MII IG Befunde bildgebender Verfahren DE v2025

ImagingStudy

Das ImagingStudy-Profil wird verwendet, um Bildgebungsstudien strukturiert zu erfassen und die zugehörigen DICOM-Headerdaten abzubilden. Dieses Profil ermöglicht das Anlegen einer Studie, die aus mehreren DICOM-Serien besteht, die wiederum aus mehreren Instanzen (Bildschichten) bestehen. Beim Anlegen einer Serie können Erweiterungen (Extensions) ausgewählt werden, die die zugrunde liegende Modalität der Serie genauer beschreiben.

Name	Status	Version	Canonical	Basis
MII_PR_Bildgebung_Bildgebungsstudie	active	2025.0.0-ballot	https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-pr-bildgebung-bildgebungsstudie	http://hl7.org/fhir/StructureDefinition/ImagingStudy

Inhalt

MII_PR_Bildgebung_Bildgebungsstudie (ImagingStudy)	I		ImagingStudy	There are no (further) constraints on this element Element id ImagingStudy Short description A set of images produced in single study (one or more series of references images) Definition Representation of the content produced in a DICOM imaging study. A study comprises a set of series, each of which includes a set of Service-Object Pair Instances (SOP Instances - images or other data) acquired or produced in a common context. A series is of only one modality (e.g. X-ray, CT, MR, ultrasound), but a study may have multiple series of different modalities. Data type ImagingStudy Constraints dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.empty()` dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()` dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource `contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()` dom-6: A resource should have narrative for robust management text.`div`.exists() dom-5: If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` Mappings rim: Entity. Role, or Act workflow: Event rim: Act[classCode=COMPOSITION, moodCode=EVN] dicom: Reference IHE radiology TF vol 2 table 4.14-1
id	S Σ	0..1	string	There are no (further) constraints on this element Element id ImagingStudy.id Short description Logical id of this artifact Definition The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. Comments The only time that a resource does not have an id is when it is being submitted to the server using a create operation. Data type string
meta	S Σ	0..1	Meta	There are no (further) constraints on this element Element id ImagingStudy.meta Short description Metadata about the resource Definition The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. Data type Meta 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
id		0..1	string	There are no (further) constraints on this element Element id ImagingStudy.meta.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..*	Extension	There are no (further) constraints on this element Element id ImagingStudy.meta.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
versionId	Σ	0..1	id	There are no (further) constraints on this element Element id ImagingStudy.meta.versionId Short description Version specific identifier Definition The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted. Comments The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes. Data type id Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
lastUpdated	Σ	0..1	instant	There are no (further) constraints on this element Element id ImagingStudy.meta.lastUpdated Short description When the resource version last changed Definition When the resource last changed - e.g. when the version changed. Comments This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction. Data type instant Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
source	S Σ	0..1	uri	There are no (further) constraints on this element Element id ImagingStudy.meta.source Short description Identifies where the resource comes from Definition A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc. Comments In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
profile	S Σ	0..*	canonical(StructureDefinition)	There are no (further) constraints on this element Element id ImagingStudy.meta.profile Short description Profiles this resource claims to conform to Definition A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. Comments It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set. Data type canonical(StructureDefinition) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
security	Σ	0..*	CodingBinding	There are no (further) constraints on this element Element id ImagingStudy.meta.security Short description Security Labels applied to this resource Definition Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure. Comments The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored. Data type Coding Binding Security Labels from the Healthcare Privacy and Security Classification System. All Security Labels (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding
tag	Σ	0..*	Coding	There are no (further) constraints on this element Element id ImagingStudy.meta.tag Short description Tags applied to this resource Definition Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource. Comments The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored. Data type Coding Binding Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". CommonTags (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding
implicitRules	Σ ?!	0..1	uri	There are no (further) constraints on this element Element id ImagingStudy.implicitRules Short description A set of rules under which this content was created Definition A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. Comments Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
language		0..1	codeBinding	There are no (further) constraints on this element Element id ImagingStudy.language Short description Language of the resource content Definition The base language in which the resource is written. Comments Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). Data type code Binding A human language. CommonLanguages (preferred) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
text		0..1	Narrative	There are no (further) constraints on this element Element id ImagingStudy.text Short description Text summary of the resource, for human interpretation Alternate names narrative, html, xhtml, display Definition A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. Comments Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. Data type Narrative 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 rim: Act.text?
contained		0..*	Resource	There are no (further) constraints on this element Element id ImagingStudy.contained Short description Contained, inline Resources Alternate names inline resources, anonymous resources, contained resources Definition These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. Comments This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels. Data type Resource Mappings rim: Entity. Role, or Act rim: N/A
extension	I	0..*	Extension	Element id ImagingStudy.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 resource. 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
bildgebungsgrund	I	0..1	Extension(string)	Element id ImagingStudy.extension:bildgebungsgrund Short description Optional Extensions Element Alternate names extensions, user content Definition Optional Extension Element - found in all resources. 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(string) Extension URL https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-bildgebungsgrund 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
modifierExtension	?! I	0..*	Extension	There are no (further) constraints on this element Element id ImagingStudy.modifierExtension Short description Extensions that cannot be ignored Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. 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
identifier	Σ	0..*	Identifier	There are no (further) constraints on this element Element id ImagingStudy.identifier Short description Identifiers for the whole study Alternate names StudyInstanceUID, AccessionNumber Definition Identifiers for the ImagingStudy such as DICOM Study Instance UID, and Accession Number. Requirements If one or more series elements are present in the ImagingStudy, then there shall be one DICOM Study UID identifier (see DICOM PS 3.3 C.7.2. Comments See discussion under Imaging Study Implementation Notes for encoding of DICOM Study Instance UID. Accession Number should use ACSN Identifier type. Data type Identifier Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CX / EI (occasionally, more often EI maps to a resource id or a URL) rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd: Identifier workflow: Event.identifier w5: FiveWs.identifier rim: .id and .inboundRelationship[typeCode=COMP].source[classCode=ACSN, moodCode=EVN].id dicom: StudyInstanceUID (0020,000D) \| Accession Number and Issuer (0080,0050)+(0080,0051) \| Study ID (0020,0010)
status	S Σ ?!	1..1	codeBinding	There are no (further) constraints on this element Element id ImagingStudy.status Short description registered \| available \| cancelled \| entered-in-error \| unknown Definition The current state of the ImagingStudy. Comments Unknown does not represent "other" - one of the defined statuses must apply. Unknown is used when the authoring system is not sure what the current status is. Data type code Binding The status of the ImagingStudy. ImagingStudyStatus (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Event.status w5: FiveWs.status v2: Varies by domain rim: .status
modality	S Σ	0..*	CodingBinding	Element id ImagingStudy.modality Short description All series modality if actual acquisition modalities Alternate names ModalitiesInStudy Definition A list of all the series.modality values that are actual acquisition modalities, i.e. those in the DICOM Context Group 29 (value set OID 1.2.840.10008.6.1.19). Comments Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Data type Coding Binding Type of acquired data in the instance. https://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding w5: FiveWs.class rim: .code dicom: (0008,0061)
subject	S Σ I	1..1	Reference(Patient)	Element id ImagingStudy.subject Short description Who or what is the subject of the study Definition The subject, typically a patient, of the imaging study. Comments QA phantoms can be recorded with a Device; multiple subjects (such as mice) can be recorded with a Group. Data type Reference(Patient) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Event.subject w5: FiveWs.subject[x] rim: .participation[typeCode=SBJ].role dicom: (0010/) w5:* FiveWs.subject
encounter	S Σ I	0..1	Reference(Encounter)	There are no (further) constraints on this element Element id ImagingStudy.encounter Short description Encounter with which this imaging study is associated Definition The healthcare event (e.g. a patient and healthcare provider interaction) during which this ImagingStudy is made. Comments This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission test). Data type Reference(Encounter) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Event.encounter w5: FiveWs.context rim: inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
started	S Σ	0..1	dateTime	There are no (further) constraints on this element Element id ImagingStudy.started Short description When the study was started Alternate names StudyDate, StudyTime Definition Date and time the study started. Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 2011-01-01T11:01:20+03:00 Mappings rim: n/a workflow: Event.occurrence[x] w5: FiveWs.init rim: .effectiveTime dicom: (0008,0020)+(0008,0030)
basedOn	S Σ I	0..*	Reference(CarePlan \| ServiceRequest \| Appointment \| AppointmentResponse \| Task)	There are no (further) constraints on this element Element id ImagingStudy.basedOn Short description Request fulfilled Definition A list of the diagnostic requests that resulted in this imaging study being performed. Requirements To support grouped procedures (one imaging study supporting multiple ordered procedures, e.g. chest/abdomen/pelvis CT). Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data type Reference(CarePlan \| ServiceRequest \| Appointment \| AppointmentResponse \| Task) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Event.basedOn w5: FiveWs.cause rim: .outboundRelationship[typeCode=FLFS].target[classCode=DGIMG, moodCode=RQO] dicom: (0032,1064)
