MII IG Befunde bildgebender Verfahren DE v2025

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.

Name	Status	Version	Canonical	Basis
MII_EX_Bildgebung_Bildgebungsgrund	active	2025.0.0-ballot	https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-bildgebungsgrund	http://hl7.org/fhir/StructureDefinition/Extension

Inhalt

MII_EX_Bildgebung_Bildgebungsgrund (Extension)	I		Extension	There are no (further) constraints on this element Element id Extension Short description Optional Extensions Element Definition Optional Extension Element - found in all resources. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
id		0..1	string	There are no (further) constraints on this element Element id Extension.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..0	Extension	There are no (further) constraints on this element Element id Extension.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
url		1..1	uriFixed Value	Element id Extension.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments 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. Data type uri Fixed value https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-bildgebungsgrund Mappings rim: N/A
value[x]		0..1		There are no (further) constraints on this element Element id Extension.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A
valueString			string	Data type string

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

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="mii-ex-bildgebung-bildgebungsgrund" />
    <url value="https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-bildgebungsgrund" />
    <version value="2025.0.0-ballot" />
    <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 erm&#246;glicht es, den Bildgebungsgrund aus dem entsprechenden DICOM Tag 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 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" />
    <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",
    "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-bildgebungsgrund",
    "version": "2025.0.0-ballot",
    "name": "MII_EX_Bildgebung_Bildgebungsgrund",
    "_name": {
        "extension":  [
            {
                "url": "http://hl7.org/fhir/StructureDefinition/translation",
                "extension":  [
                    {
                        "url": "lang",
                        "valueCode": "en-US"
                    },
                    {
                        "url": "content",
                        "valueString": "MII_EX_Imaging_Imaging_Reason"
                    }
                ]
            }
        ]
    },
    "title": "MII EX Bildgebung Bildgebungsgrund",
    "_title": {
        "extension":  [
            {
                "url": "http://hl7.org/fhir/StructureDefinition/translation",
                "extension":  [
                    {
                        "url": "lang",
                        "valueCode": "en-US"
                    },
                    {
                        "url": "content",
                        "valueString": "MII EX Imaging Imaging Reason"
                    }
                ]
            }
        ]
    },
    "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 auf Studien-Ebene anzugeben.",
    "_description": {
        "extension":  [
            {
                "url": "http://hl7.org/fhir/StructureDefinition/translation",
                "extension":  [
                    {
                        "url": "lang",
                        "valueCode": "en-US"
                    },
                    {
                        "url": "content",
                        "valueString": "The extension allows specifying the reason for the imaging procedure from the corresponding DICOM tag at the study level."
                    }
                ]
            }
        ]
    },
    "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",
    "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
	Aus Gründen der Übersichtlichkeit wurde in diesem Beispiel darauf verzichtet, alle dazugehörigen Serien bzw. Instanzen mit einzubinden. Natürlich ist es bei der Implkementierung 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.

Hinweis

Aus Gründen der Übersichtlichkeit wurde in diesem Beispiel darauf verzichtet, alle dazugehörigen Serien bzw. Instanzen mit einzubinden. Natürlich ist es bei der Implkementierung 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"
        }
    ],
    "series":  [
        {
            "extension":  [
                {
                    "extension":  [
                        {
                            "valueQuantity": {
                                "unit": "milligray",
                                "value": 4.04
                            },
                            "url": "CTDIvol"
                        },
                        {
                            "valueQuantity": {
                                "unit": "kilovolt",
                                "value": 110
                            },
                            "url": "KVP"
                        },
                        {
                            "valueQuantity": {
                                "unit": "milliampere second",
                                "value": 38
                            },
                            "url": "exposure"
                        },
                        {
                            "valueQuantity": {
                                "unit": "milliseconds",
                                "value": 600
                            },
                            "url": "exposureTime"
                        },
                        {
                            "valueQuantity": {
                                "unit": "milliampere",
                                "value": 96
                            },
                            "url": "xRayTubeCurrent"
                        }
                    ],
                    "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-ct"
                },
                {
                    "extension":  [
                        {
                            "url": "manufacturer",
                            "valueString": "Beispielhersteller"
                        },
                        {
                            "url": "manufacturerModelName",
                            "valueString": "Beispielmodell"
                        }
                    ],
                    "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-geraet-hersteller"
                },
                {
                    "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"
                }
            ],
            "instance":  [
                {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "valueQuantity": {
                                        "unit": "millimeter",
                                        "value": 1.36
                                    },
                                    "url": "pixelSpacingX"
                                },
                                {
                                    "valueQuantity": {
                                        "unit": "millimeter",
                                        "value": 1.36
                                    },
                                    "url": "pixelSpacingY"
                                },
                                {
                                    "valueQuantity": {
                                        "unit": "millimeter",
                                        "value": 4
                                    },
                                    "url": "sliceThickness"
                                },
                                {
                                    "url": "imageType",
                                    "valueString": "[DERIVED, PRIMARY]"
                                }
                            ],
                            "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-instanz-details"
                        }
                    ],
                    "uid": "instance-example-uid",
                    "sopClass": {
                        "code": "urn:oid:1.2.840.10008.5.1.4.1.1.2",
                        "system": "urn:ietf:rfc:3986"
                    },
                    "number": 31
                }
            ],
            "uid": "series-example-uid",
            "number": 1,
            "modality": {
                "code": "CT",
                "system": "http://dicom.nema.org/resources/ontology/DCM",
                "display": "Computed Tomography"
            },
            "description": "AC LD CT Whole Body 4.0 HD Field of View",
            "numberOfInstances": 195,
            "bodySite": {
                "code": "51185008",
                "system": "http://snomed.info/sct",
                "display": "Thoracic structure (body structure)"
            },
            "laterality": {
                "code": "7771000",
                "system": "http://snomed.info/sct",
                "display": "Left"
            },
            "started": "2024-07-19T12:03:30+02:00"
        }
    ],
    "status": "available",
    "modality":  [
        {
            "code": "CT",
            "system": "http://dicom.nema.org/resources/ontology/DCM",
            "display": "Computed Tomography"
        }
    ],
    "subject": {
        "reference": "Patient/PatExample",
        "identifier": {
            "type": {
                "coding":  [
                    {
                        "code": "MR",
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "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"
}

