Kontrastmittelgabe

Diese MedicationAdministration-Ressource wird verwendet, um die Gabe von Kontrastmittel aus dem RIS über die Bildgebungsprozedur zu erfassen. Dies ist eine Alternative zur Darstellung über die ImagingStudy aus den DICOM-Metadaten.

NameStatusVersionCanonicalBasis
MII_PR_Bildgebung_Kontrastmittelgabeactive2025.0.0-ballothttps://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-pr-bildgebung-kontrastmittelgabehttps://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/MedicationAdministration

Inhalt

idS Σ0..1string
id0..1string
extensionI0..*Extension
versionIdΣ0..1id
lastUpdatedΣ0..1instant
sourceS Σ0..1uri
profileS Σ0..*canonical(StructureDefinition)
securityΣ0..*CodingBinding
tagΣ0..*Coding
implicitRulesΣ ?!0..1uri
language0..1codeBinding
text0..1Narrative
contained0..*Resource
extensionI0..*Extension
modifierExtension?! I0..*Extension
identifierS0..*Identifier
instantiatesΣ0..*uri
partOfS Σ I0..*Reference(MedicationAdministration | Procedure)
statusS Σ ?!1..1codeBinding
statusReason0..*CodeableConcept
categoryS0..1CodeableConceptBinding
medicationReferenceS Σ0..1Reference(Medication)
id0..1string
extensionI0..*Extension
id0..1string
extensionI0..*Extension
systemS Σ1..1uriPattern
versionΣ0..1string
codeS Σ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
id0..1string
extensionI0..*Extension
systemS Σ1..1uriPattern
versionΣ0..1string
codeS Σ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
id0..1string
extensionI0..*Extension
systemS Σ1..1uriPattern
versionΣ0..1string
codeS Σ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textS Σ0..1string
subjectS Σ I1..1MII-Reference(Patient)
contextS I0..1Reference(Encounter | EpisodeOfCare)
supportingInformationI0..*Reference(Resource)
effectivePeriodS Σ0..1Period
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
function0..1CodeableConcept
actorΣ I1..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device)
reasonCodeS0..*CodeableConcept
reasonReferenceS I0..*Reference(Condition | Observation | DiagnosticReport)
requestS I0..1Reference(MedicationRequest)
deviceI0..*Reference(Device)
noteS0..*Annotation
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
textS0..1string
id0..1string
extensionI0..*Extension
id0..1string
extensionI0..*Extension
systemS Σ1..1uriPattern
versionΣ0..1string
codeS Σ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
id0..1string
extensionI0..*Extension
id0..1string
extensionI0..*Extension
systemS Σ1..1uriPattern
versionΣ0..1string
codeS Σ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
id0..1string
extensionI0..*Extension
systemS Σ1..1uriPattern
versionΣ0..1string
codeS Σ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
method0..1CodeableConcept
id0..1string
extensionI0..*Extension
valueS Σ1..1decimal
comparatorΣ ?!0..0codeBinding
unitS Σ0..1string
systemS Σ I1..1uriPattern
codeS Σ1..1code
id0..1string
extensionI0..*Extension
id0..1string
extensionI0..*Extension
valueS Σ1..1decimal
comparatorΣ ?!0..1codeBinding
unitS Σ0..1string
systemS Σ I1..1uriPattern
codeS Σ1..1code
id0..1string
extensionI0..*Extension
valueS Σ1..1decimal
comparatorΣ ?!0..1codeBinding
unitS Σ0..1string
systemS Σ I1..1uriPattern
codeS Σ1..1code
id0..1string
extensionI0..*Extension
valueS Σ1..1decimal
comparatorΣ ?!0..0codeBinding
unitS Σ0..1string
systemS Σ I1..1uriPattern
codeS Σ1..1code
eventHistoryI0..*Reference(Provenance)

Dieses Profil bietet die Möglichkeit die Kontrastmittelgabe aus dem RIS zu erfassen und ist somit die Alternative zu der Erfassung der Kontrastmittelgabe aus den DICOM-Metadaten.

