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

Medizininformatik Initiative - Implementation Guide - Modul Bildgebung v2026

Körperstruktur

Diese BodyStructure-Ressource wird verwendet, um die Körperstruktur, die in einer Observation-Ressource befundet wird, codiert abzubilden. Dazu wird hier unterteilt in die Morphologie, die Lokalisation und die Lage im Körper. Das hinterlegte CodeSystem von locationQualifier in R4 ist allerdings noch nicht ausreichend granular, um hier eine exakte Angabe darzustellen.

NameStatusVersionCanonicalBasis
MII_PR_Bildgebung_Koerperstrukturactive2027.0.0-ballothttps://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-pr-bildgebung-koerperstrukturhttp://hl7.org/fhir/StructureDefinition/BodyStructure

Inhalt

idS Σ0..1id
id0..1string
extensionC0..*Extension
versionIdΣ0..1id
lastUpdatedΣ0..1instant
sourceS Σ0..1uri
profileS Σ0..*canonical(StructureDefinition)
securityΣ0..*CodingBinding
tagΣ0..*Coding
implicitRulesΣ ?!0..1uri
language0..1codeBinding
text0..1Narrative
contained0..*Resource
extensionC0..*Extension
modifierExtension?! C0..*Extension
identifierΣ0..*Identifier
activeΣ ?!0..1boolean
morphologyS Σ0..1CodeableConceptBinding
locationS Σ0..1CodeableConceptBinding
locationQualifierS0..*CodeableConceptBinding
descriptionΣ0..1string
imageC0..*Attachment
patientS Σ C1..1Reference(Patient)

Dieses Profil beschreibt die dargestellte Körperstrukturen nach Morphologie und Lokalisation.

