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

Medizininformatik Initiative - Implementation Guide - Modul Bildgebung v2026

Extension Körpergröße

Diese Extension dient zum Anlegen der Patientengröße. In diesem Attribut soll der Wert aus dem entsprechenden DICOM Tag ( Patient's Size [0010,1020]) genutzt werden.

NameStatusVersionCanonicalBasis
MII_EX_Bildgebung_Groesseactive2027.0.0-ballothttps://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-groessehttp://hl7.org/fhir/StructureDefinition/Extension

Inhalt

id0..1string
extensionC0..0Extension
url1..1uriFixed Value
valueReferenceReference(VitalSignDE_Koerpergroesse)

Die Extension ermöglicht es, die Körpergröße aus dem entsprechenden DICOM Tag [0010,1020] auf Studien-Ebene anzugeben.

<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="mii-ex-bildgebung-groesse" />
<extension url="https://www.medizininformatik-initiative.de/fhir/modul-meta/StructureDefinition/mii-ex-meta-license-codeable">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/spdx-license" />
<code value="CC-BY-4.0" />
<display value="Creative Commons Attribution 4.0 International" />
</coding>
</valueCodeableConcept>
</extension>
<url value="https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-groesse" />
<version value="2027.0.0-ballot" />
<name value="MII_EX_Bildgebung_Groesse">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="MII_EX_Imaging_Height" />
</extension>
</extension>
</name>
<title value="MII EX Bildgebung Körpergröße">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="MII EX Imaging Patient Height" />
</extension>
</extension>
</title>
<status value="active" />
<experimental value="false" />
<publisher value="Medizininformatik Initiative" />
<contact>
<telecom>
<system value="url" />
<value value="https://www.medizininformatik-initiative.de" />
</telecom>
</contact>
<description value="Die Extension ermöglicht es, die Körpergröße aus dem entsprechenden DICOM Tag [0010,1020] auf Studien-Ebene anzugeben.">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="The extension allows specifying the patient height from the corresponding DICOM tag [0010/1020] at the study level." />
</extension>
</extension>
</description>
<fhirVersion value="4.0.1" />
<kind value="complex-type" />
<abstract value="false" />
<context>
<type value="element" />
<expression value="ImagingStudy" />
</context>
<type value="Extension" />
<baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />
<derivation value="constraint" />
<differential>
<element id="Extension.extension">
<path value="Extension.extension" />
<max value="0" />
</element>
<element id="Extension.url">
<path value="Extension.url" />
<fixedUri value="https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-groesse" />
</element>
<element id="Extension.value[x]">
<path value="Extension.value[x]" />
<type>
<code value="Reference" />
<targetProfile value="http://fhir.de/StructureDefinition/observation-de-vitalsign-koerpergroesse" />
</type>
</element>
</differential>
</StructureDefinition>
{
"resourceType": "StructureDefinition",
"id": "mii-ex-bildgebung-groesse",
"extension": [
{
"url": "https://www.medizininformatik-initiative.de/fhir/modul-meta/StructureDefinition/mii-ex-meta-license-codeable",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/spdx-license",
"code": "CC-BY-4.0",
"display": "Creative Commons Attribution 4.0 International"
}
]
}
}
],
"url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-groesse",
"version": "2027.0.0-ballot",
"name": "MII_EX_Bildgebung_Groesse",
"_name": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en-US"
},
{
"url": "content",
"valueString": "MII_EX_Imaging_Height"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"title": "MII EX Bildgebung Körpergröße",
"_title": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en-US"
},
{
"url": "content",
"valueString": "MII EX Imaging Patient Height"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"status": "active",
"experimental": false,
"publisher": "Medizininformatik Initiative",
"contact": [
{
"telecom": [
{
"system": "url",
"value": "https://www.medizininformatik-initiative.de"
}
]
}
],
"description": "Die Extension ermöglicht es, die Körpergröße aus dem entsprechenden DICOM Tag [0010,1020] auf Studien-Ebene anzugeben.",
"_description": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en-US"
},
{
"url": "content",
"valueString": "The extension allows specifying the patient height from the corresponding DICOM tag [0010/1020] at the study level."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"fhirVersion": "4.0.1",
"kind": "complex-type",
"abstract": false,
"context": [
{
"type": "element",
"expression": "ImagingStudy"
}
],
"type": "Extension",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
"derivation": "constraint",
"differential": {
"element": [
{
"id": "Extension.extension",
"path": "Extension.extension",
"max": "0"
},
{
"id": "Extension.url",
"path": "Extension.url",
"fixedUri": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-groesse"
},
{
"id": "Extension.value[x]",
"path": "Extension.value[x]",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://fhir.de/StructureDefinition/observation-de-vitalsign-koerpergroesse"
]
}
]
}
]
}
}
MII EX Bildgebung Körpergröße

Beispiele

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

Beispiele von ImagingStudy-Ressourcen mit der Extension für Patientengröße:

Beispiel eines CTs:

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

Beispiel eines MRTs:

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

Beispiel eine Röntgenbilds:

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

Beispiel eines PET-Scans:

{
"resourceType": "ImagingStudy",
"id": "mii-exa-bildgebung-bildgebungsstudie-pt",
"meta": {
"profile": [
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}

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