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"
        }
    ],
    "series":  [
        {
            "extension":  [
                {
                    "extension":  [
                        {
                            "valueQuantity": {
                                "unit": "tesla",
                                "value": 3
                            },
                            "url": "magneticFieldStrength"
                        },
                        {
                            "url": "scanningSequence",
                            "valueString": "SE"
                        },
                        {
                            "url": "scanningSequenceVariant",
                            "valueString": "SP, SK"
                        }
                    ],
                    "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-mr"
                },
                {
                    "extension":  [
                        {
                            "url": "manufacturer",
                            "valueString": "Siemens Healthineers"
                        },
                        {
                            "url": "manufacturerModelName",
                            "valueString": "MAGNETOM Vida"
                        }
                    ],
                    "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-geraet-hersteller"
                },
                {
                    "extension":  [
                        {
                            "url": "contrastBolus",
                            "valueBoolean": false
                        }
                    ],
                    "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-kontrastmittel"
                }
            ],
            "instance":  [
                {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "valueQuantity": {
                                        "unit": "millimeter",
                                        "value": 0.260417
                                    },
                                    "url": "pixelSpacingX"
                                },
                                {
                                    "valueQuantity": {
                                        "unit": "millimeter",
                                        "value": 0.260417
                                    },
                                    "url": "pixelSpacingY"
                                },
                                {
                                    "valueQuantity": {
                                        "unit": "millimeter",
                                        "value": 3
                                    },
                                    "url": "sliceThickness"
                                },
                                {
                                    "url": "imageType",
                                    "valueString": "[ORIGINAL, PRIMARY]"
                                }
                            ],
                            "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-instanz-details"
                        }
                    ],
                    "uid": "instance-example-uid",
                    "sopClass": {
                        "code": "urn:oid:1.2.840.10008.5.1.4.1.1.4",
                        "system": "urn:ietf:rfc:3986"
                    },
                    "number": 28
                }
            ],
            "uid": "series-example-uid",
            "number": 9,
            "modality": {
                "code": "MR",
                "system": "http://dicom.nema.org/resources/ontology/DCM",
                "display": "Magnetic Resonance"
            },
            "description": "pd_tse_sag",
            "numberOfInstances": 28,
            "bodySite": {
                "code": "72696002",
                "system": "http://snomed.info/sct",
                "display": "Knee region structure (body structure)"
            },
            "laterality": {
                "code": "24028007",
                "system": "http://snomed.info/sct",
                "display": "Right"
            },
            "started": "2024-07-19T12:03:30+02:00"
        }
    ],
    "status": "available",
    "modality":  [
        {
            "code": "MR",
            "system": "http://dicom.nema.org/resources/ontology/DCM",
            "display": "Magnetic Resonance"
        }
    ],
    "subject": {
        "reference": "Patient/PatExample",
        "identifier": {
            "type": {
                "coding":  [
                    {
                        "code": "MR",
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "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"
}

