Medizininformatik Initiative - Implementation Guide - Modul Bildgebung v2026

Extension Kontrastmittelgabe auf Serienebene

Diese Extension Kontrastmittelgabe ermöglicht es, die Verwendung von Kontrastmitteln in der BildSerie anzugeben und gleichzeitig mit einer Referenz auf das KDS-Modul Medikation(MedicationStatement) Details anzulegen. Der hier verwendete DICOM Tag bildet einen boolschen Wert ab.

Relevante DICOM-Tags sind:

Contrast/Bolus Agent [(0018,0010) contrastBolus]

Name	Status	Version	Canonical	Basis
MII_EX_Bildgebung_Kontrastmittel	active	2027.0.0-ballot	https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-kontrastmittel	http://hl7.org/fhir/StructureDefinition/Extension

Inhalt

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

Die Extension ermöglicht es, die Gabe von Kontrastmitteln auf Serien-Ebene anzugeben.

Feldname
Extension.extension:contrastBolus

<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>

</extension>

</extension>

</name>

</extension>

</extension>

</title>

</telecom>

</contact>

</extension>

</extension>

</description>

</context>

</element>

<path value="Extension.extension" />
<sliceName value="contrastBolus" />
<min value="1" />
<max value="1" />
<mustSupport value="true" />

</element>

</element>

</element>

<type>

</type>

</element>

<path value="Extension.extension" />
<sliceName value="contrastBolusDetails" />
<min value="0" />
<max value="*" />

</element>

</element>

</element>

<type>

<code value="Reference" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationStatement" />

</type>

</element>

</element>

</element>

</differential>

</StructureDefinition>

{

"resourceType": "StructureDefinition",
"id": "mii-ex-bildgebung-kontrastmittel",
"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-kontrastmittel",
"version": "2027.0.0-ballot",
"name": "MII_EX_Bildgebung_Kontrastmittel",
"_name": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en-US"
},
{
"url": "content",
"valueString": "MII_EX_ImagingStudy"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"title": "MII EX Bildgebung Kontrastmittel",
"_title": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en-US"
},
{
"url": "content",
"valueString": "MII_EX_ImagingStudy"
}
],
"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 Gabe von Kontrastmitteln auf Serien-Ebene anzugeben.",
"_description": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en-US"
},
{
"url": "content",
"valueString": "The extension allows specifying the administration of contrast agents at the series level."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"fhirVersion": "4.0.1",
"kind": "complex-type",
"abstract": false,
"context": [
{
"type": "element",
"expression": "ImagingStudy.series"
}
],
"type": "Extension",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
"derivation": "constraint",
"differential": {
"element": [
{
"id": "Extension.extension",
"path": "Extension.extension",
"min": 1
},
{
"id": "Extension.extension:contrastBolus",
"path": "Extension.extension",
"sliceName": "contrastBolus",
"min": 1,
"max": "1",
"mustSupport": true
},
{
"id": "Extension.extension:contrastBolus.extension",
"path": "Extension.extension.extension",
"max": "0"
},
{
"id": "Extension.extension:contrastBolus.url",
"path": "Extension.extension.url",
"fixedUri": "contrastBolus"
},
{
"id": "Extension.extension:contrastBolus.value[x]",
"path": "Extension.extension.value[x]",
"type": [
{
"code": "boolean"
}
]
},
{
"id": "Extension.extension:contrastBolusDetails",
"path": "Extension.extension",
"sliceName": "contrastBolusDetails",
"min": 0,
"max": "*"
},
{
"id": "Extension.extension:contrastBolusDetails.extension",
"path": "Extension.extension.extension",
"max": "0"
},
{
"id": "Extension.extension:contrastBolusDetails.url",
"path": "Extension.extension.url",
"fixedUri": "contrastBolusDetails"
},
{
"id": "Extension.extension:contrastBolusDetails.value[x]",
"path": "Extension.extension.value[x]",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/MedicationAdministration",
"http://hl7.org/fhir/StructureDefinition/MedicationStatement"
]
}
]
},
{
"id": "Extension.url",
"path": "Extension.url",
"fixedUri": "https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-ex-bildgebung-kontrastmittel"
},
{
"id": "Extension.value[x]",
"path": "Extension.value[x]",
"max": "0"
}
]
}

}

MII EX Bildgebung Kontrastmittel

Beispiele

Hinweis
	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.

Hinweis

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 Kontrastmittelgabe:

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

}

]

}

]

}