referrer	Σ I	0..1	Reference(Practitioner \| PractitionerRole)	There are no (further) constraints on this element Element id ImagingStudy.referrer Short description Referring physician Alternate names ReferringPhysiciansName Definition The requesting/referring physician. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data type Reference(Practitioner \| PractitionerRole) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5: FiveWs.cause rim: .outboundRelationship[typeCode=FLFS].target[classCode=DGIMG, moodCode=RQO].participation[typeCode=AUT].role dicom: (0008,0090)+(0008,0096)
interpreter	Σ I	0..*	Reference(Practitioner \| PractitionerRole)	There are no (further) constraints on this element Element id ImagingStudy.interpreter Short description Who interpreted images Alternate names Name of Physician(s) Reading Study Definition Who read the study and interpreted the images or other content. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data type Reference(Practitioner \| PractitionerRole) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5: FiveWs.witness rim: .participation[typeCode=PRF].role dicom: (0008,1060)
endpoint	S Σ I	0..*	Reference(Endpoint)	There are no (further) constraints on this element Element id ImagingStudy.endpoint Short description Study access endpoint Definition The network service providing access (e.g., query, view, or retrieval) for the study. See implementation notes for information about using DICOM endpoints. A study-level endpoint applies to each series in the study, unless overridden by a series-level endpoint with the same Endpoint.connectionType. Requirements Access methods for viewing (e.g., IHE’s IID profile) or retrieving (e.g., DICOM’s WADO-URI and WADO-RS) the study or the study’s series or instances. The study-level baseLocation applies to each series in the study, unless overridden in series by a series-level baseLocation of the same type. Comments Typical endpoint types include DICOM WADO-RS, which is used to retrieve DICOM instances in native or rendered (e.g., JPG, PNG), formats using a RESTful API; DICOM WADO-URI, which can similarly retrieve native or rendered instances, except using an HTTP query-based approach; DICOM QIDO-RS, which allows RESTful query for DICOM information without retrieving the actual instances; or IHE Invoke Image Display (IID), which provides standard invocation of an imaging web viewer. Data type Reference(Endpoint) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) rim: Not supported
numberOfSeries	S Σ	0..1	unsignedInt	There are no (further) constraints on this element Element id ImagingStudy.numberOfSeries Short description Number of Study Related Series Alternate names NumberOfStudyRelatedSeries Definition Number of Series in the Study. This value given may be larger than the number of series elements this Resource contains due to resource availability, security, or other factors. This element should be present if any series elements are present. Comments 32 bit number; for values larger than this, use decimal Data type unsignedInt Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: .outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=OBSSER, moodCode=EVN].repeatNumber dicom: (0020,1206)
numberOfInstances	S Σ	0..1	unsignedInt	There are no (further) constraints on this element Element id ImagingStudy.numberOfInstances Short description Number of Study Related Instances Alternate names NumberOfStudyRelatedInstances Definition Number of SOP Instances in Study. This value given may be larger than the number of instance elements this resource contains due to resource availability, security, or other factors. This element should be present if any instance elements are present. Comments 32 bit number; for values larger than this, use decimal Data type unsignedInt Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: .outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=DGIMG, moodCode=EVN].repeatNumber dicom: (0020,1208)
procedureReference	S Σ I	0..1	Reference(Procedure)	There are no (further) constraints on this element Element id ImagingStudy.procedureReference Short description The performed Procedure reference Definition The procedure which this ImagingStudy was part of. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data type Reference(Procedure) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Event.partOf rim: .outboundRelationship[typeCode=COMP].target[classCode=PROC, moodCode=EVN] dicom: (0008,1032)
procedureCode	Σ	0..*	CodeableConceptBinding	There are no (further) constraints on this element Element id ImagingStudy.procedureCode Short description The performed procedure code Alternate names ProcedureCodeSequence Definition The code for the performed procedure type. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data type CodeableConcept Binding The performed procedure type. http://www.rsna.org/RadLex_Playbook.aspx (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD workflow: Event.code rim: .outboundRelationship[typeCode=COMP].target[classCode=PROC, moodCode=EVN] dicom: (0008,1032)
location	Σ I	0..1	Reference(Location)	There are no (further) constraints on this element Element id ImagingStudy.location Short description Where ImagingStudy occurred Definition The principal physical location where the ImagingStudy was performed. Requirements Ties the event to where the records are likely kept and provides context around the event occurrence (e.g. if it occurred inside or outside a dedicated healthcare setting). Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data type Reference(Location) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Event.location w5: FiveWs.where[x] v2: EVN.7 rim: .participation[typeCode=LOC].role dicom: (0008,1040) \| (0040,0243)
reasonCode	Σ	0..*	CodeableConcept	There are no (further) constraints on this element Element id ImagingStudy.reasonCode Short description Why the study was requested Definition Description of clinical condition indicating why the ImagingStudy was requested. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data type CodeableConcept Binding The reason for the study. ProcedureReasonCodes (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD workflow: Event.reasonCode w5: FiveWs.why[x] rim: .reasonCode dicom: (0040,1002)
reasonReference	S Σ I	0..*	Reference(Condition \| Observation \| Media \| DiagnosticReport \| DocumentReference)	There are no (further) constraints on this element Element id ImagingStudy.reasonReference Short description Why was study performed Definition Indicates another resource whose existence justifies this Study. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data type Reference(Condition \| Observation \| Media \| DiagnosticReport \| DocumentReference) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Event.reasonReference w5: FiveWs.why[x] v2: EVN.4 or by domain rim: .outboundRelationship[typeCode=RSON].target
note	Σ	0..*	Annotation	There are no (further) constraints on this element Element id ImagingStudy.note Short description User-defined comments Definition Per the recommended DICOM mapping, this element is derived from the Study Description attribute (0008,1030). Observations or findings about the imaging study should be recorded in another resource, e.g. Observation, and not in this element. Comments For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible). Data type Annotation Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: N/A rim: Act workflow: Event.note rim: unknown
description	S Σ	0..1	string	There are no (further) constraints on this element Element id ImagingStudy.description Short description Institution-generated description Alternate names StudyDescription Definition The Imaging Manager description of the study. Institution-generated description or classification of the Study (component) performed. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: .text dicom: (0008,1030)
series	S Σ	0..*	BackboneElement	There are no (further) constraints on this element Element id ImagingStudy.series Short description Each study has one or more series of instances Definition Each study has one or more series of images or other content. Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: .outboundRelationship[typeCode=COMP].target[classCode=OBSSER, moodCode=EVN]
id		0..1	string	There are no (further) constraints on this element Element id ImagingStudy.series.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..*	Extension	Element id ImagingStudy.series.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
modalitätCT	I	0..1	Extension(Complex)	Element id ImagingStudy.series.extension:modalitätCT Short description Optional Extensions Element Alternate names extensions, user content Definition Optional Extension Element - found in all resources. 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(Complex) Extension URL https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-ct 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
modalitätMG_CR_DX	I	0..1	Extension(Complex)	Element id ImagingStudy.series.extension:modalitätMG_CR_DX Short description Optional Extensions Element Alternate names extensions, user content Definition Optional Extension Element - found in all resources. 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(Complex) Extension URL https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-mg-cr-dx 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
modalitätMR	I	0..1	Extension(Complex)	Element id ImagingStudy.series.extension:modalitätMR Short description Optional Extensions Element Alternate names extensions, user content Definition Optional Extension Element - found in all resources. 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(Complex) Extension URL https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-mr 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
modalitätPT_NM	I	0..1	Extension(Complex)	Element id ImagingStudy.series.extension:modalitätPT_NM Short description Optional Extensions Element Alternate names extensions, user content Definition Optional Extension Element - found in all resources. 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(Complex) Extension URL https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-pt-nm 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
kontrastmittel	I	0..1	Extension(Complex)	Element id ImagingStudy.series.extension:kontrastmittel Short description Optional Extensions Element Alternate names extensions, user content Definition Optional Extension Element - found in all resources. 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(Complex) Extension URL https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-kontrastmittel 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
gerät	I	0..1	Extension(Complex)	Element id ImagingStudy.series.extension:gerät Short description Optional Extensions Element Alternate names extensions, user content Definition Optional Extension Element - found in all resources. 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(Complex) Extension URL https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-geraet-hersteller 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
modifierExtension	Σ ?! I	0..*	Extension	There are no (further) constraints on this element Element id ImagingStudy.series.modifierExtension Short description Extensions that cannot be ignored even if unrecognized Alternate names extensions, user content, modifiers Definition May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. 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 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
