system": "http://snomed.info/sct",
"code": "7771000",
"display": "Left"
},
"started": "2024-07-19T12:03:30+02:00",
"performer": [
{
"actor": {
"reference": "Device/mii-exa-bildgebung-geraet"
}
}
],
"instance": [
{
"extension": [
{
"extension": [
{
"url": "pixelSpacingX",
"valueQuantity": {
"value": 1.36,
"unit": "millimeter"
}
},
{
"url": "pixelSpacingY",
"valueQuantity": {
"value": 1.36,
"unit": "millimeter"
}
},
{
"url": "sliceThickness",
"valueQuantity": {
"value": 4,
"unit": "millimeter"
}
},
{
"url": "imageType",
"valueCodeableConcept": {
"coding": [
{
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/CodeSystem/mii-cs-bildgebung-instance-image-type",
"code": "DERIVED"
},
{
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/CodeSystem/mii-cs-bildgebung-instance-image-type",
"code": "PRIMARY"
},
{
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/CodeSystem/mii-cs-bildgebung-instance-image-type",
"code": "AXIAL"
}
]
}
}
],
"url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-instanz-details"
}
],
"uid": "instance-example-uid",
"sopClass": {
"system": "urn:ietf:rfc:3986",
"code": "urn:oid:1.2.840.10008.5.1.4.1.1.2"
},
"number": 31
}
]
}
]
}

Beispiel eines MRTs:

{
"resourceType": "ImagingStudy",
"id": "mii-exa-bildgebung-bildgebungsstudie-mr",
"meta": {
"profile": [
"https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-pr-bildgebung-bildgebungsstudie"
]
},
"extension": [
{
"url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-bildgebungsgrund",
"valueString": "Verdacht auf Kreuzbandruptur"
}
],
"status": "available",
"modality": [
{
"system": "http://dicom.nema.org/resources/ontology/DCM",
"code": "MR",
"display": "Magnetic Resonance"
}
],
"subject": {
"reference": "Patient/PatExample",
"identifier": {
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "MR",
"display": "Medical record number"
}
]
},
"system": "https://system-url",
"value": "study-uid"
}
},
"encounter": {
"reference": "Encounter/EncExample"
},
"basedOn": [
{
"reference": "ServiceRequest/mii-exa-bildgebung-anforderung-bildgebung"
}
],
"numberOfSeries": 11,
"numberOfInstances": 294,
"procedureReference": {
"reference": "Procedure/mii-exa-bildgebung-bildgebungsprozedur"
},
"reasonReference": [
{
"reference": "Condition/CondExample"
}
],
"description": "Knie DOT",
"series": [
{
"extension": [
{
"extension": [
{
"url": "magneticFieldStrength",
"valueQuantity": {
"value": 3,
"unit": "tesla"
}
},
{
"url": "scanningSequence",
"valueCodeableConcept": {
"coding": [
{
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/CodeSystem/mii-cs-bildgebung-scanning-sequence",
"code": "SE"
}
]
}
},
{
"url": "scanningSequenceVariant",
"valueCodeableConcept": {
"coding": [
{
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/CodeSystem/mii-cs-bildgebung-scanning-sequence-variant",
"code": "SP"
},
{
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/CodeSystem/mii-cs-bildgebung-scanning-sequence-variant",
"code": "SK"
}
]
}
},
{
"url": "echoTime",
"valueQuantity": {
"value": 388,
"unit": "milliseconds"
}
},
{
"url": "repetitionTime",
"valueQuantity": {
"value": 5000,
"unit": "milliseconds"
}
},
{
"url": "inversionTime",
"valueQuantity": {
"value": 900,
"unit": "milliseconds"
}
},
{
"url": "flipAngle",
"valueQuantity": {
"value": 130,
"unit": "plane angle degree"
}
}
],
"url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-mr"
},
{
"extension": [
{
"url": "contrastBolus",
"valueBoolean": false
}
],
"url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-kontrastmittel"
}
],
"uid": "series-example-uid",
"number": 9,
"modality": {
"system": "http://dicom.nema.org/resources/ontology/DCM",
"code": "MR",
"display": "Magnetic Resonance"
},
"description": "pd_tse_sag",
"numberOfInstances": 28,
"bodySite": {
"system": "http://snomed.info/sct",
"code": "72696002",
"display": "Knee region structure (body structure)"
},
"laterality": {
"system": "http://snomed.info/sct",
"code": "24028007",
"display": "Right"
},
"started": "2024-07-19T12:03:30+02:00",
"performer": [
{
"actor": {
"reference": "Device/mii-exa-bildgebung-geraet"
}
}
],
"instance": [
{
"extension": [
{
"extension": [
{
"url": "pixelSpacingX",
"valueQuantity": {
"value": 0.260417,
"unit": "millimeter"
}
},
{
"url": "pixelSpacingY",
"valueQuantity": {
"value": 0.260417,
"unit": "millimeter"
}
},
{
"url": "sliceThickness",
"valueQuantity": {
"value": 3,
"unit": "millimeter"
}
},
{
"url": "imageType",
"valueCodeableConcept": {
"coding": [
{
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/CodeSystem/mii-cs-bildgebung-instance-image-type",
"code": "ORIGINAL"
},
{
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/CodeSystem/mii-cs-bildgebung-instance-image-type",
"code": "SECONDARY"
},
{
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/CodeSystem/mii-cs-bildgebung-instance-image-type",
"code": "OTHER"
}
]
}
}
],
"url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-instanz-details"
}
],
"uid": "instance-example-uid",
"sopClass": {
"system": "urn:ietf:rfc:3986",
"code": "urn:oid:1.2.840.10008.5.1.4.1.1.4"
},
"number": 28
}
]
}
]
}