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"
        }
    ],
    "series":  [
        {
            "extension":  [
                {
                    "extension":  [
                        {
                            "valueQuantity": {
                                "unit": "kilovolt",
                                "value": 110
                            },
                            "url": "KVP"
                        },
                        {
                            "valueQuantity": {
                                "unit": "milliampere second",
                                "value": 38
                            },
                            "url": "exposure"
                        },
                        {
                            "valueQuantity": {
                                "unit": "milliseconds",
                                "value": 600
                            },
                            "url": "exposureTime"
                        },
                        {
                            "valueQuantity": {
                                "unit": "milliampere",
                                "value": 96
                            },
                            "url": "xRayTubeCurrent"
                        }
                    ],
                    "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-mg-cr-dx"
                },
                {
                    "extension":  [
                        {
                            "url": "manufacturer",
                            "valueString": "SIEMENS"
                        },
                        {
                            "url": "manufacturerModelName",
                            "valueString": "Fluorospot Compact FD"
                        }
                    ],
                    "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-geraet-hersteller"
                },
                {
                    "extension":  [
                        {
                            "url": "contrastBolus",
                            "valueBoolean": false
                        }
                    ],
                    "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-kontrastmittel"
                }
            ],
            "instance":  [
                {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "url": "imageType",
                                    "valueString": "[ORIGINAL,PRIMARY,RAD]"
                                }
                            ],
                            "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-instanz-details"
                        }
                    ],
                    "uid": "instance-example-uid",
                    "sopClass": {
                        "code": "urn:oid:1.2.840.10008.5.1.4.1.1.1",
                        "system": "urn:ietf:rfc:3986"
                    },
                    "number": 1
                }
            ],
            "uid": "series-example-uid",
            "number": 1,
            "modality": {
                "code": "CR",
                "system": "http://dicom.nema.org/resources/ontology/DCM",
                "display": "Computed Radiography"
            },
            "description": "X Thorax a.p. liegend",
            "numberOfInstances": 1,
            "bodySite": {
                "code": "43799004",
                "system": "http://snomed.info/sct",
                "display": "Thoracic structure (body structure)"
            },
            "laterality": {
                "code": "66459002",
                "system": "http://snomed.info/sct",
                "display": "Unilateral"
            },
            "started": "2024-07-19T12:03:30+02:00"
        }
    ],
    "status": "available",
    "modality":  [
        {
            "code": "CR",
            "system": "http://dicom.nema.org/resources/ontology/DCM",
            "display": "Computed Radiography"
        }
    ],
    "subject": {
        "reference": "Patient/PatExample",
        "identifier": {
            "type": {
                "coding":  [
                    {
                        "code": "MR",
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "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;"
}

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"
        }
    ],
    "series":  [
        {
            "extension":  [
                {
                    "extension":  [
                        {
                            "url": "radiopharmaceutical",
                            "valueCodeableConcept": {
                                "coding":  [
                                    {
                                        "code": "35321007",
                                        "system": "http://snomed.info/sct",
                                        "display": "Fluorodeoxyglucose (18-F) (substance)"
                                    }
                                ]
                            }
                        },
                        {
                            "url": "radiopharmaceuticalStartTime",
                            "valueDateTime": "2024-07-19T12:03:30+02:00"
                        },
                        {
                            "url": "rescaleType",
                            "valueString": "BQML"
                        },
                        {
                            "valueQuantity": {
                                "unit": "Megabecquerel",
                                "value": 196
                            },
                            "url": "radionuclideTotalDose"
                        },
                        {
                            "valueQuantity": {
                                "unit": "Seconds",
                                "value": 6586.2
                            },
                            "url": "radionuclideHalfLife"
                        }
                    ],
                    "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-pt-nm"
                },
                {
                    "extension":  [
                        {
                            "url": "manufacturer",
                            "valueString": "Beispielhersteller"
                        },
                        {
                            "url": "manufacturerModelName",
                            "valueString": "Beispielmodell"
                        }
                    ],
                    "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-geraet-hersteller"
                }
            ],
            "instance":  [
                {
                    "extension":  [
                        {
                            "extension":  [
                                {
                                    "valueQuantity": {
                                        "unit": "millimeter",
                                        "value": 2.89
                                    },
                                    "url": "pixelSpacingX"
                                },
                                {
                                    "valueQuantity": {
                                        "unit": "millimeter",
                                        "value": 2.89
                                    },
                                    "url": "pixelSpacingY"
                                },
                                {
                                    "valueQuantity": {
                                        "unit": "millimeter",
                                        "value": 4
                                    },
                                    "url": "sliceThickness"
                                },
                                {
                                    "url": "imageType",
                                    "valueString": "['ORIGINAL', 'PRIMARY']"
                                }
                            ],
                            "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-instanz-details"
                        }
                    ],
                    "uid": "instance-example-uid",
                    "sopClass": {
                        "code": "urn:oid:1.2.840.10008.5.1.4.1.1.128",
                        "system": "urn:ietf:rfc:3986"
                    },
                    "number": 31
                }
            ],
            "uid": "series-example-uid",
            "number": 1,
            "modality": {
                "code": "PT",
                "system": "http://dicom.nema.org/resources/ontology/DCM",
                "display": "Positron emission tomography"
            },
            "description": "PET WB",
            "numberOfInstances": 195,
            "bodySite": {
                "code": "51185008",
                "system": "http://snomed.info/sct",
                "display": "Thoracic structure (body structure)"
            },
            "laterality": {
                "code": "66459002",
                "system": "http://snomed.info/sct",
                "display": "Unilateral"
            },
            "started": "2024-07-19T12:03:30+02:00"
        }
    ],
    "status": "available",
    "modality":  [
        {
            "code": "PT",
            "system": "http://dicom.nema.org/resources/ontology/DCM",
            "display": "Positron emission tomography"
        }
    ],
    "subject": {
        "reference": "Patient/PatExample",
        "identifier": {
            "type": {
                "coding":  [
                    {
                        "code": "MR",
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "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"
}