uid	S Σ	1..1	id	There are no (further) constraints on this element Element id ImagingStudy.series.uid Short description DICOM Series Instance UID for the series Alternate names SeriesInstanceUID Definition The DICOM Series Instance UID for the series. Requirements DICOM Series Instance UID. Comments See DICOM PS3.3 C.7.3. Data type id Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 2.16.124.113543.6003.2588828330.45298.17418.2723805630 Mappings rim: n/a rim: .id dicom: (0020,000E)
number	S Σ	0..1	unsignedInt	There are no (further) constraints on this element Element id ImagingStudy.series.number Short description Numeric identifier of this series Alternate names SeriesNumber Definition The numeric identifier of this series in the study. Comments 32 bit number; for values larger than this, use decimal Data type unsignedInt Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 3 Mappings rim: n/a rim: .inboundRelationship[type=COMP, source[classCode=COMPOSITION, moodCode=EVN]].sequenceNumber dicom: (0020,0011)
modality	S Σ	1..1	CodingBinding	Element id ImagingStudy.series.modality Short description The modality of the instances in the series Alternate names Modality Definition The modality of this series sequence. Comments Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Data type Coding Binding Type of acquired data in the instance. https://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding rim: .code dicom: (0008,0060)
description	S Σ	0..1	string	There are no (further) constraints on this element Element id ImagingStudy.series.description Short description A short human readable summary of the series Alternate names SeriesDescription Definition A description of the series. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General CT Surview 180 Mappings rim: n/a rim: .text dicom: (0008,103E)
numberOfInstances	S Σ	0..1	unsignedInt	There are no (further) constraints on this element Element id ImagingStudy.series.numberOfInstances Short description Number of Series Related Instances Alternate names NumberOfSeriesRelatedInstances Definition Number of SOP Instances in the Study. The value given may be larger than the number of instance elements this resource contains due to resource availability, security, or other factors. This element should be present if any instance elements are present. Comments 32 bit number; for values larger than this, use decimal Data type unsignedInt Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: .outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=DGIMG, moodCode=EVN].repeatNumber dicom: (0020,1209)
endpoint	Σ I	0..*	Reference(Endpoint)	There are no (further) constraints on this element Element id ImagingStudy.series.endpoint Short description Series access endpoint Definition The network service providing access (e.g., query, view, or retrieval) for this series. See implementation notes for information about using DICOM endpoints. A series-level endpoint, if present, has precedence over a study-level endpoint with the same Endpoint.connectionType. Requirements Access methods for retrieving (e.g., DICOM’s WADO-URI and WADO-RS) the series or the series’ instances. A baseLocation specified at the series level has precedence over a baseLocation of the same type specified at the study level. Comments Typical endpoint types include DICOM WADO-RS, which is used to retrieve DICOM instances in native or rendered (e.g., JPG, PNG) formats using a RESTful API; DICOM WADO-URI, which can similarly retrieve native or rendered instances, except using an HTTP query-based approach; and DICOM QIDO-RS, which allows RESTful query for DICOM information without retrieving the actual instances. Data type Reference(Endpoint) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) rim: Not supported
bodySite	S Σ	0..1	CodingBinding	Element id ImagingStudy.series.bodySite Short description Body part examined Alternate names BodyPartExamined Definition The anatomic structures examined. See DICOM Part 16 Annex L (http://dicom.nema.org/medical/dicom/current/output/chtml/part16/chapter_L.html) for DICOM to SNOMED-CT mappings. The bodySite may indicate the laterality of body part imaged; if so, it shall be consistent with any content of ImagingStudy.series.laterality. Comments Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Data type Coding Binding Codes describing anatomical locations. May include laterality. SNOMEDCTBodyStructures (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding rim: .targetSiteCode dicom: (0018,0015)
laterality	S Σ	0..1	CodingBinding	Element id ImagingStudy.series.laterality Short description Body part laterality Definition The laterality of the (possibly paired) anatomic structures examined. E.g., the left knee, both lungs, or unpaired abdomen. If present, shall be consistent with any laterality information indicated in ImagingStudy.series.bodySite. Comments Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Data type Coding Binding Codes describing body site laterality (left, right, etc.). https://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_244.html (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding rim: .targetSiteCode dicom: (0020,0060)
specimen	Σ I	0..*	Reference(Specimen)	There are no (further) constraints on this element Element id ImagingStudy.series.specimen Short description Specimen imaged Definition The specimen imaged, e.g., for whole slide imaging of a biopsy. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data type Reference(Specimen) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) rim: Role[classCode=SPEC] dicom: (0040,0551) + (0040,0562)
started	S Σ	0..1	dateTime	There are no (further) constraints on this element Element id ImagingStudy.series.started Short description When the series started Definition The date and time the series was started. Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: .effectiveTime dicom: (0008,0021) + (0008,0031)
performer	Σ	0..*	BackboneElement	There are no (further) constraints on this element Element id ImagingStudy.series.performer Short description Who performed the series Alternate names PerformingPhysicianName, OperatorName Definition Indicates who or what performed the series and how they were involved. Requirements The performer is recorded at the series level, since each series in a study may be performed by a different performer, at different times, and using different devices. A series may be performed by multiple performers. Comments If the person who performed the series is not known, their Organization may be recorded. A patient, or related person, may be the performer, e.g. for patient-captured images. Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Event.performer rim: .participation[typeCode=PRF].role dicom: (0008, 1050) \| (0008, 1052) \| (0008, 1070) \| (0008, 1072)
id		0..1	string	There are no (further) constraints on this element Element id ImagingStudy.series.performer.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..*	Extension	There are no (further) constraints on this element Element id ImagingStudy.series.performer.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
modifierExtension	Σ ?! I	0..*	Extension	There are no (further) constraints on this element Element id ImagingStudy.series.performer.modifierExtension Short description Extensions that cannot be ignored even if unrecognized Alternate names extensions, user content, modifiers Definition May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. 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 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
function	Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element id ImagingStudy.series.performer.function Short description Type of performance Definition Distinguishes the type of involvement of the performer in the series. Requirements Allows disambiguation of the types of involvement of different performers. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data type CodeableConcept Binding The type of involvement of the performer. ImagingStudySeriesPerformerFunction (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD rim: .participation[typeCode=PRF].role
actor	Σ I	1..1	Reference(Practitioner \| PractitionerRole \| Organization \| CareTeam \| Patient \| Device \| RelatedPerson)	There are no (further) constraints on this element Element id ImagingStudy.series.performer.actor Short description Who performed the series Definition Indicates who or what performed the series. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data type Reference(Practitioner \| PractitionerRole \| Organization \| CareTeam \| Patient \| Device \| RelatedPerson) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5: FiveWs.actor v2: EVN.5 or by domain rim: .participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]
instance	S	0..*	BackboneElement	There are no (further) constraints on this element Element id ImagingStudy.series.instance Short description A single SOP instance from the series Definition A single SOP instance within the series, e.g. an image, or presentation state. Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: .outboundRelationship[typeCode=COMP].target[classCode=DGIMG, moodCode=EVN]
id		0..1	string	There are no (further) constraints on this element Element id ImagingStudy.series.instance.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..*	Extension	Element id ImagingStudy.series.instance.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
InstanceDetails	I	0..1	Extension(Complex)	Element id ImagingStudy.series.instance.extension:InstanceDetails Short description Optional Extensions Element Alternate names extensions, user content Definition Optional Extension Element - found in all resources. 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(Complex) Extension URL https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-instanz-details 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
modifierExtension	Σ ?! I	0..*	Extension	There are no (further) constraints on this element Element id ImagingStudy.series.instance.modifierExtension Short description Extensions that cannot be ignored even if unrecognized Alternate names extensions, user content, modifiers Definition May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. 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 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
uid	S	1..1	id	There are no (further) constraints on this element Element id ImagingStudy.series.instance.uid Short description DICOM SOP Instance UID Alternate names SOPInstanceUID Definition The DICOM SOP Instance UID for this image or other DICOM content. Requirements DICOM SOP Instance UID. Comments See DICOM PS3.3 C.12.1. Data type id Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 2.16.124.113543.6003.189642796.63084.16748.2599092903 Mappings rim: n/a rim: .id dicom: (0008,0018)
sopClass	S	1..1	CodingBinding	Element id ImagingStudy.series.instance.sopClass Short description DICOM class type Alternate names SOPClassUID Definition DICOM instance type. Comments Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Data type Coding Binding The sopClass for the instance. https://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding rim: .inboundRelationship[typeCode=COMP]. source[classCode=OBS, moodCode=EVN, code="sop class"].value dicom: (0008,0016)
number	S	0..1	unsignedInt	There are no (further) constraints on this element Element id ImagingStudy.series.instance.number Short description The number of this instance in the series Alternate names InstanceNumber Definition The number of instance in the series. Comments 32 bit number; for values larger than this, use decimal Data type unsignedInt Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 1 Mappings rim: n/a rim: .inboundRelationship[typeCode=COMP, source[classCode=OBSSER, moodCode=EVN]].sequenceNumber dicom: (0020,0013)
title		0..1	string	There are no (further) constraints on this element Element id ImagingStudy.series.instance.title Short description Description of instance Definition The description of the instance. Comments Particularly for post-acquisition analytic objects, such as SR, presentation states, value mapping, etc. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: .title dicom: (0008,0008) \| (0007,0080) \| (0040,A043) + (0008,0104) \| (0042,0010)