Beispiel eine Röntgenbilds:

{
"resourceType": "ImagingStudy",
"id": "mii-exa-bildgebung-bildgebungsstudie-cr",
"meta": {
"profile": [
"https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-pr-bildgebung-bildgebungsstudie"
]
},
"extension": [
{
"url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-bildgebungsgrund",
"valueString": "Verdacht auf Karzinom"
}
],
"status": "available",
"modality": [
{
"system": "http://dicom.nema.org/resources/ontology/DCM",
"code": "CR",
"display": "Computed Radiography"
}
],
"subject": {
"reference": "Patient/PatExample",
"identifier": {
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "MR",
"display": "Medical record number"
}
]
},
"system": "https://system-url",
"value": "study-uid"
}
},
"encounter": {
"reference": "Encounter/EncExample"
},
"basedOn": [
{
"reference": "ServiceRequest/mii-exa-bildgebung-anforderung-bildgebung"
}
],
"numberOfSeries": 1,
"numberOfInstances": 1,
"procedureReference": {
"reference": "Procedure/mii-exa-bildgebung-bildgebungsprozedur"
},
"reasonReference": [
{
"reference": "Condition/CondExample"
}
],
"description": "Thorax auf Station;",
"series": [
{
"extension": [
{
"extension": [
{
"url": "KVP",
"valueQuantity": {
"value": 110,
"unit": "kilovolt"
}
},
{
"url": "exposure",
"valueQuantity": {
"value": 38,
"unit": "milliampere second"
}
},
{
"url": "exposureTime",
"valueQuantity": {
"value": 600,
"unit": "milliseconds"
}
},
{
"url": "xRayTubeCurrent",
"valueQuantity": {
"value": 96,
"unit": "milliampere"
}
},
{
"url": "viewPosition",
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "399038007",
"display": "Right posterior oblique projection (qualifier value)"
}
]
}
}
],
"url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-mg-cr-dx"
},
{
"extension": [
{
"url": "contrastBolus",
"valueBoolean": false
}
],
"url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-kontrastmittel"
}
],
"uid": "series-example-uid",
"number": 1,
"modality": {
"system": "http://dicom.nema.org/resources/ontology/DCM",
"code": "CR",
"display": "Computed Radiography"
},
"description": "X Thorax a.p. liegend",
"numberOfInstances": 1,
"bodySite": {
"system": "http://snomed.info/sct",
"code": "43799004",
"display": "Thoracic cavity structure (body structure)"
},
"laterality": {
"system": "http://snomed.info/sct",
"code": "66459002",
"display": "Unilateral"
},
"started": "2024-07-19T12:03:30+02:00",
"performer": [
{
"actor": {
"reference": "Device/mii-exa-bildgebung-geraet"
}
}
],
"instance": [
{
"extension": [
{
"extension": [
{
"url": "imageType",
"valueCodeableConcept": {
"coding": [
{
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/CodeSystem/mii-cs-bildgebung-instance-image-type",
"code": "ORIGINAL"
},
{
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/CodeSystem/mii-cs-bildgebung-instance-image-type",
"code": "PRIMARY"
}
]
}
}
],
"url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-instanz-details"
}
],
"uid": "instance-example-uid",
"sopClass": {
"system": "urn:ietf:rfc:3986",
"code": "urn:oid:1.2.840.10008.5.1.4.1.1.1"
},
"number": 1
}
]
}
]
}