FeldnameKurzbeschreibung
BodyStructure.id
BodyStructure.meta
BodyStructure.meta.source
BodyStructure.meta.profile
BodyStructure.morphologyMorphologie
BodyStructure.locationLokalisation
BodyStructure.locationQualifiernähere Lokalisation
BodyStructure.patientPerson
<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="mii-pr-bildgebung-koerperstruktur" />
<extension url="https://www.medizininformatik-initiative.de/fhir/modul-meta/StructureDefinition/mii-ex-meta-license-codeable">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/spdx-license" />
<code value="CC-BY-4.0" />
<display value="Creative Commons Attribution 4.0 International" />
</coding>
</valueCodeableConcept>
</extension>
<url value="https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-pr-bildgebung-koerperstruktur" />
<version value="2027.0.0-ballot" />
<name value="MII_PR_Bildgebung_Koerperstruktur">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="MII_PR_Imaging_BodyStructure" />
</extension>
</extension>
</name>
<title value="MII PR Bildgebung Körperstruktur">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Körperstrukutur" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="body structure" />
</extension>
</extension>
</title>
<status value="active" />
<date value="2026-09-01" />
<publisher value="Medizininformatik Initiative" />
<contact>
<telecom>
<system value="url" />
<value value="https://www.medizininformatik-initiative.de" />
</telecom>
</contact>
<description value="Dieses Profil beschreibt die dargestellte Körperstrukturen nach Morphologie und Lokalisation.">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-EN" />
</extension>
<extension url="content">
<valueString value="Beschreibt die befundete Körperstruktur mit Morphologie und Lokalisation" />
</extension>
</extension>
<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 examined body structure in morphology and location." />
</extension>
</extension>
</description>
<fhirVersion value="4.0.1" />
<kind value="resource" />
<abstract value="false" />
<type value="BodyStructure" />
<baseDefinition value="http://hl7.org/fhir/StructureDefinition/BodyStructure" />
<derivation value="constraint" />
<differential>
<element id="BodyStructure.id">
<path value="BodyStructure.id" />
<mustSupport value="true" />
</element>
<element id="BodyStructure.meta">
<path value="BodyStructure.meta" />
<mustSupport value="true" />
</element>
<element id="BodyStructure.meta.source">
<path value="BodyStructure.meta.source" />
<mustSupport value="true" />
</element>
<element id="BodyStructure.meta.profile">
<path value="BodyStructure.meta.profile" />
<mustSupport value="true" />
</element>
<element id="BodyStructure.morphology">
<path value="BodyStructure.morphology" />
<short value="Morphologie">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Morphologie" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="morphology" />
</extension>
</extension>
</short>
<definition value="Morphologie der Körperstruktur">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Morphologie der Körperstruktur" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="morphology of the body structure" />
</extension>
</extension>
</definition>
<mustSupport value="true" />
<binding>
<strength value="required" />
<valueSet value="http://hl7.org/fhir/ValueSet/bodystructure-code" />
</binding>
</element>
<element id="BodyStructure.location">
<path value="BodyStructure.location" />
<short value="Lokalisation">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Lokalisation" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="location" />
</extension>
</extension>
</short>
<definition value="Lokalisation der Körperstruktur im Bild">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Lokalisation der Körperstruktur im Bild" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="location of the described body structure in the picture" />
</extension>
</extension>
</definition>
<mustSupport value="true" />
<binding>
<strength value="required" />
<valueSet value="http://hl7.org/fhir/ValueSet/body-site" />
</binding>
</element>
<element id="BodyStructure.locationQualifier">
<path value="BodyStructure.locationQualifier" />
<short value="nähere Lokalisation">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="nähere Lokalisation" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="qualified location" />
</extension>
</extension>
</short>
<definition value="explizite Beschreibung der Lokalisation">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="explizite Beschreibung der Lokalisation" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="explicit description of the body structure" />
</extension>
</extension>
</definition>
<mustSupport value="true" />
<binding>
<strength value="required" />
<valueSet value="http://hl7.eu/fhir/base/ValueSet/siteQualifier-eu" />
</binding>
</element>
<element id="BodyStructure.patient">
<path value="BodyStructure.patient" />
<short value="Person">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Person" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="person" />
</extension>
</extension>
</short>
<definition value="Person, an der sich die untersuchte Körperstruktur befindet">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Person, an der sich die untersuchte Körperstruktur befindet" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="person, who contains the described body structure" />
</extension>
</extension>
</definition>
<mustSupport value="true" />
</element>
</differential>
</StructureDefinition>
{
"resourceType": "StructureDefinition",
"id": "mii-pr-bildgebung-koerperstruktur",
"extension": [
{
"url": "https://www.medizininformatik-initiative.de/fhir/modul-meta/StructureDefinition/mii-ex-meta-license-codeable",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/spdx-license",
"code": "CC-BY-4.0",
"display": "Creative Commons Attribution 4.0 International"
}
]
}
}
],
"url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-pr-bildgebung-koerperstruktur",
"version": "2027.0.0-ballot",
"name": "MII_PR_Bildgebung_Koerperstruktur",
"_name": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en-US"
},
{
"url": "content",
"valueString": "MII_PR_Imaging_BodyStructure"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"title": "MII PR Bildgebung Körperstruktur",
"_title": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de-DE"
},
{
"url": "content",
"valueString": "Körperstrukutur"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "en-US"
},
{
"url": "content",
"valueString": "body structure"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"status": "active",
"date": "2026-09-01",
"publisher": "Medizininformatik Initiative",
"contact": [
{
"telecom": [
{
"system": "url",
"value": "https://www.medizininformatik-initiative.de"
}
]
}
],
"description": "Dieses Profil beschreibt die dargestellte Körperstrukturen nach Morphologie und Lokalisation.",
"_description": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de-EN"
},
{
"url": "content",
"valueString": "Beschreibt die befundete Körperstruktur mit Morphologie und Lokalisation"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "en-US"
},
{
"url": "content",
"valueString": "The profile describes the examined body structure in morphology and location."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"fhirVersion": "4.0.1",
"kind": "resource",
"abstract": false,
"type": "BodyStructure",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/BodyStructure",
"derivation": "constraint",
"differential": {
"element": [
{
"id": "BodyStructure.id",
"path": "BodyStructure.id",
"mustSupport": true
},
{
"id": "BodyStructure.meta",
"path": "BodyStructure.meta",
"mustSupport": true
},
{
"id": "BodyStructure.meta.source",
"path": "BodyStructure.meta.source",
"mustSupport": true
},
{
"id": "BodyStructure.meta.profile",
"path": "BodyStructure.meta.profile",
"mustSupport": true
},
{
"id": "BodyStructure.morphology",
"path": "BodyStructure.morphology",
"short": "Morphologie",
"_short": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de-DE"
},
{
"url": "content",
"valueString": "Morphologie"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "en-US"
},
{
"url": "content",
"valueString": "morphology"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"definition": "Morphologie der Körperstruktur",
"_definition": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de-DE"
},
{
"url": "content",
"valueString": "Morphologie der Körperstruktur"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "en-US"
},
{
"url": "content",
"valueString": "morphology of the body structure"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"mustSupport": true,
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/bodystructure-code"
}
},
{
"id": "BodyStructure.location",
"path": "BodyStructure.location",
"short": "Lokalisation",
"_short": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de-DE"
},
{
"url": "content",
"valueString": "Lokalisation"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "en-US"
},
{
"url": "content",
"valueString": "location"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"definition": "Lokalisation der Körperstruktur im Bild",
"_definition": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de-DE"
},
{
"url": "content",
"valueString": "Lokalisation der Körperstruktur im Bild"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "en-US"
},
{
"url": "content",
"valueString": "location of the described body structure in the picture"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"mustSupport": true,
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/body-site"
}
},
{
"id": "BodyStructure.locationQualifier",
"path": "BodyStructure.locationQualifier",
"short": "nähere Lokalisation",
"_short": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de-DE"
},
{
"url": "content",
"valueString": "nähere Lokalisation"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "en-US"
},
{
"url": "content",
"valueString": "qualified location"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"definition": "explizite Beschreibung der Lokalisation",
"_definition": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de-DE"
},
{
"url": "content",
"valueString": "explizite Beschreibung der Lokalisation"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "en-US"
},
{
"url": "content",
"valueString": "explicit description of the body structure"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"mustSupport": true,
"binding": {
"strength": "required",
"valueSet": "http://hl7.eu/fhir/base/ValueSet/siteQualifier-eu"
}
},
{
"id": "BodyStructure.patient",
"path": "BodyStructure.patient",
"short": "Person",
"_short": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de-DE"
},
{
"url": "content",
"valueString": "Person"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "en-US"
},
{
"url": "content",
"valueString": "person"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"definition": "Person, an der sich die untersuchte Körperstruktur befindet",
"_definition": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de-DE"
},
{
"url": "content",
"valueString": "Person, an der sich die untersuchte Körperstruktur befindet"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "en-US"
},
{
"url": "content",
"valueString": "person, who contains the described body structure"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"mustSupport": true
}
]
}
}
MII PR Bildgebung Körperstruktur
FHIRDatensatzErklaerung
BodyStructureBildgebung.Koerperstruktur