Dieses Profil beschreibt die Bildgebung anhand der DICOM-Metadaten auf Studien-, Serien- sowie Instanzen-Ebene der jeweiligen DICOM-Studie.

Feldname
ImagingStudy.id
ImagingStudy.meta
ImagingStudy.meta.source
ImagingStudy.meta.profile
ImagingStudy.status
ImagingStudy.modality
ImagingStudy.subject
ImagingStudy.encounter
ImagingStudy.started
ImagingStudy.basedOn
ImagingStudy.endpoint
ImagingStudy.numberOfSeries
ImagingStudy.numberOfInstances
ImagingStudy.procedureReference
ImagingStudy.reasonReference
ImagingStudy.description
ImagingStudy.series
ImagingStudy.series.uid
ImagingStudy.series.number
ImagingStudy.series.modality
ImagingStudy.series.description
ImagingStudy.series.numberOfInstances
ImagingStudy.series.bodySite
ImagingStudy.series.laterality
ImagingStudy.series.started
ImagingStudy.series.instance
ImagingStudy.series.instance.uid
ImagingStudy.series.instance.sopClass
ImagingStudy.series.instance.number

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="mii-pr-bildgebung-bildgebungsstudie" />
    <url value="https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-pr-bildgebung-bildgebungsstudie" />
    <version value="2025.0.0-ballot" />
    <name value="MII_PR_Bildgebung_Bildgebungsstudie">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
                <valueCode value="en-US" />
            </extension>
            <extension url="content">
                <valueString value="MII_PR_Imaging_Imaging_Study" />
            </extension>
        </extension>
    </name>
    <title value="MII PR Bildgebung Bildgebungsstudie">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
                <valueCode value="en-US" />
            </extension>
            <extension url="content">
                <valueString value="MII PR Imaging Imaging Study" />
            </extension>
        </extension>
    </title>
    <status value="active" />
    <description value="Dieses Profil beschreibt die Bildgebung anhand der DICOM-Metadaten auf Studien-, Serien- sowie Instanzen-Ebene der jeweiligen DICOM-Studie.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
                <valueCode value="en-US" />
            </extension>
            <extension url="content">
                <valueString value="The profile describes the metadata of an DICOM imaging study." />
            </extension>
        </extension>
    </description>
    <fhirVersion value="4.0.1" />
    <kind value="resource" />
    <abstract value="false" />
    <type value="ImagingStudy" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/ImagingStudy" />
    <derivation value="constraint" />
    <differential>
        <element id="ImagingStudy.id">
            <path value="ImagingStudy.id" />
            <mustSupport value="true" />
        </element>
        <element id="ImagingStudy.meta">
            <path value="ImagingStudy.meta" />
            <mustSupport value="true" />
        </element>
        <element id="ImagingStudy.meta.source">
            <path value="ImagingStudy.meta.source" />
            <mustSupport value="true" />
        </element>
        <element id="ImagingStudy.meta.profile">
            <path value="ImagingStudy.meta.profile" />
            <mustSupport value="true" />
        </element>
        <element id="ImagingStudy.extension">
            <path value="ImagingStudy.extension" />
            <slicing>
                <discriminator>
                    <type value="value" />
                    <path value="url" />
                </discriminator>
                <ordered value="false" />
                <rules value="open" />
            </slicing>
        </element>
        <element id="ImagingStudy.extension:bildgebungsgrund">
            <path value="ImagingStudy.extension" />
            <sliceName value="bildgebungsgrund" />
            <min value="0" />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-bildgebungsgrund" />
            </type>
        </element>
        <element id="ImagingStudy.status">
            <path value="ImagingStudy.status" />
            <mustSupport value="true" />
        </element>
        <element id="ImagingStudy.modality">
            <path value="ImagingStudy.modality" />
            <mustSupport value="true" />
            <binding>
                <strength value="required" />
                <valueSet value="https://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html" />
            </binding>
        </element>
        <element id="ImagingStudy.subject">
            <path value="ImagingStudy.subject" />
            <type>
                <code value="Reference" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="ImagingStudy.encounter">
            <path value="ImagingStudy.encounter" />
            <mustSupport value="true" />
        </element>
        <element id="ImagingStudy.started">
            <path value="ImagingStudy.started" />
            <mustSupport value="true" />
        </element>
        <element id="ImagingStudy.basedOn">
            <path value="ImagingStudy.basedOn" />
            <mustSupport value="true" />
        </element>
        <element id="ImagingStudy.endpoint">
            <path value="ImagingStudy.endpoint" />
            <mustSupport value="true" />
        </element>
        <element id="ImagingStudy.numberOfSeries">
            <path value="ImagingStudy.numberOfSeries" />
            <mustSupport value="true" />
        </element>
        <element id="ImagingStudy.numberOfInstances">
            <path value="ImagingStudy.numberOfInstances" />
            <mustSupport value="true" />
        </element>
        <element id="ImagingStudy.procedureReference">
            <path value="ImagingStudy.procedureReference" />
            <mustSupport value="true" />
        </element>
        <element id="ImagingStudy.reasonReference">
            <path value="ImagingStudy.reasonReference" />
            <mustSupport value="true" />
        </element>
        <element id="ImagingStudy.description">
            <path value="ImagingStudy.description" />
            <mustSupport value="true" />
        </element>
        <element id="ImagingStudy.series">
            <path value="ImagingStudy.series" />
            <mustSupport value="true" />
        </element>
        <element id="ImagingStudy.series.extension">
            <path value="ImagingStudy.series.extension" />
            <slicing>
                <discriminator>
                    <type value="value" />
                    <path value="url" />
                </discriminator>
                <ordered value="false" />
                <rules value="open" />
            </slicing>
        </element>
        <element id="ImagingStudy.series.extension:modalit&#228;tCT">
            <path value="ImagingStudy.series.extension" />
            <sliceName value="modalit&#228;tCT" />
            <min value="0" />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-ct" />
            </type>
        </element>
        <element id="ImagingStudy.series.extension:modalit&#228;tMG_CR_DX">
            <path value="ImagingStudy.series.extension" />
            <sliceName value="modalit&#228;tMG_CR_DX" />
            <min value="0" />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-mg-cr-dx" />
            </type>
        </element>
        <element id="ImagingStudy.series.extension:modalit&#228;tMR">
            <path value="ImagingStudy.series.extension" />
            <sliceName value="modalit&#228;tMR" />
            <min value="0" />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-mr" />
            </type>
        </element>
        <element id="ImagingStudy.series.extension:modalit&#228;tPT_NM">
            <path value="ImagingStudy.series.extension" />
            <sliceName value="modalit&#228;tPT_NM" />
            <min value="0" />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-pt-nm" />
            </type>
        </element>
        <element id="ImagingStudy.series.extension:kontrastmittel">
            <path value="ImagingStudy.series.extension" />
            <sliceName value="kontrastmittel" />
            <min value="0" />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-kontrastmittel" />
            </type>
        </element>
        <element id="ImagingStudy.series.extension:ger&#228;t">
            <path value="ImagingStudy.series.extension" />
            <sliceName value="ger&#228;t" />
            <min value="0" />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-geraet-hersteller" />
            </type>
        </element>
        <element id="ImagingStudy.series.uid">
            <path value="ImagingStudy.series.uid" />
            <mustSupport value="true" />
        </element>
        <element id="ImagingStudy.series.number">
            <path value="ImagingStudy.series.number" />
            <mustSupport value="true" />
        </element>
        <element id="ImagingStudy.series.modality">
            <path value="ImagingStudy.series.modality" />
            <mustSupport value="true" />
            <binding>
                <strength value="required" />
                <valueSet value="https://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html" />
            </binding>
        </element>
        <element id="ImagingStudy.series.description">
            <path value="ImagingStudy.series.description" />
            <mustSupport value="true" />
        </element>
        <element id="ImagingStudy.series.numberOfInstances">
            <path value="ImagingStudy.series.numberOfInstances" />
            <mustSupport value="true" />
        </element>
        <element id="ImagingStudy.series.bodySite">
            <path value="ImagingStudy.series.bodySite" />
            <mustSupport value="true" />
            <binding>
                <strength value="required" />
                <valueSet value="http://hl7.org/fhir/ValueSet/body-site" />
            </binding>
        </element>
        <element id="ImagingStudy.series.laterality">
            <path value="ImagingStudy.series.laterality" />
            <mustSupport value="true" />
            <binding>
                <strength value="required" />
                <valueSet value="https://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_244.html" />
            </binding>
        </element>
        <element id="ImagingStudy.series.started">
            <path value="ImagingStudy.series.started" />
            <mustSupport value="true" />
        </element>
        <element id="ImagingStudy.series.instance">
            <path value="ImagingStudy.series.instance" />
            <mustSupport value="true" />
        </element>
        <element id="ImagingStudy.series.instance.extension">
            <path value="ImagingStudy.series.instance.extension" />
            <slicing>
                <discriminator>
                    <type value="value" />
                    <path value="url" />
                </discriminator>
                <ordered value="false" />
                <rules value="open" />
            </slicing>
        </element>
        <element id="ImagingStudy.series.instance.extension:InstanceDetails">
            <path value="ImagingStudy.series.instance.extension" />
            <sliceName value="InstanceDetails" />
            <min value="0" />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-instanz-details" />
            </type>
        </element>
        <element id="ImagingStudy.series.instance.uid">
            <path value="ImagingStudy.series.instance.uid" />
            <mustSupport value="true" />
        </element>
        <element id="ImagingStudy.series.instance.sopClass">
            <path value="ImagingStudy.series.instance.sopClass" />
            <mustSupport value="true" />
            <binding>
                <strength value="required" />
                <valueSet value="https://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html" />
            </binding>
        </element>
        <element id="ImagingStudy.series.instance.number">
            <path value="ImagingStudy.series.instance.number" />
            <mustSupport value="true" />
        </element>
    </differential>
</StructureDefinition>