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="mii-pr-bildgebung-kontrastmittelgabe" />
    <url value="https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-pr-bildgebung-kontrastmittelgabe" />
    <version value="2025.0.0-ballot" />
    <name value="MII_PR_Bildgebung_Kontrastmittelgabe">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
                <valueCode value="en-US" />
            </extension>
            <extension url="content">
                <valueString value="MII_PR_Imaging_Contrast_Medication_Administration" />
            </extension>
        </extension>
    </name>
    <title value="MII PR Bildgebung Konstrastmittelgabe">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
                <valueCode value="en-US" />
            </extension>
            <extension url="content">
                <valueString value="MII PR Imaging Contrast Medication Administration" />
            </extension>
        </extension>
    </title>
    <status value="active" />
    <description value="Dieses Profil bietet die M&#246;glichkeit die Kontrastmittelgabe aus dem RIS zu erfassen und ist somit die Alternative zu der Erfassung der Kontrastmittelgabe aus den DICOM-Metadaten.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
                <valueCode value="en-US" />
            </extension>
            <extension url="content">
                <valueString value="The profile describes medication administration for contrastmedication." />
            </extension>
        </extension>
    </description>
    <fhirVersion value="4.0.1" />
    <kind value="resource" />
    <abstract value="false" />
    <type value="MedicationAdministration" />
    <baseDefinition value="https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/MedicationAdministration" />
    <derivation value="constraint" />
    <differential>
        <element id="MedicationAdministration.subject">
            <path value="MedicationAdministration.subject" />
            <type>
                <code value="Reference" />
                <profile value="https://www.medizininformatik-initiative.de/fhir/core/StructureDefinition/MII-Reference" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" />
            </type>
        </element>
        <element id="MedicationAdministration.effective[x]">
            <path value="MedicationAdministration.effective[x]" />
            <type>
                <code value="Period" />
            </type>
        </element>
        <element id="MedicationAdministration.dosage.dose">
            <path value="MedicationAdministration.dosage.dose" />
            <min value="1" />
        </element>
    </differential>
</StructureDefinition>
{
    "resourceType": "StructureDefinition",
    "id": "mii-pr-bildgebung-kontrastmittelgabe",
    "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-pr-bildgebung-kontrastmittelgabe",
    "version": "2025.0.0-ballot",
    "name": "MII_PR_Bildgebung_Kontrastmittelgabe",
    "_name": {
        "extension":  [
            {
                "url": "http://hl7.org/fhir/StructureDefinition/translation",
                "extension":  [
                    {
                        "url": "lang",
                        "valueCode": "en-US"
                    },
                    {
                        "url": "content",
                        "valueString": "MII_PR_Imaging_Contrast_Medication_Administration"
                    }
                ]
            }
        ]
    },
    "title": "MII PR Bildgebung Konstrastmittelgabe",
    "_title": {
        "extension":  [
            {
                "url": "http://hl7.org/fhir/StructureDefinition/translation",
                "extension":  [
                    {
                        "url": "lang",
                        "valueCode": "en-US"
                    },
                    {
                        "url": "content",
                        "valueString": "MII PR Imaging Contrast Medication Administration"
                    }
                ]
            }
        ]
    },
    "status": "active",
    "description": "Dieses Profil bietet die Möglichkeit die Kontrastmittelgabe aus dem RIS zu erfassen und ist somit die Alternative zu der Erfassung der Kontrastmittelgabe aus den DICOM-Metadaten.",
    "_description": {
        "extension":  [
            {
                "url": "http://hl7.org/fhir/StructureDefinition/translation",
                "extension":  [
                    {
                        "url": "lang",
                        "valueCode": "en-US"
                    },
                    {
                        "url": "content",
                        "valueString": "The profile describes medication administration for contrastmedication."
                    }
                ]
            }
        ]
    },
    "fhirVersion": "4.0.1",
    "kind": "resource",
    "abstract": false,
    "type": "MedicationAdministration",
    "baseDefinition": "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/MedicationAdministration",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "MedicationAdministration.subject",
                "path": "MedicationAdministration.subject",
                "type":  [
                    {
                        "code": "Reference",
                        "profile":  [
                            "https://www.medizininformatik-initiative.de/fhir/core/StructureDefinition/MII-Reference"
                        ],
                        "targetProfile":  [
                            "http://hl7.org/fhir/StructureDefinition/Patient"
                        ]
                    }
                ]
            },
            {
                "id": "MedicationAdministration.effective[x]",
                "path": "MedicationAdministration.effective[x]",
                "type":  [
                    {
                        "code": "Period"
                    }
                ]
            },
            {
                "id": "MedicationAdministration.dosage.dose",
                "path": "MedicationAdministration.dosage.dose",
                "min": 1
            }
        ]
    }
}