untersuchte Körperstruktur

BodyStructure.morphologyBildgebung.Koerperstruktur.Morphologie

Morphologie der Körperstruktur

BodyStructure.locationBildgebung.Koerperstruktur.Lokalisation

Lokalisation der Körperstruktur im Bild.

BodyStructure.locationQualifierBildgebung.Koerperstruktur.naehereLokalisation

explizite Beschreibung der Lokalisation.

BodyStructure.patientBildgebung.Koerperstruktur.Person

Person, an der sich die untersuchte Körperstruktur befindet. Hier soll das MII KDS-Modul Person verwendet werden.

Suchparameter

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

NameDefinitionTypeExpectation
_idhttp://hl7.org/fhir/SearchParameter/Resource-idtokenSHALL
_lastUpdatedhttp://hl7.org/fhir/SearchParameter/Resource-lastUpdateddateSHALL
_profilehttp://hl7.org/fhir/SearchParameter/Resource-profileuriSHALL
_sourcehttp://hl7.org/fhir/SearchParameter/Resource-sourceuriSHALL
morphologyhttp://hl7.org/fhir/SearchParameter/BodyStructure-morphologytokenSHALL
locationhttp://hl7.org/fhir/SearchParameter/BodyStructure-locationtokenSHALL
location-qualifierhttps://www.medizininformatik-initiative.de/fhir/modul-meta/SearchParameter/mii-sp-meta-body-structure-location-qualifiertokenSHALL
patienthttp://hl7.org/fhir/SearchParameter/BodyStructure-patientreferenceSHALL

Beispiele

Beispiel einer BodyStructure-Ressource mit detaillierten Angaben zur untersuchten Körperregion:

{
"resourceType": "BodyStructure",
"id": "mii-exa-bildgebung-koerperstruktur",
"meta": {
"profile": [
"https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-pr-bildgebung-koerperstruktur"
]
},
"morphology": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "12747003",
"display": "Microcalcification, calcified structure (morphologic abnormality)"
}
]
},
"location": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "76752008",
"display": "Breast structure (body structure)"
}
]
},
"locationQualifier": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "7771000",
"display": "Left (qualifier value)"
}
]
}
],
"patient": {
"reference": "Patient/PatExample"
}
}

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