{
    "resourceType": "StructureDefinition",
    "id": "mii-pr-bildgebung-bildgebungsstudie",
    "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-pr-bildgebung-bildgebungsstudie",
    "version": "2025.0.0-ballot",
    "name": "MII_PR_Bildgebung_Bildgebungsstudie",
    "_name": {
        "extension":  [
            {
                "url": "http://hl7.org/fhir/StructureDefinition/translation",
                "extension":  [
                    {
                        "url": "lang",
                        "valueCode": "en-US"
                    },
                    {
                        "url": "content",
                        "valueString": "MII_PR_Imaging_Imaging_Study"
                    }
                ]
            }
        ]
    },
    "title": "MII PR Bildgebung Bildgebungsstudie",
    "_title": {
        "extension":  [
            {
                "url": "http://hl7.org/fhir/StructureDefinition/translation",
                "extension":  [
                    {
                        "url": "lang",
                        "valueCode": "en-US"
                    },
                    {
                        "url": "content",
                        "valueString": "MII PR Imaging Imaging Study"
                    }
                ]
            }
        ]
    },
    "status": "active",
    "description": "Dieses Profil beschreibt die Bildgebung anhand der DICOM-Metadaten auf Studien-, Serien- sowie Instanzen-Ebene der jeweiligen DICOM-Studie.",
    "_description": {
        "extension":  [
            {
                "url": "http://hl7.org/fhir/StructureDefinition/translation",
                "extension":  [
                    {
                        "url": "lang",
                        "valueCode": "en-US"
                    },
                    {
                        "url": "content",
                        "valueString": "The profile describes the metadata of an DICOM imaging study."
                    }
                ]
            }
        ]
    },
    "fhirVersion": "4.0.1",
    "kind": "resource",
    "abstract": false,
    "type": "ImagingStudy",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/ImagingStudy",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "ImagingStudy.id",
                "path": "ImagingStudy.id",
                "mustSupport": true
            },
            {
                "id": "ImagingStudy.meta",
                "path": "ImagingStudy.meta",
                "mustSupport": true
            },
            {
                "id": "ImagingStudy.meta.source",
                "path": "ImagingStudy.meta.source",
                "mustSupport": true
            },
            {
                "id": "ImagingStudy.meta.profile",
                "path": "ImagingStudy.meta.profile",
                "mustSupport": true
            },
            {
                "id": "ImagingStudy.extension",
                "path": "ImagingStudy.extension",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "url"
                        }
                    ],
                    "ordered": false,
                    "rules": "open"
                }
            },
            {
                "id": "ImagingStudy.extension:bildgebungsgrund",
                "path": "ImagingStudy.extension",
                "sliceName": "bildgebungsgrund",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-bildgebungsgrund"
                        ]
                    }
                ]
            },
            {
                "id": "ImagingStudy.status",
                "path": "ImagingStudy.status",
                "mustSupport": true
            },
            {
                "id": "ImagingStudy.modality",
                "path": "ImagingStudy.modality",
                "mustSupport": true,
                "binding": {
                    "strength": "required",
                    "valueSet": "https://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html"
                }
            },
            {
                "id": "ImagingStudy.subject",
                "path": "ImagingStudy.subject",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "http://hl7.org/fhir/StructureDefinition/Patient"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "ImagingStudy.encounter",
                "path": "ImagingStudy.encounter",
                "mustSupport": true
            },
            {
                "id": "ImagingStudy.started",
                "path": "ImagingStudy.started",
                "mustSupport": true
            },
            {
                "id": "ImagingStudy.basedOn",
                "path": "ImagingStudy.basedOn",
                "mustSupport": true
            },
            {
                "id": "ImagingStudy.endpoint",
                "path": "ImagingStudy.endpoint",
                "mustSupport": true
            },
            {
                "id": "ImagingStudy.numberOfSeries",
                "path": "ImagingStudy.numberOfSeries",
                "mustSupport": true
            },
            {
                "id": "ImagingStudy.numberOfInstances",
                "path": "ImagingStudy.numberOfInstances",
                "mustSupport": true
            },
            {
                "id": "ImagingStudy.procedureReference",
                "path": "ImagingStudy.procedureReference",
                "mustSupport": true
            },
            {
                "id": "ImagingStudy.reasonReference",
                "path": "ImagingStudy.reasonReference",
                "mustSupport": true
            },
            {
                "id": "ImagingStudy.description",
                "path": "ImagingStudy.description",
                "mustSupport": true
            },
            {
                "id": "ImagingStudy.series",
                "path": "ImagingStudy.series",
                "mustSupport": true
            },
            {
                "id": "ImagingStudy.series.extension",
                "path": "ImagingStudy.series.extension",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "url"
                        }
                    ],
                    "ordered": false,
                    "rules": "open"
                }
            },
            {
                "id": "ImagingStudy.series.extension:modalitätCT",
                "path": "ImagingStudy.series.extension",
                "sliceName": "modalitätCT",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-ct"
                        ]
                    }
                ]
            },
            {
                "id": "ImagingStudy.series.extension:modalitätMG_CR_DX",
                "path": "ImagingStudy.series.extension",
                "sliceName": "modalitätMG_CR_DX",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-mg-cr-dx"
                        ]
                    }
                ]
            },
            {
                "id": "ImagingStudy.series.extension:modalitätMR",
                "path": "ImagingStudy.series.extension",
                "sliceName": "modalitätMR",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-mr"
                        ]
                    }
                ]
            },
            {
                "id": "ImagingStudy.series.extension:modalitätPT_NM",
                "path": "ImagingStudy.series.extension",
                "sliceName": "modalitätPT_NM",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-pt-nm"
                        ]
                    }
                ]
            },
            {
                "id": "ImagingStudy.series.extension:kontrastmittel",
                "path": "ImagingStudy.series.extension",
                "sliceName": "kontrastmittel",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-kontrastmittel"
                        ]
                    }
                ]
            },
            {
                "id": "ImagingStudy.series.extension:gerät",
                "path": "ImagingStudy.series.extension",
                "sliceName": "gerät",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-geraet-hersteller"
                        ]
                    }
                ]
            },
            {
                "id": "ImagingStudy.series.uid",
                "path": "ImagingStudy.series.uid",
                "mustSupport": true
            },
            {
                "id": "ImagingStudy.series.number",
                "path": "ImagingStudy.series.number",
                "mustSupport": true
            },
            {
                "id": "ImagingStudy.series.modality",
                "path": "ImagingStudy.series.modality",
                "mustSupport": true,
                "binding": {
                    "strength": "required",
                    "valueSet": "https://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html"
                }
            },
            {
                "id": "ImagingStudy.series.description",
                "path": "ImagingStudy.series.description",
                "mustSupport": true
            },
            {
                "id": "ImagingStudy.series.numberOfInstances",
                "path": "ImagingStudy.series.numberOfInstances",
                "mustSupport": true
            },
            {
                "id": "ImagingStudy.series.bodySite",
                "path": "ImagingStudy.series.bodySite",
                "mustSupport": true,
                "binding": {
                    "strength": "required",
                    "valueSet": "http://hl7.org/fhir/ValueSet/body-site"
                }
            },
            {
                "id": "ImagingStudy.series.laterality",
                "path": "ImagingStudy.series.laterality",
                "mustSupport": true,
                "binding": {
                    "strength": "required",
                    "valueSet": "https://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_244.html"
                }
            },
            {
                "id": "ImagingStudy.series.started",
                "path": "ImagingStudy.series.started",
                "mustSupport": true
            },
            {
                "id": "ImagingStudy.series.instance",
                "path": "ImagingStudy.series.instance",
                "mustSupport": true
            },
            {
                "id": "ImagingStudy.series.instance.extension",
                "path": "ImagingStudy.series.instance.extension",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "url"
                        }
                    ],
                    "ordered": false,
                    "rules": "open"
                }
            },
            {
                "id": "ImagingStudy.series.instance.extension:InstanceDetails",
                "path": "ImagingStudy.series.instance.extension",
                "sliceName": "InstanceDetails",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-instanz-details"
                        ]
                    }
                ]
            },
            {
                "id": "ImagingStudy.series.instance.uid",
                "path": "ImagingStudy.series.instance.uid",
                "mustSupport": true
            },
            {
                "id": "ImagingStudy.series.instance.sopClass",
                "path": "ImagingStudy.series.instance.sopClass",
                "mustSupport": true,
                "binding": {
                    "strength": "required",
                    "valueSet": "https://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html"
                }
            },
            {
                "id": "ImagingStudy.series.instance.number",
                "path": "ImagingStudy.series.instance.number",
                "mustSupport": true
            }
        ]
    }
}

MII PR Bildgebung Bildgebungsstudie

Empfohlenes Mapping der DICOM-Tags

Folgende DICOM Tags sind für die entsprechenden Datenelemente des Profils vorgesehen. Die Datenelemente der jeweiligen Extensions finden sich auf den entsprechenden Unterseiten.