FHIRDatensatzErklaerung
MedicationAdministrationBildgebung.Kontrastmittelgabe

Erfassung der Kontrastmittelgabe aus dem RIS

MedicationAdministration.statusBildgebung.Kontrastmittelgabe.Status

Status der Kontrastmittelgabe

MedicationAdministration.medication[x]Bildgebung.Kontrastmittelgabe.Medikament

Beschreibung des verwendeten Medikament

MedicationAdministration.subjectBildgebung.Kontrastmittelgabe.Person

Person der das Medikament verabreicht wird. Hier soll das MII KDS-Modul Person verwendet werden.

MedicationAdministration.effective[x]Bildgebung.Kontrastmittelgabe.Medikationsdauer

Dauer über die das Medikament verabreicht worden ist.

MedicationAdministration.dosageBildgebung.Kontrastmittelgabe.Dosierung

Dosierung der Medikation

MedicatinAdministration.dosage.doseBildgebung.Kontrastmittelgabe.Dosierung.Dosis

Dosis des Medikaments


Suchparameter

Folgende Suchparameter sind für das Modul Bildgebung relevant, auch in Kombination:

NameDefinitionTypeExpectation
_idhttp://hl7.org/fhir/SearchParameter/Resource-idtokenSHALL
_lastUpdatedhttp://hl7.org/fhir/SearchParameter/Resource-lastUpdateddateSHALL
_profilehttp://hl7.org/fhir/SearchParameter/Resource-profileuriSHALL
_sourcehttp://hl7.org/fhir/SearchParameter/Resource-sourceuriSHALL
statushttp://hl7.org/fhir/SearchParameter/medications-statustokenSHALL
medicationhttp://hl7.org/fhir/SearchParameter/medications-medicationreferenceSHALL
codehttp://hl7.org/fhir/SearchParameter/clinical-codetokenSHALL
patienthttp://hl7.org/fhir/SearchParameter/clinical-patientreferenceSHALL
effective-timehttp://hl7.org/fhir/SearchParameter/MedicationAdministration-effective-timedateSHALL
dose-quantityhttps://www.medizininformatik-initiative.de/fhir/core/modul-medikation/SearchParameter/Dosage-DoseQuantityquantitySHALL

Beispiele

Beispiel einer MedicationAdministration-Ressource mit der Applikation eines Kontrastmittels

{
    "resourceType": "MedicationAdministration",
    "id": "mii-exa-bildgebung-kontrastmittelgabe",
    "meta": {
        "profile":  [
            "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-pr-bildgebung-kontrastmittelgabe"
        ]
    },
    "dosage": {
        "dose": {
            "system": "http://unitsofmeasure.org",
            "value": 111,
            "unit": "milliliter",
            "code": "mm"
        }
    },
    "status": "completed",
    "subject": {
        "reference": "Patient/PatExample"
    },
    "medicationReference": {
        "reference": "Medication/MedExample"
    },
    "effectivePeriod": {
        "end": "2024-07-19T12:22:45+02:00",
        "start": "2024-07-19T12:21:45+02:00"
    }
}