Beispiel eines PET-Scans:

{
"resourceType": "ImagingStudy",
"id": "mii-exa-bildgebung-bildgebungsstudie-pt",
"meta": {
"profile": [
"https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-pr-bildgebung-bildgebungsstudie"
]
},
"extension": [
{
"url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-bildgebungsgrund",
"valueString": "Verdacht auf Karzinom"
}
],
"status": "available",
"modality": [
{
"system": "http://dicom.nema.org/resources/ontology/DCM",
"code": "PT",
"display": "Positron emission tomography"
}
],
"subject": {
"reference": "Patient/PatExample",
"identifier": {
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "MR",
"display": "Medical record number"
}
]
},
"system": "https://system-url",
"value": "study-uid"
}
},
"encounter": {
"reference": "Encounter/EncExample"
},
"basedOn": [
{
"reference": "ServiceRequest/mii-exa-bildgebung-anforderung-bildgebung"
}
],
"numberOfSeries": 2,
"numberOfInstances": 390,
"procedureReference": {
"reference": "Procedure/mii-exa-bildgebung-bildgebungsprozedur"
},
"reasonReference": [
{
"reference": "Condition/CondExample"
}
],
"description": "whole body aquisition",
"series": [
{
"extension": [
{
"extension": [
{
"url": "radiopharmaceutical",
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "35321007",
"display": "Fluorodeoxyglucose (18-F) (substance)"
}
]
}
},
{
"url": "radionuclide",
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "77004003",
"display": "Fluorine-18 (substance)"
}
]
}
},
{
"url": "tracerExposureTime",
"valueQuantity": {
"value": 10000,
"unit": "Seconds"
}
},
{
"url": "units",
"valueCodeableConcept": {
"coding": [
{
"system": "http://unitsofmeasure.org",
"code": "BQML"
}
]
}
},
{
"url": "radionuclideTotalDose",
"valueQuantity": {
"value": 196,
"unit": "Becquerel"
}
},
{
"url": "radionuclideHalfLife",
"valueQuantity": {
"value": 6586.2,
"unit": "Seconds"
}
},
{
"url": "seriesType",
"valueCodeableConcept": {
"coding": [
{
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/CodeSystem/mii-cs-bildgebung-series-type",
"code": "DYNAMIC"
},
{
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/CodeSystem/mii-cs-bildgebung-series-type",
"code": "IMAGE"
}
]
}
}
],
"url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-pt"
}
],
"uid": "series-example-uid",
"number": 1,
"modality": {
"system": "http://dicom.nema.org/resources/ontology/DCM",
"code": "PT",
"display": "Positron emission tomography"
},
"description": "PET WB",
"numberOfInstances": 195,
"bodySite": {
"system": "http://snomed.info/sct",
"code": "51185008",
"display": "Thoracic structure (body structure)"
},
"laterality": {
"system": "http://snomed.info/sct",
"code": "66459002",
"display": "Unilateral"
},
"started": "2024-07-19T12:03:30+02:00",
"performer": [
{
"actor": {
"reference": "Device/mii-exa-bildgebung-geraet"
}
}
],
"instance": [
{
"extension": [
{
"extension": [
{
"url": "pixelSpacingX",
"valueQuantity": {
"value": 2.89,
"unit": "millimeter"
}
},
{
"url": "pixelSpacingY",
"valueQuantity": {
"value": 2.89,
"unit": "millimeter"
}
},
{
"url": "sliceThickness",
"valueQuantity": {
"value": 4,
"unit": "millimeter"
}
},
{
"url": "imageType",
"valueCodeableConcept": {
"coding": [
{
"code": "ORIGINAL"
},
{
"code": "PRIMARY"
}
]
}
}
],
"url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-instanz-details"
}
],
"uid": "instance-example-uid",
"sopClass": {
"system": "urn:ietf:rfc:3986",
"code": "urn:oid:1.2.840.10008.5.1.4.1.1.128"
},
"number": 31
}
]
}
]
}

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