Datenelement im Informationsmodell	DICOM Tag
Identifier	(0008,0050) / (0020,000D)
Studien-Beschreibung	(0008,1030)
Anzahl an enthaltenen SOP-Instanzen	(0020,1208)
Anzahl an enthaltenen Serien	(0020,1206)
Beginn	(0008,0020) + (0008,0030)
Personen-Identifikation	(0010,0020)
Modalitäten	(0008,0061)
Prozedur	(0008,1032)
Bildgebungsgrund	(0040,1002)
Anfordernde Maßnahme	(0032,1064)
Serie --> Modalität	(0008,0060)
Serie --> Körperregion	(0018,0015)
Serie --> Beginn	(0008,0021) + (0008,0031)
Serie --> Körperseite	(0020,0060)
Serie --> Serien-Nummer	(0020,0011)
Serie --> Anzahl an in Serie enthaltenen Instanzen	(0020,1209)
Serie --> Serien-Beschreibung	(0008,103E)
Serie --> Serien-UID	(0020,000E)
Instanz --> SOP-Instanz	(0008,0018)
Instanz --> SOP-Klasse	(0008,0016)
Instanz --> Instanz-Nummer	(0020,0013)

FHIR	Datensatz	Erklaerung
ImagingStudy	Bildgebung.Studie	Bildgebungsstudie
ImagingStudy.status	Bildgebung.Studie.Status	Status der Bildgebungsstudie- Info darüber, ob die Studie gültig, ungültig, zurückgezogen, etc. ist.
ImagingStudy.modality	Bildgebung.Studie.Modalitaeten	Set/Liste aller verschiedenen Modalitaeten, die in dieser DICOM-Studie enthalten sind.
ImagingStudy.subject	Bildgebung.Studie.Person	Person, auf die sich die Bildgebungsstudie bezieht. Hier soll das MII KDS-Modul Person referenziert werden.
ImagingStudy.encounter	Bildgebung.Studie.Fall	Referenz zum dazugehörigen Fall der Bildgebungsstudie. Hier soll das MII KDS-Modul Fall in Stufe 3 referenziert werden.
ImagingStudy.started	Bildgebung.Studie.Beginn	Datum und Zeitpunkt, an dem die Studie gestartet wurde (z.B. Zeitpunkt des Beginns der CT-Untersuchung).
ImagingStudy.basedOn	Bildgebung.Studie.AnforderndeMassnahme	Referenz auf die anfordernde Maßnahme dieser Bildgebungsstudie
ImagingStudy.endpoint	Bildgebung.Studie.QuellePACS	Referenz auf den Speicherort der Bildgebungsstudie im PACS
ImagingStudy.numberOfSeries	Bildgebung.Studie.AnzahlSerien	Anzahl der in der Bildgebungsstudie enthaltenen Serien, z.B. 5
ImagingStudy.numberOfInstances	Bildgebung.Studie.AnzahlInstanzen	Anzahl der in der Bildgebungsstudie enthaltenen SOP Instanzen, z.B. 127
ImagingStudy.procedureReference	Bildgebung.Studie.Prozedur	Referenz auf die dazugehörige medizinische Prozedur der Studie. Hier soll auf das MII KDS-Modul Prozedur referenziert werden.
ImagingStudy.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-bildgebungsgrund)	Bildgebung.Studie.Bildgebungsgrund	Grund, aus dem die Prozedur angefordert wurde
ImagingStudy.reasonReference	Bildgebung.Studie.Indikation	Indikation der Bildgebungsstudie, d.h. der Grund, aus dem diese Bildgebung angefertigt wurde.
ImagingStudy.description	Bildgebung.Studie.StudienBeschreibung	Beschreibung der Bildgebungsstudie
ImagingStudy.series	Bildgebung.Studie.Serien	Die Serien der DICOM-Studie
ImagingStudy.series.uid	Bildgebung.Studie.Serien.SerienUID	UID der DICOM-Serie
ImagingStudy.series.number	Bildgebung.Studie.Serien.SerienNummer	Nummer der jeweiligen DICOM-Serie
ImagingStudy.series.modality	Bildgebung.Studie.Serien.Modalitaet	Modalitaet der DICOM-Serie, z.B. 'MR' oder 'CR'
ImagingStudy.series.description	Bildgebung.Studie.Serien.SerienBeschreibung	Beschreibung der jeweiligen Serie
ImagingStudy.series.numberOfInstances	Bildgebung.Studie.Serien.AnzahlInstanzen	Anzahl der in der Serie enthaltenen SOP Instanzen, z.B. 28
ImagingStudy.series.bodySite	Bildgebung.Studie.Serien.Koerperregion	Codierte Information über die untersuchte Körperregion der Serie
ImagingStudy.series.laterality	Bildgebung.Studie.Serien.Koerperseite	Information über die Körperseite der untersuchten Körperregion, z.B. linksseitig
ImagingStudy.series.started	Bildgebung.Studie.Serien.Beginn	Datum und Zeitpunkt, an dem die Serie gestartet wurde (z.B. Zeitpunkt des Beginns der jeweiligen Serienaufnahme).
ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-geraet-hersteller)	Bildgebung.Studie.Serien.Hersteller	Hersteller der genutzten bildgebenden Modalitaet.
ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-geraet-hersteller)	Bildgebung.Studie.Serien.Modell	Das genutzte Modell des Herstellers der bildgebenden Modalitaet.
ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-kontrastmittel)	Bildgebung.Studie.Serien.Kontrastmittelgabe	Information darüber, ob bei der Serie Kontrastmittel genutzt wurde oder nicht
ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-kontrastmittel)	Bildgebung.Studie.Serien.Kontrastmitteldetails	Details zur Kontrastmittelgabe über das MedicationStatement. Hier soll auf das MII KDS-Modul Medikation referenziert werden
ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-mg-cr-dx)	Bildgebung.Studie.Serien.ModalitaetDX	Modalitaet klassisches Röntgen
ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-mg-cr-dx)	Bildgebung.Studie.Serien.ModalitaetDX.MaximaleRoentgenroehrenspannung	Maximale Röntgenröhrenspannung in kV
ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-mg-cr-dx)	Bildgebung.Studie.Serien.ModalitaetDX.Expositionszeit	Expositionszeit in ms
ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-mg-cr-dx)	Bildgebung.Studie.Serien.ModalitaetDX.Exposition	Exposition in MAs
ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-mg-cr-dx)	Bildgebung.Studie.Serien.ModalitaetDX.Roentgenroehrenstrom	Röntgenröhrenstrom in mA
ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-mg-cr-dx)	Bildgebung.Studie.Serien.ModalitaetCR	Modalitaet klassisches Röntgen
ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-mg-cr-dx)	Bildgebung.Studie.Serien.ModalitaetCR.MaximaleRoentgenroehrenspannung	Maximale Röntgenröhrenspannung in kV
ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-mg-cr-dx)	Bildgebung.Studie.Serien.ModalitaetCR.Expositionszeit	Expositionszeit in ms
ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-mg-cr-dx)	Bildgebung.Studie.Serien.ModalitaetCR.Exposition	Exposition in MAs
ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-mg-cr-dx)	Bildgebung.Studie.Serien.ModalitaetCR.Roentgenroehrenstrom	Röntgenröhrenstrom in mA
ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-mg-cr-dx)	Bildgebung.Studie.Serien.ModalitaetMG	Modalitaet Mammographie
ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-mg-cr-dx)	Bildgebung.Studie.Serien.ModalitaetMG.MaximaleRoentgenroehrenspannung	Maximale Röntgenröhrenspannung in kV
ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-mg-cr-dx)	Bildgebung.Studie.Serien.ModalitaetMG.Expositionszeit	Expositionszeit in ms
ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-mg-cr-dx)	Bildgebung.Studie.Serien.ModalitaetMG.Exposition	Exposition in MAs
ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-mg-cr-dx)	Bildgebung.Studie.Serien.ModalitaetMG.Roentgenroehrenstrom	Röntgenröhrenstrom in mA
ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-ct)	Bildgebung.Studie.Serien.ModalitaetCT	Modalitaet Computertomographie
ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-ct)	Bildgebung.Studie.Serien.ModalitaetCT.CTDIVolume	CTDIvolume in mGy
ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-ct)	Bildgebung.Studie.Serien.ModalitaetCT.MaximaleRoentgenroehrenspannung	Maximale Röntgenröhrenspannung in kV
ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-ct)	Bildgebung.Studie.Serien.ModalitaetCT.Expositionszeit	Expositionszeit in ms
ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-ct)	Bildgebung.Studie.Serien.ModalitaetCT.Exposition	Exposition in MAs
ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-ct)	Bildgebung.Studie.Serien.ModalitaetCT.Roentgenroehrenstrom	Röntgenröhrenstrom in mA
ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-mr)	Bildgebung.Studie.Serien.ModalitaetMR	Modalitaet Kernspintomographie
ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-mr)	Bildgebung.Studie.Serien.ModalitaetMR.ScanningSequenz	Code der aktuellen Scanning Sequenz
ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-mr)	Bildgebung.Studie.Serien.ModalitaetMR.ScanningSequenzUntervariante	Code der aktuellen Scanning Sequenz Untervariante
ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-mr)	Bildgebung.Studie.Serien.ModalitaetMR.MagnetischeFeldstaerke	Magnetische Feldstärke des Kernspins in T
ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-pt-nm)	Bildgebung.Studie.Serien.ModalitaetPT	Modalitaet PET-Scan
ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-pt-nm)	Bildgebung.Studie.Serien.ModalitaetPT.Radiopharmakon	Genutztes Radiopharmakon
ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-pt-nm)	Bildgebung.Studie.Serien.ModalitaetPT.Applikationsstartzeit	Zeit des Beginn der Applikation des Radiopharmakons
ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-pt-nm)	Bildgebung.Studie.Serien.ModalitaetPT.Reskaliserungstyp	Abkürzung des Reskalierungstypen
ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-pt-nm)	Bildgebung.Studie.Serien.ModalitaetPT.GesamteRadionukliddosis	Gesamte verabreichte Radionukliddosis in MBq
ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-pt-nm)	Bildgebung.Studie.Serien.ModalitaetPT.Halbwertszeit	Halbwertszeit des Radionuklids in s
ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-pt-nm)	Bildgebung.Studie.Serien.ModalitaetNM	Modalitaet Nuklearmedizin
ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-pt-nm)	Bildgebung.Studie.Serien.ModalitaetNM.Radiopharmakon	Genutztes Radiopharmakon
ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-pt-nm)	Bildgebung.Studie.Serien.ModalitaetNM.Applikationsstartzeit	Zeit des Beginn der Applikation des Radiopharmakons
ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-pt-nm)	Bildgebung.Studie.Serien.ModalitaetNM.Reskaliserungstyp	Abkürzung des Reskalierungstypen
ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-pt-nm)	Bildgebung.Studie.Serien.ModalitaetNM.GesamteRadionukliddosis	Gesamte verabreichte Radionukliddosis in MBq
ImagingStudy.series.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-modalitaet-pt-nm)	Bildgebung.Studie.Serien.ModalitaetNM.Halbwertszeit	Halbwertszeit des Radionuklids in s
ImagingStudy.series.instance	Bildgebung.Studie.Serien.Instanzen	Alle Instanzen dieser DICOM-Serie.
ImagingStudy.series.instance.uid	Bildgebung.Studie.Serien.Instanzen.SOPInstanz	UID der jeweiligen SOP-Instanz
ImagingStudy.series.instance.sopClass	Bildgebung.Studie.Serien.Instanzen.SOPKlasse	SOP-Klasse der jeweiligen SOP-Instanz
ImagingStudy.series.instance.number	Bildgebung.Studie.Serien.Instanzen.InstanzNummer	Nummer der jeweiligen Instanz
ImagingStudy.series.instance.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-instanz-details)	Bildgebung.Studie.Serien.Instanzen.Bildtyp	Bildtyp der Instanz
ImagingStudy.series.instance.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-instanz-details)	Bildgebung.Studie.Serien.Instanzen.Schichtdicke	Schichtdicke der SOP-Instanz in mm
ImagingStudy.series.instance.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-instanz-details)	Bildgebung.Studie.Serien.Instanzen.PixelabstandX	Pixelabstand in x-Richtung in mm
ImagingStudy.series.instance.extension(https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-instanz-details)	Bildgebung.Studie.Serien.Instanzen.PixelabstandY	Pixelabstand in y-Richtung in mm

Suchparameter

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

Name	Definition	Type	Expectation
_id	http://hl7.org/fhir/SearchParameter/Resource-id	token	SHALL
_lastUpdated	http://hl7.org/fhir/SearchParameter/Resource-lastUpdated	date	SHALL
_profile	http://hl7.org/fhir/SearchParameter/Resource-profile	uri	SHALL
_source	http://hl7.org/fhir/SearchParameter/Resource-source	uri	SHALL
bildgebungsgrund	https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-bildgebungsgrund	string	SHALL
study-modality	https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-modality	token	SHALL
patient	http://hl7.org/fhir/SearchParameter/clinical-patient	reference	SHALL
encounter	http://hl7.org/fhir/SearchParameter/ImagingStudy-encounter	reference	SHALL
started	http://hl7.org/fhir/SearchParameter/ImagingStudy-started	date	SHALL
basedon	http://hl7.org/fhir/SearchParameter/ImagingStudy-basedon	reference	SHALL
endpoint	http://hl7.org/fhir/SearchParameter/ImagingStudy-endpoint	reference	SHALL
number-series	https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-number-series	number	SHALL
number-instances	https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-number-instances	number	SHALL
procedure-reference	https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-procedure-reference	reference	SHALL
reason-reference	https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-reason-reference	reference	SHALL
description	https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-description	string	SHALL
ctdi-volume	https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-series-ctdi-volume	quantity	SHALL
exposure-time	https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-series-exposure-time	quantity	SHALL
exposure	https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-series-exposure	quantity	SHALL
x-ray-tube-current	https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-series-xray-tube-current	quantity	SHALL
kvp	https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-series-kvp	quantity	SHALL
magnetic-field-strength	https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-series-magnetic-field-strength	quantity	SHALL
scanning-sequence	https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-series-scanning-sequence	token	SHALL
scanning-sequence-variant	https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-series-scanning-sequence-variant	token	SHALL
radiopharmaceutical	https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-series-radiopharmaceutical	token	SHALL
radiopharmaceutical-start-time	https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-series-radiopharmaceutical-start-time	date	SHALL
rescale-type	https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-series-rescale-type	token	SHALL
radionuclide-total-dose	https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-series-radionuclide-total-dose	quantity	SHALL
radionuclide-half-life	https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-series-radionuclide-half-life	quantity	SHALL
contrast-bolus	https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-series-contrast-bolus	token	SHALL
contrast-bolus-details	https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-series-contrast-bolus-details	reference	SHALL
manufacturer	https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-manufacturer	string	SHALL
manufacturer-model-name	https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-manufacturer-model-name	string	SHALL
series	http://hl7.org/fhir/SearchParameter/ImagingStudy-series	token	SHALL
series-number	https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-series-number	number	SHALL
modality	http://hl7.org/fhir/SearchParameter/ImagingStudy-modality	quantity	SHALL
series-description	https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-description	string	SHALL
series-bodysite	http://hl7.org/fhir/SearchParameter/ImagingStudy-bodysite	quantity	SHALL
series-laterality	https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-series-laterality	token	SHALL
series-started	https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-series-started	date	SHALL
instance-pixel-spacing-x	https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-instance-pixel-spacing-x	quantity	SHALL
instance-pixel-spacing-y	https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-instance-pixel-spacing-y	quantity	SHALL
instance-slice-thickness	https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-slice-thickness	quantity	SHALL
instance-image-type	https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-instance-image-type	string	SHALL
instance	http://hl7.org/fhir/SearchParameter/ImagingStudy-instance	token	SHALL
dicom-class	http://hl7.org/fhir/SearchParameter/ImagingStudy-dicom-class	token	SHALL
instance-number	https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/SearchParameter/mii-sp-bildgebung-imaging-study-instance-number	number	SHALL

---

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 verschiedener Modalitäten:

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"
}